A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety of Long-Term Use of Perforomist® (Formoterol Fumarate) Inhalation Solution in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- Enrollment
- 1,071
- Locations
- 1
- Primary Endpoint
- Number of Subjects With a Primary Event of Respiratory Death, First COPD-Related Emergency Room Visit, or First COPD Exacerbation-Related Hospitalisation
Study Overview
Brief Summary
This study is a multi-center, randomized, placebo-controlled study to evaluate the long-term safety of Perforomist® inhalation therapy in subjects with Chronic Obstructive Pulmonary Disease (COPD). Individual participation is approximately 54 weeks, including 52 weeks of double-blind treatment.
Detailed Description
None provided.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 40 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Able to understand the study requirements, provide written informed consent, and agree to abide by the study protocol and its restrictions
- •Male and female subjects at least 40 years of age with a medical diagnosis of COPD (i.e. persistent presence of dyspnea, cough or sputum production and a history of exposure to risk factors for the disease, such as tobacco smoke)
- •A current or prior history of at least 10 pack-years of cigarette smoking and a baseline breathlessness severity grade of >=2 (Modified Medical Research Council [MMRC] Dyspnea Scale Score) at randomization.
- •Women of child-bearing potential (WOCBP) must have a negative pregnancy test at the screening visit and agree to avoid becoming pregnant for the duration of study by using adequate contraception at study entry and throughout the trial. WOCBP will be advised to notify the Investigator of any change in their pregnancy status. WOCBP include: any female who has experienced menarche and is not post-menopausal (defined as amenorrhea for at least 12 consecutive months), or has not undergone surgical sterilization (hysterectomy, bilateral oophorectomy, or bilateral tubal ligation). Women who are using acceptable contraceptive medications or devices to prevent pregnancy or practicing abstinence or where partner is sterile (e.g., vasectomy) will be considered WOCBP.
- •Able to complete all aspects of the study through the end of the study, including all visits and tests, and self-administration of study medications.
Exclusion Criteria
- •A medical diagnosis of asthma. Indication of a past history of asthma that is deemed inaccurate to a subject's current condition by the Investigator must be adequately addressed in the medical history.
- •Clinically significant abnormal chest x-ray (CXR) (within the past 12 months) diagnostic of active/significant disease other than COPD.
- •Evidence of any unstable or clinically significant hematopoietic, malignant, cardiovascular, hepatic, renal, neurologic, psychiatric, autoimmune disorder, or condition or disease other than COPD that, in the opinion of the Investigator, could place the subject at increased risk of complications, interfere with study participation, or confound any of the study objectives.
- •Subjects who had radiation or chemotherapy within the previous 12 months.
- •An abnormal laboratory test at screening deemed clinically significant and exclusionary by the Investigator.
- •A history of hypersensitivity to study drugs or their components, including albuterol rescue.
Arms & Interventions
Perforomist, nebulization, COPD
Active
Intervention: Perforomist, nebulization, COPD (Drug)
Perforomist-Placebo
Placebo
Intervention: Perforomist-Placebo (Drug)
Outcomes
Primary Outcomes
Number of Subjects With a Primary Event of Respiratory Death, First COPD-Related Emergency Room Visit, or First COPD Exacerbation-Related Hospitalisation
Time Frame: 0 to 52 weeks
The primary endpoint was the combined incidence of respiratory death, first COPD-related ER visit or first COPD exacerbation-related hospitalization (whichever occurred first from the time of randomization to the end of the study). The time-to-first event was measured and analyzed in units of weeks and was summarized by treatment for subjects in the Safety Set. An independent Mortality Adjudication Board was used to evaluate all deaths that occurred in the study and for assigning cause of death and COPD-relatedness.
Kaplan-Meier Probability of Respiratory Death, First COPD-Related Emergency Room Visit, or First COPD Exacerbation-Related Hospitalisation at 52 Weeks
Time Frame: 0 to 52 weeks
The primary endpoint was the combined incidence of respiratory death, first COPD-related ER visit or first COPD exacerbation-related hospitalization (whichever occurred first from the time of randomization to the end of the study). The time-to-first event was measured and analyzed in units of weeks and was summarized by treatment for subjects in the Safety Set. An independent Mortality Adjudication Board was used to evaluate all deaths that occurred in the study and for assigning cause of death and COPD-relatedness.
Secondary Outcomes
- IC Changes From Baseline at Months 3, 6, 9 and 12(On treatment at months 3, 6, 9 and 12)
- Summary of All Cause Mortality, COPD Related Mortality and Respiratory Related Mortality(0 to 52 weeks)
- Individual Components of the Primary Composite Endpoint - First COPD-related ER Visit and First COPD Exacerbation-Related Hospitalization(0 to 52 weeks)
- Number of Subjects With Protocol-Defined COPD Exacerbation(0 to 52 weeks)
- Kaplan-Meier Probability of Protocol Defined COPD Exacerbation at 52 Weeks(0 to 52 weeks)
- FEV1 Changes From Baseline at Months 3, 6, 9 and 12(On treatment at months 3, 6, 9 and 12)
- FVC Changes From Baseline at Months 3, 6, 9 and 12(On treatment at months 3, 6, 9 and 12)
- Saint Georges Respiratory Questionnaire Scores: Changes From Baseline at Months 3, 6, 9, 12(On treatment at months 3, 6, 9 and 12)
- Transition Dyspnea Index(On treatment at months 3, 6, 9 and 12)
- Health Care Utilization and Economic Impact - Number of Emergency Department Visits(0 to 52 weeks)
- Summary of Subjects Requiring Intubation or Non-Invasive Ventilation(0 to 52 weeks)
- Rescue Medication Usage(0 to 52 weeks)