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BENEFITS OF ACLIDINIUM BROMIDE IN THE RELIEF OF COPD SYMPTOMS INCLUDING COUGH (M-34273-46)

Primary Purpose

Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Aclidinium Bromide
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pulmonary Disease, Chronic Obstructive focused on measuring COPD

Eligibility Criteria

40 Years - 110 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult male or non-pregnant, non-lactating female aged ≥40. Women of childbearing potential will follow specific study requirements.
  2. Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years
  3. Patients with a clinical diagnosis of moderate COPD, with a post bronchodilator test available within 6 months prior to Visit 1 (Screening), with FEV1 ≥50% and <80% and FEV1/FVC <70%.
  4. Symptomatic patients with a CAT≥10 at Screening and Randomisation Visit (Visit 1 and 2)
  5. Clinical Diagnosis of Chronic Bronchitis (defined as "presence of cough and sputum production for at least 3 months in each of 2 consecutive years")
  6. Patient who is eligible and able to participate in the trial and who consent to do so in writing after the purpose and nature of the investigation have been explained

Exclusion Criteria:

  1. History or current diagnosis of asthma.
  2. Patients who suffered from a moderate or severe COPD exacerbation in the last year prior to Visit 1 (Screening) or during the run-in period.
  3. Patients who develop a respiratory tract infection within 6 weeks before Visit 1 (Screening) or during the run-in period.
  4. Clinically significant respiratory and cardiovascular conditions thought to be contributing to cough or likely to interfere in the conduct of the study.
  5. Patient who in the investigator's opinion may need to start a pulmonay rehabilitation program during the study and/or patients who started/finished it within 3 months prior to Screening Visit.
  6. Use of long-term oxygen therapy.
  7. Patients in non-stable treatment with angiotensin-converting enzyme inhibitors or opiates.
  8. Patients in treatment with mucolytics, antihistamines, expectorants or antitussive drugs including over-the-counter medication.
  9. Patient who does not maintain regular day/night, waking/sleeping cycles including night shift workers.
  10. Patient with clinically relevant abnormalities in the results of the physical examination at Visit 1 (Screening)
  11. Patient with a history of hypersensitivity reaction to inhaled anticholinergics,sympathomimetic amines, or inhaled medication or any component thereof (including report of paradoxical bronchospasm).
  12. Patient with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic non-stable prostatic hypertrophy.
  13. Patient with known non-controlled history of infection with human immunodeficiency virus (HIV) and/or active hepatitis
  14. Current diagnosis of cancer other than basal or squamous cell skin cancer
  15. Patient with any other serious or uncontrolled physical or mental dysfunction
  16. Patient with a history (within 2 years prior to Screening Visit) of drug and/or alcohol abuse that may prevent study compliance based on investigator judgment.
  17. Patient unlikely to be cooperative or that can not comply with the study procedures
  18. Patient treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to Visit 1 (Screening).
  19. Patient who intend to use any concomitant medication not permitted by this protocol or who have not undergone the required stabilization periods for prohibited medication.
  20. Any other conditions that, in the investigator's opinion, might indicate the patient to be unsuitable for the study.

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Aclidinium Bromide 400 μg

Placebo

Arm Description

Aclidinium Bromide 400 μg twice daily by inhalation

placebo twice daily by inhalation

Outcomes

Primary Outcome Measures

Change From Baseline in Overall Exacerbations of Chronic Pulmonary Disease Tool-Respiratory Symptoms (E-RS) Total Score Over the 8 Week Study Period
The EXACT-Respiratory Symptoms (E-RS) questionnaire was completed every evening The E-RS scale is an instrument comprising a subset of EXACT items to test the effect of treatment on the severity of respiratory symptoms in stable COPD Eleven of the 14-items of the EXACT questionnaire provides information about COPD symptoms: The E-RS Total Score is an aggregate of three domains: chest symptoms (derived sum of 3 items), cough and sputum (derived sum of 3 items) and RS-breathlessness (derived sum of 4 items); Individual scores were rated from 0 to 4 The E-RS Total score is based on a logit scoring system with conversion to a 0 (lowest score) to 100 scale (highest score) with higher scores indicating more severe symptoms

