COPDPhase 2NCT00557466
A Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via the TWISTHALER® Device in Patients With Chronic Obstructive Pulmonary Disease (COPD)
A Phase 2 study testing indacaterol, formoterol and short acting β2- agonist in people with COPD, run by Novartis at 75 sites in 17 countries.
Trial summary
This study will evaluate the dose response relationship among four doses of indacaterol as well as placebo delivered via the TWISTHALER® device. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- COPD
- What is being tested?
- indacaterol, formoterol and short acting β2- agonist
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 568 participants
- Where
- 75 sitesin 17 countries
- Study dates
- Oct 2007to May 2008
- Phase
- Phase 2
- 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 aged ≥ 40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure (which include any adjustment to their current COPD treatment)
- Cooperative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Obstructive Lung Disease (GOLD) Guidelines, 2006) and:
- Smoking history of at least 10 pack years
- Post-bronchodilator Forced Expiratory Volume in one second (FEV1) < 80% and ≥30% of the predicted normal value.
- Post-bronchodilator FEV1/Forced vital capacity (FVC) < 70%
Who cannot join
- Pregnant women, nursing mothers, or females of childbearing potential, regardless of whether or not sexually active, if they are not using acceptable methods of contraception.
- Patients who have been hospitalized for an exacerbation of their airways disease within 6 weeks prior to Visit 1 or between Visit 1 and Visit 2.
- Patients with a history of asthma.
- Patients with an acute respiratory tract infection within 4 weeks prior to Visit 1, will be not allowed to enter the study.
- Other clinically significant conditions which may interfere with the study conduct or patient safety as specified in the protocol.
- Other protocol-defined inclusion/exclusion criteria may apply.
Trial locations and contacts
75 sites in 17 countries.
75 sites in 17 countries
Germany11 sites
Novartis Investigator Site
Berlin
Novartis Investigator site
Bibertal
Novartis Investigator Site
Bochum
Novartis Investigator Site - 2 sites
Bonn
Novartis Investigator Site
Cologne
Novartis Investigator Site
Frankfurt
Novartis Investigator Site
Hamburg
Novartis Investigator Site
Heidelberg
novartis Investigator site
Koblenz
Novartis Investigator Site
Marburg
Novartis Investigator Site
Solingen
South Africa10 sites
Novartis Investigator Site
Bloemfontain
Novartis Investigator Site
Bloemfontein
Novartis Investigator Site
Cape Town
Novartis Investigator Site
Durban
Novartis Investigator Site
eManzimtoti
Novartis Investigator Site
George
Novartis Investigator Site
Johannesburg
Novartis Investigator Site
Port Elizabeth
Novartis Investigator Site
Pretoria
Novartis Investigator Site
Tygerberg
Turkey (Türkiye)9 sites
Novartis Investigator Site
Erzurum
Novartis Investigator Site
Isparta
Novartis Investigator Site
Istanbul
Novartis Investigator Site
Kahramanmaraş
Novartis Investigator Site
Kayseri
Novartis Investigator Site
Malatya
Novartis Investigator Site
Manisa
Novartis Investigator Site
Sanliurfa
Novartis Investigator Site
Trabzon
Poland8 sites
Novartis Investigator Site
Izabelin
Novartis Investigator Site
Lodz
Novartis Investigator Site
Lublin
Novartis Investigator site
Mrozy
Novartis Investigator Site
Olsztyn
Novartis Investigator Site
Rzeszów
Novartis Investigator Site
Wejhrowo
Novartis Investigator Site
Włocławek
United Kingdom7 sites
Novartis Investigator Site
Belfast
Novartis Investigator Site
Chesterfield
Novartis Investigator Site
Glasgow
Novartis Investigator Site
Plymouth
Novartis Investigator Site
Warminster
Novartis investigator site
Watford
Novartis Investigator Site
Whitstable
France6 sites
Novartis Investigator Site
Bois-Guillaume
Novartis Investigator Site
Clermot Ferand
Novartis Investigator Site
Lille
Novartis Investigator Site
Marseille
Novartis Investigator Site
Nantes
Novartis Investigator site
Toulouse
Romania4 sites
Novartis Investigator Site
Bucharest
Novartis Investigator Site
Cluj-Napoca
Novartis Investigator Site
Iași
Novartis Investigator Site
Timișoara
Argentina3 sites
Novartis Investigator site
Buenos Aires
Novartis Investigator Site
Rosario
Novartis Investigator Site
Santillán
Hungary3 sites
Novartis Investigator Site
Budapest
Novartis Investigator Site
Debrecen
Novartis investigator site
Pécs
Italy3 sites
Novartis Investigator Site
Genova
Novartis Investigator Site
Naples
Novartis Investigator Site
Pordenone
Lithuania3 sites
Novartis Investigator Site
Kaunas
Novartis Investigator Site
Klaipėda
Novartis Investigator Site
Vilnius
Chile2 sites
Novartis Investigator Site
Santiago
Novartis Investigator Site
Val Pariso
Latvia2 sites
Novartis investigator site
Daugavpils
Novartis Investigator Site
Riga
About this study
Official title: A Randomized, Multi-center, Parallel Group, Double Blind, Placebo and Formoterol Controlled 14 Day Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via TWISTHALER® Device in Patients With COPD
This study will evaluate the dose response relationship among four doses of indacaterol as well as placebo delivered via the TWISTHALER® device.
