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Completed

NCT Number: NCT00669617

Study to Determine the Onset of Action of Indacaterol in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

This study will evaluate the onset of action of indacaterol (150 and 300 µg) as compared to placebo, salbutamol 200 µg and salmeterol/fluticasone 50/500 µg

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Key information

Age range

40 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Novartis Investigative Site, Antwerp, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male and female adults aged ≥40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure
  • Patients with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) (moderate-to-severe as classified by the GOLD Guidelines, 2006) and:
  • Smoking history of at least 20 pack years
  • Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1) <80% and ≥30% of the predicted normal value.
  • Post-bronchodilator FEV1/Forced Vital Capacity (FVC) < 70%, where FVC is forced vital capacity ('Post-' refers to 15-30 minutes after inhalation of 400 μg of salbutamol at Visit 2)

Exclusion criteria

  • Pregnant / nursing women or women of child-bearing potential
  • Long term oxygen therapy (more than 15 hours per day) on a daily basis for chronic hypoxemia
  • Patients hospitalized for COPD exacerbation in 6 weeks prior to Visit 2 and up to Visit 3
  • Respiratory tract infection within 6 weeks prior to Visit 2 and up to Visit 3
  • Concomitant pulmonary disease, pulmonary tuberculosis (unless chest x-ray confirms no longer active) or clinically significant bronchiectasis
  • Any history of asthma, including: blood eosinophil count >400/mm3; onset of asthma symptoms prior to age 40 years
  • History of long QT syndrome or whose QTc (Bazett's) measured at Visit 2 or Visit 3 is prolonged (>450ms for males or >470ms for females)
  • Clinically relevant lab abnormalities / conditions such as (but not limited to) unstable ischemic heart disease, arrhythmia (excluding stable AF), uncontrolled hypertension, uncontrolled hypo- and hyperthyroidism, hypokalemia, hyperadrenergic state or any condition which in the investigator's opinion might compromise patient safety or compliance, interfere with evaluation, or preclude completion of the study
  • Uncontrolled Type I / Type II Diabetes or blood glucose outside normal or HbA1c >8.0% of total hemoglobin measured at Visit 2
  • Any patient with lung cancer or any active cancer or a history of cancer with less than 5 years disease-free survival time
  • History of hypersensitivity to any of the study drugs
  • Irregular day/night, waking/sleeping cycles e.g. shift workers
  • Live attenuated vaccinations within 30 days prior to Visit 2
  • Investigational drug within 30 days prior to Visit 2
  • Known history of non-compliance or not able to use devices or perform spirometry

Other protocol-defined inclusion/exclusion criteria may apply

Treatment and study plan

Indacaterol

Drug

Indacaterol 150 and 300 μg, delivered via single-dose dry-powder inhaler (SDDPI)

Other names: Arcapta, Neohaler

Salmeterol/fluticasone (50/500 μg)

Drug

Salmeterol/fluticasone 50/500 μg fixed-dose combination delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).

Salbutamol (200 µg)

Drug

Salbutamol 200 μg delivered via manufacturer's proprietary Multi-Dose Dry-Powder Inhaler (MDDPI).

Placebo to Indacaterol

Drug

Placebo to indacaterol delivered via SDDPI

Placebo to Salmeterol/fluticasone

Drug

Placebo to salmeterol/fluticasone delivered via MDDPI

Placebo to salbutamol

Drug

Placebo to salbutamol delivered via MDDPI

Primary outcomes

  1. Forced Expiratory Volume in 1 Second (FEV1) at 5 Minutes Post-dose

    Time frame: Five Minutes Post Dose

    FEV1 was measured at 5 minutes after dosing with spirometry conducted according to internationally accepted standards. The time of dosing was defined as the time corresponding to the use of the first inhaler device. The primary variable was analyzed using a mixed model containing the period baseline FEV1 as covariate. The period baseline FEV1 was the average of the FEV1 value measured in the clinic at 50 and 15 min prior to the study drug administration in that period.

Sponsors and collaborators

Lead sponsor

Novartis

Industry

Registry information

Official study title

A Phase III, Randomized, Double-blind, Triple-dummy, Placebo Controlled, Multicenter, 5-period, Single-dose Complete Block Crossover Study to Determine the Onset of Action of Indacaterol (150 and 300 μg) in Patients With Moderate to Severe COPD Using Salbutamol (200 μg) and Salmeterol/Fluticasone (50/500 μg) as Active Controls

Important dates

Study start
2008
Primary completion
2008
Study completion
2008
First posted
Apr 30, 2008
Registry last updated
Sep 12, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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