Secondary Outcome Measures

Change From Baseline in Overall E-RS Cough and Sputum Domain Score Over the 8 Week Study Period
The scale range of the 'cough and sputum' domain of the E-RS was 0-11, with higher scores indicating more severe symptoms
Change From Baseline in the Leicester Cough Questionnaire (LCQ) Total Score at Week 8
The LCQ is a self-administered questionnaire that assesses cough related quality of life The LCQ comprises 19 items and 3 domains (physical, psychological and social) The total score ranges from 3 to 21 and each domain scores range from 1 to 7; a higher score indicates a better quality of life

Full Information

First Posted
February 26, 2015
Last Updated
March 9, 2017
Sponsor
AstraZeneca
Collaborators
Menarini Group
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1. Study Identification

Unique Protocol Identification Number
NCT02375724
Brief Title
BENEFITS OF ACLIDINIUM BROMIDE IN THE RELIEF OF COPD SYMPTOMS INCLUDING COUGH
Acronym
M-34273-46
Official Title
A RANDOMISED, DOUBLE BLIND, PLACEBO CONTROLLED, PARALLEL STUDY TO ASSESS THE BENEFITS OF ACLIDINIUM BROMIDE IN THE RELIEF OF COPD SYMPTOMS INCLUDING COUGH WHEN ADMINISTERED TO PATIENTS WITH COPD
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
March 2015 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
November 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Menarini Group

