Study to Evaluate the Safety and Efficacy of Inhaled PT005 in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Primary Purpose
Chronic Obstructive Pulmonary Disease
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Inhaled PT005
Inhaled PT005
Inhaled PT005
Inhaled placebo
Formoterol Fumarate 12 mcg (Foradil Aerolizer)
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring COPD
Eligibility Criteria
Inclusion Criteria:
- Signed written informed consent
- 40 - 80 years of age
- Fluency in written and spoken English
- Females of non-child bearing potential or females of child bearing potential with negative pregnancy test; and acceptable contraceptive methods
- Current/former smokers with at least a 10 pack-year history of cigarette smoking
- A measured post-salbutamol FEV1/FVC ratio of < or = 0.70
- A measured post-salbutamol FEV1 > or = 40 and < or = 80% of predicted normal values
- Demonstrated reversibility to a short acting beta agonist by either >12% and >150 ml improvement in baseline FEV1, 30 minutes following administration of 4 puffs of salbutamol MDI or an absolute improvement of >200 ml in baseline FEV1, 30 minutes following administration of 4 puffs of salbutamol MDI.
- Competent at using the inhalation device
Exclusion Criteria:
- Women who are pregnant or lactating
- Primary diagnosis of asthma
- Alpha-1 antitrypsin deficiency as the cause of COPD
- Active pulmonary diseases
- Prior lung volume reduction surgery
- Abnormal chest X-ray (or CT scan) not due to the presence of COPD
- Hospitalized due to poorly controlled COPD within 24 weeks of Screening
- Poorly controlled COPD in prior 6-weeks, defined as the occurrence of acute worsening of COPD requiring corticosteroids or antibiotics or acute worsening of COPD requiring treatment prescribed by a physician
- Clinically significant medical conditions
- Lower respiratory tract infection requiring antibiotics in past 6 weeks
- Clinically significant abnormal ECG
- Clinically significant uncontrolled hypertension
- Positive Hepatitis B surface antigen or Hepatitis C antibody
- Cancer that has not been in complete remission for at least 5 years
- History of hypersensitivity to any beta2-agonists or any study drug component
- History of severe milk protein allergy
- Known or suspected history of alcohol or drug abuse
- Medically unable to withhold short acting bronchodilators for 8-hours
- Use of the medications below in specified time interval prior to Screening: 12-weeks: depot corticosteroids, intra-articular corticosteroids; 4 weeks: ICS >1000 μg/day of fluticasone propionate or equivalent, non-potassium sparing diuretics, P-glycoprotein inhibitors, CYP3A4 inhibitors; 1 week: tiotropium; 48 hours: oral beta agonists, long acting beta agonists, theophylline, zariflukast, montelukast, zileuton; 8 hours: ipratropium or ipratropium/salbutamol combination product, inhaled short acting beta agonists, xanthine containing foods
- Use of the following medications is prohibited: tricyclic antidepressants, monoamine oxidase (MAO) inhibitors, beta-adrenergic antagonists, anticonvulsants (barbiturates,hydantoins, and carbamazepine and phenothiazines
- Receiving long-term-oxygen or nocturnal oxygen therapy for >12 hours a day
- Diagnosis of sleep apnea that is uncontrolled
- Participation in acute phase of pulmonary rehabilitation in prior 4 weeks or will enter acute phase of pulmonary rehabilitation program during study
- Unable to comply with study procedures
- Affiliated with Investigator site
- Questionable validity of consent
- A positive drug of abuse test at Screening lives prior to Screening, whichever is longer
Sites / Locations
- Woolcock Institute of Medical Research
- Australian Clinical Research Organisation
- Mater Hospital
- Primorus Clinical Trials
- P3 Research
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Active Comparator
Arm Label
1
2
3
4
5
Arm Description
Inhaled PT005 2.4 mcg
Inhaled PT005 4.8 mcg
Inhaled PT005 9.6 mcg
Inhaled Placebo
Formoterol Fumarate 12 mcg (Foradil Aerolizer)
Outcomes
Primary Outcome Measures
Change in forced expiratory volume in one second (FEV1) area under the curve from 0 to 12 hours [AUC(0-12)] from test day baseline across the three doses of inhaled PT005 compared with placebo.
