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临床试验/EUCTR2011-003588-31-PL
EUCTR2011-003588-31-PL进行中(未招募)不适用

A multicentre, randomised, double-blind, active-controlled, 4-way cross-over study to evaluate the efficacy and safety of a free combination of 3 doses of Glycopyrrolate with fixed combination Beclomethasone Diproprionate plus Formoterol (Foster®) in a metered dose inhaler for the treatment of patients with Chronic Obstructive Pumlonary Disease (COPD)

Chiesi Farmaceutici S.p.A.0 个研究点目标入组 180 人开始时间: 2012年3月12日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
180

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Male and female adults (40 = age = 80 years) with written informed consent obtained prior to any study-related procedure.
  • 2. Outpatients with a diagnosis of COPD (according to GOLD guidelines) with:
  • A smoking history of at least 10 pack years (pack-years = ((number of cigarettes per day x number of years)/20). Current and ex-smokers are eligible.
  • (Smoking cessation therapy must be completed within 3 months prior to screening visit and smoking status shall not change after screening and during the study period)
  • - A Post-bronchodilator 30%=FEV1<60% of the predicted normal value
  • - A Post-bronchodilator FEV1/FVC < 0.7
  • - An increase from baseline of FEV1 value 30 min after 80µg ipratropium of at least 60mL
  • 3. Patients treated with double therapy with inhaled corticosteroids/long-acting ß-agonist combination or with triple therapy with inhaled corticosteroids/long-acting ß-agonist combination and long-acting anticholinergic (tiotropium) if taken for not more than one month at stable regimen before screening.
  • 4. A cooperative attitude and ability to be trained to use correctly the pMDI inhalers.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 72
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 108

排除标准

  • 1.Pregnant or lactating women.
  • In case of childbearing potential, patients and/or their partner must be willing to use an approved method of contraception unless they meet the post-menopausal definition (amenorrhea>12 Mo or >6 Mo with FSH >40 mIU/ml). Methods of contraception may include one or more of the following ones: Surgical sterilization, hormonal contraception, double-barrier methods and periodic abstinence
  • Reliable contraception should be maintained throughout the study.
  • 2.Diagnosis of asthma or history of allergic rhinitis or atopy.
  • 3.Participation in another clinical trial where investigation drug was received less than 8 weeks prior to first intake of the study medication.
  • 4.Hospitalisation for COPD or pneumonia within 3 month prior to screening
  • 5.Patients experiencing a COPD exacerbation requiring use of systemic steroids and/or antibiotics in the 4 weeks prior to screening and during the run-in period.
  • 6.Patients treated with oral/parenteral ß2-agonists or nebulised bronchodilators or PDE inhibitors in the 4 weeks prior to screening and during the run-in period.
  • 7.Use of antibiotics for a lower respiratory tract infection in the 4 weeks prior to screening and during the run-in period.
  • 8.Patients requiring long term (at least 12 hours daily) oxygen therapy for chronic hypoxemia.
  • 9.Known respiratory disorders other than COPD including but not limited to alpha-1 antitrypsin deficiency, active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension and interstitial lung disease.
  • 10.Medical diagnosis of narrow-angle glaucoma, prostatic hypertrophy or bladder neck obstruction that in the opinion of the investigator would prevent use of anticholinergic.
  • 11.History of hypersensitivity to M3 Antagonists, ß2-agonist, corticosteroids or any of the excipients contained in any of the formulations used in the trial.
  • 12.History of alcohol abuse and/or substance/drug abuse within 12 months prior to screening visit
  • 13.An abnormal and clinically significant 12-lead ECG that results in active medical problem.
  • 14.Electrocardiogram (ECG) (12 lead) with QTcF >450 ms for males or QTcF > 470 ms for females.
  • 15.Clinically significant laboratory abnormalities indicating a significant or unstable concomitant disease which may impact the feasibility of the results of the study according to investigator’s judgement.
  • 16.Patients with serum potassium levels < 3.5 mEq/L (or 3.5 mmol/L).
  • 17.Unstable concurrent disease: e.g. uncontrolled hyperthyroidism, uncontrolled diabetes mellitus or other endocrine disease; significant hepatic impairment; significant renal impairment; cardiovascular disease (e.g. uncontrolled coronary artery disease, uncontrolled hypertension); uncontrolled gastrointestinal disease (e.g. active peptic ulcer); neurological disease; uncontrolled haematological disease; uncontrolled autoimmune disorders, or other which may impact the feasibility of the results of the study according to investigator’s judgment.
  • 18.Evidence of heart failure (NYHA class IV).
  • 19.Changes in dose, schedule, formulation or product of oral xanthine derivatives (eg theophylline) in the three months prior to screening visit.
  • 20.Change in dose, schedule, formulation or product of ß-blockers in the month prior to screening.

研究者

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