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A Safety and Efficacy Study of Symbicort Turbuhaler Compared With Standard Chronic Obstructive Pulmonary Disease (COPD) Treatment in Japan

Phase 3
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Registration Number
NCT01070784
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to evaluate the safety and efficacy of Symbicort Turbuhaler compared to standard COPD treatment during one year in Japanese patients with COPD.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
328
Inclusion Criteria
  • A current clinical diagnosis of COPD according to the guidelines (GOLD, JPS)
  • Documented COPD symptoms for more than 2 years
  • Pre-bronchodilator FEV1≦50% of predicted normal value, and post-bronchodilator FEV1/FVC<70%
Exclusion Criteria
  • History and/or current clinical diagnosis of asthma and atopic diseases such as allergic rhinitis
  • Subjects with significant or unstable ischemic heart disease, arrhythmia, cardiomyopathy, heart failure, uncontrolled hypertension as defined by the investigator, or any other relevant cardiovascular disorder as judged by the investigator
  • COPD exacerbation during the run-in period or within 4 weeks prior to registration, requiring hospitalization and/or treatment with systemic steroids.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Symbicort Turbuhaler (Budesonide/formoterol)-
Primary Outcome Measures
NameTimeMethod
Clinical Laboratory Test: Haematology -HaemoglobinBaseline and 52 week after

Change from baseline

ECG Variables - QTcB IntervalBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -LeucocytesBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -Platelet CountBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -EosinophilsBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -BasophilsBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -LymphocytesBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -MonocytesBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -NeutrophilsBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Alanine AminotransferaseBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Haematology -ErythrocytesBaseline and 52 week after

Mean change from Baseline

Clinical Laboratory Test: Clinical Chemistry- S-Aspartate AminotransferaseBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Alkaline Phosphatase (ALP)Baseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-CreatinineBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Total BilirubinBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-SodiumBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-PotassiumBaseline and 52 week after

Change from baseline

ECG Variables - QT IntervalBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S- CalciumBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-AlbuminBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Protein, TotalBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-C-Reactive ProteinBaseline and 52 week after

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Urea NitrogenBaseline and 52 week after

Change from baseline

Vital Signs- Sitting Systolic Blood Pressure(SBP)Baseline and 52 week after

Change from baseline

Vital Signs- Sitting Diastolic Blood Pressure(DBP)Baseline and 52 week after

Change from baseline

Vital Signs- Pulse RateBaseline and 52 week after

Change from baseline

ECG Variables - Heart RateBaseline and 52 week after

Change from baseline

ECG Variables - QTcF IntervalBaseline and 52 week after

Change from baseline

ECG Variables - RR IntervalBaseline and 52 week after

Change from baseline

Secondary Outcome Measures
NameTimeMethod
Chronic Obstructive Pulmonary Disease (COPD) symptoms_Night-time AwakeningDaily during run-in period and daily during 52-week randomization treatment

There are 5 alternatives (scored 0 to 4, 0= no awakening and 4 =did not sleep at all). The change from Run-in period average to Treatment period average for each treatment group

Chronic Obstructive Pulmonary Disease (COPD) symptoms_BreathlessnessDaily during run-in period and daily during 52-week randomization treatment

There are 5 alternatives (scored 0 to 4, 0= unaware of any difficulty and 4 =almost constant, present even when resting). The change from Run-in period average to Treatment period average for each treatment group

Chronic Obstructive Pulmonary Disease (COPD) symptoms_coughDaily during run-in period and daily during 52-week randomization treatment

There are 5 alternatives (scored 0 to 4, 0= unaware of coughing, 4= never free of cough or need to cough). The change from Run-in period average to Treatment period average for each treatment group

Forced Expiratory Volume in 1 Second (FEV1) Measured With the Spirometer at the ClinicBefore randomization, 0, 4, 8, 17, 26, 34, 43 and 52 weeks after randomization

The ratio of the average value of available data for Weeks 0, 4, 8, 17, 26, 34, 43 and 52 to the baseline for each treatment group. Ratio is being reported as a percentage in this Measure.

Forced Vital Capacity (FVC) Measured With the Spirometer at the ClinicBefore randomization, 0, 4, 8, 17, 26, 34, 43 and 52 weeks after randomization

The ratio of the average value of available data for Weeks 0, 4, 8, 17, 26, 34, 43 and 52 to the baseline for each treatment group. Ratio is being reported as a percentage in this Measure.

Time to First COPD ExacerbationDaily during 52-week randomization treatment

A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as worsening in COPD symptoms requiring treatment with either a course of systemic steroid or hospitalisation. The percentage of participants who had experienced COPD exacerbation at the end of the study for each treatment group.

Number of COPD Exacerbations Over the Study Treatment PeriodDaily during 52-week randomization treatment

A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as worsening in COPD symptoms requiring treatment with either a course of systemic steroid or hospitalisation. Number of COPD exacerbation during 52-week randomization treatment

Rescue Medication UseDaily during 52-week randomization treatment

The change from run-in period and daily during 52-week randomization treatment

Health Related Quality of Life (HRQL) Based on the St. George's Respiratory Questionnaire (SGRQ)Daily during run-in period and daily 52-week randomization treatment

The change from run-in period and daily during 52-week randomization treatment average for each treatment group. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life).

Morning Peak Expiratory Flow (PEF) Measured at HomeDaily during run-in period and daily 52-week randomization treatment

The change from Run-in period average to 52-week randomization Treatment period average for each treatment group

Evening Peak Expiratory Flow (PEF) Measured at HomeDaily during run-in period and daily 52-week randomization treatment

The change from Run-in period average to 52-week randomization Treatment period average for each treatment group

Morning FEV1 Measured by the Subjects at HomeDaily during run-in period and daily 52-week randomization treatment

The change from run-in period and daily during 52-week randomization treatment

Evening FEV1 Measured by the Subjects at HomeDaily during run-in period and daily 52-week randomization treatment

The change from run-in period and daily during 52-week randomization treatment

Trial Locations

Locations (1)

Research Site

🇯🇵

Kyoto, Japan

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