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Efficacy and Safety of Twice Daily 60mg AZD9668 in COPD for 12 Weeks in Patients on Background Budesonide/Formoterol

Phase 2
Completed
Conditions
Chronic Obstructive Pulmonary Disease (COPD)
Interventions
Drug: Placebo
Registration Number
NCT01023516
Lead Sponsor
AstraZeneca
Brief Summary

The primary objective is to evaluate the efficacy of AZD9668 compared with placebo in symptomatic COPD patients by assessing the effects on lung function and symptoms of COPD

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
615
Inclusion Criteria
  • Diagnosis of COPD with symptoms over 1 year
  • FEV1/FVC < 70% and FEV1 >= 30 and < 80 % of predicted post-bronchodilator
  • Symptomatic COPD for a total of 7 days in the two weeks prior to randomisation
  • At least 1 COPD exacerbation from 4 weeks to 12 months before the screening visit
Exclusion Criteria
  • Past history or current evidence of clinically significant heart disease
  • Current diagnosis of asthma
  • Patients who require long term oxygen therapy
  • Worsening of COPD requiring treatment with antibiotics, an increase in inhaled steroid dose and/or oral steroids within 4 weeks of study visit 1b

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1AZD9668-
2Placebo-
Primary Outcome Measures
NameTimeMethod
Baseline Pre-bronchodilator FEV1 (L)Day 1

Forced expiratory volume in 1 second (FEV1) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

End-value Pre-bronchodilator FEV1 (L)up to week 12

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

Secondary Outcome Measures
NameTimeMethod
Incremental Shuttle Walk Test - End ValueWeek 12 - visit 6
Baseline Pre-bronchodilator FEV6 (L)Day 1

Forced expiratory volume in 6 seconds (FEV6) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

End-value Pre-bronchodilator FEV6 (L)up to week 12

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

Post-bronchodilator FEV1 (L) - BaselineDay 1

Forced expiratory volume in 1 second (FEV1) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.

Post-bronchodilator FEV1 (L) - End-valueup to week 12

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

Pre-bronchodilator FVC (L) - BaselineDay 1

Forced vital capacity (FVC) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

Pre-bronchodilator FVC (L) - End-valueup to week 12

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

Endurance Shuttle Walk Test - BaselineDay 1

Endurance time (s)

Post-bronchodilator FVC (L) - BaselineDay 1

Forced vital capacity (FVC) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.

Post-bronchodilator FVC (L) - End-valueup to week 12

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

Baseline Post-bronchodilator FEV6 (L)Day 1

Forced expiratory volume in 6 seconds (FEV6) as a measure of lung function, measured post after bronchodilator (salbutamol) use in the clinic.

End-value Post-bronchodilator FEV6 (L)up to week 12

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

Baseline Pre-bronchodilator FEF25-75% (L/Sec)Day 1

Forced expiratory flow between 25% to 75% of vital capacity (FEF25-75%) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

End-value Pre-bronchodilator FEF25-75% (L/Sec)up to week 12

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

Baseline Post-bronchodilator FEF25-75% (L/Sec)Day 1

Forced expiratory flow between 25% to 75% of vital capacity (FEF25-75%) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.

End-value Post-bronchodilator FEF25-75% (L/Sec)up to week 12

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

Pre-bronchodilator IC (L) - BaselineDay 1

Inspiratory capacity (IC) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic.

Pre-bronchodilator IC (L) - End-valueup to week 12

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

Post-bronchodilator IC (L) - BaselineDay 1

Inspiratory capacity (IC) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic.

Post-bronchodilator IC (L) - End-valueup to week 12

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

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 (PEF)

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.

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 ScoreLast 6 weeks on treatment

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).

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 ScoreLast 6 weeks on treatment

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).

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 ValueEnd of treatment week 12

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

Incremental Shuttle Walk Test - BaselineDay 1

Endurance time (s)

Endurance Shuttle Walk Test - End ValueWeek 12 - visit 6

Assessed at 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

🇸🇰

Zilina, Slovakia

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