26 Week Efficacy, Safety and Tolerability Study of Indacaterol in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Pulmonary Disease, Chronic Obstructive, COPD, Lung Diseases, Obstructive
About this trial
This is an interventional treatment trial for Pulmonary Disease, Chronic Obstructive focused on measuring indacaterol, long acting beta-2 agonist
Eligibility Criteria
Inclusion Criteria:
- Male and female adults aged ≥ 40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure
Co-operative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) Guidelines, 2005) and:
- Smoking history of at least 20 pack years
- Post-bronchodilator FEV1 < 80% and ≥ 30% of the predicted normal value.
- Post-bronchodilator FEV1/FVC < 70% (Post refers to within 30 min of inhalation of 400 µg of salbutamol)
Exclusion Criteria:
- Pregnant or lactating females
- Patients who have been hospitalized for a COPD exacerbation in the 6 weeks prior to Visit 1 or during the run-in period
- Patients requiring long term oxygen therapy (> 15 h a day)
- Patients who have had a respiratory tract infection 6 weeks prior to V1 (with further criteria)
- Patients with concomitant pulmonary disease, pulmonary tuberculosis, or clinically significant bronchiectasis
- Patients with a history of asthma (with further criteria)
- Patients with Type I or uncontrolled Type II diabetes
- Patients with contraindications for tiotropium
- Patients who have clinically relevant laboratory abnormalities or a clinically significant abnormality
- Any patient with active cancer or a history of cancer with less than 5 years disease free survival time
- Patients with a history of long QT syndrome or whose QTc interval is prolonged
- Patients with a hypersensitivity to any of the study drugs or drugs with similar chemical structures
- Patients who have had treatment with the investigational drug (with further criteria)
- Patients who have had live attenuated vaccinations within 30 days prior to visit 1, or during run-in period
- Patients with known history of non compliance to medication
- Patients unable to satisfactorily use a dry powder inhaler device or perform spirometry measurements
Other protocol-defined inclusion/exclusion criteria may apply
Sites / Locations
- Pinnacle Research Group, LLC
- University of Alabama at Birmingham
- Pulmonary Medicine Associates PC
- Jasper Summit Research
- Pulmonary Associate of Mobile, PC
- Pulmonary Associates, PA
- Pulmonary Associates, PA
- Novartis Investigative Center
- Arizona Pulmonary Specialists, LTD
- Premiere Pharmaceutical Research, LLC
- Canyon Clinical Research, LLC
- SAVAHSC / Pulmonary Section
- Novartis Investigator Site
- Novartis Investigator Site
- USC Rancho Amigos Medical Center
- Encompass Clinical Research - North Coast
- California Research
- Allergy and Asthma Specialists Medical Group and research Center
- Interlink Research Institute
- Allergy Research Foundation, Inc
- Novartis Investigator Site
- Southern California Institute for Respiratory Diseases
- David Geffen UCLA School of Medicine
- Advance Clinical Research Institute
- California Allergy & Asthma Medical Group
- Intergrated Research Group
- Allergy & Asthma Associates of Santa Clara Res. Center
- Greater Los Angeles Healthcare System
- Encompass Clinical Research
- Bensch Clinical Research Associates
- Peninsula Pulmonary Medical Associates
- Progressive Clinical Research
- Allergy and Asthma Clinical Research Inc
- Boulder Medical Center
- National Jewish Medical & Research Center
- Northern Colorado Pulmonary Consultants, PC
- New West Physicians Clinical research
- Rocky Mountain Center for Clinical Research
- Western States Clinical Research
- Norwalk Hospital
- Lung Health & Sleep Enhancement Center
- Clinical Research of West Florida
- University of Florida Shands Hospital
- Shands Jacksonville Medical Center
- Innovative Research of West Florida
- University of Miami School of Medicine
- Elite Research Institute
- Novartis Investigator Site
- Emerald Coast Clinical Research, LLC
- Pensacola Research Consultants
