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COPDPhase 3NCT01509677

Trial to Assess the Anti-inflammatory Effects of Roflumilast in Chronic Obstructive Pulmonary Disease

A Phase 3 study testing Roflumilast in people with COPD and Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 20 sites in 5 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 objective of the Biopsy trial is to investigate the effect of roflumilast 500 µg tablets once daily versus placebo on inflammation parameters in bronchial biopsy tissue specimen and additional in sputum and blood serum. Also data on safety status will be obtained. Read more about this study

Who is it for?
Ages 40 to 80 years
Conditions the study is for
COPD, Chronic Obstructive Pulmonary Disease
What is being tested?
Roflumilast
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
158 participants
Where
20 sitesin 5 countries
Study dates
1 Feb 2012to 1 Feb 2016
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Major Inclusion Criteria:

  • Giving written informed consent
  • History of COPD (according to GOLD 2009) for at least 12 months prior to baseline visit V0 associated with chronic productive cough for at least three months in each of the two years prior to baseline visit V0 (with other causes of productive cough excluded)
  • Outpatients 40-80 years of age
  • Post-bronchodilator 30% ≤FEV1 ≤80% predicted
  • Post-bronchodilator FEV1/FVC ratio ≤70%
  • Current or former smokers with smoking history ≥20 pack years

Main Exclusion Criteria:

  • Criteria affecting the read-out parameters of the trial:
  • Clinical instability, defined as experiencing a COPD exacerbation six months prior to V0
  • An upper/lower respiratory tract infection which has not resolved four weeks prior to V0
  • Diagnosis of asthma and/or other relevant lung disease
  • Known alpha-1-antitrypsin deficiency
  • Suspicion or diagnosis of a bleeding disorders irrespective of its pathophysiological mechanism
  • Other protocol-defined exclusion criteria may apply

Trial locations and contacts

20 sites in 5 countries.

20 sites in 5 countries

Germany7 sites
  • Study site

    Freiburg im Breisgau

  • Study site

    Großhansdorf

  • Study site

    Hanover

  • Study site

    Heidelberg

  • Study site

    Immenhausen

  • Study site

    Kiel

  • Study site

    Mainz

Other trials in Germany

United Kingdom6 sites
  • Study site

    Cottingham

  • Study site

    Dafen

  • Study site

    Leicester

  • Study site

    London

  • Study site

    Manchester

  • Study site

    Norwich, NR4 7UY

Other trials in United Kingdom

Poland4 sites
  • Study site

    Bialystok

  • Study site

    Krakow

  • Study site

    Lodz, 90-153

  • Study site

    Lodz

Other trials in Poland

Denmark2 sites
  • Study site

    København NV, DK-2400

  • Study site

    København NV

Other trials in Denmark

Sweden1 site
  • Study site

    Lund

Other trials in Sweden

About this study

Official title: A 16-week, Randomized, Placebo-controlled, Double Blind, and Parallel Group Trial to Assess the Anti-inflammatory Effects of Roflumilast in Chronic Obstructive Pulmonary Disease

The objective of the Biopsy trial is to investigate the effect of roflumilast 500 µg tablets once daily versus placebo on inflammation parameters in bronchial biopsy tissue specimen and additional in sputum and blood serum. Also data on safety status will be obtained.

Patients to be included required to have moderate to severe COPD associated with chronic bronchitis. The total duration of this randomized, multicentre, phase III trial is 24 weeks maximum.

Read the detailed description

This was a multicenter, double-blind, randomized, parallel group, phase 3 study. Patients included had a history of COPD (GOLD stage II-III, in Germany stage II only) with chronic productive cough.

There were 2 parallel treatment arms (placebo and roflumilast 500 μg once daily). A 1 to 1 randomization scheme was used, that is, patients were allocated to roflumilast 500 μg or placebo in equal proportions. Randomization was stratified by concomitant LABA use.

The total duration of this study was 24 weeks maximum per patient. The study consisted of the following periods:

  • Single-blind placebo run-in period (6 weeks) with visits at Week -6 (visit 0 [V0]), Week -2 (V1), and Week 0 (V2, randomization visit), during which all patients received placebo.
  • Double-blind treatment period (16 weeks) during which patients received either roflumilast or matching placebo with visits at Week 6 (V4), Week 14 (V5), and Week 16 (V6).

An additional visit (V3) within 2 weeks after bronchoscopy/bronchial biopsy was performed purely as a safety visit. The exact timing of this safety visit was to be determined by the investigator. Safety follow-up. All AEs were followed up to 30 days after the double-blind treatment period. An additional safety visit, V7, was scheduled within 2 weeks after the second bronchoscopy. The exact timing of the safety visit was to be determined by the investigator.