Secondary Outcome Measures
Time to onset of action (>10% improvement in FEV1 from baseline)
Peak FEV1
Trough FEV1
Peak inspiratory capacity (IC)
Peak expiratory flow rate (PEFR)
Forced vital capacity (FVC)
Full Information
NCT ID
NCT00880490
First Posted
April 9, 2009
Last Updated
October 11, 2010
Sponsor
Pearl Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT00880490
Brief Title
Study to Evaluate the Safety and Efficacy of Inhaled PT005 in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Official Title
A Randomized, Double-blind, Five-period, Placebo and Active-controlled,Cross-over, Multi-centre, Study Evaluating Single Administration of Three Doses of Inhaled PT005 in Patients With Moderate-to-Severe COPD, Compared to Open- Label Marketed Formoterol (FORADIL® AEROLIZER®) as an Active Control
Study Type
Interventional
2. Study Status
Record Verification Date
October 2010
Overall Recruitment Status
Completed
Study Start Date
November 2008 (undefined)
Primary Completion Date
May 2009 (Actual)
Study Completion Date
May 2009 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Pearl Therapeutics, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of inhaled PT005 compared to placebo and Formoterol Fumarate (Foradil Aerolizer) in patients with moderate to severe chronic obstructive pulmonary disease (COPD).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
Keywords
COPD
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
34 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
Inhaled PT005 2.4 mcg
Arm Title
2
Arm Type
Experimental
Arm Description
Inhaled PT005 4.8 mcg
Arm Title
3
Arm Type
Experimental
Arm Description
Inhaled PT005 9.6 mcg
Arm Title
4
Arm Type
Placebo Comparator
Arm Description
Inhaled Placebo
Arm Title
5
Arm Type
Active Comparator
Arm Description
Formoterol Fumarate 12 mcg (Foradil Aerolizer)
Intervention Type
Drug
Intervention Name(s)
Inhaled PT005
Intervention Description
single dose, inhaled
Intervention Type
Drug
Intervention Name(s)
Inhaled PT005
Intervention Description
single dose, inhaled
Intervention Type
Drug
Intervention Name(s)
Inhaled PT005
Intervention Description
single dose, inhaled
Intervention Type
Drug
Intervention Name(s)
Inhaled placebo
Intervention Description
single dose, inhaled
Intervention Type
Drug
Intervention Name(s)
Formoterol Fumarate 12 mcg (Foradil Aerolizer)
Other Intervention Name(s)
Foradil Aerolizer
Intervention Description
single dose, Formoterol Fumarate 12 mcg administered via the Aerolizer
Primary Outcome Measure Information:
Title
Change in forced expiratory volume in one second (FEV1) area under the curve from 0 to 12 hours [AUC(0-12)] from test day baseline across the three doses of inhaled PT005 compared with placebo.
Time Frame
Serial FEV1 measured over 12 hours
Secondary Outcome Measure Information:
Title
Time to onset of action (>10% improvement in FEV1 from baseline)
Time Frame
Serial FEV1 measured over 12 hours
Title
Peak FEV1
Time Frame
Serial FEV1 measured over 12 hours
Title
Trough FEV1
Time Frame
Serial FEV1 measured over 12 hours
Title
Peak inspiratory capacity (IC)
Time Frame
Serial IC measured over 12 hours
Title
Peak expiratory flow rate (PEFR)
Time Frame
Serial PEFR measured over 12 hours
Title
Forced vital capacity (FVC)
Time Frame
Serial FVC measured over 12 hours
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed written informed consent
40 - 80 years of age
Fluency in written and spoken English
Females of non-child bearing potential or females of child bearing potential with negative pregnancy test; and acceptable contraceptive methods
Current/former smokers with at least a 10 pack-year history of cigarette smoking
A measured post-salbutamol FEV1/FVC ratio of < or = 0.70
A measured post-salbutamol FEV1 > or = 40 and < or = 80% of predicted normal values
Demonstrated reversibility to a short acting beta agonist by either >12% and >150 ml improvement in baseline FEV1, 30 minutes following administration of 4 puffs of salbutamol MDI or an absolute improvement of >200 ml in baseline FEV1, 30 minutes following administration of 4 puffs of salbutamol MDI.
