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Efficacy and Safety of Levalbuterol in Chronic Obstructive Pulmonary Disease (COPD)

Primary Purpose

Chronic Obstructive Pulmonary Disease (COPD)

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Levalbuterol HCl
Levalbuterol HCl
Albuterol Sulfate
Placebo
Sponsored by
Sumitomo Pharma America, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

35 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects must be at least greater than or equal to 35 years of age at the time of consent.
  • Subjects must have a pre-established primary clinical diagnosis of COPD.
  • Subjects must have a baseline FEV1 less than or equal to 65%
  • Subjects must have a predicted and >0.70 Liter
  • subject was taking steroids (inhaled, oral, or nasal), short-acting xanthines, or leukotrienes, the dose must have been stable for 30 days
  • Subjects must have a FEV1/forced vital capacity (FVC) less than or equal to 70%
  • Subjects must have a greater than or equal to 15 pack-year smoking history
  • Subjects must have a baseline medical research council (MRC) dyspnea scale score greater than or equal to 2
  • Regular use of a prescribed therapy for control of COPD symptoms for 3 months prior to study entry.
  • No COPD exacerbations that have required an emergency room visit, hospital admission or intensive out-patient therapy within 1 month prior to study entry

Exclusion Criteria:

  • Females who are pregnant or lactating.
  • Concurrent requirement of oxygen therapy
  • Known history of asthma, or any chronic respiratory disease other than COPD (not including chronic bronchitis or emphysema).
  • Diagnosis of cancer within 5 years prior to study entry with the exception of non-melanoma skin cancer.
  • Lung resection of more than one full lobe.
  • Use of intravenous, intra-articular or intramuscular corticosteroids within 30 days of study entry
  • History of upper or lower respiratory infection within 14 days of study entry.
  • Participation in an investigational drug study within 30 days of study entry.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

1

2

3

4

Arm Description

Levalbuterol 0.63 mg TID

Levalbuterol 1.25 mg TID

Racemic Albuterol 2.5 mg TID

Placebo TID

Outcomes

Primary Outcome Measures

The primary efficacy endpoint was the time-normalized area under the percent change from visit predose in FEV1 curve (nAUC0-8 hours) averaged over the six week double-blind period.

Secondary Outcome Measures

Spirometry parameters
Exacerbations of COPD
COPD symptom ratings
Baseline dyspnea and transitional dyspnea indices
Ipatropium Bromide MDI use
Short acting Beta-agonist MDI use
Subject and physician global evaluations
St. George's Hospital Respiratory Questionnaire (SGRQ).

