Pulmonary Disease, Chronic ObstructivePhase 4NCT01110200
Chronic Obstructive Pulmonary Disease (COPD) Post-hospitalization Study
A Phase 4 study testing ADVAIR DISKUS 250/50 mg BID and SEREVENT 50 mcg BID in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 103 sites in 3 countries.
Trial summary
This trial is a randomized, double-blind, parallel-group, multicenter study to be conducted in the United States. The purpose of the study is to evaluate the rate of exacerbations of chronic obstructive pulmonary disease (COPD) following hospital discharge for an acute exacerbation of COPD, in patients receiving… Read more about this study
- Who is it for?
- Ages 40 to 85 years
- Conditions the study is for
- Pulmonary Disease, Chronic Obstructive
- What is being tested?
- ADVAIR DISKUS 250/50 mg BID and SEREVENT 50 mcg BID
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 639 participants
- Where
- 103 sitesin 3 countries
- Study dates
- 30 Apr 2010to 8 May 2012
- 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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects eligible for enrolment in this study must meet all of the following criteria:
- Male or female of at least 40 years of age at screening.
- To be eligible for entry into the study, females of childbearing potential must commit to the consistent and correct use of an acceptable method of birth control starting on the day of visit 1, throughout the clinical trial, and for a period after the trial to account for elimination of the drug (minimum of six days), as defined by any one of the following:
- Abstinence Females of childbearing potential who are not sexually active must commit to complete abstinence from intercourse
- Oral contraceptive (either combined estrogen/progestin or progestin only)
- Injectable progestogen
Show all 20Show fewer
- Implants of levonorgestrel or etonogestrel
- Percutaneous contraceptive patches
- Intrauterine device (IUD) or intrauterine system (IUS) with a documented failure rate of less than 1% per year,
- Male partner who is sterile (vasectomy with documentation of azoospermia) prior to the female subject's entry into the study and is the sole sexual partner for that female subject, or
- Double-barrier method; condom or occlusive cap (diaphragm or cervical /vault caps) plus spermicide.
- Current or former smokers with a >10 pack-year cigarette smoking history [number of pack years = (number of cigarettes per day / 20) X number of years smoked (e.g., 10 pack-years is equal to 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years]. Former smokers are defined as those who have quit smoking for at least 3 months prior to the screening visit.
- Any of the following populations:
- Patients hospitalized for a duration not exceeding 10 days due to an acute exacerbation of COPD, and who must be randomized within 10 days post-discharge.
- Patients with COPD who were treated and held for observation in the emergency department (i.e. emergency room, ER) for at least 24 hours due to an acute exacerbation of COPD, and who must be randomized within 10 days post-discharge.
- Patients who received oral corticosteroids or oral corticosteroids and antibiotics for treatment of an exacerbation of COPD during a physician's office visit and who must be randomized within 10 days of the visit, and who have been hospitalized within the previous six months due to an acute exacerbation of COPD.
- Clinical diagnosis of COPD (for at least 6 months). The following definition of COPD from the American Thoracic Society (ATS) will be used: COPD is a disease state characterized by the presence of airflow obstruction due to chronic bronchitis or emphysema; the airflow obstruction is generally progressive, may be accompanied by airway hyper-reactivity, and may be partially reversible [American Thoracic Society, 1995].
- Documented evidence (within a year prior to Visit 1) in the medical chart of spirometry confirming the diagnosis of COPD and/or spirometry performed prior to randomization (Visit 2) that confirms pre-bronchodilator FEV1/FVC ratio less than or equal to 0.70 and pre-bronchodilator FEV1 <70% of predicted.
- Review and subject's completion of written informed consent: a subject-signed and dated written informed consent (form) must be obtained prior to any study procedure, and the subject must be willing to comply with all the requirements of the study protocol.
- Subject must be able to read, comprehend, and record information in English or Spanish.
