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A Dose Range Finding Study to Evaluate the Efficacy and Safety of AZD9668 Administered Orally at Three Dose Levels to Patients With Chronic Obstructive Pulmonary Disease (COPD) on Treatment With Tiotropium

Phase 2
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Drug: AZD9668 Placebo
Registration Number
NCT00949975
Lead Sponsor
AstraZeneca
Brief Summary

The primary objective is to evaluate the dose-response relationship and efficacy of AZD9668 at 3 dose levels compared with placebo in symptomatic COPD patients by assessing effects on lung function and symptoms of COPD.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
838
Inclusion Criteria
  • Diagnosis of COPD with symptoms over 1 year
  • Smokers or ex-smokers
  • Males or post-menopausal females between 40 and 80 years old
  • Able to use electronic devices
Exclusion Criteria
  • Past history or current evidence of clinically significant heart disease
  • Current diagnosis of asthma
  • Patients who require long term oxygen therapy
  • Treatment with antibiotics within 4 weeks of study visit 1b

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2AZD9668AZD9668 active treatment
3AZD9668AZD9668 active treatment
4AZD9668 PlaceboAZD9668 placebo treatment
1AZD9668AZD9668 active treatment
Primary Outcome Measures
NameTimeMethod
Baseline Pre-bronchodilator FEV1 (L)Day 1

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic

End-value Pre-bronchodilator FEV1 (L)Measured at clinic visits: 1, 4, 8 and 12 weeks

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

Secondary Outcome Measures
NameTimeMethod
Post-bronchodilator FEV1 (L) - BaselineDay 1

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic

Post-bronchodilator FEV1 (L) - End-valueMeasured at clinic visits: 1, 4, 8 and 12 weeks

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

Pre-bronchodilator FVC (L) - BaselineDay 1

Forced Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic

Pre-bronchodilator FVC (L) - End-valueMeasured at clinic visits: 1, 4, 8 and 12 weeks

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

Post-bronchodilator FVC (L) - BaselineDay 1

Forced Vital Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic

Post-bronchodilator FVC (L) - End-valueMeasured at clinic visits: 1, 4, 8 and 12 weeks

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

Pre-bronchodilator IC (L) - BaselineDay 1

Inspiratory Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic

PEF - Baseline Measured by Patient at Home (L/Min) in the MorningBaseline

Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each morning.Baseline is the mean of last 10 days of data before start of treatment

PEF - End-value Measured by Patient at Home (L/Min) in the MorningLast 6 weeks on treatment

Peak Expiratory Flow (L/min)

Pre-bronchodilator IC (L) - End-valueMeasured at clinic visits: 1, 4, 8 and 12 weeks

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

FEV1 - Baseline Measured by Patient at Home (L) in the MorningBaseline

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each morning.Baseline is the mean of last 10 days of data before start of treatment

Post-bronchodilator IC (L) - BaselineDay 1

Inspiratory Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic

Post-bronchodilator IC (L) - End-valueMeasured at clinic visits: 1, 4, 8 and 12 weeks

End of treatment value - week 12 for completers, otherwise Last Observation Carried forward (LOCF)

FEV1 - End-value Measured by Patient at Home (L) in the MorningLast 6 weeks on treatment

Forced Expiratory Volume in 1 second (L)

EXACT - Baseline Total ScoreBaseline

EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status)scale). Baseline is the mean of last 10 days of data before start of treatment.

EXACT - End-value Total ScoreMeasured daily in the evening for 12 weeks

EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status)scale). Last 6 weeks on treatment.

BCSS - Baseline Total ScoreBaseline

Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0 (best health status) to 12 (worst possible status)scale).Baseline is the mean of last 10 days of data before start of treatment

BCSS - End-value Total ScoreMeasured daily in the evening for 12 weeks

Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0(best health status) to 12(worst possible status)scale). Last 6 weeks on treatment

Sputum Colour - BaselineBaseline

Sputum Colour as assessed by the Bronkotest scale, reported on a scale from 1 - clear (best health status) to 5 - dark green (worst possible health status).

Sputum Colour - End ValueMeasured at clinic visits:1, 4, 8 and 12 weeks

Sputum Colour as assessed by the Bronkotest scale, reported on a scale from 1 - clear (best health status) to 5 - dark green (worst possible health status).End of treatment week 12

Use of Reliever MedicationLast 6 weeks on treatment

Daily average of number of inhalations of reliever medication

Six-minute Walk Test - Distance Walked at Baseline (m)Day 1
Six-minute Walk Test - End-value Distance Walked (m)Measured Day 1 and 12 weeks

distance walked on vist 6 - last on treatment clinic visit

St George's Respiratory Questionnaire (COPD) - Overall Score at BaselineDay 1

St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).

St George's Respiratory Questionnaire (COPD) - End-value Overall ScoreMeasured Day 1 and 12 weeks

St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).questionaire assessed on vist 6 -( last on treatment clinic visit)

Exacerbations - Clinic DefinedDuration of the the treatment period - 12 weeks

Number of patients having a clinic defined disease exacerbation

Trial Locations

Locations (1)

Research Site

🇺🇦

Lugansk, Ukraine

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