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Chronic Obstructive Pulmonary DiseasePhase 2NCT02951312

Assessment of the Safety and Ability of a Once-a-day Dose of an Orally Inhaled Medicine [ie, Glycopyrrolate Inhalation Solution = GIS] to Improve Airflow in the Lungs When Delivered With an Electronic eFlow Nebulizer System in Patients With Chronic Obstructive Pulmonary Disease (COPD)

A Phase 2 study testing Glycopyrrolate Inhalation Solution 25mg, Glycopyrrolate Inhalation Solution 75mg and Glycopyrrolate Inhalation Solution 200mg in people with Chronic Obstructive Pulmonary Disease, run by Sunovion Respiratory Development Inc..

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 study assessed the safety and ability of several doses of an orally inhaled medicine [ie, Glycopyrrolate Inhalation Solution = GIS] to improve airflow in the lungs when delivered with an electronic eFlow nebulizer system in patients with Chronic Obstructive Pulmonary Disease (COPD). Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Chronic Obstructive Pulmonary Disease
What is being tested?
Glycopyrrolate Inhalation Solution 25mg, Glycopyrrolate Inhalation Solution 75mg and Glycopyrrolate Inhalation Solution 200mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
12 participants
Where
No sites listed yet
Study dates
May 2009to Jul 2009
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients aged 40 through 75 years, inclusive
  • A clinical diagnosis of COPD according to the GOLD guidelines
  • Current smokers or ex-smokers with at least 10 pack-year smoking history (e.g., at least 1 pack/day for 10 years, or 10 packs/day for 1 year)
  • Post-bronchodilator FEV1 40-80% of predicted normal
  • Post-bronchodilator FEV1/FVC ratio < 0.70
  • Improvement in FEV1 >12% (minimum 150 mL) following inhalation of ipratropium bromide
Show all 17Show fewer
  • Ability to perform reproducible spirometry according to the ATS/ERS guidelines
  • If female and of childbearing potential, must have had a negative pregnancy test and was not lactating at the Screening Visit, and was using one of the following acceptable means of birth control throughout the study:
  • Post-menopausal for at least two years
  • Surgically sterile
  • Oral contraceptives (taken for at least one month prior to the Screening Visit)
  • Approved implantable or injectable contraceptives (e.g., Norplant®, Depo-Provera® or equivalent)
  • Barrier methods (e.g., condoms with spermicide)
  • Intrauterine device (i.e., IUD)
  • Vasectomy of male partner
  • Non-heterosexual life style
  • Willing and able to provide written informed consent

Who cannot join

  • Current evidence or recent history of any clinically significant disease (other than COPD) or abnormality in the opinion of the Investigator that would put the patients at risk or which would compromise the quality of the study data; including but not limited to cardiovascular disease, myocardial infraction, hypertension, arrhythmia, diabetes, neurological or neuromuscular disease, liver disease, gastrointestinal disease or electrolyte abnormalities.
  • Recent history of an exacerbation of airway disease within 3 months or need for increased treatments for COPD within 6 weeks prior to the Screening Visit.
  • Regular use of daily oxygen therapy.
  • Use of systemic (e.g., intramuscular or intravenous) steroids within 3 months prior to the Screening Visit
  • Respiratory tract infection within 6 weeks prior to the Screening Visit
  • History of tuberculosis, bronchiectasis or other non-specific pulmonary disease
Show all 12Show fewer
  • History of urinary retention or bladder neck obstruction type symptoms
  • History of narrow-angle glaucoma
  • Current or recent history (previous 12 months) of excessive use or abuse of alcohol
  • Current evidence or history of abusing legal drugs or the use of illegal drugs or substances
  • History of hypersensitivity or intolerance to aerosol medications
  • Participation in another investigational drug study where drug was received within 30 days prior to the Screening Visit

About this study

Official title: Single-dose, Dose Escalation Study to Assess the Safety, Tolerability, Pharmacokinetics and Bronchodilatory Effects of Glycopyrrolate Inhalation Solution (GIS) Using a High Efficiency Nebulizer in Patients With COPD

The study assessed the safety and ability of several doses of an orally inhaled medicine [ie, Glycopyrrolate Inhalation Solution = GIS] to improve airflow in the lungs when delivered with an electronic eFlow nebulizer system in patients with Chronic Obstructive Pulmonary Disease (COPD). The study was conducted in 12 patients in 2 parts. Part 1 was designed to find the once-a- day GIS dose that produced the highest improvement in lung airflow. Part 2 tested the GIS dose with the highest improvement in lung airflow and a placebo (ie, no drug) delivered by a general purpose nebulizer. The airflow improvements of the same GIS dose were compared between the two nebulizer systems to determine what effect the device had on GIS delivery.