Who cannot join
- Subjects meeting any of the following criteria must not be enrolled in the study:
- Diagnosis of pneumonia, congestive heart failure (CHF), or other complicating co-morbid condition while hospitalized within the last 6 months for an exacerbation of COPD.
- Historical or current evidence of clinically significant uncontrolled disease including, but not limited to, those listed below. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subjects at risk through study participation, or which would affect the safety analysis or other analyses if the disease/condition exacerbated during the study.
- A previous lung resection surgery (e.g. lobectomy, pneumonectomy, etc) within the year preceding Visit 1 (Screening)
- Asthma as primary diagnosis
- Lung cancer
Show all 22Show fewer
- Cystic fibrosis, pulmonary fibrosis, active tuberculosis, or sarcoidosis
- Clinically significant cardiac arrhythmias
- Uncontrolled hypertension
- Unstable angina
- Current malignancy or a previous history of cancer in remission for < 5yrs (localized basal cell or squamous cell carcinoma of the skin that has been resected is not excluded)
- Uncontrolled diabetes mellitus
- Uncontrolled hyperthyroidism or hypothyroidism
- Immunologic compromise
- Cushing's or Addison's disease
- An abnormal 12-lead electrocardiogram (ECG) at Visit 1 (Screening) deemed to be clinically significant by the investigator.
- A chest X-ray or computed tomography (CT) scan performed in the 6 months preceding Visit 1 that revealed evidence of clinically significant abnormalities not believed to be due to the presence of COPD. If the subject does not have a record of a chest X-ray, one must be obtained and reviewed prior to randomization.
- Female patients with a positive urine pregnancy test at Visit 1.
- Any infirmity, physical disability, or geographic location that would limit compliance for scheduled visits.
- Any adverse reaction, immediate or delayed, hypersensitivity to any Beta-agonist, sympathomimetic drug, or corticosteroid including any components of the study drug formulations.
- Limited ability to provide a valid informed consent due to psychiatric disease, intellectual deficiency, poor motivation, current substance abuse (including illicit drugs and alcohol), or neurological disorders that might interfere with completion of study procedures or hearing problems that may impede effective communication.
- Study site staff (i.e. participating investigator, sub-investigator, study coordinator, employee of the participating investigator) or family members of site staffs.
Trial locations and contacts
103 sites in 3 countries.
103 sites in 3 countries
United States74 sites
GSK Investigational Site
Abingdon, Virginia, 24210
GSK Investigational Site
Anchorage, Alaska, 99508
GSK Investigational Site
Baltimore, Maryland, 21224
GSK Investigational Site
Bay Pines, Florida, 33744
GSK Investigational Site
Belleville, Illinois, 62220
GSK Investigational Site
Birmingham, Alabama, 35233
GSK Investigational Site
Birmingham, Alabama, 35294
GSK Investigational Site
Brandon, Florida, 33511
GSK Investigational Site
Buffalo, New York, 14215-1199
GSK Investigational Site
Canton, Ohio, 44718
GSK Investigational Site
Charleston, South Carolina, 29406-7108
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Cincinnati, Ohio, 45220
GSK Investigational Site
Clearwater, Florida, 33756
GSK Investigational Site
Cocoa, Florida, 32927
GSK Investigational Site
Columbia, Maryland, 21044
GSK Investigational Site
Corsicana, Texas, 75110
GSK Investigational Site
Council Bluffs, Iowa, 51503
GSK Investigational Site
Dallas, Texas, 75216
GSK Investigational Site
Dallas, Texas, 75231
