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Completed

NCT Number: NCT02055352

Study to Evaluate Efficacy/Safety of Combination Budesonide/Indacaterol vs Fluticasone/Salmeterol in Patients With COPD

To demonstrate the free combination of budesonide and indacaterol is as efficacious as fluticasone and salmeterol in patients with COPD

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Key information

Age range

40 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Novartis Investigative Site, Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Written informed consent must be obtained before any assessment is performed
  • Outpatients with stable COPD groups C and D according to the 2011 GOLD Guidelines.
  • Current or ex-smokers who have a smoking history of at least 10 pack years
  • Patients with a history of at least one exacerbation.
  • Patients able to read and complete

Exclusion criteria

  • Use of other investigational drugs within 30 days
  • Patients with a history of hypersensitivity to any of the study drugs
  • History or current diagnosis of ECG abnormalities
  • Patients with diabetes Type I or uncontrolled diabetes Type II including patients with a history of blood glucose levels consistently outside the normal range
  • Patients who have not achieved an acceptable spirometry result at Visit 1
  • Patients with a body mass index (BMI) of more than 40 kg/m2
  • Patients with lung cancer or a history of lung cancer
  • Patients with a history of malignancy of any organ system
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment
  • Patients who do not maintain regular day/night, waking/sleeping cycles (e.g., night shift workers)
  • Patients that are uncontrolled or unstable on permitted therapy, who in the opinion of the investigator, have clinically significant renal, cardiovascular, neurological, endocrine, immunological, psychiatric, gastrointestinal, hepatic, or haematological abnormalities which could interfere with the assessment of the efficacy and safety of the study treatment
  • Patients requiring oxygen therapy for chronic hypoxemia
  • Patients who have had a respiratory tract infection within 6 weeks prior to Visit 1
  • Patients with concomitant pulmonary disease, e.g. pulmonary tuberculosis, bronchiectasis, sarcoidosis, interstitial lung disorder or pulmonary hypertension
  • Patients with a known diagnosis of Alpha-1 Antitrypsin deficiency.
  • Patients with history of lung surgery
  • Patients who are participating in the active phase of a supervised pulmonary rehabilitation program.
  • Patients with a history of asthma Other protocol-defined inclusion/exclusion criteria may apply

Treatment and study plan

Budesonide

Drug

Budesonide 400 mcg twice a day via Breezhaler® device

Fluticasone

Drug

Fluticasone 250 mcg twice daily via Accuhaler® device

Indacaterol

Drug

Indacaterol 150 mcg once daily via Breezhaler® device

Salmeterol

Drug

Salmeterol 50 mcg twice daily via Diskus® device

Primary outcomes

  1. Change From Baseline in Trough Forced Expiratory Volume in 1 Second (Non-inferiority Analysis).

    Time frame: Baseline and week 12

    Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation.

Secondary outcomes

  1. Change in Health Status - mMRC

    Time frame: Baseline, week 12 and week 24

    Modified Medical Research Council scale (mMRC) questionnaire will be completed by participants. 0 Not troubled with breathlessness except with strenuous exercise; 1 Troubled by shortness of breath when hurrying on the level or walking up a slight hill; 2 Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level; 3 Stops for breath after walking about 100 yards or after a few minutes on the level; 4 Too breathless to leave the house or breathless when dressing or undressing

  2. Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 24 Week Treatment

    Time frame: 24 weeks

    A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours.

  3. Change From Baseline in Trough Forced Expiratory Volume in 1 Second at Week 24 (Analysis of Superiority)

    Time frame: Baseline and week 24

    Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.

  4. Change in Health Status - SGRQ-C

    Time frame: Baseline, week 12 and week 24

    St George's Respiratory Questionnaire short version questionnaire will be completed by participants. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life)

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

24-week Study to Evaluate Efficacy and Safety of the Combination Budesonide / Indacaterol vs Fluticasone / Salmeterol in Patients With COPD

Acronym: COMBINE

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Feb 5, 2014
Registry last updated
Apr 18, 2017

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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