Full Information

First Posted
April 22, 2008
Last Updated
June 26, 2023
Sponsor
Sumitomo Pharma America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00665600
Brief Title
Efficacy and Safety of Levalbuterol in Chronic Obstructive Pulmonary Disease (COPD)
Official Title
A Double-Blind, Randomized, Multicenter, Parallel-Group Study of Levalbuterol in the Treatment of Subjects With Chronic Obstructive Pulmonary Disease
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
February 2002 (undefined)
Primary Completion Date
March 2003 (Actual)
Study Completion Date
March 2003 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To investigate the efficacy and safety of repeated dosing of Levalbuterol over 6 weeks of treatment in COPD.
Detailed Description
This study is a multi-center, randomized, double-blind, placebo and active controlled, parallel-group study of adult subjects with COPD. Approximately 250 subjects will be enrolled to randomize at least 200 subjects. Study participation will consist of a total of six study visits over nine weeks 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
Chronic Obstructive Pulmonary Disease (COPD)
Keywords
COPD, Chronic Bronchitis, Chronic Emphysema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
257 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Levalbuterol 0.63 mg TID
Arm Title
2
Arm Type
Experimental
Arm Description
Levalbuterol 1.25 mg TID
Arm Title
3
Arm Type
Active Comparator
Arm Description
Racemic Albuterol 2.5 mg TID
Arm Title
4
Arm Type
Placebo Comparator
Arm Description
Placebo TID
Intervention Type
Drug
Intervention Name(s)
Levalbuterol HCl
Other Intervention Name(s)
Xopenex HCl Inhalation Solution
Intervention Description
Levalbuterol 0.63 TID
Intervention Type
Drug
Intervention Name(s)
Levalbuterol HCl
Other Intervention Name(s)
Xopenex HCl Inhalation Solution
Intervention Description
Levabuterol 1.25 mg TID
Intervention Type
Drug
Intervention Name(s)
Albuterol Sulfate
Other Intervention Name(s)
Ventolin Inhalation Solution
Intervention Description
Racemic albuterol 2.5 mg TID
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo TID
Primary Outcome Measure Information:
Title
The primary efficacy endpoint was the time-normalized area under the percent change from visit predose in FEV1 curve (nAUC0-8 hours) averaged over the six week double-blind period.
Time Frame
Days -21, -14, 0, 14, 28, and 42
Secondary Outcome Measure Information:
Title
Spirometry parameters
Time Frame
Days -21, -14, 0, 14, 28, and 42
Title
Exacerbations of COPD
Time Frame
Days -14, 0, 14, 28, 42
Title
COPD symptom ratings
Time Frame
Days 0, 14, 28, 42
Title
Baseline dyspnea and transitional dyspnea indices
Time Frame
Days 0, 14, 28, 42
Title
Ipatropium Bromide MDI use
Time Frame
Day 0, 14, 28, 42
Title
Short acting Beta-agonist MDI use
Time Frame
Days 0, 14, 28, 42
Title
Subject and physician global evaluations
Time Frame
Days 14, 28, 42
Title
St. George's Hospital Respiratory Questionnaire (SGRQ).
Time Frame
Days 0, 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects must be at least greater than or equal to 35 years of age at the time of consent. Subjects must have a pre-established primary clinical diagnosis of COPD. Subjects must have a baseline FEV1 less than or equal to 65% Subjects must have a predicted and >0.70 Liter subject was taking steroids (inhaled, oral, or nasal), short-acting xanthines, or leukotrienes, the dose must have been stable for 30 days Subjects must have a FEV1/forced vital capacity (FVC) less than or equal to 70% Subjects must have a greater than or equal to 15 pack-year smoking history Subjects must have a baseline medical research council (MRC) dyspnea scale score greater than or equal to 2 Regular use of a prescribed therapy for control of COPD symptoms for 3 months prior to study entry. No COPD exacerbations that have required an emergency room visit, hospital admission or intensive out-patient therapy within 1 month prior to study entry Exclusion Criteria: Females who are pregnant or lactating. Concurrent requirement of oxygen therapy Known history of asthma, or any chronic respiratory disease other than COPD (not including chronic bronchitis or emphysema). Diagnosis of cancer within 5 years prior to study entry with the exception of non-melanoma skin cancer. Lung resection of more than one full lobe. Use of intravenous, intra-articular or intramuscular corticosteroids within 30 days of study entry History of upper or lower respiratory infection within 14 days of study entry. Participation in an investigational drug study within 30 days of study entry.
Facility Information:
City
Carmichael
State/Province
California
Country
United States
City
Spring Valley
State/Province
California
Country
United States
City
Wheat Ridge
State/Province
Colorado
Country
United States
City
Largo
State/Province
Florida
Country
United States
City
Miami
State/Province
Florida
Country
United States
City
Panama City
State/Province
Florida
Country
United States
City
Atlanta
State/Province
Georgia
Country
United States
City
Elk Grove Village
State/Province
Illinois
Country
United States
City
Hines
State/Province
Illinois
Country
United States
City
Wheaton
State/Province
Maryland
Country
United States
City
Springfield
State/Province
Massachusetts
Country
United States
City
Cadillac
State/Province
Michigan
Country
United States
City
Columbia
State/Province
Missouri
Country
United States
City
Missoula
State/Province
Montana
Country
United States
City
Springfield
State/Province
New Jersey
Country
United States
City
Chapel Hill
State/Province
North Carolina
Country
United States
City
Mogadore
State/Province
Ohio
Country
United States
City
Providence
State/Province
Rhode Island
Country
United States
City
Austin
State/Province
Texas
Country
United States
City
San Antonio
State/Province
Texas
Country
United States
City
Calgary
State/Province
Alberta
Country
Canada
City
Winnepeg
State/Province
Manitoba
Country
Canada
City
Mississauga
State/Province
Ontario
Country
Canada
City
Toronto
State/Province
Ontario
Country
Canada

12. IPD Sharing Statement

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Efficacy and Safety of Levalbuterol in Chronic Obstructive Pulmonary Disease (COPD)

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