GSK Investigational Site
Dayton, Ohio, 45459
GSK Investigational Site
Durham, North Carolina, 27705
GSK Investigational Site
Easley, South Carolina, 29640
GSK Investigational Site
Elizabeth City, North Carolina, 27909
GSK Investigational Site
Fairfax, Virginia, 22030
GSK Investigational Site
Florence, Alabama, 35630
GSK Investigational Site
Fort Lauderdale, Florida, 33316
GSK Investigational Site
Fort Mill, South Carolina, 29707
GSK Investigational Site
Fresno, California, 93702
GSK Investigational Site
Fridley, Minnesota, 55432
GSK Investigational Site
Gaffney, South Carolina, 29340
GSK Investigational Site
Gainesville, Florida, 32608
GSK Investigational Site
Glendale, Arizona, 85306
GSK Investigational Site
Greenville, South Carolina, 29615
GSK Investigational Site
Hartford, Connecticut, 06105
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Kansas City, Missouri, 64108
GSK Investigational Site
Kansas City, Missouri, 64128
GSK Investigational Site
Kissimmee, Florida, 34741
GSK Investigational Site
Lawrenceville, Georgia, 30046
GSK Investigational Site
Lincoln, Nebraska, 68506
GSK Investigational Site
Livonia, Michigan, 48152
GSK Investigational Site
Loma Linda, California, 92357
GSK Investigational Site
Long Beach, California, 90822
GSK Investigational Site
Minneapolis, Minnesota, 55407
GSK Investigational Site
Mobile, Alabama, 36608
GSK Investigational Site
Newport Beach, California, 92663
GSK Investigational Site
North Syracuse, New York, 13212
GSK Investigational Site
Oklahoma City, Oklahoma, 73104
GSK Investigational Site
Omaha, Nebraska, 68198
GSK Investigational Site
Orlando, Florida, 32822
GSK Investigational Site
Philadelphia, Pennsylvania, 19140
GSK Investigational Site
Phoenix, Arizona, 85012
GSK Investigational Site
Phoenix, Arizona, 85023
GSK Investigational Site
Pittsburgh, Pennsylvania, 15025
GSK Investigational Site
Portland, Oregon, 97220
GSK Investigational Site
Richmond, Virginia, 23225
GSK Investigational Site
Riverside, California, 92506
GSK Investigational Site
San Diego, California, 92117
GSK Investigational Site
Seneca, South Carolina, 29678
GSK Investigational Site
Sepulveda, California, 91343
GSK Investigational Site
Spartanburg, South Carolina, 29303
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Statesville, North Carolina, 28625
GSK Investigational Site
Torrance, California, 90505
GSK Investigational Site
Tucson, Arizona, 85710
GSK Investigational Site
Union, South Carolina, 29379
GSK Investigational Site
Washington D.C., District of Columbia, 20037
GSK Investigational Site
Wichita, Kansas, 67218
GSK Investigational Site
Wilmington, North Carolina, 28401
GSK Investigational Site
Winston-Salem, North Carolina, 27103
GSK Investigational Site
Winter Park, Florida, 32789
GSK Investigational Site
Winter Park, Florida, 32792
Argentina23 sites
GSK Investigational Site
Bahía Blanca, Buenos Aires, B8000AAK
GSK Investigational Site
Bariloche, Río Negro Province, R8401DKA
GSK Investigational Site
Buenos Aires, C1120AAC
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Cipolletti, Río Negro Province, 8324
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, 1425DQI
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1405BCH
GSK Investigational Site
Ciudad Autonoma de Buenos Aires, Buenos Aires, C1431FWO
GSK Investigational Site
Comodoro Rivadavia, Chubut Province, U9000AKX
GSK Investigational Site
Concepción del Uruguay, Entre Ríos Province, 3260
GSK Investigational Site
Corrientes, W3410AVV
GSK Investigational Site
El Calafate, Santa Cruz Province, Z9405CJM
GSK Investigational Site
Godoy Cruz, Mendoza Province, MQ 5500
GSK Investigational Site
Mar del Plata, Buenos Aires, 7600