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the present study is to evaluate the effect of aclidinium bromide 400 μg BID compared with placebo on COPD symptoms in a symptomatic patients population with moderate COPD and chronic bronchitis, and particularly assess the effects in cough by using specific tools to assess the occurrence and impact of this relevant COPD symptom.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Disease, Chronic Obstructive
Keywords
COPD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
300 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Aclidinium Bromide 400 μg
Arm Type
Experimental
Arm Description
Aclidinium Bromide 400 μg twice daily by inhalation
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
placebo twice daily by inhalation
Intervention Type
Drug
Intervention Name(s)
Aclidinium Bromide
Intervention Description
Inhaled Aclidinium 400 μg twice per day by Eklira Genuair Inhaler
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Inhaled dose-matched placebo, twice per day by Eklira Genuair Inhaler
Primary Outcome Measure Information:
Title
Change From Baseline in Overall Exacerbations of Chronic Pulmonary Disease Tool-Respiratory Symptoms (E-RS) Total Score Over the 8 Week Study Period
Description
The EXACT-Respiratory Symptoms (E-RS) questionnaire was completed every evening The E-RS scale is an instrument comprising a subset of EXACT items to test the effect of treatment on the severity of respiratory symptoms in stable COPD Eleven of the 14-items of the EXACT questionnaire provides information about COPD symptoms: The E-RS Total Score is an aggregate of three domains: chest symptoms (derived sum of 3 items), cough and sputum (derived sum of 3 items) and RS-breathlessness (derived sum of 4 items); Individual scores were rated from 0 to 4 The E-RS Total score is based on a logit scoring system with conversion to a 0 (lowest score) to 100 scale (highest score) with higher scores indicating more severe symptoms
Time Frame
Baseline to Week 8
Secondary Outcome Measure Information:
Title
Change From Baseline in Overall E-RS Cough and Sputum Domain Score Over the 8 Week Study Period
Description
The scale range of the 'cough and sputum' domain of the E-RS was 0-11, with higher scores indicating more severe symptoms
Time Frame
Baseline to Week 8
Title
Change From Baseline in the Leicester Cough Questionnaire (LCQ) Total Score at Week 8
Description
The LCQ is a self-administered questionnaire that assesses cough related quality of life The LCQ comprises 19 items and 3 domains (physical, psychological and social) The total score ranges from 3 to 21 and each domain scores range from 1 to 7; a higher score indicates a better quality of life
Time Frame
Week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
110 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult male or non-pregnant, non-lactating female aged ≥40. Women of childbearing potential will follow specific study requirements. Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years Patients with a clinical diagnosis of moderate COPD, with a post bronchodilator test available within 6 months prior to Visit 1 (Screening), with FEV1 ≥50% and <80% and FEV1/FVC <70%. Symptomatic patients with a CAT≥10 at Screening and Randomisation Visit (Visit 1 and 2) Clinical Diagnosis of Chronic Bronchitis (defined as "presence of cough and sputum production for at least 3 months in each of 2 consecutive years") Patient who is eligible and able to participate in the trial and who consent to do so in writing after the purpose and nature of the investigation have been explained Exclusion Criteria: History or current diagnosis of asthma. Patients who suffered from a moderate or severe COPD exacerbation in the last year prior to Visit 1 (Screening) or during the run-in period. Patients who develop a respiratory tract infection within 6 weeks before Visit 1 (Screening) or during the run-in period. Clinically significant respiratory and cardiovascular conditions thought to be contributing to cough or likely to interfere in the conduct of the study. Patient who in the investigator's opinion may need to start a pulmonay rehabilitation program during the study and/or patients who started/finished it within 3 months prior to Screening Visit. Use of long-term oxygen therapy. Patients in non-stable treatment with angiotensin-converting enzyme inhibitors or opiates. Patients in treatment with mucolytics, antihistamines, expectorants or antitussive drugs including over-the-counter medication. Patient who does not maintain regular day/night, waking/sleeping cycles including night shift workers. Patient with clinically relevant abnormalities in the results of the physical examination at Visit 1 (Screening) Patient with a history of hypersensitivity reaction to inhaled anticholinergics,sympathomimetic amines, or inhaled medication or any component thereof (including report of paradoxical bronchospasm). Patient with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic non-stable prostatic hypertrophy. Patient with known non-controlled history of infection with human immunodeficiency virus (HIV) and/or active hepatitis Current diagnosis of cancer other than basal or squamous cell skin cancer Patient with any other serious or uncontrolled physical or mental dysfunction Patient with a history (within 2 years prior to Screening Visit) of drug and/or alcohol abuse that may prevent study compliance based on investigator judgment. Patient unlikely to be cooperative or that can not comply with the study procedures Patient treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to Visit 1 (Screening). Patient who intend to use any concomitant medication not permitted by this protocol or who have not undergone the required stabilization periods for prohibited medication. Any other conditions that, in the investigator's opinion, might indicate the patient to be unsuitable for the study.
Facility Information:
Facility Name
Research Site
City
Berlin
Country
Germany
Facility Name
Research Site
City
Dortmund
Country
Germany
Facility Name
Research Site
City
Frankfurt/Main
Country
Germany
Facility Name
Research Site
City
Frankfurt
Country
Germany
Facility Name
Research Site
City
Hannover
Country
Germany
Facility Name
Research Site
City
Luebeck
Country
Germany
Facility Name
Research Site
City
Balassagyarmat
Country
Hungary
Facility Name
Research Site
City
Debrecen
Country
Hungary
Facility Name
Research Site
City
Komárom
Country
Hungary
Facility Name
Research Site
City
Nyíregyháza
Country
Hungary
Facility Name
Research Site
City
Pécs
Country
Hungary
Facility Name
Research Site
City
Szazhalombatta
Country
Hungary
Facility Name
Research Site
City
Napoli
Country
Italy
Facility Name
Research Site
City
Pisa
Country
Italy
Facility Name
Research Site
City
Alicante
Country
Spain
Facility Name
Research Site
City
Barcelona
Country
Spain
Facility Name
Research Site
City
Hospitalet de Llobregat(Barcel
Country
Spain
Facility Name
Research Site
City
Laredo
Country
Spain
Facility Name
Research Site
City
Madrid
Country
Spain
Facility Name
Research Site
City
Santiago(A Coruña)
Country
Spain
Facility Name
Research Site
City
Sevilla
Country
Spain
Facility Name
Research Site
City
Manchester
Country
United Kingdom
Facility Name
Research Site
City
Northwood
Country
United Kingdom
Facility Name
Research Site
City
Sidcup
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

BENEFITS OF ACLIDINIUM BROMIDE IN THE RELIEF OF COPD SYMPTOMS INCLUDING COUGH

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