- Integrity Research
- Brevard Pulmonary Specialists
- Asthma & Allergy Research Center
- South Miami Clinical Research, LLC
- Central Medical Group, PA
- Clireco, Inc
- Novartis Investigator Site
- University of South Florida
- Neutrotrials Research Inc
- Georgia Clinical Research
- Marietta Pulmonary Medicine
- University of Chicago Hospital
- Sneeze, Wheeze & Itch Associates, LLC
- Southern Illinois Clinical Research Center
- Novartis Investigator Site
- Community Hospital Anderson
- Dawes Fretzin Clinical Research Group LLC
- South Bend Clinic
- Iowa Clinical Research Corporation
- University of Iowa
- Heart of America Research Institute
- Cotton-O'Neil Clinical Research Center
- Novartis Investigator Site
- Kentucky Medical research Center
- University of Kentucky Chandler Medical Center
- Family Asthma and Allergy Research Associates
- Gulf Coast Research, LLC
- Rx R&D
- LSU Health Sciences Center/LSU School of Medicine
- New Orleans Center for Clinical Research
- Louisiana Health Sciences Center
- Northshore Research Associates
- Allergy, Asthma, Immunology, Pharmaceutical Studies
- Primecare Physician Associates
- John Hopkins Asthma and Allergy Center
- Miray Medical Center
- Fallon Clinic at Worcester Medical Center
- ClinSite, Inc
- Novartis Investigator Site
- Harper University Hospital; Wayne State University
- Novartis Investigator Site
- Pulmonary Respiratory Institute of Southwest Michigan
- Novartis Investigator Site
- Synergy Medical Education Alliance
- Novartis Investigator Site
- Minnesota Lung Center
- Clinical Research Institute
- Novartis Investigator Site
- Minnesota Lung Center
- Mayo Clinic
- St. Luke's Cardio-Pulmonary Research
- University of Missouri - Columbia
- Kansas City University of Medicine and Biosciences
- University of Missouri KC/ Truman Medical
- The Clinical Research Centre
- Midwest Chest Consultants
- Washington U School of Medicine, Center for Clinical Studies
- Montana Health Research Institute
- Novartis Investigator Site
- Novartis Investigator Site
- Somnos Laboratories, Inc
- Omaha VA Medical Center
- Quality Clinical Research
- Midwest Allergy and Asthma Clinic
- Creighton University Centre for Allergy, Asthma & Immunology
- Creigton University
- Heartland Clinical Research, Inc
- Meridian Clinical Research, LLC
- University of Nebraska Medical Center - Pulmonary Research
- The Asthma & Allergy Center, PC
- Lovelace Scientific Resources, Inc.
- Clinical Research Center of NV
- Dartmouth Hitchcock Medical Center
- Delaware Valley Clinical Research
- Pulmonary and Critical Care Associates, PA
- Novartis Investigator Site
- Pulmonary and Allergy Associates, PA
- Pulmonary and Critical Care Services
- Crescent Medical Associates
- Asthma and Allergy Associates
- Asthma and Allergy Associates
- Nassau Chest Physicians, PC
- North Shore University Hospital
- New York Pulmonary Associates, PC
- Weill Medical College of Cornell University
- Mount Sinai Medical Center
- AAIR research Centre
- University of North Carolina
- Sensenbrenner Primary Care
- North Carolina Clinical Research
- Novartis Investigator Site
- Cloverdale Research Facility
- Merit Care Medical Group
- Cincinnati VA Hospital
- New Horizons Clinical Research
- Bernstein Clinical Research Centre
- Community Research Inc
- University Hospitals of Cleveland
- Metro Health Medical Center
- Cleveland Clinic
- Ohio State University - Davis Heart and Lung Research Institute
- Novartis Investigator Site
- Remington-Davis Clinical Research
- Novartis Investigator Site
- Novartis Investigator Site
- John Winder Associates
- Advanced Health Care Specialists
- The University of Toledo
- Pharmacotherapy Research Associates, Inc
- Oklahoma Allergy and Asthma Clinic
- University of Oklahoma Health Science Center
- Lynne Health Science Institute
- Healthcare Research Consultants, Inc
- River Road Medical Group
- Clinical Research Institute of Southern Oregon, PC
- Oregon Clinical Research Associates
- Allergy Associates Research Center
- Novartis Investigator Site
- Tri-State Medical Group
- Novartis Investigator Site