GSK Investigational Site
Nueve de Julio, Buenos Aires, B6500BWQ
GSK Investigational Site
San Juan, 5400
GSK Investigational Site
San Juan Bautista, Buenos Aires, 1888
GSK Investigational Site
San Miguel de Tucumán, T4000DGF
GSK Investigational Site
San Rafael, Mendoza Province, M5602HWT
GSK Investigational Site
San Salvador de Jujuy
GSK Investigational Site
Santa Fe, 3000
GSK Investigational Site
Santa Fe, 3016
GSK Investigational Site
Santa Fe, S3000AZG
Norway6 sites
GSK Investigational Site
Bodø, 8005
GSK Investigational Site
Levanger, 7600
GSK Investigational Site
Stavanger, 4011
GSK Investigational Site
Tønsberg, 3116
GSK Investigational Site
Trondheim, 7030
GSK Investigational Site
Volda, 6100
About this study
Official title: A Randomized, Double-Blind, Parallel Group, Multicenter Study of the Effects of Fluticasone Propionate/Salmeterol Combination Product 250/50mcg BID (ADVAIR DISKUS™) in Comparison to Salmeterol 50mcg BID (SEREVENT DISKUS™) on the Rate of Exacerbations of COPD Following Hospitalization
This trial is a randomized, double-blind, parallel-group, multicenter study to be conducted in the United States. The purpose of the study is to evaluate the rate of exacerbations of chronic obstructive pulmonary disease (COPD) following hospital discharge for an acute exacerbation of COPD, in patients receiving either fluticasone propionate/salmeterol combination product 250/50mcg BID or salmeterol 50mcg BID via DISKUS™ over 29 weeks. The study population will include patients hospitalized for an acute exacerbation of COPD. The target enrolment is 720 subjects at 80 study centers. The primary endpoint is the rate of exacerbation requiring hospitalization that occur more than 21 days post-discharge, emergency room visit or physician's office visit for an exacerbation of COPD requiring treatment with oral corticosteroids or oral corticosteroids and antibiotics. The secondary endpoint is the rate of COPD exacerbation requiring treatment with oral corticosteroids, antibiotics, and/or hospitalization (alone and in combination). Related efficacy endpoints include, time to first exacerbation of COPD requiring treatment with oral corticosteroids, antibiotics, and/or hospitalization (alone and in combination), pre-dose AM FEV1, the probability of premature withdrawal of subject from the study, and supplemental albuterol use, change in biomarkers of inflammation, including, surfactant protein D (SP-D), clara cell secretory protein 16 (CC-16) and high sensitivity C-reactive protein (hs-CRP). Health outcome assessments include domain scores evaluation for fatigue, dyspnea, emotional function and mastery, measured with the Chronic Respiratory Disease Questionnaire self-administered standardized format (CRQ-SAS); and symptoms (congestion, cough, phlegm, mucus, chest discomfort, shortness of breath and sleep disturbance), assessed by the EXAcerbations of Chronic pulmonary disease Tool (EXACT). Albuterol will be supplied to study subjects for use as-needed throughout the study. Safety will be assessed by monitoring of adverse events.
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- ADVAIR DISKUS 250/50 mg BID, SEREVENT 50 mcg BID
- Keywords
- Hospitalization, Exacerbations of COPD, Chronic Obstructive Pulmonary Disease (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.
ADVAIR DISKUS 250/50 mg BIDDrug
Also called FSC 250/50 mcg
Fluticasone propionate/salmeterol 250/50 mcg BID in the DISKUS formulation (ADVAIR DISKUS) is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, indicated in the US for the maintenance treatment of airflow obstruction and reducing exacerbations in patients with COPD.
