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Chronic Obstructive Pulmonary DiseasePhase 4CODEXNCT00489853

Evaluation of Efficacy on Exercise Tolerance of Symbicort (Budesonide/Formoterol) Compared to Placebo and Oxis in Patients With Severe COPD

A Phase 4 study testing budesonide/formoterol Turbuhaler 320/9µg and formoterol Turbuhaler 9µg in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 9 sites in 2 countries.

Completed

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

Official record
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Trial summary

The purpose of this study is to investigate the effect on exercise tolerance, lung function and symptoms after treatment with Symbicort, Oxis or placebo in patients with severe chronic obstructive pulmonary disease. 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?
budesonide/formoterol Turbuhaler 320/9µg and formoterol Turbuhaler 9µg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
137 participants
Where
9 sitesin 2 countries
Study dates
Jul 2007to Aug 2008
Phase
Phase 4
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

  • >=40 years of age
  • diagnosed COPD with symptoms >= 2 years
  • pre-bronchodilatory FEV1 <=50% of PN

Who cannot join

  • Current respiratory tract disorder other than COPD
  • history of asthma or rhinitis
  • significant or unstable cardiovascular disorder

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

Germany8 sites
  • Research Site

    Berlin

  • Research Site

    Erfurt

  • Research Site

    Fulda

  • Research Site

    Fürth

  • Research Site

    Geesthacht

  • Research Site

    Grobhansdorf

  • Research Site

    Leipzig

  • Research Site

    Neuruppin

Other trials in Germany

Switzerland1 site
  • Research Site

    Basel, Canton of Basel-City

Other trials in Switzerland

About this study

Official title: A Multi-centre, Randomised, Double-blind, Cross-over Design Study to Evaluate Efficacy on Exercise Tolerance of Symbicort ®(Budesonide/Formoterol) 320/9μg One Inhalation Twice Daily Compared With Placebo and Oxis® 9μg One Inhalation Twice Daily in Patients With Severe Chronic Obstructive Pulmonary Disease (COPD).

The purpose of this study is to investigate the effect on exercise tolerance, lung function and symptoms after treatment with Symbicort, Oxis or placebo in patients with severe chronic obstructive pulmonary disease.

Being tested
budesonide/formoterol Turbuhaler 320/9µg, formoterol Turbuhaler 9µg, Placebo
Keywords
COPD
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.

  • budesonide/formoterol Turbuhaler 320/9µgDrug

    Symbicort (budesonide/formoterol) Turbuhaler 320/9 micrograms

  • formoterol Turbuhaler 9µgDrug

    Formoterol Turbuhaler 9 micrograms, 1 inhalation twice daily

  • PlaceboOther

    Placebo, 1 inhalation twice daily

Study groups in NCT00489853
Study groupRoleWhat they receive
Symbicort then Formoterol then PlaceboExperimentalSymbicort (budesonide/formoterol) Turbuhaler 320/9 micrograms, 1 inhalation twice daily, then Formoterol Turbuhaler 9 micrograms, 1 inhalation twice daily, then Placebo, 1 inhalation twice daily
Receives: Drug: budesonide/formoterol Turbuhaler 320/9µg; Drug: formoterol Turbuhaler 9µg; Other: Placebo
Formoterol then Symbicort then PlaceboExperimentalFormoterol Turbuhaler 9 micrograms, 1 inhalation twice daily, then Symbicort (budesonide/formoterol) Turbuhaler 320/9 micrograms, 1 inhalation twice daily, then Placebo, 1 inhalation twice daily
Receives: Drug: budesonide/formoterol Turbuhaler 320/9µg; Drug: formoterol Turbuhaler 9µg; Other: Placebo
Placebo then Formoterol then SymbicortPlacebo comparatorPlacebo, 1 inhalation twice daily, then Formoterol Turbuhaler 9 micrograms, 1 inhalation twice daily, then Symbicort (budesonide/formoterol) Turbuhaler 320/9 micrograms, 1 inhalation twice daily
Receives: Drug: budesonide/formoterol Turbuhaler 320/9µg; Drug: formoterol Turbuhaler 9µg; Other: Placebo

What is being measured

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

  1. Exercise Endurance Time (EET) at 75% of Peak Work Capacity With Cycle Ergometry 1 Hour Post-dose

    Treatment means from individual patient data. Patients with only one EET value where excluded since this model, with patient and period as fixed factors, required data from at least two periods.