- Chest Diseases of Northwestern PA
- Asthma Allergy &Pulmonary Associates, PC
- Drexel University College of Medicine
- Novartis Investigator Site
- Novartis Investigator Site
- Pittsburgh Pulmonary Associates
- South Hills Pulmonary Associates
- New England Center for Clinical Research
- Partners in Clinical Research
- Low County Lung and Critical Care, PA
- Hugh D. Durrence, MD, Family Medicine
- Medical University of South Carolina
- Med Plus South - Strand Family Practice
- Novartis Investigator Site
- Spartanburg Pharmaceutical Research
- Palmetto Pulmonary Medicine, PA - Sleep Disorders Lab
- MultiSpeciality Clinical Research
- Holston Medical Group
- Volunteer Research Center
- Dickson Family Medicine Group, PC
- Novartis Investigator Site
- Heartland Medical, P.C
- PharmaTex Research LLC
- Trinity Clinic - Corsicana
- Pharmaceutical Research & Consulting, Inc
- Asthma & Allergy Research Associates
- Western Sky Medical Research
- Texas Pulmonary & Critical Care
- University of Texas Medical Branch at Galveston
- *Private Practice*
- Baylor College of Medicine
- Houstons Veteran's Medical Center
- West Houston Allergy and Asthma, PA
- Central Texas Health Research
- Quality Assurance Research Centre
- Audie L. Murphy VA Hospital
- Allergy and Asthma Research Center, PA
- Diagnostics Research Group
- Wellmed Clinical Research
- Vermont Lung Center
- Johnston Memorial Hospital Pulmonary Research
- University of Virginia
- Lynchburg Pulmonary Associates
- Novartis Investigator Site
- Madrona Medical Group - Clinical Research Dept.
- Pulmonary and Research Associates
- William L. Gray Research
- Pulmonary Consultants, PLLC
- Madigan Army medical Center / Dept. of Army
- Charleston Area Medical Center
- Novartis Investigator Site
- Novartis Investigator Site
- Novartis
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- Novartis Investigator Site
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Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Experimental
Experimental
Active Comparator
Placebo Comparator
Experimental
Experimental
Active Comparator
Indacaterol 150 µg (Continued Into Stage 2)
Indacaterol 300 µg (Continued Into Stage 2)
Tiotropium 18 µg (Continued Into Stage 2)
Placebo (Continued Into Stage 2)
Indacaterol 75 µg (Not Continued into Stage 2)
Indacaterol 600 µg (Not Continued Into Stage 2)
Formoterol 12 µg (Not Continued Into Stage 2)
In the morning, Indacaterol 150 µg once daily orally inhaled via a single dose dry powder inhaler (SDDPI) + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1. Daily Inhaled Corticosteroid (ICS) monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.
In the morning, Indacaterol 300 µg once daily orally inhaled via a SDDPI + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.
Tiotropium 18 µg dry powder capsules delivered (open label) via manufacturer's proprietary SDDPI, (Handihaler®). Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.
In the morning, Placebo to Indacaterol delivered via two SDDPI devices + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 and continued treatment up to 26 weeks in Stage 2. Placebo to Formoterol inhalation in the morning and in the evening was discontinued after Stage 1. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.
In the morning, Indacaterol 75 µg once daily orally inhaled via a SDDPI + Placebo to Indacaterol delivered via SDDPI + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.
In the morning, 2 capsules of Indacaterol 300 µg once daily orally inhaled via two SDDPI devices + Placebo to Formoterol delivered via Aerolizer. In the evening, Placebo to Formoterol delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.
In the morning, Placebo to Indacaterol delivered via two SDDPI devices + Formoterol 12 µg delivered via Aerolizer. In evening, Formoterol 12 µg delivered via Aerolizer. Participated in the 2 week Stage 1 but did not continue to Stage 2. Daily ICS monotherapy (if applicable) was to remain stable and Salbutamol/albuterol was available for rescue use throughout study.