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Study to Evaluate the Safety and Efficacy of Formoterol in a Daily Dose of 18 µg (9 µg Twice Daily) in Japanese Chronic Obstructive Pulmonary Disease (COPD) Patients

Phase 3
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Registration Number
NCT01047553
Lead Sponsor
AstraZeneca
Brief Summary

This study is a multicentre, open, randomised, parallel-group study with formoterol 9 μg one inhalation b.i.d, or standard COPD therapy. Standard (reference) COPD treatment arm should be the group to refer to when safety results of formoterol arm will be evaluated. 240 patients with moderate-to-severe COPD will be randomised (120 patients in the formoterol-arm and 120 patients on standard COPD therapy).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
251
Inclusion Criteria
  • Outpatients, men or women ≥ 40 years
  • A clinical diagnosis of COPD according to guidelines, and current COPD symptoms.
  • Post-bronchodilator FEV1 < 80% of predicted normal value and FEV1/FVC < 70%, post-bronchodilator
Exclusion Criteria
  • A history and/or current clinical diagnosis of asthma and atopic diseases such as Allergic rhinitis
  • Patients who have experienced COPD exacerbation requiring at least one of the following treatment, hospitalisation and/or a course of systemic steroid within 4 weeks prior to the study start.
  • Significant or unstable ischaemic heart disease, arrhythmia, cardiomyopathy, heart failure, uncontrolled hypertension as defined by the investigator, or any other relevant cardiovascular disorder as judged by the investigator

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Formoterol (OT)Formoterol 9 μg/dose
Primary Outcome Measures
NameTimeMethod
Clinical Laboratory Test: Haematology -ErythrocytesBaseline and week 52

Mean change from Baseline

Clinical Laboratory Test: Haematology -HaemoglobinBaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-LeucocytesBaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-Platelet CountBaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology Eosinophilsbaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology BasophilBaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-LymphocytesBaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-MonocytesBaseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology -NeutrophilsBaseline and week 52

Change from baseline

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

Change from baseline

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

Change from baseline

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

Change from baseline

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

Change from Baseline

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

Change from baseline

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

Change from baseline

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

Change from baseline

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

Change from baseline

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

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Total ProteinBaseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry - S-Blood Urea Nitrogen (BUN)Baseline and week 52

Change from baseline

Vital Signs- Sitting SBPBaseline and week 52

Change from baseline

Vital Signs- Sitting DBPBaseline and week 52

Change from baseline

Vital Signs - Pulse RateBaseline and week 52

Change from baseline

ECG Variables - Heart RateBaseline and week 52

Change from baseline

ECG Variables - QT IntervalBaseline and week 52

Change from baseline

ECG Variables - QTcB IntervalBaseline and week 52

Change from baseline

ECG Variables QTcF IntervalBaseline and week 52

Change from baseline

ECG Variables RR IntervalBaseline and week 52

Change from baseline

Secondary Outcome Measures
NameTimeMethod
Forced Expiratory Volume in One Second (FEV1)Before randomization, 0, 4, 8, 17, 26, 34, 43 and 52 weeks after randomization

The ratio of the average value of available data for mean from Weeks 0, 4, 8, 17, 26, 34, 43 and 52 to the baseline for each treatment group

Forced Vital Capacity (FVC)Before 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

Morning Peak Expiratory Flow(PEF)Daily during run-in period (14 - 18 days before Randomisation visit)and daily during 52-week randomization treatment

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

Evening Peak Expiratory Flow (PEF)Daily during run-in period (14 - 18 days before Randomisation visit) and daily during 52-week randomization treatment

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

Night-time Awakening Due to Chronic Obstructive Pulmonary Disease (COPD) SymptomsDaily during run-in period (14 - 18 days before Randomisation visit ) and daily during 52-week randomization treatment

There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group

Daytime Breathlessness Due to Chronic Obstructive Pulmonary Disease (COPD) SymptomsDaily during run-in period (14 - 18 days before Randomisation visit ) and daily during 52-week randomization treatment

There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group

Daytime Cough Due to Chronic Obstructive Pulmonary Disease (COPD) SymptomsDaily during run-in period (14 - 18 days before Randomisation visit) and daily during 52-week randomization treatment

There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group

Total Chronic Obstructive Pulmonary Disease (COPD) Symptom ScoreDaily during run-in period (14 - 18 days before Randomisation visit ) and daily during 52-week randomization treatment

The Total COPD Symptom score is the sum of the measures night-time awakening, breathlessness and cough, ranges from 0 to 12 with 12 being the most severe. The change from Run-in period average to Treatment period average for each treatment group.

Number of COPD Exacerbations Over the 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 was presented here.

Use of SABA (Salbutamol) as Reliever MedicationDaily during run-in period (14 - 18 days before Randomisation visit ) and daily during 52-week randomization treatment

The change from Run-in period average to Treatment period average for each treatment group.

St George's Respiratory Questionnaire (SGRQ) Total ScoreDaily during run-in period (14 - 18 days before Randomisation visit ) and daily during 52-week randomization treatment

SGRQ total score shows the impact of COPD on patient's health status, and expressed as a percentage of impairment with scale from 0 (best health status) to 100 (worst possible status). A negative rate of decline shows decreasing SGRQ total score (or improved health) over time, while a positive value shows increasing score (or worsen health). The change from Run-in period average to Treatment period average for each treatment group

Trial Locations

Locations (1)

Research Site

🇯🇵

Kyoto, Japan

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