A Study of Arformoterol Tartrate Inhalation Solution and Tiotropium Bromide on Re-hospitalization in Chronic Obstructive Pulmonary Disease (COPD) Subjects
Chronic Obstructive Pulmonary Disease (COPD)
About this trial
This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease (COPD) focused on measuring Chronic obstructive pulmonary disease, COPD, Emphysema, Chronic bronchitis
Eligibility Criteria
Inclusion Criteria:
Male and female subjects ≥ 55 years-old are eligible for study participation if they have a physician-assessed diagnosis of COPD, have been discharged from the hospital due to a COPD exacerbation, and at least 1 of the following:
- Subject has had 1 or more exacerbations (excluding current exacerbation) within the previous year (exacerbation defined as: an event in the natural course of the disease characterized by a change in the patient's baseline dyspnea, cough and /or sputum beyond day to day variability sufficient to warrant a change in management of COPD (eg, treated with antibiotics and/or systemic corticosteroids or requiring an emergency room visit or an overnight stay at a hospital), OR
- Subject has had oxygen therapy use within 3 months prior to study entry.
- Subject is a current or ex-smoker with at least 10 pack year smoking history (eg, at least 1 pack/day for 10 years, or equivalent).
- Subject is willing and able to attend study visits/telephone contacts and adhere to all study assessments/procedures.
- Subject is willing and able to provide written informed consent.
Exclusion Criteria:
- Subject has current evidence or recent history of any clinically significant and unstable disease (other than COPD) or abnormality in the opinion of the Investigator that would put the subject at risk or which would compromise the quality of the study data; including but not limited to cardiovascular disease, myocardial infarction, cardiac failure, uncontrolled hypertension, life threatening arrhythmias, uncontrolled diabetes, neurologic or neuromuscular disease, liver disease, gastrointestinal disease or electrolyte abnormalities.
- Subject has a primary diagnosis of asthma.
- Subject has a history of tuberculosis, bronchiectasis or other non-specific pulmonary disease.
- Subject has a history of urinary retention or bladder neck obstruction type symptoms.
- Subject has a history of narrow angle glaucoma.
- Subject has a recent history (previous 12 months) of excessive use or abuse of alcohol or narcotic/illegal drugs, as assessed by the Investigator.
- Subject has a history of hypersensitivity or intolerance to aerosol medications, beta-2 agonists, or anticholinergics.
- Subject is participating in another investigational drug study where drug was received within 30 days prior to Screening, or current participation in another investigational drug trial.
- Subject is a staff member of the clinical site or a relative of a clinical site staff member.
Sites / Locations
- Birmingham VA Medical Center
- Clinical Trial Connection
- Waterbury Pulmonary Associates LLC
- George Washington University Medical Faculty Associates
- Southeastern Intergrted Medical, PL d/b/a Florida Medical Research
- Miami VA Medical Center
- Gwinnett Biomedical Research
- University of Maryland Medical Center
- Brigham and Women's Hospital
- University of Nebraska Medical Center
- VA Western New York Healthcare System
- Clinical Research of Gastonia
- Gastonia Phannaceutical Research
- Clinical Research of Lake Norman
- PMG Research of Wilmington
- Southeastern Research Center
- Cincinnati Veterans Affairs Medical Center
- Remington-Davis, Inc.
- Consolidated Clinical Trials, Inc.
- Temple University Hospital, Temple Lung Center
- Upstate Pharmaceutical Research
- Clinical Research of Rock Hill
- S. Carolina Pharmaceutical Research
- Mid State Pulmonary
- Family Medicine Rural Health Clinic, PA, DBA FMC Science
- Metroplex Pulmonary and Sleep Center
- Alamo Clinical Research Associates
- Swedish Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BROVANA
SPIRIVA
Arformoterol tartrate inhalation solution 15 mcg (BROVANA) will be administered BID (morning and evening, approximately 12 hours between doses) using a standard jet nebulizer with a face mask or mouthpiece connected to an air compressor
Tiotropium 18 mcg (SPIRIVA) will be administered QD (morning) via the HandiHaler®.