Competent at using the inhalation device
Exclusion Criteria:
Women who are pregnant or lactating
Primary diagnosis of asthma
Alpha-1 antitrypsin deficiency as the cause of COPD
Active pulmonary diseases
Prior lung volume reduction surgery
Abnormal chest X-ray (or CT scan) not due to the presence of COPD
Hospitalized due to poorly controlled COPD within 24 weeks of Screening
Poorly controlled COPD in prior 6-weeks, defined as the occurrence of acute worsening of COPD requiring corticosteroids or antibiotics or acute worsening of COPD requiring treatment prescribed by a physician
Clinically significant medical conditions
Lower respiratory tract infection requiring antibiotics in past 6 weeks
Clinically significant abnormal ECG
Clinically significant uncontrolled hypertension
Positive Hepatitis B surface antigen or Hepatitis C antibody
Cancer that has not been in complete remission for at least 5 years
History of hypersensitivity to any beta2-agonists or any study drug component
History of severe milk protein allergy
Known or suspected history of alcohol or drug abuse
Medically unable to withhold short acting bronchodilators for 8-hours
Use of the medications below in specified time interval prior to Screening: 12-weeks: depot corticosteroids, intra-articular corticosteroids; 4 weeks: ICS >1000 μg/day of fluticasone propionate or equivalent, non-potassium sparing diuretics, P-glycoprotein inhibitors, CYP3A4 inhibitors; 1 week: tiotropium; 48 hours: oral beta agonists, long acting beta agonists, theophylline, zariflukast, montelukast, zileuton; 8 hours: ipratropium or ipratropium/salbutamol combination product, inhaled short acting beta agonists, xanthine containing foods
Use of the following medications is prohibited: tricyclic antidepressants, monoamine oxidase (MAO) inhibitors, beta-adrenergic antagonists, anticonvulsants (barbiturates,hydantoins, and carbamazepine and phenothiazines
Receiving long-term-oxygen or nocturnal oxygen therapy for >12 hours a day
Diagnosis of sleep apnea that is uncontrolled
Participation in acute phase of pulmonary rehabilitation in prior 4 weeks or will enter acute phase of pulmonary rehabilitation program during study
Unable to comply with study procedures
Affiliated with Investigator site
Questionable validity of consent
A positive drug of abuse test at Screening lives prior to Screening, whichever is longer
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Colin Reisner, M.D.
Organizational Affiliation
Pearl Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Woolcock Institute of Medical Research
City
Glebe
State/Province
New South Wales
ZIP/Postal Code
2037
Country
Australia
Facility Name
Australian Clinical Research Organisation
City
Auchenflower
State/Province
Queensland
ZIP/Postal Code
4066
Country
Australia
Facility Name
Mater Hospital
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Facility Name
Primorus Clinical Trials
City
Christchurch
ZIP/Postal Code
8014
Country
New Zealand
Facility Name
P3 Research
City
Wellington
ZIP/Postal Code
6035
Country
New Zealand
12. IPD Sharing Statement
Citations:
PubMed Identifier
25060541
Citation
Quinn D, Seale JP, Reisner C, Fischer T, Golden M, Fernandez C, Darken P, St Rose E, Thomas M, Tardie G, Orevillo C. A randomized study of formoterol fumarate in a porous particle metered-dose inhaler in patients with moderate-to-severe COPD. Respir Med. 2014 Sep;108(9):1327-35. doi: 10.1016/j.rmed.2014.06.009. Epub 2014 Jul 3. Erratum In: Respir Med. 2015 Oct;109(10):1369.
Results Reference
derived
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Study to Evaluate the Safety and Efficacy of Inhaled PT005 in Patients With Chronic Obstructive Pulmonary Disease (COPD)
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