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A Study to Show That Flutiform is Well Tolerated and Effective in the Treatment of COPD

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Flutiform
Formoterol
Sponsored by
Mundipharma Research Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring Chronic Obstructive Pulmonary Disease, Exacerbations, FEV1 ≤ 50%

Eligibility Criteria

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

Inclusion:

  1. Male or Female subjects aged ≥ 40 years at screening visit:

    1. Female subjects of child bearing potential (less than 1 year post-menopausal) must have a negative urine pregnancy test prior to first dose of study medication, be non-lactating, and willing to use adequate and highly effective methods of birth control throughout the study such as sterilisation, implants, injectables, combined oral contraceptives, some intra-uterine devices, sexual abstinence or vasectomised partner.
    2. Male subjects with a partner of child bearing potential must be willing to use adequate and highly effective methods of birth control throughout the study
  2. Smoking history of ≥10 packs per year.
  3. Diagnosis of COPD
  4. History of ≥ moderate or severe COPD exacerbations in previous year.
  5. Willing and able to replace current COPD therapy with study medication.
  6. Able to demonstrate correct use of a pMDI without a spacer.
  7. Willing and able to attend all study visits and complete study assessments.
  8. Able to provide signed informed consent.

Exclusion:

  1. Ongoing moderate or severe exacerbation of COPD (see section 10)
  2. Current diagnosis of asthma
  3. Documented evidence of α1-antitrypsin deficiency as the underlying cause of COPD
  4. Other active respiratory disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease, cystic fibrosis, bronchiolitis obliterans
  5. Previous lung resection
  6. Use of long-term oxygen therapy (LTOT) at least 12 hours daily or mechanical ventilation
  7. Chest X-ray or CT scan that reveals evidence of clinically significant abnormalities reflective of active disease not believed to be due to COPD
  8. Evidence of uncontrolled cardiovascular disease
  9. Evidence of clinically significant renal, hepatic, gastrointestinal, or psychiatric disease
  10. Current malignancy or a previous history of cancer which has been in remission for < 5 years (basal cell or squamous cell carcinoma of the skin which has been resected is not excluded)
  11. Clinically significant sleep apnoea requiring use of continuous positive airway pressure (CPAP) device or non-invasive positive pressure ventilation (NIPPV) device
  12. Participation in the acute phase of a pulmonary rehabilitation programme within 4 weeks prior to screening or during the study
  13. Known or suspected history of drug or alcohol abuse in the last 2 years
  14. Requiring treatment with any of the prohibited concomitant medications
  15. Known or suspected hypersensitivity or contraindication to any of the study drugs or excipients
  16. Received an investigational drug within 30 days of the screening visit (12 weeks if an oral or injectable steroid).

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Flutiform 250/10 micrograms

Flutiform 125/5 micrograms

Formoterol 12 micrograms

Arm Description

Flutiform 250/10 µg (2 puffs twice daily)

Flutiform 125/5 µg (2 puffs twice daily)

Formoterol 12 µg 1 puff twice daily

Outcomes

Primary Outcome Measures

Annual rate of moderate and severe COPD exacerbations
To show superiority in the efficacy of flutiform 250/10 µg (2 puffs BID) compared with formoterol 12 µg (1 puff BID) based on the annual rate of moderate and severe COPD exacerbations

Secondary Outcome Measures

Annual rate of moderate and severe COPD exacerbations
To show superiority in the efficacy of flutiform 125/5 µg (2 puffs BID) compared with formoterol 12 µg (1 puff BID) based on the annual rate of moderate and severe COPD exacerbations. (Different dose to Primary Outcome)
Efficacy confirmed by lack of exacerbations, lung function and safety by collection of adverse events in all patients throughout the study.
To compare flutiform (at each dose) with formoterol 12 µg (1 puff BID) for the secondary efficacy, and safety endpoints.

Full Information

First Posted
September 10, 2013
Last Updated
October 22, 2018
Sponsor
Mundipharma Research Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01946620
Brief Title
A Study to Show That Flutiform is Well Tolerated and Effective in the Treatment of COPD
Official Title
A Randomised, Double-blind, Double Dummy, Parallel Group Study Comparing Fluticasone Propionate / Formoterol Fumarate (Flutiform®) 250/10 µg (2 Puffs BID) and Flutiform® 125/5 µg (2 Puffs BID) Versus Formoterol Fumarate Dihydrate (Atimos®) 12 µg (1 Puff BID) in Subjects With Chronic Obstructive Pulmonary Disease (COPD).
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
May 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mundipharma Research Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Efficacy of Fluticasone/Formoterol in COPD Treatment. The Effect study.
Detailed Description
This study is a multi-centre, randomised, double-blind, active-controlled, parallel-group study, in male and female subjects who will be assigned into 1 of 3 treatment groups based on 1:1:1 ratio. Following a 2 week run-in phase all subjects will receive treatment for 1 year (52 weeks) followed by a final follow up 2 weeks after their last visit, during this time subjects will be required to attend 10 clinic visits while the final follow up can be completed by telephone. Throughout the study subjects will be assessed on a mixture of symptom based measurements as well as lung function tests to monitor their progress in the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
Keywords
Chronic Obstructive Pulmonary Disease, Exacerbations, FEV1 ≤ 50%

