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A Pivotal Study of the Safety and Effectiveness of Arformoterol in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

Primary Purpose

COPD

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Arformoterol tartrate inhalation solution
Arformoterol tartrate inhalation solution
Arformoterol tartrate inhalation solution
Salmeterol MDI
Placebo
Sponsored by
Sumitomo Pharma America, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COPD focused on measuring Chronic obstructive pulmonary disease

Eligibility Criteria

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

Inclusion Criteria

  • Subject may be male or female and must be aged less than or equal to 35 years on the day the informed consent is signed.
  • Female subjects greater than or equal to 65 years of age must have a serum pregnancy test conducted at Visit 1 and confirmed negative prior to randomization. Subjects of childbearing potential must be using an acceptable method of birth control.
  • Female subjects who are considered not of childbearing potential must be:

    • documented surgically sterile (defined as status post-hysterectomy or bilateral tubal ligation) OR
    • postmenopausal
  • Subject must have a primary diagnosis of COPD, which may include components of chronic bronchitis and/or emphysema. Diagnosis can be made during the screening process.
  • Subject must have a minimum smoking history of 15 pack-years (pack-years = the number of cigarette packs per day times the number of years).
  • Subject must have a chest x-ray that is consistent with the diagnosis of COPD (e.g., not diagnostic of pneumonia, other infection, atelectasis, or pneumothorax or other active/ongoing pulmonary conditions) and taken less than or equal to 3 months prior to study start. If there is no chest x-ray taken less than or equal to 3 months prior to study start, or if recent results are unavailable for review, a chest x-ray will be performed.
  • Subject must be able to complete all study questionnaires and logs reliably. Exclusion Criteria
  • Female subject who is pregnant or lactating.
  • Subject who has participated in an investigational drug study within 30 days prior to study start, or who is currently participating in another investigational drug study.
  • Subject whose schedule or travel prevents the completion of all required visits.
  • Subject who is scheduled for in-patient hospitalization, including elective surgery (in patient or out-patient) during the trial.
  • Subject with life-threatening/unstable respiratory status, including upper or lower respiratory tract infection, within the previous 30 days prior to study start.
  • Subject with a known history of asthma or any chronic respiratory disease (including a current history of sleep apnea) other than COPD (chronic bronchitis and/or emphysema).
  • Subject with a history of cancer except non-melanomatous skin cancer. Subjects with a history of cancer that is considered surgically cured and without a recurrence within the past 10 years may participate in the study. History of hematologic/lymphatic malignancy treated with chemotherapy or radiation is not allowed.
  • Subject with a history of lung resection of more than one full lobe.
  • Subject who requires continuous supplemental oxygen therapy (unless subject resides at elevation greater than or equal to 4,000 feet).
  • Subject who has had a change in dose or type of any medications for COPD within 14 days prior to the screening visit.
  • Subject with a known sensitivity to (R,R)-formoterol, ipratropium, salmeterol or albuterol or any of the excipients contained in any of these formulations.
  • Subject with a history of substance abuse or drug abuse within 12 months of study start, or with a positive urine drug screen at study start.
  • Subject using any prescription drug for which concomitant beta-agonist administration is contraindicated (e.g., beta-blockers).

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

A

B

C

D

E

Arm Description

Arformoterol 50 mcg QD and placebo MDI

Arformoterol 25 mcg BID and placebo MDI

Arformoterol 15 mcg BID and placebo MDI

Salmeterol MDI 42 mcg BID and placebo inhalation solution

Placebo BID MDI and inhalation solution

Outcomes

Primary Outcome Measures

Percent change from study baseline FEV1 to the end of the dosing interval (12 hours post-second dose for the BID treatment arms and 24 hours post-dose for the QD treatment arm)

Secondary Outcome Measures

Time-normalized area under the percent change from visit pre-dose curve for FEV1 over 12 hours (nAUC0-12)
Peak percent of predicted FEV1
Time-normalized area under the percent change from study baseline curve for FEV1 over 12 hours (nAUC0-12)
Time-normalized area under the percent change from study baseline curve for FEV1 over 24 hours (nAUC0-24)
Timepoint changes in FEV1
Time to onset of response
Time to peak change in FEV1
At-home and in-clinic peak expiratory flow rate (PEFR)
Ipratropium bromide MDI use
Racemic albuterol MDI use
Exacerbations of COPD
COPD symptom ratings (over 12 weeks of treatment)
Relationship between plasma concentrations of (R,R) formoterol and selected pharmacodynamic parameters

