NCT01443845已完成4 期
Study to Evaluate the Effect of Roflumilast 500 μg on Exacerbation Rate in Subjects With Chronic Obstructive Pulmonary Disease (COPD) Treated With a Fixed-Dose Combination of Long-Acting Beta Agonist and Inhaled Corticosteroid (LABA/ICS)
适应症
干预措施
相关药物
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- AstraZeneca
- 入组人数
- 2,354
- 试验地点
- 338
- 主要终点
- Rate of Moderate or Severe COPD Exacerbations Per Patient Per Year.
研究概览
简要总结
To demonstrate the additional benefit of roflumilast when added on to fixed-dose combination (FDC) LABA/ICS in the reduction of exacerbations in subjects with severe to very severe COPD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female patients at least 40 years of age
- •History of COPD (according to Global Initiative for Chronic Obstructive Lung Disease [GOLD] 2010) for at least 12 months prior to Screening (Visit 1) associated with chronic productive cough for 3 months in each of 2 consecutive years (with other causes of productive cough excluded). Only patients with chronic bronchitis will be included (concomitant emphysema is permitted)
- •Forced expiratory volume after 1 second (FEV1)/forced vital capacity (FVC) ratio (postbronchodilator) < 70% at Screening (Visit 1)
- •FEV1 (postbronchodilator) ≤ 50% of predicted at Screening (Visit 1)
- •At least two documented moderate or severe COPD exacerbations within 12 months prior to Screening (Visit 1)
- •Patients must be on FDC LABA/ICS treatment ≥ 3 months prior to Screening (Visit 1)
- •Former smokers (defined as smoking cessation at least 1 year ago) or current smokers (including patients who ceased smoking within the past year) both with a smoking history of at least 20 pack-years
排除标准
- •Moderate or severe COPD exacerbation and/or COPD exacerbations treated with antibiotics or systemic glucocorticosteroids within 4 weeks of Screening (Visit 1) (ie, patients must be clinically stable)
- •Known alpha-1-antitrypsin deficiency
- •Current diagnosis of asthma (either controlled or uncontrolled) (Note: History of childhood asthma is not exclusionary.)
- •Body mass index (BMI) ≥ 45 kg/m2
- •Patients with a history (within 5 years) or current diagnosis of cancer other than basal or squamous cell skin cancer
研究组 & 干预措施
1
Experimental
Roflumilast
干预措施: Roflumilast (Drug)
2
Placebo Comparator
Placebo
干预措施: Placebo (Drug)
结局指标
主要结局
Rate of Moderate or Severe COPD Exacerbations Per Patient Per Year.
时间窗: Baseline to Week 52
Rate of moderate or severe COPD exacerbations, defined as requiring oral or parenteral glucocorticosteroids (moderate) or requiring hospitalization and/or leading to death (severe), during the double-blind treatment period.
次要结局
- Rate of COPD Exacerbations That Led to Hospitalization or Death (ie, Severe COPD Exacerbations)(Week 0 (Visit 2) to Week 52)
- Rate of Moderate or Severe COPD Exacerbations or COPD Exacerbations Treated With Antibiotics(Week 0 (Visit 2) to Week 52)
- Mean Change in Predose Forced Expiratory Volume in 1 Second (FEV1)(Week 0 (Visit 2) to Week 52)
研究者
研究点 (338)
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