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1767 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flutiform 250/10 micrograms
Arm Type
Experimental
Arm Description
Flutiform 250/10 µg (2 puffs twice daily)
Arm Title
Flutiform 125/5 micrograms
Arm Type
Experimental
Arm Description
Flutiform 125/5 µg (2 puffs twice daily)
Arm Title
Formoterol 12 micrograms
Arm Type
Active Comparator
Arm Description
Formoterol 12 µg 1 puff twice daily
Intervention Type
Drug
Intervention Name(s)
Flutiform
Intervention Type
Drug
Intervention Name(s)
Formoterol
Primary Outcome Measure Information:
Title
Annual rate of moderate and severe COPD exacerbations
Description
To show superiority in the efficacy of flutiform 250/10 µg (2 puffs BID) compared with formoterol 12 µg (1 puff BID) based on the annual rate of moderate and severe COPD exacerbations
Time Frame
52 weeks
Secondary Outcome Measure Information:
Title
Annual rate of moderate and severe COPD exacerbations
Description
To show superiority in the efficacy of flutiform 125/5 µg (2 puffs BID) compared with formoterol 12 µg (1 puff BID) based on the annual rate of moderate and severe COPD exacerbations. (Different dose to Primary Outcome)
Time Frame
52 Weeks
Title
Efficacy confirmed by lack of exacerbations, lung function and safety by collection of adverse events in all patients throughout the study.
Description
To compare flutiform (at each dose) with formoterol 12 µg (1 puff BID) for the secondary efficacy, and safety endpoints.
Time Frame
52 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion: Male or Female subjects aged ≥ 40 years at screening visit: Female subjects of child bearing potential (less than 1 year post-menopausal) must have a negative urine pregnancy test prior to first dose of study medication, be non-lactating, and willing to use adequate and highly effective methods of birth control throughout the study such as sterilisation, implants, injectables, combined oral contraceptives, some intra-uterine devices, sexual abstinence or vasectomised partner. Male subjects with a partner of child bearing potential must be willing to use adequate and highly effective methods of birth control throughout the study Smoking history of ≥10 packs per year. Diagnosis of COPD History of ≥ moderate or severe COPD exacerbations in previous year. Willing and able to replace current COPD therapy with study medication. Able to demonstrate correct use of a pMDI without a spacer. Willing and able to attend all study visits and complete study assessments. Able to provide signed informed consent. Exclusion: Ongoing moderate or severe exacerbation of COPD (see section 10) Current diagnosis of asthma Documented evidence of α1-antitrypsin deficiency as the underlying cause of COPD Other active respiratory disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, interstitial lung disease, cystic fibrosis, bronchiolitis obliterans Previous lung resection Use of long-term oxygen therapy (LTOT) at least 12 hours daily or mechanical ventilation Chest X-ray or CT scan that reveals evidence of clinically significant abnormalities reflective of active disease not believed to be due to COPD Evidence of uncontrolled cardiovascular disease Evidence of clinically significant renal, hepatic, gastrointestinal, or psychiatric disease Current malignancy or a previous history of cancer which has been in remission for < 5 years (basal cell or squamous cell carcinoma of the skin which has been resected is not excluded) Clinically significant sleep apnoea requiring use of continuous positive airway pressure (CPAP) device or non-invasive positive pressure ventilation (NIPPV) device Participation in the acute phase of a pulmonary rehabilitation programme within 4 weeks prior to screening or during the study Known or suspected history of drug or alcohol abuse in the last 2 years Requiring treatment with any of the prohibited concomitant medications Known or suspected hypersensitivity or contraindication to any of the study drugs or excipients Received an investigational drug within 30 days of the screening visit (12 weeks if an oral or injectable steroid).
Facility Information:
City
Sofia
Country
Bulgaria
City
Hamburg
Country
Germany
City
Budapest
Country
Hungary
City
Gyeonggido
Country
Korea, Republic of
City
Riga
Country
Latvia
City
Vilnius
Country
Lithuania
City
Skopje
Country
Macedonia, The Former Yugoslav Republic of
City
Lubuskie
Country
Poland
City
Bacau
Country
Romania
City
Moscow
Country
Russian Federation
City
Presov
Country
Slovakia
City
Cape Town
Country
South Africa
City
Barcelona
Country
Spain
City
Kyiv
Country
Ukraine
City
London
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
https://www.clinicaltrialsregister.eu/ctr-search/search?query=FLT3509
Description
Link to Results

Learn more about this trial

A Study to Show That Flutiform is Well Tolerated and Effective in the Treatment of COPD

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