Read the detailed description

In Part I, 12 subjects were randomly allocated to one of 2 cohorts, running in parallel. The 6 cohort 1 subjects received 25 mg and then 200 mg during their treatment periods 1 and 2, respectively. The 6 cohort 2 subjects received 75mg, 500mg, and 1000 mg during their treatment periods 1, 2, and 3, respectively. During Part II of the study, the same 12 subjects from Part I were randomized to receive either 200 mg jet or placebo in a 1:1 ratio.

Being tested
Glycopyrrolate Inhalation Solution 25mg, Glycopyrrolate Inhalation Solution 75mg, Glycopyrrolate Inhalation Solution 200mg, Glycopyrrolate Inhalation Solution 200mg Jet, Glycopyrrolate Inhalation Solution 500mg
Keywords
Emphysema, Chronic bronchitis, COPD, Chronic Obstructive Pulmonary Disease
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Emphysema, Bronchitis, Chronic

What participants receive

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

  • Glycopyrrolate Inhalation Solution 25mgDrug

    Also called GIS

    25 μg oral inhalation via eFlow Nebulizer, once daily

  • Glycopyrrolate Inhalation Solution 75mgDrug

    Also called GIS

    75 μg oral inhalation via eFlow Nebulizer, once daily

  • Glycopyrrolate Inhalation Solution 200mgDrug

    Also called GIS

    200 μg oral inhalation via eFlow Nebulizer, once daily

  • Glycopyrrolate Inhalation Solution 200mg JetDrug

    Also called GIS

    200 μg oral inhalation via inhalation via jet nebulizer, once daily

  • Glycopyrrolate Inhalation Solution 500mgDrug

    Also called GIS

    500 μg oral inhalation via eFlow nebulizer, once daily

  • Glycopyrrolate Inhalation Solution1000mgDrug

    Also called GIS

    1000 μg oral inhalation via eFlow nebulizer, once daily

  • PlaceboDrug

    Placebo 0.5 mL oral inhalation via jet nebulizer, once daily

Study groups in NCT02951312
Study groupRoleWhat they receive
Glycopyrrolate Inhalation Solution 25mgExperimentalGlycopyrrolate Inhalation Solution 25 μg via eFlow nebulizer, once daily
Receives: Drug: Glycopyrrolate Inhalation Solution 25mg
Glycopyrrolate Inhalation Solution 75mgExperimentalGlycopyrrolate Inhalation Solution 75 μg via eFlow nebulizer, once daily
Receives: Drug: Glycopyrrolate Inhalation Solution 75mg
Glycopyrrolate Inhalation Solution 200mgExperimentalGlycopyrrolate Inhalation Solution 200 μg via eFlow nebulizer, once daily
Receives: Drug: Glycopyrrolate Inhalation Solution 200mg
Glycopyrrolate Inhalation Solution 200mg JetExperimentalGlycopyrrolate Inhalation Solution 200 μg via jet nebulizer, once daily
Receives: Drug: Glycopyrrolate Inhalation Solution 200mg Jet
Glycopyrrolate Inhalation Solution 500mgExperimentalGlycopyrrolate Inhalation Solution 500 μg via eFlow nebulizer, once daily
Receives: Drug: Glycopyrrolate Inhalation Solution 500mg
Glycopyrrolate Inhalation Solution1000mgExperimentalGlycopyrrolate Inhalation Solution 1000 μg via eFlow nebulizer, once daily
Receives: Drug: Glycopyrrolate Inhalation Solution1000mg
Placebo 0.5 mLPlacebo comparatorPlacebo 0.5 mL via jet nebulizer, once daily
Receives: Drug: Placebo

What is being measured

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

  1. Number of Subjects Who Died

    Measured: 0-47 days

  2. Number of Subjects With Treatment Emergent SAEs

    AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment.AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment. SAEs are AEs that result in the following outcomes: death, are life-threatening, persistent or significant disability/incapacity, congenital anomaly/birth defect, or important medical events that may have been considered a SAE when, based upon appropriate medical judgment, they may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed in the definition.