Full Information

First Posted
May 23, 2008
Last Updated
November 1, 2012
Sponsor
Sumitomo Pharma America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00685841
Brief Title
A Pivotal Study of the Safety and Effectiveness of Arformoterol in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
Official Title
A Double-Blind, Double-Dummy, Randomized, Placebo- and Active-Controlled, Multicenter, Parallel-Group Study of (R,R)-Formoterol in the Treatment of Subjects With Chronic Obstructive Pulmonary Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
February 2002 (undefined)
Primary Completion Date
June 2003 (Actual)
Study Completion Date
June 2003 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sumitomo Pharma America, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A 12 week study to investigate the safety and effectiveness of arformoterol given twice daily compared to placebo in subjects with COPD.
Detailed Description
This study is a double-blind, double-dummy, randomized, placebo- and active-controlled, multicenter, parallel-group study of adult subjects with a primary clinical diagnosis of COPD. Approximately 800 subjects were to be randomized in this study. Study participation consisted of a total of eight (8) study visits over approximately four (4) months for each subject. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COPD
Keywords
Chronic obstructive pulmonary disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
717 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Description
Arformoterol 50 mcg QD and placebo MDI
Arm Title
B
Arm Type
Experimental
Arm Description
Arformoterol 25 mcg BID and placebo MDI
Arm Title
C
Arm Type
Experimental
Arm Description
Arformoterol 15 mcg BID and placebo MDI
Arm Title
D
Arm Type
Active Comparator
Arm Description
Salmeterol MDI 42 mcg BID and placebo inhalation solution
Arm Title
E
Arm Type
Placebo Comparator
Arm Description
Placebo BID MDI and inhalation solution
Intervention Type
Drug
Intervention Name(s)
Arformoterol tartrate inhalation solution
Other Intervention Name(s)
(R,R-)formoterol, Brovana
Intervention Description
Arformoterol 50 mcg QD
Intervention Type
Drug
Intervention Name(s)
Arformoterol tartrate inhalation solution
Other Intervention Name(s)
(R,R)-formoterol, Brovana
Intervention Description
Arformoterol 25 mcg BID
Intervention Type
Drug
Intervention Name(s)
Arformoterol tartrate inhalation solution
Other Intervention Name(s)
(R,R)-formoterol, Brovana
Intervention Description
Arformoterol 15 mcg BID
Intervention Type
Drug
Intervention Name(s)
Salmeterol MDI
Other Intervention Name(s)
Serevent
Intervention Description
Salmeterol MDI 42 mcg BID
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo BID MDI
Primary Outcome Measure Information:
Title
Percent change from study baseline FEV1 to the end of the dosing interval (12 hours post-second dose for the BID treatment arms and 24 hours post-dose for the QD treatment arm)
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Secondary Outcome Measure Information:
Title
Time-normalized area under the percent change from visit pre-dose curve for FEV1 over 12 hours (nAUC0-12)
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
Peak percent of predicted FEV1
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
Time-normalized area under the percent change from study baseline curve for FEV1 over 12 hours (nAUC0-12)
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
Time-normalized area under the percent change from study baseline curve for FEV1 over 24 hours (nAUC0-24)
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
Timepoint changes in FEV1
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
Time to onset of response
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
Time to peak change in FEV1
Time Frame
Weeks -2, 0, 3, 6, 9, 12
Title
At-home and in-clinic peak expiratory flow rate (PEFR)
Time Frame
Weeks -2, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
Title
Ipratropium bromide MDI use
Time Frame
Weeks -2, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
Title
Racemic albuterol MDI use
Time Frame
Weeks -2, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
Title
Exacerbations of COPD
Time Frame
Weeks -2, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
Title
COPD symptom ratings (over 12 weeks of treatment)
Time Frame
Weeks -2, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
Title
Relationship between plasma concentrations of (R,R) formoterol and selected pharmacodynamic parameters
Time Frame
Weeks -2, 0, 3, 6, 9, 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Subject may be male or female and must be aged less than or equal to 35 years on the day the informed consent is signed. Female subjects greater than or equal to 65 years of age must have a serum pregnancy test conducted at Visit 1 and confirmed negative prior to randomization. Subjects of childbearing potential must be using an acceptable method of birth control. Female subjects who are considered not of childbearing potential must be: documented surgically sterile (defined as status post-hysterectomy or bilateral tubal ligation) OR postmenopausal Subject must have a primary diagnosis of COPD, which may include components of chronic bronchitis and/or emphysema. Diagnosis can be made during the screening process. Subject must have a minimum smoking history of 15 pack-years (pack-years = the number of cigarette packs per day times the number of years). Subject must have a chest x-ray that is consistent with the diagnosis of COPD (e.g., not diagnostic of pneumonia, other infection, atelectasis, or