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Efficacy and Safety of Aclidinium Bromide 400 µg BID (Twice a Day)Compared to Placebo in Patients With Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

Phase 3
Completed
Conditions
Chronic Obstructive Pulmonary Disease (COPD)
Interventions
Registration Number
NCT01471171
Lead Sponsor
AstraZeneca
Brief Summary

The aim of the present study is to evaluate the effect of aclidinium bromide 400 μg twice a day (BID) administered twice a day versus placebo on exercise endurance and on hyperinflation and dyspnoea at rest and during exercise after 3 weeks of treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
112
Inclusion Criteria
  • Adult male and female patients aged ≥ 40 with stable moderate to severe COPD (Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines).
  • Post-salbutamol Forced Expiratory Volume in one second(FEV1) < 80% and ≥ 30% of predicted normal value and Post-salbutamol FEV1/Forced Vital Capacity (FVC) < 70%.
  • Current or ex-smokers of ≥ 10 pack-years
  • Functional residual capacity (FRC) measured by body plethysmography at Screening Visit ≥ 120% of predicted value
Exclusion Criteria
  • History or current diagnosis of asthma
  • Signs of an exacerbation within 6 weeks ( or 3 months if results in hospitalisation) prior to the screening visit or during the run-in period.
  • Clinically significant respiratory and/or cardiovascular conditions or laboratory abnormalities.
  • Conditions where the use of anticholinergic drugs is contraindicated, such as known symptomatic prostatic hypertrophy, bladder neck obstruction or narrow-angle glaucoma.
  • Patients with an oxygen saturation < 85% during cycle exercise on room air at Screening Visit, Run- in Visit and Visit 1.
  • Contra-indications of cardiopulmonary exercise testing.
  • Patient who in the investigator's opinion will need to start a pulmonary rehabilitation program during the study and/or patients who have just started/finished pulmonary rehabilitation at least 3 months prior to the Screening Visit.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Aclidinium bromideAclidinium Bromide3-week treatment periods
PlaceboPlacebo3-week treatment periods
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Endurance Time (Seconds)Week 3

Change from baseline in endurance time during constant work rate cycle ergometry to symptom limitation at 75% of Maximum Work load (Wmax) after 3 weeks of treatment.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Trough Inspiratory Capacity (IC) (Litres)Week 3

Change from baseline in trough IC after 3 weeks of treatment

Change From Baseline in Intensity of DyspnoeaWeek 3

Change from baseline in intensity of dyspnoea based on the Borg CR10 Scale® (ranging from '0'=nothing at all to '10'=extremely strong/maximal dyspnoea, the highest possible numerical value) at isotime during constant work rate cycle ergometry after 3 weeks of treatment.

Trial Locations

Locations (10)

Almirall Investigational Site #3

🇩🇪

Hannover, Germany

Almirall Investigational Site #8

🇩🇪

Hamburg, Germany

Almirall Investigational Site #6

🇩🇪

Berlin, Germany

Almirall Investigational Site #10

🇩🇪

Berlin, Germany

Almirall Investigational Site #2

🇬🇧

London, United Kingdom

Almirall Investigational Site #4

🇪🇸

Barcelona, Spain

Almirall Investigational Site #5

🇩🇪

Grosshansdorf, Germany

Almirall Investigational Site #9

🇩🇪

Hamburg, Germany

Almirall Investigational Site #1

🇪🇸

Alicante, Spain

Almirall Investigational Site #7

🇩🇪

Lübeck, Germany

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