Multicenter, Phase III, Randomized, Open Label Study to Evaluate the Efficacy and Safety of a Fixed-dose Combination of Formoterol/Fluticasone and Salmeterol/Fluticasone in Patients With Moderate-to-severe Chronic Obstructive Pulmonary Disease (COPD).
Overview
- Phase
- Phase 3
- Intervention
- Combination Fluticasone /Formoterol 12/250 μg
- Conditions
- Chronic Obstructive Pulmonary Disease
- Sponsor
- Ache Laboratorios Farmaceuticos S.A.
- Primary Endpoint
- Changes in pre-bronchodilator forced expiratory volume in first second (FEV1)
- Status
- Withdrawn
- Last Updated
- 9 years ago
Overview
Brief Summary
A study multicenter, phase III, randomized, open label study to evaluate the efficacy and safety of a fixed-dose combination of formoterol/fluticasone and salmeterol/fluticasone in patients with moderate-to-severe chronic obstructive pulmonary disease (COPD) that will enroll 336 subjects aged ≥ 40 years, smokers or former smokers, diagnosed with chronic obstructive pulmonary disease, classified as moderate chronic obstructive pulmonary disease or severe according to GOLD spirometric classification. The subjects will be allocated in 2 parallel groups and will receive the medicines of study, according of the randomization during a 24-week.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 40 years;
- •Chronic obstructive pulmonary disease classified as moderate or severe according to GOLD guidelines (Global Initiative for Chronic Obstructive Lung Disease), with post-bronchodilator FEV1/FVC \<0.70, and post-bronchodilator FEV1 \<80% and ≥ 30% predicted;
- •Understanding and capacity to give written consent;
- •Smoker or ex-smoker of ≥ 10 pack-years \[number of pack-years = number of daily cigarettes / 20 x number of years of smoking (eg t10 pack-years is equal to 20 cigarettes / day for 10 years, or 10 cigarettes per day within 20 years)\].
- •Ability to fill out the patient's Diary
- •Ability to fill out the MRC dyspnea scale and questionnaires CAT and CDLM.
Exclusion Criteria
- •Presence of clinically associate morbidities manifested according to the investigator that would interfere in the evaluation, for example: diabetes mellitus, congestive heart failure, coronary heart disease, chronic renal failure, liver failure, arrhythmia, hypothyroidism or hyperthyroidism;
- •Presence of neuro-psychiatric disorders of any kind;
- •Presence of mental retardation of any etiology;
- •Presence of pulmonary malformations, bronchiectasis, cystic fibrosis, bronchopulmonary hemosiderosis, ciliary dyskinesia, alveolitis, hypersensitivity, pulmonary vasculitis, sarcoidosis, tuberculosis or other lung diseases that might interfere with study assessments, as the investigator's discretion;
- •Subjects using immunosuppressive therapy, immunomodulatory agents, chemotherapy for allergy or any other immunotherapy;
- •Subjects using xanthine or acebrophylline;
- •Use within two months preceding the screening visit (V-2) of: anti-leukotrienes, immunoglobulins (including omalizumab), beta blockers, digitalis, itraconazole, amiodarone, antidepressants, monoamine oxidase inhibitors, tricyclic antidepressants, rifampin, oral contraceptives and coumarin ;
- •Current diagnosis of asthma;
- •Symptomatic coronary insufficiency;
- •Surgery for lung volume reduction and / or lung transplantation;
Arms & Interventions
Group 1
Intervention: Combination Fluticasone /Formoterol 12/250 μg
Group 2
Intervention: Seretide Diskus (salmeterol/fluticasone) 50/250 μg
Outcomes
Primary Outcomes
Changes in pre-bronchodilator forced expiratory volume in first second (FEV1)
Time Frame: Comparative between baseline and week 24
Changes of lung function parameter
Secondary Outcomes
- Safety descriptive about occurence of adverse events, evaluation of results of clinical/physical examination and laboratory tests results(From baseline to week 24)
- Changes in COPD Assessment Test (CAT)(Week 0, 8, 16 and 24)
- Changes in forced expiratory volume in first second, without bronchodilator(Week 0, 8, 16 and 24)