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Tiotropium Bromide Alone vs Tiotropium Bromide and Formoterol Fumarate in Subjects With COPD (Study P04272)

Primary Purpose

Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
formoterol fumarate
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pulmonary Disease, Chronic Obstructive

Eligibility Criteria

40 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Subjects must have a clinical history of COPD. Subjects must be current cigarette smokers or ex-smokers who stopped smoking at least 3 months prior to screening visit (V1). Subjects must have a smoking history of at least 10 pack-years (20 cigarettes per pack). Pack-years are calculated by multiplying the average packs of cigarettes smoked per day times the number of years. Subjects on stable inhaled corticosteroids are allowed to be enrolled and to remain on the treatment throughout the study. Subjects must be willing to give written informed consent and able to adhere to dose and visit schedules. Subjects must agree to inform their usual treating physician of their participation in this study. Female subjects of childbearing potential must have a negative urine pregnancy test prior to the randomization of the study Nonpregnant women of childbearing potential must be using a medically acceptable, adequate form of birth control. Exclusion Criteria: Subjects have a current or past history of clinically relevant asthma. Subjects quit smoking less than 3 months prior to the Screening visit (V1). Subjects have required ventilator support for respiratory failure within the last year. Subjects have clinically significant lung disease other than COPD, e.g., bronchiectasis, sarcoidosis, pulmonary fibrosis, tuberculosis, etc. Subjects have undergone lobectomy, pneumonectomy or lung volume reduction surgery. Subjects have had lung cancer diagnosed or treated within the last five years. Subjects require nasal continuous positive airway pressure (CPAP) or bi-level positive airway pressure (Bi-PAP). Subjects have initiated pulmonary rehabilitation within the past 3 months. Subjects use oxygen >= 2 liters per minute for > 2 hours per day. Subjects require chronic or prophylactic treatment with antibiotics. Subjects have significant renal, hepatic, cardiovascular (including cor pulmonale), metabolic, neurologic, hematologic, gastrointestinal, cerebrovascular or other significant medical illness or disorder which, in the judgment of the Investigator, may interfere with the study or require treatment which may affect the evaluation of efficacy and safety of the study drug. Subjects have clinically significant abnormalities on chest x-ray (other than evidence of COPD) at the Screening visit or within the previous year. Women are pregnant or breast-feeding. Subjects cannot adhere to the concomitant medications restrictions and prohibitions. Subjects have used any investigational product within 30 days, or 3 months for any biologic of unknown half-life, prior to the Baseline Visit (V3). Subjects are part of the staff or a family member of the staff personnel directly involved with this study. Subjects have chronic narrow-angle glaucoma. Subjects have symptomatic prostatic hyperplasia or bladder-neck obstruction.

Sites / Locations

    Outcomes

    Primary Outcome Measures

    effects of tiotropium bromide alone vs.the effect of tiotropium bromide and formoterol fumarate
    To compare the effects of tiotropium bromide alone vs. the effects of co-administration of tiotropium bromide and formoterol fumarate on the change from baseline of the normalized area under the time curve (AUC) for FEV1 for the 0 hour to 4 hours post-morning dose at the last study visit.

    Secondary Outcome Measures

    Full Information

    First Posted
    August 30, 2005
    Last Updated
    March 22, 2017
    Sponsor
    Merck Sharp & Dohme LLC
    Collaborators
    Integrated Therapeutics Group, Novartis
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00139932
    Brief Title
    Tiotropium Bromide Alone vs Tiotropium Bromide and Formoterol Fumarate in Subjects With COPD (Study P04272)
    Official Title
    A Double-Blind Randomized, Parallel-Group, Multicenter Clinical Study to Compare the Efficacy and Tolerability of Tiotropium Bromide Alone vs. the Co-Administration of Tiotropium Bromide and Formoterol Fumarate in Subjects With COPD
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    September 1, 2005 (Actual)
    Primary Completion Date
    November 21, 2006 (Actual)
    Study Completion Date
    November 21, 2006 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC
    Collaborators
    Integrated Therapeutics Group, Novartis