Patients were required not to take any food or drink overnight for at least 8 hours prior to returning to the study center for each visit. Patients were also asked to avoid strenuous exercise for 8 hours prior to each study visit and to avoid smoking for 4 hours prior to each study visit.

For visits where patients did not undergo blood collections or biopsies, the fasting requirement was only mandated if clinically indicated, per investigator judgment.

Being tested
Roflumilast, Placebo
Keywords
Roflumilast, 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.

  • RoflumilastDrug

    Also called Daxas

    500 μg tablet, once daily, oral administration in the morning after breakfast

  • PlaceboDrug

    Also called Placebo to Roflumilast

    tablet, once daily, oral administration in the morning after breakfast

Study groups in NCT01509677
Study groupRoleWhat they receive
RoflumilastActive comparator500 μg tablet, once daily, oral administration in the morning after breakfast
Receives: Drug: Roflumilast
PlaceboPlacebo comparatortablet, once daily, oral administration in the morning after breakfast
Receives: Drug: Placebo

What is being measured

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

  1. Number of CD8+ Inflammatory Cells in Bronchial Biopsy Tissue.

    Measured: 16 weeks

  2. Change in Number of CD8+ Inflammatory Cells in Bronchial Biopsy Tissue

    Measured: Baseline to 16 weeks

Secondary outcomes (31)
  1. CD68+ Count in Biopsied Material (Submucosa)

    Measured: 16 weeks

  2. CD68+ Cell Count in Biopsied Material (Submucosa): Poisson Regression (Ratio)

    CD68+ Cell Count in Biopsied Material (submucosa): Poisson regression (ratio). Clarification: Measure type described as "Number" refers to "Risk of each treatment group". It is not possible to select "risk" from this template so "number" was selected instead. This issue applies to similar variables reporting poisson regression.

    Measured: 16 weeks

  3. Change From V2 to V6 in CD68+ Cell Count (Cells/mm^2) in Biopsied Material (Submucosa) (ITT)

    Measured: Baseline and 16 weeks

  4. CD4+ Cell Counts in Biopsied Material (Submucosa):Poisson Regression Model

    CD4+ Cell Counts in biopsied Material (submucosa):poisson regression model. Clarification: Measure type "Number" refers to "Risk of each treatment group".

    Measured: 16 weeks

  5. CD45+ Cell Counts in Biopsied Material (Submucosa):Poisson Regression Model

    CD45+ Cell Counts in biopsied Material (submucosa):poisson regression model. Clarification: Measure type "Number" refers to "treatment risk"

    Measured: 16 weeks

  6. Neutrophils Cell Counts in Biopsied Material (Submucosa):Poisson Regression Model

    Neutrophils Cell Counts in biopsied Material (submucosa):poisson regression model. Clarification: Measure type "Number" refers to "Treatment risk"

    Measured: Baseline to 14 weeks

  7. CD8+ Cell Count in Biopsied Material (Bronchial Epithelium): Poisson Regression Model

    CD8+ Cell Count in biopsied material (Bronchial Epithelium): poisson regression model. Clarification: Measure Type "Number" refers to "Treatment risk"

    Measured: 16 weeks

  8. CD68+ Cell Count in Biopsied Material (Bronchial Epithelium):Poisson Regression Model

    CD68+ Cell Count in biopsied material (Bronchial Epithelium):poisson regression model. Clarification: Measure type "Number" refers to "Treatment Risk"

    Measured: 16 weeks

  9. Change From V1 to V5 in Absolute Cell Count in Induced Sputum (10^6 Neutrophils/mL): Between-Treatment Difference

    Measured: Baseline to 14 weeks

  10. Change From V1 to V5 in Absolute Cell Count inInduced Sputum (10^6 Macrophages/mL): Between-Treatment Difference

    Measured: Baseline to 14 weeks

  11. Change From V1 to V5 in Absolute Cell Count inInduced Sputum (10^6 Eosinophils/mL): Between-Treatment Difference

    Measured: Baseline to 14 weeks

  12. Change From V1 to V5 in Absolute Cell Count inInduced Sputum (10^6 Lymphocytes/mL): Between-Treatment Difference

    Measured: BAseline to 14 weeks

  13. Change From V1 to V5 in Differential Cell Count in Induced Sputum(10^6 Neutrophils/mL)

    Measured: Baseline to 14 weeks

  14. Change From V1 to V5 in Differential Cell Count in Induced Sputum(10^6 Macrophages/mL)

    Measured: Baseline to 14 weeks

  15. Change From V1 to V5 in Differential Cell Count in Induced Sputum(10^6 Eosinophils/mL)

    Measured: Baseline to 14 weeks

  16. Change From V1 to V5 in Differential Cell Count in Induced Sputum(10^6 Lymphocytes)/mL)

    Measured: Baseline to 14 weeks

  17. Change From Baseline of Concentration of Inflammatory Biomarkers in Induced Sputum: Primary Parameters of Interest (FAS) (Alfa- 2-Macroglobulin (µg/mL))