- Conditions
- COPD
- Being tested
- indacaterol, formoterol, placebo to indacaterol, placebo to formoterol, short acting β2- agonist
- Keywords
- QMF, indacaterol, TWISTHALER® device
- 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 delivered by multiple dose dry powder inhaler (TWISTHALER® device).
formoterolDrug
Formoterol delivered by oral inhalation via AEROLIZER® inhalation device.
placebo to indacaterolDrug
Placebo TWISTHALER® device
placebo to formoterolDrug
Placebo AEROLIZER® device
short acting β2- agonistDrug
100 μg / 90 μg salbutamol/albuterol Metered Dose Inhaler (MDI) or equivalent dose of Dry Powder Inhaler (DPI).
| Study group | Role | What they receive |
|---|---|---|
| indacaterol 62.5 μg | Experimental | Indacaterol 62.5 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist |
| indacaterol 125 μg | Experimental | Indacaterol 125 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist |
| Indacaterol 250 μg | Experimental | Indacaterol 250 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist |
| indacaterol 500 μg | Experimental | Indacaterol 500 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. Receives: Drug: indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist |
| formoterol | Active comparator | Formoterol 12 μg delivered by the AEROLIZER® device twice a day and placebo to indacaterol (placebo TWISTHALER® device) once a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. Receives: Drug: formoterol; Drug: placebo to indacaterol; Drug: short acting β2- agonist |
| placebo | Placebo comparator | Placebo to indacaterol (placebo TWISTHALER® device) once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. Receives: Drug: placebo to indacaterol; Drug: placebo to formoterol; Drug: short acting β2- agonist |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 14 days of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.
Measured: Baseline (prior to first dose) and Day 15 (24 hours after last dose)
Secondary outcomes (6)
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose
FEV1 was measured on Day 14 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.
Measured: Day 14, pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 1
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 1 day of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.
Measured: Day 1 Baseline (prior to first dose) and 24 hours post-dose.
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 1
FEV1 was measured on Day 1 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.
Measured: Day 1; pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.
Time to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Time to peak FEV1 is calculated in minutes from the time of inhalation of study drug to the time of the peak FEV1, which is taken as the maximum FEV1 recorded post-dose.
Measured: Day 1 and Day 14 measured pre-dose and up to 4 hours post-dose
Change From Baseline in Morning and Evening Peak Expiratory Flow
The Peak Expiratory Flow (PEF) rate is the maximal rate that a person can exhale during a short maximal expiratory effort after fully inhaling. Participants measured their PEF using a peak flow meter prior to taking study medication and recorded measurements in a diary every morning and evening during the study. Change from baseline is the difference between the mean baseline PEF recorded during the screening period until the first day of treatment, and the overall mean PEF from Days 1 to 14.
Measured: Baseline (recorded during the screening period) and Days 1-14 (treatment period).
Number of Participants Using Rescue Medication
Participants recorded the use of rescue medications (salbutamol/albuterol) for treatment of asthma symptoms twice a day in a diary during the 14 days of the treatment period.