SEREVENT 50 mcg BIDDrug
Also called Salmeterol xinafoate 50 mcg
Salmeterol xinafoate Inhalation Powder (SEREVENT DISKUS) is indicated for the long-term, twice-daily (morning and evening), administration in the maintenance treatment of bronchospasm associated with COPD (including emphysema and chronic bronchitis).
| Study group | Role | What they receive |
|---|---|---|
| ADVAIR DISKUS 250/50 mcg BID | Active comparator | Fluticasone propionate/salmeterol 250/50 mcg BID in the DISKUS formulation (ADVAIR DISKUS) is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, indicated in the US for the maintenance treatment of airflow obstruction and reducing exacerbations in patients with COPD. Receives: Drug: ADVAIR DISKUS 250/50 mg BID |
| Serevent 50 mcg BID | Active comparator | Salmeterol xinafoate Inhalation Powder (SEREVENT DISKUS) is indicated for the long-term, twice-daily (morning and evening), administration in the maintenance treatment of bronchospasm associated with COPD (including emphysema and chronic bronchitis). Receives: Drug: SEREVENT 50 mcg BID |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Par. With Chronic Obstructive Pulmonary Disease (COPD) EXs Requiring Hospitalization That Occurred >21 Days Post-discharge/Physician's Office Visit for a COPD EX Requiring Treatment With Oral Corticosteroids (OCSs) or OCSs and Antibiotics (ABs)
A COPD exacerbation (EX) was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit). Hospitalization had to occur >21 days post-discharge/physician's office visit for a prior COPD EX.
Measured: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks
Number of Participants With the Indicated Number of EXs of COPD Requiring Hospitalization That Occurred More Than 21 Days Post-discharge or Physician's Office Visit for an EX of COPD Requiring Treatment With OCSs or OCSs and ABs
A COPD EX was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit). Hospitalization had to occur more than 21 days post-discharge or physician's office visit for a prior COPD EX.
Measured: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks
Number of EXs of COPD Requiring Hospitalization That Occurred More Than 21 Days Post-discharge or Physician's Office Visit for an EX of COPD Requiring Treatment With OCSs or OCSs and ABs
A COPD EX was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit). Hospitalization had to occur more than 21 days post-discharge or physician's office visit for a prior COPD EX.
Measured: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks
Secondary outcomes (2)
Number of Participants With an EX of COPD Requiring Treatment With OCSs, Treatment With ABs, and/or Hospitalization
A COPD EX was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit).
Measured: From Baseline up to Week 29, approximately
Number of EXs of COPD Requiring Treatment With OCSs, Treatment With ABs, and/or Hospitalization (Alone and in Combination)
A COPD EX was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit).
Measured: From Baseline up to Week 29, approximately
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Apr 2010 (estimated)
- Study start30 Apr 2010
- Primary completion1 Apr 2012
- Study completion8 May 2012
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Disease, Chronic ObstructiveStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 639 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01110200
- Sponsor's protocol ID
- 113874
- Status last verified
- Oct 2017
- First submitted
- 22 Apr 2010
- Last updated
- 8 Nov 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Publications
Ohar JA, Crater GD, Emmett A, Ferro TJ, Morris AN, Raphiou I, Sriram PS, Dransfield MT. Fluticasone propionate/salmeterol 250/50 mug versus salmeterol 50 mug after chronic obstructive pulmonary disease exacerbation. Respir Res. 2014 Sep 24;15(1):105. doi: 10.1186/s12931-014-0105-2.