    Measured: 0-47 days

  3. Number of Subjects Who Discontinued Due to AE

    AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment.

    Measured: 0-47 days

  4. Percentage of Subjects With Treatment Emergent AEs

    AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment.

    Measured: 0-47 days

  5. Number of Subjects With Clinically Significant Abnormal Vital Signs Reported During the Study

    Vital signs were measured at screening, during the study (pre-dose, and 30 and 60 minutes and 2, 4, 8, 12, 24 and 30 hours post-dose) and at post study assessment. The clinical significance of each out of normal range vital sign parameter was determined by the investigator during the study.

    Measured: 30 hrs post dose

  6. Number of Subjects With Clinically Significant Abnormal Laboratory Results Reported During the Study

    Clinical safety lab parameters were collected at screening and at the post study follow-up assessment. The clinical significance of each out of normal range laboratory parameter was determined by the investigator during the study.

    Measured: day 47 (post studyfollow-up assessment)

  7. Number of Subjects With Clinically Significant ECG Parameters Reported During the Study

    ECGs were measured at screening, during the study (pre-dose, and 30 and 60 minutes and 2, 4, 8, 12, 24 and 30 hours post-dose) and at post study follow-up assessment.

    Measured: 30hr post dose

  8. Number of Subjects With Clinically Significant Abnormal Laboratory Results Reported During the Study

    Clinical safety lab parameters were collected at screening and at the post study follow-up assessment. The clinical significance of each out of normal range laboratory parameter was determined by the investigator during the study.

    Measured: post study follow-up assessment (Day 47)

  9. Number of Subjects With Treatment Emergent AEs

    AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment. SAEs are AEs that result in the following outcomes: death, are life-threatening, persistent or significant disability/incapacity, congenital anomaly/birth defect, or important medical events that may have been considered a SAE when, based upon appropriate medical judgment, they may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed in the definition.

    Measured: 0-47 days

Secondary outcomes (9)
  1. Trough FEV1 (Change From Baseline)

    Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. Trough FEV1 was defined as the spirometry value collected at 24 hours post dose within each Treatment Period.

    Measured: 24hr post dose

  2. Peak FEV1 (Percent Change)

    Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.

    Measured: 0 to 4hr

  3. Peak FEV1 (Change From Baseline )

    Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.

    Measured: 0 to 4hr

  4. FEV1 AUC0-24 Area Under the FEV1 Over Time Curve (Change From Baseline)

    Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.

    Measured: 0 to 24hr post dose

  5. Cmax Maximum Observed Plasma Concentration

    Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr

    Measured: 0 to 12 hours post dose

  6. Tmax Time to Maximum Observed Plasma Concentration

    Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr

    Measured: 0 to 12 hours post dose

  7. AUC0-t Area Under the Plasma Concentration-time Curve From Time Zero to the Last Quantifiable Concentration

    Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr

    Measured: 0 to 12 hourr post dose

  8. AUC0-inf Area Under the Plasma Concentration-time Curve From Time Zero to Infinity

    Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr

    Measured: 0 to 12 hours post dose

  9. t1/2 Plasma Half-life

    Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr.

    Measured: 0 to 12 hours post-dose

Timeline

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

  1. First posted1 Nov 2016 (estimated)
  2. Study startMay 2009
  3. Primary completionJul 2009
  4. Study completionJul 2009

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02951312
Sponsor's protocol ID
EP-101-01
Other IDs
2009-010821-38, 2009
Status last verified
Mar 2018
First submitted
26 Oct 2016
Last updated
30 Apr 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Glycopyrrolate Inhalation Solution 25mg, Glycopyrrolate Inhalation Solution 75mg and Glycopyrrolate Inhalation Solution 200mg in people with Chronic Obstructive Pulmonary Disease, run by Sunovion Respiratory Development Inc..

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 17 inclusion and 12 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 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

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 30 Apr 2018). 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 Subjects Who Died (time frame: 0-47 days). The study lists 9 primary outcomes in all. 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 30 Apr 2018.

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