    Measured: Single measurement taken1 hour post-dose at the end of each 1-week treatment period

Secondary outcomes (29)
  1. Exercise Endurance Time (EET) at 75% of Peak Work Capacity With Cycle Ergometry 6 Hour Post-dose

    Treatment means from individual patient data. Patients with only one EET value where excluded since this model, with patient and period as fixed factors, required data from at least two periods.

    Measured: Single measurement taken 6 hours post-dose at the end of each 1-week treatment period

  2. Forced Expiratory Flow (FEV1) Pre-dose

    The mean of the changes for each patient between the pre-dose value at the start of treatment and the pre-dose value after one week of treatment.

    Measured: Pre-dose at the start of treatment and pre-dose after one week of treatment

  3. Forced Vital Capacity (FVC) Pre-dose

    The mean of the changes for each patient between the pre-dose value at the start of treatment and the pre-dose value after one week of treatment.

    Measured: Pre-dose at the start of treatment and pre-dose after one week of treatment

  4. Vital Capacity (VC) Pre-dose (Change From Pre-treatment to Treatment)

    The mean of the changes for each patient between the pre-dose value at the start of treatment and the pre-dose value after one week of treatment.

    Measured: Pre-dose at the start of treatment and pre-dose after one week of treatment

  5. Peak Expiratory Flow (PEF) Before Morning Dose

    The change in average value for the run-in or wash-out period to the average value of the subsequent treatment period.

    Measured: Daily diary data entered during the 1-week run-in or wash-out period and the subsequent 1-week treatment period

  6. Sleep Score

    The change in average value for the run-in or wash-out period to the average value of the subsequent treatment period, with an ordinal scale of 0 (symptoms did not cause a sleep problem) to 4 (did not sleep at all due to symptoms).

    Measured: Daily diary data entered during the 1-week run-in or wash-out period and the subsequent 1-week treatment period

  7. Breathlessness Score

    The change in average value for the run-in or wash-out period to the average value of the subsequent treatment period, with an ordinal scale of 0 (unaware of any difficulty in breathing) to 4 (almost constant difficulties in breathing). All patients with data from both periods are included.

    Measured: Daily diary data entered during the 1-week run-in or wash-out period and the subsequent 1-week treatment period

  8. Chest Tightness Score

    The change in average value for the run-in or wash-out period to the average value of the subsequent treatment period, with an ordinal scale of 0 (unaware of any discomfort) to 4 (almost constant discomfort).

    Measured: Daily diary data entered during the 1-week run-in or wash-out period and the subsequent 1-week treatment period

  9. Cough Score

    The change in average value for the run-in or wash-out period to the average value of the subsequent treatment period, with an ordinal scale of 0 (unaware of coughing) to 4 (never free of need to cough).

    Measured: Daily diary data entered during the 1-week run-in or wash-out period and the subsequent 1-week treatment period

  10. Number of Inhalations of Reliever Medication

    The change in average daily use for the run-in or wash-out period to the average daily use of the subsequent treatment period.

    Measured: Daily diary data entered during the 1-week run-in or wash-out period and the subsequent 1-week treatment period

  11. Borg CR10 Score Before Exercise Endurance Time (EET) Performed 1 Hour Post-dose

    The Borg CR10 Scale consists of 10-point score that the patients pointed to so as to indicate their level of dyspnea before and during exercise testing (where 0 indicates no breathlessness at all and 10 indicates maximum breathlessness. Patients are allowed to assign an even higher number depending on their perceived level of breathlessness).

    Measured: Single measurement performed at rest prior to exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  12. Borg CR10 Score After Exercise Endurance Time (EET) Performed 1 Hour Post-dose

    The level of breathing discomfort experienced by patients, on a scale of 0 (no breathing discomfort at all) to >10 (absolute maximum breathing discomfort).

