A Randomized, Double-Blind, Chronic Dosing (7-Day), Four-Period, Four-Treatment, Placebo-Controlled, Cross-Over, Multi-Center Study to Assess the Efficacy and Safety of Three Doses of PT001 in Japanese Subjects With Moderate to Severe COPD
Overview
- Phase
- Phase 2
- Intervention
- Glycopyrronium MDI 28.8 micrograms
- Conditions
- Chronic Obstructive Pulmonary Disease
- Sponsor
- Pearl Therapeutics, Inc.
- Enrollment
- 66
- Locations
- 1
- Primary Endpoint
- Morning Pre-dose Trough FEV1
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The overall objective of this study was to assess the efficacy and safety of GP MDI relative to placebo in Japanese subjects with moderate to severe COPD. Each subject received the 4 separate study treatments, scheduled as four, 7-day, treatment periods for a total treatment duration of 28 days.
Detailed Description
This was a randomized, double-blind, chronic-dosing (7-day), four-period, four-treatment, placebo-controlled, crossover, multi-center study to assess the efficacy and safety of 3 doses of GP MDI (28.8, 14.4, and 7.2 μg ex-actuator, BID) in Japanese subjects with moderate to severe COPD. Subjects who met the entry criteria had their maintenance therapy for COPD adjusted, as specified in the protocol. To allow for an adequate washout of previous maintenance medications, subjects underwent a washout period of at least 7 days, but not greater than 28 days duration prior to returning to the clinic for Visit 2 (Randomization Visit; Day 1 of Treatment Period 1). The 4 study treatments were GP MDI 28.8, 14.4, and 7.2 μg ex-actuator, and Placebo MDI BID. Subjects were randomly assigned to 1 of the following 4 treatment sequences (ABCD, BDAC, CADB, DCBA) in a 1:1:1:1 ratio using an Interactive Web Response System where each letter represented 1 of the 4 treatments included in the study by random assignment. Subjects were to complete 7 days of dosing in each of the 4 Treatment Periods, with each Treatment Period separated by a washout period of 5 to 21 days.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical history of COPD with a moderate to severe classification
- •Current and former smokers with a history of at least 10 pack-years of cigarette smoking.
- •Post-bronchodilator FEV1 must be ≥30% and \<80% predicted normal value-
Exclusion Criteria
- •Pregnancy
- •Primary asthma diagnosis; Poorly controlled COPD defined as acute worsening of COPD that required treatment with corticosteroids or antibiotics in the 6-week interval prior to Screening or between Screening and Visit 2;
- •Clinically significant abnormal ECG
- •Other active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, primary pulmonary hypertension, interstitial lung disease, and uncontrolled sleep apnea; Cancer that was not in complete remission for at least 5 years;
- •Diagnosis of angle closure glaucoma
- •A documented myocardial infarction within 1 year of Screening.
Arms & Interventions
GP MDI 28.8 micrograms
Glycopyrronium Metered Dose Inhaler 28.8 micrograms
Intervention: Glycopyrronium MDI 28.8 micrograms
GP MDI 14.4 micrograms
Glycopyrronium Metered Dose Inhaler 14.4 micrograms
Intervention: Glycopyrronium MDI 14.4 micrograms
GP MDI 7.2 micrograms
Glycopyrronium Metered Dose Inhaler 7.2 micrograms
Intervention: Glycopyrronium MDI 7.2 micrograms
Placebo MDI
Placebo Inhalation Aerosol
Intervention: Placebo MDI
Outcomes
Primary Outcomes
Morning Pre-dose Trough FEV1
Time Frame: Baseline, Day 8
Change from Baseline in Morning Pre-dose Trough FEV1
Secondary Outcomes
- FEV1 AUC0-2(Day 1 and Day 8)
- FVC AUC0-2(Baseline, Day 8)
- Peak Change in FEV1(Day 1 and Day 8)