PubMed 25248764
Study at a glance
From the registry record, last updated by the sponsor on 8 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Parallel Group, Multicenter Study of the Effects of Fluticasone Propionate/Salmeterol Combination Product 250/50mcg BID (ADVAIR DISKUS™) in Comparison to Salmeterol 50mcg BID (SEREVENT DISKUS™) on the Rate of Exacerbations of COPD Following Hospitalization
- ClinicalTrials.gov ID
- NCT01110200
- Acronym / sponsor ID
- 113874
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Keywords
- Hospitalization, Exacerbations of COPD, Chronic Obstructive Pulmonary Disease (COPD)
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 639 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 30 Apr 2010
- Primary completion
- 1 Apr 2012 (actual)
- Study completion
- 8 May 2012 (actual)
- First posted
- 26 Apr 2010 (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 trial is a randomized, double-blind, parallel-group, multicenter study to be conducted in the United States. The purpose of the study is to evaluate the rate of exacerbations of chronic obstructive pulmonary disease (COPD) following hospital discharge for an acute exacerbation of COPD, in patients receiving either fluticasone propionate/salmeterol combination product 250/50mcg BID or salmeterol 50mcg BID via DISKUS™ over 29 weeks. The study population will include patients hospitalized for an acute exacerbation of COPD. The target enrolment is 720 subjects at 80 study centers. The primary endpoint is the rate of exacerbation requiring hospitalization that occur more than 21 days post-discharge, emergency room visit or physician's office visit for an exacerbation of COPD requiring treatment with oral corticosteroids or oral corticosteroids and antibiotics. The secondary endpoint is the rate of COPD exacerbation requiring treatment with oral corticosteroids, antibiotics, and/or hospitalization (alone and in combination). Related efficacy endpoints include, time to first exacerbation of COPD requiring treatment with oral corticosteroids, antibiotics, and/or hospitalization (alone and in combination), pre-dose AM FEV1, the probability of premature withdrawal of subject from the study, and supplemental albuterol use, change in biomarkers of inflammation, including, surfactant protein D (SP-D), clara cell secretory protein 16 (CC-16) and high sensitivity C-reactive protein (hs-CRP). Health outcome assessments include domain scores evaluation for fatigue, dyspnea, emotional function and mastery, measured with the Chronic Respiratory Disease Questionnaire self-administered standardized format (CRQ-SAS); and symptoms (congestion, cough, phlegm, mucus, chest discomfort, shortness of breath and sleep disturbance), assessed by the EXAcerbations of Chronic pulmonary disease Tool (EXACT). Albuterol will be supplied to study subjects for use as-needed throughout the study. Safety will be assessed by monitoring of adverse events.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ADVAIR DISKUS 250/50 mcg BID | Active comparator | Drug: ADVAIR DISKUS 250/50 mg BIDFluticasone propionate/salmeterol 250/50 mcg BID in the DISKUS formulation (ADVAIR DISKUS) is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, indicated in the US for the maintenance treatment of airflow obstruction and reducing exacerbations in patients with COPD. |
| Serevent 50 mcg BID | Active comparator | Drug: SEREVENT 50 mcg BIDSalmeterol xinafoate Inhalation Powder (SEREVENT DISKUS) is indicated for the long-term, twice-daily (morning and evening), administration in the maintenance treatment of bronchospasm associated with COPD (including emphysema and chronic bronchitis). |
Who may qualify
- Ages
- 40 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Male or female of at least 40 years of age at screening.
- To be eligible for entry into the study, females of childbearing potential must commit to the consistent and correct use of an acceptable method of birth control starting on the day of visit 1, throughout the clinical trial, and for a period after the trial to account for elimination of the drug (minimum of six days), as defined by any one of the following:
- Abstinence Females of childbearing potential who are not sexually active must commit to complete abstinence from intercourse
- Oral contraceptive (either combined estrogen/progestin or progestin only)
- Injectable progestogen
Key exclusion criteria (22 listed)
- Subjects meeting any of the following criteria must not be enrolled in the study:
- Diagnosis of pneumonia, congestive heart failure (CHF), or other complicating co-morbid condition while hospitalized within the last 6 months for an exacerbation of COPD.
- Historical or current evidence of clinically significant uncontrolled disease including, but not limited to, those listed below. Significant is defined as any disease that, in the opinion of the investigator, would put the safety of the subjects at risk through study participation, or which would affect the safety analysis or other analyses if the disease/condition exacerbated during the study.
