A 52-week Treatment, Multi-center, Randomized, Open Label, Parallel Group Study to Assess the Long Term Safety and Tolerability of QVA149 (110 Mcg Indacaterol / 50 Mcg Glycopyrrolate o.d.) Using Tiotropium (18 Mcg o.d.) as an Active Control in Japanese Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
Overview
- Phase
- Phase 3
- Intervention
- QVA149
- Conditions
- Chronic Obstructive Pulmonary Disease (COPD)
- Sponsor
- Novartis Pharmaceuticals
- Enrollment
- 160
- Locations
- 1
- Primary Endpoint
- Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) or Death
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
This is a 52-week treatment, multi-center, randomized, open label, parallel group study to assess the long term safety and tolerability of once-daily QVA149 (indacaterol and NVA237 ([glycopyrronium bromide]) using tiotropium as an active control in Japanese patients with moderate to severe chronic obstructive pulmonary disease (COPD).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with moderate to severe stable COPD (Stage II or Stage III) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines
- •Current or ex-smokers who have a smoking history of at least 10 pack years. (Ten pack years are defined as 20 cigarettes a day for 10 years, or 10 cigarettes a day for 20 years etc.)
- •Patients with post-bronchodilator forced expiratory volume in one second (FEV1) ≥30% and \< 80% of the predicted normal, and post-bronchodilator FEV1/forced vital capacity (FVC) \< 0.7 at Visit 2.
Exclusion Criteria
- •Pregnant women or nursing mothers or women of child-bearing potential not using an acceptable method of contraception
- •Patients requiring long term oxygen therapy
- •Patients who have had a lower respiratory tract infection within 4 weeks prior to Visit 1
- •Patients with concomitant pulmonary disease
- •Patients with a history of asthma
- •Any patient with history of malignancy of any organ system (including lung cancer), treated or untreated, within the past 5 years
- •Patients with a history of certain cardiovascular comorbid conditions
- •Patients with a known history and diagnosis of alpha-1 antitrypsin deficiency
- •Patients in the active phase of a supervised pulmonary rehabilitation program
- •Patients contraindicated for treatment with, or having a history of reactions/ hypersensitivity to anticholinergic agents, long and short acting beta-2 agonists, sympathomimetic amines
Arms & Interventions
QVA149
QVA149 110/50 μg once a day (o.d)
Intervention: QVA149
Tiotropium
tiotropium 18 μg o.d.
Intervention: Tiotropium
Outcomes
Primary Outcomes
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) or Death
Time Frame: 52 weeks
An AE was the appearance or worsening of any undesirable sign, symptom, or medical condition occurring after starting the study drug even if the event was not considered to be related to study drug. Study drug includes the investigational drug under evaluation and the comparator drug or placebo that was given during any phase of the study. Adverse events starting on or after the time of the first inhalation of study drug were classified as a treatment emergent adverse event.
Secondary Outcomes
- Number of Patients With Newly Occurring or Worsening Clinically Notable Biochemistry Values at Any Time-point Over the Treatment Period(52 weeks)
- Number of Patients With Newly Occurring or Worsening Clinically Notable Hematology Values at Any Timepoint Over the Whole Treatment Period(52 weeks)
- Change in Pre-dose Forced Vital Capacity (FVC) From Baseline(Weeks 3, 6, 12, 24, 36, 52)
- Number of Patients With Newly Occurring or Worsening Clinically Notable Vital Signs Values at Any Time-point Over the Whole Treatment Period(52 weeks)
- Number of Patients With Newly Occurring or Worsening Clinically Notable Fridericia's QTc Values at Any Time-point Over the Whole Treatment Period(52 weeks)
- Change in Pre-dose Forced Expiratory Volume in One Second (FEV1) From Baseline(Weeks 3, 6, 12, 24, 36, 52)