    Measured: Single measurement performed after exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  13. Borg CR10 Score Before Exercise Endurance Time (EET) Performed 6 Hour Post-dose

    The level of breathing discomfort experienced by patients, on a scale of 0 (no breathing discomfort at all) to >10 (absolute maximum breathing discomfort).

    Measured: Single measurement performed at rest prior to exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  14. Borg CR10 Score After Exercise Endurance Time (EET) Performed 6 Hours Post-dose

    The level of breathing discomfort experienced by patients, on a scale of 0 (no breathing discomfort at all) to >10 (absolute maximum breathing discomfort). All patients with data are included.

    Measured: Single measurement performed after exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  15. Inspiratory Capacity (IC) Before Exercise Endurance Time (EET) Performed 1 Hour Postdose

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  16. Inspiratory Capacity (IC) Before Exercise Endurance Time (EET) Performed 6 Hours Post-dose

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  17. Vital Capacity (VC) (Body Plethysmography) Performed Before 1 Hour Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  18. Inspiratory Capacity (IC) (Body Plethysmography) Performed Before 1 Hour Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1hour post-dose at the end of each 1-week treatment period

  19. Forced Respiratory Capacity (FRC) (Body Plethysmography) Performed Before 1 Hour Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  20. Residual Volume (RV) (Body Plethysmography) Performed Before 1 Hour Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  21. Total Lung Capacity (TLC) (Body Plethysmography) Performed Before 1 Hour Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  22. Specific Airway Resistance (sRaw) (Body Plethysmography) Performed Before 1 Hour Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 1 hour post-dose at the end of each 1-week treatment period

  23. Vital Capacity (VC) (Body Plethysmography) Performed Before 6 Hour Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  24. Inspiratory Capacity (IC) (Body Plethysmography) Performed Before 6 Hour Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  25. Forced Respiratory Capacity (FRC) (Body Plethysmography) Performed Before 6 Hours Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  26. Residual Volume (RV) (Body Plethysmography) Performed Before 6 Hour Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hous post-dose at the end of each 1-week treatment period

  27. Total Lung Capacity (TLC) (Body Plethysmography) Performed Before 6 Hours Post-dose Exercise Endurance Time (EET)

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  28. Specific Airway Resistance (sRaw) (Body Plethysmography) Performed Before 6 Hours Post-dose EET

    Treatment means from individual participant data.

    Measured: Single measurement obtained before exercise endurance test performed 6 hours post-dose at the end of each 1-week treatment period

  29. SGRQ-C (St. George's Respiratory Questionnaire for COPD Patients) Total Score

    Score from a questionnaire, with scores ranging form 0 (perfect health) to 100 (worst possible state). Includes all patients with data.

    Measured: Single measurement taken at the end of each 1-week treatment period

Timeline

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

  1. First posted21 Jun 2007 (estimated)
  2. Study startJul 2007
  3. Primary completionAug 2008
  4. Study completionAug 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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
137 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00489853
Sponsor's protocol ID
D5892C00014
Other IDs
Eudract No: 2006-006519-60
Acronym
CODEX
Status last verified
Jul 2012
First submitted
19 Jun 2007
Last updated
30 Aug 2012

Publications

  • Worth H, Forster K, Eriksson G, Nihlen U, Peterson S, Magnussen H. Budesonide added to formoterol contributes to improved exercise tolerance in patients with COPD. Respir Med. 2010 Oct;104(10):1450-9. doi: 10.1016/j.rmed.2010.07.006. Epub 2010 Aug 7.

    PubMed 20692140

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing budesonide/formoterol Turbuhaler 320/9µg and formoterol Turbuhaler 9µg in people with Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 9 sites in 2 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 3 inclusion and 3 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 30 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Germany, Switzerland. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 30 Aug 2012). 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?

Exercise Endurance Time (EET) at 75% of Peak Work Capacity With Cycle Ergometry 1 Hour Post-dose (time frame: Single measurement taken1 hour post-dose at the end of each 1-week treatment period). 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 NCT00489853, which also lists 1 linked publication.

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 30 Aug 2012.

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