    4. Oversight

    5. Study Description

    Brief Summary
    This study is being conducted to determine if the co-administration of formoterol fumarate and tiotropium bromide is more effective than the use of tiotropium bromide alone in patients with COPD.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Pulmonary Disease, Chronic Obstructive

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    255 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    formoterol fumarate
    Primary Outcome Measure Information:
    Title
    effects of tiotropium bromide alone vs.the effect of tiotropium bromide and formoterol fumarate
    Description
    To compare the effects of tiotropium bromide alone vs. the effects of co-administration of tiotropium bromide and formoterol fumarate on the change from baseline of the normalized area under the time curve (AUC) for FEV1 for the 0 hour to 4 hours post-morning dose at the last study visit.
    Time Frame
    12 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects must have a clinical history of COPD. Subjects must be current cigarette smokers or ex-smokers who stopped smoking at least 3 months prior to screening visit (V1). Subjects must have a smoking history of at least 10 pack-years (20 cigarettes per pack). Pack-years are calculated by multiplying the average packs of cigarettes smoked per day times the number of years. Subjects on stable inhaled corticosteroids are allowed to be enrolled and to remain on the treatment throughout the study. Subjects must be willing to give written informed consent and able to adhere to dose and visit schedules. Subjects must agree to inform their usual treating physician of their participation in this study. Female subjects of childbearing potential must have a negative urine pregnancy test prior to the randomization of the study Nonpregnant women of childbearing potential must be using a medically acceptable, adequate form of birth control. Exclusion Criteria: Subjects have a current or past history of clinically relevant asthma. Subjects quit smoking less than 3 months prior to the Screening visit (V1). Subjects have required ventilator support for respiratory failure within the last year. Subjects have clinically significant lung disease other than COPD, e.g., bronchiectasis, sarcoidosis, pulmonary fibrosis, tuberculosis, etc. Subjects have undergone lobectomy, pneumonectomy or lung volume reduction surgery. Subjects have had lung cancer diagnosed or treated within the last five years. Subjects require nasal continuous positive airway pressure (CPAP) or bi-level positive airway pressure (Bi-PAP). Subjects have initiated pulmonary rehabilitation within the past 3 months. Subjects use oxygen >= 2 liters per minute for > 2 hours per day. Subjects require chronic or prophylactic treatment with antibiotics. Subjects have significant renal, hepatic, cardiovascular (including cor pulmonale), metabolic, neurologic, hematologic, gastrointestinal, cerebrovascular or other significant medical illness or disorder which, in the judgment of the Investigator, may interfere with the study or require treatment which may affect the evaluation of efficacy and safety of the study drug. Subjects have clinically significant abnormalities on chest x-ray (other than evidence of COPD) at the Screening visit or within the previous year. Women are pregnant or breast-feeding. Subjects cannot adhere to the concomitant medications restrictions and prohibitions. Subjects have used any investigational product within 30 days, or 3 months for any biologic of unknown half-life, prior to the Baseline Visit (V3). Subjects are part of the staff or a family member of the staff personnel directly involved with this study. Subjects have chronic narrow-angle glaucoma. Subjects have symptomatic prostatic hyperplasia or bladder-neck obstruction.

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    19229704
    Citation
    Tashkin DP, Pearle J, Iezzoni D, Varghese ST. Formoterol and tiotropium compared with tiotropium alone for treatment of COPD. COPD. 2009 Feb;6(1):17-25. doi: 10.1080/15412550902724073.
    Results Reference
    result
    Links:
    URL
    http://www.merck.com/clinical-trials/policies-perspectives.html
    Description
    Click here to access a synopsis of the study results.
    Available IPD and Supporting Information:
    Available IPD/Information Type
    CSR Synopsis
    Available IPD/Information URL
    http://www.merck.com/clinical-trials/policies-perspectives.html

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    Tiotropium Bromide Alone vs Tiotropium Bromide and Formoterol Fumarate in Subjects With COPD (Study P04272)

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