Measured: Over 14 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Nov 2007 (estimated)
- Study startOct 2007
- Primary completionMay 2008
- Study completionMay 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for COPDStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 568 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Schering-Plough
- Responsible party
- Sponsor
- Investigators
- Novartis Pharma AG, Study chair, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00557466
- Sponsor's protocol ID
- CQMF149B2201
- Status last verified
- Nov 2012
- First submitted
- 13 Nov 2007
- Last updated
- 18 Jan 2013
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multi-center, Parallel Group, Double Blind, Placebo and Formoterol Controlled 14 Day Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via TWISTHALER® Device in Patients With COPD
- ClinicalTrials.gov ID
- NCT00557466
- Acronym / sponsor ID
- CQMF149B2201
- Conditions
- COPD
- Keywords
- QMF, indacaterol, TWISTHALER® device
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 568 participants (actual)
- Lead sponsor
- NovartisIndustry (pharma, biotech, devices)
- Collaborators
- Schering-Plough
- Study start
- Oct 2007
- Primary completion
- May 2008 (actual)
- Study completion
- May 2008 (actual)
- First posted
- 14 Nov 2007 (estimated)
- Results
- Posted 18 Jan 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the dose response relationship among four doses of indacaterol as well as placebo delivered via the TWISTHALER® device.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| indacaterol 62.5 μg | Experimental | Drug: indacaterol, Drug: placebo to formoterol, Drug: short acting β2- agonistIndacaterol 62.5 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. |
| indacaterol 125 μg | Experimental | Drug: indacaterol, Drug: placebo to formoterol, Drug: short acting β2- agonistIndacaterol 125 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. |
| Indacaterol 250 μg | Experimental | Drug: indacaterol, Drug: placebo to formoterol, Drug: short acting β2- agonistIndacaterol 250 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. |
| indacaterol 500 μg | Experimental | Drug: indacaterol, Drug: placebo to formoterol, Drug: short acting β2- agonistIndacaterol 500 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. |
| formoterol | Active comparator | Drug: formoterol, Drug: placebo to indacaterol, Drug: short acting β2- agonistFormoterol 12 μg delivered by the AEROLIZER® device twice a day and placebo to indacaterol (placebo TWISTHALER® device) once a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. |
| placebo | Placebo comparator | Drug: placebo to indacaterol, Drug: placebo to formoterol, Drug: short acting β2- agonistPlacebo to indacaterol (placebo TWISTHALER® device) once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days. All participants were supplied with salbutamol/albuterol to use throughout the study as rescue medication. |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male and female adults aged ≥ 40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure (which include any adjustment to their current COPD treatment)
- Cooperative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Obstructive Lung Disease (GOLD) Guidelines, 2006) and:
Key exclusion criteria (6 listed)
- Pregnant women, nursing mothers, or females of childbearing potential, regardless of whether or not sexually active, if they are not using acceptable methods of contraception.
- Patients who have been hospitalized for an exacerbation of their airways disease within 6 weeks prior to Visit 1 or between Visit 1 and Visit 2.
- Patients with a history of asthma.
- Patients with an acute respiratory tract infection within 4 weeks prior to Visit 1, will be not allowed to enter the study.
- Other clinically significant conditions which may interfere with the study conduct or patient safety as specified in the protocol.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| indacaterolIndacaterol delivered by multiple dose dry powder inhaler (TWISTHALER® device). | Drug | Indacaterol 250 μg, indacaterol 125 μg, indacaterol 500 μg, indacaterol 62.5 μg |
| formoterolFormoterol delivered by oral inhalation via AEROLIZER® inhalation device. | Drug | formoterol |
| placebo to indacaterolPlacebo TWISTHALER® device | Drug | formoterol, placebo |
| placebo to formoterolPlacebo AEROLIZER® device | Drug | Indacaterol 250 μg, indacaterol 125 μg, indacaterol 500 μg, indacaterol 62.5 μg, placebo |
| short acting β2- agonist100 μg / 90 μg salbutamol/albuterol Metered Dose Inhaler (MDI) or equivalent dose of Dry Powder Inhaler (DPI). | Drug | Indacaterol 250 μg, formoterol, indacaterol 125 μg, indacaterol 500 μg, indacaterol 62.5 μg, placebo |
Primary outcome
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)
Time frame: Baseline (prior to first dose) and Day 15 (24 hours after last dose)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 14 days of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.
6 secondary outcomes
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose
Time frame: Day 14, pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 1
Time frame: Day 1 Baseline (prior to first dose) and 24 hours post-dose.
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 1
Time frame: Day 1; pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.
Time to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14
Time frame: Day 1 and Day 14 measured pre-dose and up to 4 hours post-dose
Change From Baseline in Morning and Evening Peak Expiratory Flow
Time frame: Baseline (recorded during the screening period) and Days 1-14 (treatment period).
Number of Participants Using Rescue Medication
Time frame: Over 14 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharma AG study chair
Novartis Pharmaceuticals
75 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing indacaterol, formoterol and short acting β2- agonist in people with COPD, run by Novartis at 75 sites in 17 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 5 inclusion and 6 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 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 75 sites in Germany, South Africa, Turkey (Türkiye), Poland, United Kingdom and 12 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 Jan 2013). 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?
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) (time frame: Baseline (prior to first dose) and Day 15 (24 hours after last dose)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Jan 2013.