    Measured: Baseline to 14 weeks

  18. Change From Baseline of Concentration of Inflammatory Biomarkers in Induced Sputum: Primary Parameters of Interest (FAS) (IL-8 (pg/mL))

    Measured: Baseline to 14 weeks

  19. Change From Baseline of Concentration of Inflammatory Biomarkers in Induced Sputum: Primary Parameters of Interest (FAS) (MMP Type 9 (ng/mL))

    Measured: Baseline to 14 weeks

  20. Change From Baseline of Concentration of Inflammatory Biomarkers in Induced Sputum: Primary Parameters of Interest (FAS) (MCP-1 (pg/mL))

    Measured: Baseline to 14 weeks

  21. Change From Baseline of Concentration of Inflammatory Biomarkers in Induced Sputum: Primary Parameters of Interest (FAS) (TIMP-1 (ng/mL))

    Measured: Baseline to 14 weeks

  22. Change From Baseline of Concentration of Inflammatory Biomarkers in Induced Sputum: Primary Parameters of Interest (FAS) (VEGF (pg/mL))

    Measured: Baseline to 14 weeks

  23. Change From Baseline of Concentration of Inflammatory Biomarkers in Blood Serum: Primary Parameters of Interest (FAS) (Alfa-2-Macroglobulin (µg/mL))

    Measured: Baseline to 14 weeks

  24. Change From Baseline of Concentration of Inflammatory Biomarkers in Blood Serum: Primary Parameters of Interest (FAS) (IL-8 (pg/mL))

    Measured: Baseline to 14 weeks

  25. Change From Baseline of Concentration of Inflammatory Biomarkers in Blood Serum: Primary Parameters of Interest (FAS) (MMP Type 9 (ng/mL))

    Measured: Baseline to 14 weeks

  26. Change From Baseline of Concentration of Inflammatory Biomarkers in Blood Serum: Primary Parameters of Interest (FAS) (MCP-1(pg/mL))

    Measured: Baseline to 14 weeks

  27. Change From Baseline of Concentration of Inflammatory Biomarkers in Blood Serum: Primary Parameters of Interest (FAS) (TIMP-1(ng/mL))

    Measured: Baseline to 14 weeks

  28. Change From Baseline of Concentration of Inflammatory Biomarkers in Blood Serum: Primary Parameters of Interest (FAS) (VEGF(pg/mL))

    Measured: Baseline to 14 weeks

  29. Change From Baseline in Lung Function Variables: Between-Treatment Differences (FAS) (FEV1 (L))

    Measured: Baseline to 16 weeks

  30. Change From Baseline in Lung Function Variables: Between-Treatment Differences (FAS) (FVC (L))

    Measured: Baseline to 16 weeks

  31. Wicoxon Signed-rank Test for Change From V2 to V6 in Post-bronchodilator FEV1/FVC

    Wilcoxon test is a non-parametric test to evaluate differences among treatments in the variable that is being reported here. The data reported in the outcome measure data table are hodges Lehmann estimate of change from baseline in FEV1/FVC ratio.

    Measured: Baseline to 16 weeks

Timeline

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

  1. First posted13 Jan 2012 (estimated)
  2. Study start1 Feb 2012
  3. Primary completion1 Feb 2016
  4. Study completion1 Feb 2016

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
Double blind
Who is masked
Participant, Investigator
Enrolment
158 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01509677
Sponsor's protocol ID
RO-2455-402-RD
Other IDs
2011-000582-13, U1111-1155-8767, D7120C00003
Status last verified
Nov 2019
First submitted
21 Dec 2011
Last updated
29 Nov 2019
Data monitoring committee
No

Publications

  • Rabe KF, Watz H, Baraldo S, Pedersen F, Biondini D, Bagul N, Hanauer G, Gohring UM, Purkayastha D, Roman J, Alagappan VKT, Saetta M. Anti-inflammatory effects of roflumilast in chronic obstructive pulmonary disease (ROBERT): a 16-week, randomised, placebo-controlled trial. Lancet Respir Med. 2018 Nov;6(11):827-836. doi: 10.1016/S2213-2600(18)30331-X. Epub 2018 Sep 14.

    PubMed 30224319

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Roflumilast in people with COPD and Chronic Obstructive Pulmonary Disease, run by AstraZeneca at 20 sites in 5 countries.

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

Who may be eligible to take part?

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 29 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Germany, United Kingdom, Poland, Denmark, Sweden. 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 29 Nov 2019). 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 CD8+ Inflammatory Cells in Bronchial Biopsy Tissue. (time frame: 16 weeks). The study lists 2 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 NCT01509677, 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 29 Nov 2019.

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