- A previous lung resection surgery (e.g. lobectomy, pneumonectomy, etc) within the year preceding Visit 1 (Screening)
- Asthma as primary diagnosis
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 |
|---|---|---|
| ADVAIR DISKUS 250/50 mg BIDAlso: FSC 250/50 mcgFluticasone propionate/salmeterol 250/50 mcg BID in the DISKUS formulation (ADVAIR DISKUS) is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist, indicated in the US for the maintenance treatment of airflow obstruction and reducing exacerbations in patients with COPD. | Drug | ADVAIR DISKUS 250/50 mcg BID |
| SEREVENT 50 mcg BIDAlso: Salmeterol xinafoate 50 mcgSalmeterol xinafoate Inhalation Powder (SEREVENT DISKUS) is indicated for the long-term, twice-daily (morning and evening), administration in the maintenance treatment of bronchospasm associated with COPD (including emphysema and chronic bronchitis). | Drug | Serevent 50 mcg BID |
Primary outcome
Number of Par. With Chronic Obstructive Pulmonary Disease (COPD) EXs Requiring Hospitalization That Occurred >21 Days Post-discharge/Physician's Office Visit for a COPD EX Requiring Treatment With Oral Corticosteroids (OCSs) or OCSs and Antibiotics (ABs)
Time frame: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks
A COPD exacerbation (EX) was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit). Hospitalization had to occur >21 days post-discharge/physician's office visit for a prior COPD EX.
Number of Participants With the Indicated Number of EXs of COPD Requiring Hospitalization That Occurred More Than 21 Days Post-discharge or Physician's Office Visit for an EX of COPD Requiring Treatment With OCSs or OCSs and ABs
Time frame: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks
A COPD EX was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit). Hospitalization had to occur more than 21 days post-discharge or physician's office visit for a prior COPD EX.
Number of EXs of COPD Requiring Hospitalization That Occurred More Than 21 Days Post-discharge or Physician's Office Visit for an EX of COPD Requiring Treatment With OCSs or OCSs and ABs
Time frame: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks
A COPD EX was defined as the worsening of >=2 major symptoms (dyspnoea, sputum volume, sputum purulence [containing/discharging pus]) or the worsening of any 1 major symptom together with any 1 minor symptom (sore throat, cold [nasal discharge and/or nasal conjestion], fever without other cause, increased cough or wheeze) for at least 2 consecutive days. COPD EXs were identified by symptom review, and/or were based on investigator judgment (via phone contact or at a clinic visit). Hospitalization had to occur more than 21 days post-discharge or physician's office visit for a prior COPD EX.
2 secondary outcomes
Number of Participants With an EX of COPD Requiring Treatment With OCSs, Treatment With ABs, and/or Hospitalization
Time frame: From Baseline up to Week 29, approximately
Number of EXs of COPD Requiring Treatment With OCSs, Treatment With ABs, and/or Hospitalization (Alone and in Combination)
Time frame: From Baseline up to Week 29, approximately
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Nov 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25248764Ohar JA, Crater GD, Emmett A, Ferro TJ, Morris AN, Raphiou I, Sriram PS, Dransfield MT. Fluticasone propionate/salmeterol 250/50 mug versus salmeterol 50 mug after chronic obstructive pulmonary disease exacerbation. Respir Res. 2014 Sep 24;15(1):105. doi: 10.1186/s12931-014-0105-2.
- Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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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.
GSK Clinical Trials study director
GlaxoSmithKline
103 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing ADVAIR DISKUS 250/50 mg BID and SEREVENT 50 mcg BID in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 103 sites in 3 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 20 inclusion and 22 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 8 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 103 sites in United States, Argentina, Norway. 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. 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 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?
Number of Par. With Chronic Obstructive Pulmonary Disease (COPD) EXs Requiring Hospitalization That Occurred >21 Days Post-discharge/Physician's Office Visit for a COPD EX Requiring Treatment With Oral Corticosteroids (OCSs) or OCSs and Antibiotics (ABs) (time frame: From 21 days post-discharge (hospital or emergency room) or physician's office visit, up to 29 weeks). The study lists 3 primary outcomes in all. 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 NCT01110200, 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 8 Nov 2017.