pneumothorax or other active/ongoing pulmonary conditions) and taken less than or equal to 3 months prior to study start. If there is no chest x-ray taken less than or equal to 3 months prior to study start, or if recent results are unavailable for review, a chest x-ray will be performed. Subject must be able to complete all study questionnaires and logs reliably. Exclusion Criteria Female subject who is pregnant or lactating. Subject who has participated in an investigational drug study within 30 days prior to study start, or who is currently participating in another investigational drug study. Subject whose schedule or travel prevents the completion of all required visits. Subject who is scheduled for in-patient hospitalization, including elective surgery (in patient or out-patient) during the trial. Subject with life-threatening/unstable respiratory status, including upper or lower respiratory tract infection, within the previous 30 days prior to study start. Subject with a known history of asthma or any chronic respiratory disease (including a current history of sleep apnea) other than COPD (chronic bronchitis and/or emphysema). Subject with a history of cancer except non-melanomatous skin cancer. Subjects with a history of cancer that is considered surgically cured and without a recurrence within the past 10 years may participate in the study. History of hematologic/lymphatic malignancy treated with chemotherapy or radiation is not allowed. Subject with a history of lung resection of more than one full lobe. Subject who requires continuous supplemental oxygen therapy (unless subject resides at elevation greater than or equal to 4,000 feet). Subject who has had a change in dose or type of any medications for COPD within 14 days prior to the screening visit. Subject with a known sensitivity to (R,R)-formoterol, ipratropium, salmeterol or albuterol or any of the excipients contained in any of these formulations. Subject with a history of substance abuse or drug abuse within 12 months of study start, or with a positive urine drug screen at study start. Subject using any prescription drug for which concomitant beta-agonist administration is contraindicated (e.g., beta-blockers).
Facility Information:
City
Anniston
State/Province
Alabama
Country
United States
City
Birmingham
State/Province
Alabama
Country
United States
City
Jasper
State/Province
Alabama
Country
United States
City
Mobile
State/Province
Alabama
Country
United States
City
Oxford
State/Province
Alabama
Country
United States
City
Little Rock
State/Province
Arkansas
Country
United States
City
Los Angeles
State/Province
California
Country
United States
City
Mirage
State/Province
California
Country
United States
City
Mission Hills
State/Province
California
Country
United States
City
San Diego
State/Province
California
Country
United States
City
Santa Ana
State/Province
California
Country
United States
City
Signal Hill
State/Province
California
Country
United States
City
Colorado Springs
State/Province
Colorado
Country
United States
City
Denver
State/Province
Colorado
Country
United States
City
Wheat Ridge
State/Province
Colorado
Country
United States
City
Clearwater
State/Province
Florida
Country
United States
City
DeLand
State/Province
Florida
Country
United States
City
Miami
State/Province
Florida
Country
United States
City
Ocala
State/Province
Florida
Country
United States
City
Pensacola
State/Province
Florida
Country
United States
City
St. Petersburg
State/Province
Florida
Country
United States
City
Tampa
State/Province
Florida
Country
United States
City
Atlanta
State/Province
Georgia
Country
United States
City
Austell
State/Province
Georgia
Country
United States
City
Decatur
State/Province
Georgia
Country
United States
City
Bloomington
State/Province
Illinois
Country
United States
City
Evansville
State/Province
Indiana
Country
United States
City
Shawnee Mission
State/Province
Kansas
Country
United States
City
Minneapolis
State/Province
Minnesota
Country
United States
City
Charles
State/Province
Missouri
Country
United States
City
Las Vegas
State/Province
Nevada
Country
United States
City
Margate
State/Province
New Jersey
Country
United States
City
South Bound Brook
State/Province
New Jersey
Country
United States
City
Alburquerque
State/Province
New Mexico
Country
United States
City
Endwell
State/Province
New York
Country
United States
City
Ithaca
State/Province
New York
Country
United States
City
New York
State/Province
New York
Country
United States
City
Charlotte
State/Province
North Carolina
Country
United States
City
Raleigh
State/Province
North Carolina
Country
United States
City
Spartanburg
State/Province
North Carolina
Country
United States
City
Wilmington
State/Province
North Carolina
Country
United States
City
Cincinnati
State/Province
Ohio
Country
United States
City
Tulsa
State/Province
Oklahoma
Country
United States
City
Medford
State/Province
Oregon
Country
United States
City
Pittsburg
State/Province
Pennsylvania
Country
United States
City
Charleston
State/Province
South Carolina
Country
United States
City
Houston
State/Province
Texas
Country
United States
City
Irving
State/Province
Texas
Country
United States
City
San Antonio
State/Province
Texas
Country
United States
City
Chesapeake
State/Province
Virginia
Country
United States
City
Richmond
State/Province
Virginia
Country
United States
City
Tacoma
State/Province
Washington
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Pivotal Study of the Safety and Effectiveness of Arformoterol in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

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