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Efficacy and Safety Study of PT009, PT008, and PT005 in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) (PT009001)

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
BFF MDI 320/9.6 μg
BFF MDI 160/9.6 μg
BFF MDI 80/9.6 μg
BD MDI 320 μg
FF MDI 9.6 μg
Sponsored by
Pearl Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring Budesonide and formoterol inhalation aerosol

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Informed Consent Form (ICF) prior to any study related procedures
  • COPD Diagnosis: Subjects with an established clinical history of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS)
  • Tobacco Use: Current or former smokers with a history of at least 10 pack years of cigarette smoking
  • Women of non-childbearing potential or medically acceptable contraception for women of child-bearing potential and males with female partners of childbearing potential
  • Severity of Disease: Subjects with an established clinical history of COPD and severity defined as: FEV1/forced vital capacity (FVC) ratio of <0.70; At Screening (Visit 1a/b), post bronchodilator FEV1 must be <80% predicted normal value, calculated using NHANES III (Third National Health and Nutrition Examination Survey) reference equations; the measured FEV1 must also be ≥30% of predicted normal value; at Visit 2, the average of the 60 minutes and 30 minutes pre dose FEV1 assessments must be <80% predicted normal value calculated using NHANES III reference equations
  • Screening clinical laboratory tests must be acceptable to the Investigator
  • Screening ECG must be acceptable to the Investigator
  • Chest x ray or computerized tomography (CT) scan within 6 months prior to Visit 1a must be acceptable to the Investigator.

Exclusion Criteria:

  • Significant diseases other than COPD, ie., disease or condition which, in the opinion of the Investigator, may put the subject at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study
  • Pregnancy, nursing female subjects, or subjects trying to conceive, or not using medically acceptable form of contraception
  • Asthma: Subjects who have a primary diagnosis of asthma (Note: Subjects with a prior history of asthma are eligible if COPD is currently their primary diagnosis).
  • Alpha 1 Antitrypsin Deficiency: Subjects who have alpha 1 antitrypsin deficiency as the cause of COPD -Active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, primary pulmonary hypertension, interstitial lung disease, and uncontrolled sleep apnea (ie., in the opinion of the Investigator severity of the disorder would impact the conduct of the study)-
  • Clinically significant neurologic, cardiovascular, hepatic, renal, endocrinologic, pulmonary, hematological, psychiatric, or other medical illness that would interfere with participation in this study
  • Poorly Controlled COPD
  • History of ECG abnormalities
  • Cancer not in complete remission for at least 5 years
  • Clinically significant, symptomatic prostatic hypertrophy
  • Male subjects with a trans-urethral resection of the prostate or full resection of the prostate within 6 months prior to Screening
  • Clinically significant bladder neck obstruction or urinary retention
  • Inadequately treated glaucoma
  • History of an allergic reaction or hypersensitivity to any drug or to any component of the formulations used in this study

Sites / Locations

  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site
  • Pearl Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

BFF MDI 320/9.6 μg

BFF MDI 160/9.6 μg

BFF MDI 80/9.6 μg

BD MDI 320 μg

FF MDI 9.6 μg

Arm Description

Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 320/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)

Budesonide and formoterol fumarate metered dose inhaler (BFF MDI)160/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)

Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 80/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)

Budesonide metered dose inhaler (BD MDI) 320 μg; PT008 administered as 2 inhalations, twice daily (BID)

Formoterol fumarate metered dose inhaler (FF MDI) 9.6 μg; PT005 administered as 2 inhalations, twice daily (BID)

Outcomes

Primary Outcome Measures

FEV1 AUC0-12 on Day 29
Change from Baseline in forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 12 hours (AUC0-12)

Secondary Outcome Measures

Change From Baseline in Morning Pre-dose Trough FEV1 Over 28 Days
Peak Change From Baseline in FEV1 (in Liters) Day 15
Peak Change From Baseline in FEV1 (in Liters) Day 29
Peak Change From Baseline in FEV1 on Day 1
Forced Vital Capacity (FVC) AUC0-12 on Day 29
Transition Dyspnea Index (TDI) Focal Score on Day 29
Min/Max Range of TDI scale -9 (major deterioration) to +9 (major improvement)
Change From Baseline in Average Daily Use of Rescue Ventolin HFA Over the Last Week of Treatment

Full Information

First Posted
July 16, 2014
Last Updated
May 23, 2018
Sponsor
Pearl Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02196077
Brief Title
Efficacy and Safety Study of PT009, PT008, and PT005 in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
Acronym
PT009001
Official Title
A Randomized, Double Blind, Chronic Dosing (28 Days), Four Period, Five Treatment, Incomplete Block, Multi Center, Crossover Study to Assess the Efficacy and Safety of PT009, PT008, and PT005 in Subjects With Moderate to Severe COPD
Study Type
Interventional

2. Study Status

Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
August 1, 2014 (Actual)
Primary Completion Date
March 1, 2015 (Actual)
Study Completion Date
March 1, 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pearl Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase IIb, randomized, double blind, chronic dosing (28 days), four period, five treatment, incomplete block, crossover design in subjects with moderate to severe COPD. The overall objective is to demonstrate that the combination of budesonide (BD; PT008) and formoterol fumarate (FF; PT005) in a metered-dose inhaler (MDI); (BFF MDI; PT009) provides benefit on lung function compared with BD MDI in subjects with moderate to severe 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
Budesonide and formoterol inhalation aerosol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Masking Description
Double Blind
Allocation
Randomized
Enrollment
180 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BFF MDI 320/9.6 μg
Arm Type
Experimental
Arm Description
Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 320/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)
Arm Title
BFF MDI 160/9.6 μg
Arm Type
Experimental
Arm Description
Budesonide and formoterol fumarate metered dose inhaler (BFF MDI)160/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)
Arm Title
BFF MDI 80/9.6 μg
Arm Type
Experimental
Arm Description
Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 80/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)
Arm Title
BD MDI 320 μg
Arm Type
Experimental
Arm Description
Budesonide metered dose inhaler (BD MDI) 320 μg; PT008 administered as 2 inhalations, twice daily (BID)
Arm Title
FF MDI 9.6 μg
Arm Type
Experimental
Arm Description
Formoterol fumarate metered dose inhaler (FF MDI) 9.6 μg; PT005 administered as 2 inhalations, twice daily (BID)
Intervention Type
Drug
Intervention Name(s)
BFF MDI 320/9.6 μg
Intervention Description
Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 320/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)
Intervention Type
Drug
Intervention Name(s)
BFF MDI 160/9.6 μg
Intervention Description
Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 160/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)
Intervention Type
Drug
Intervention Name(s)
BFF MDI 80/9.6 μg
Intervention Description
Budesonide and formoterol fumarate metered dose inhaler (BFF MDI) 80/9.6 μg; PT009 administered as 2 inhalations, twice daily (BID)
Intervention Type
Drug
Intervention Name(s)
BD MDI 320 μg
Intervention Description
Budesonide metered dose inhaler (BD MDI) 320 μg; PT008 administered as 2 inhalations, twice daily (BID)
Intervention Type
Drug
Intervention Name(s)
FF MDI 9.6 μg
Intervention Description
Formoterol fumarate metered dose inhaler (FF MDI) 9.6 μg; PT005 administered as 2 inhalations, twice daily (BID)
Primary Outcome Measure Information:
Title
FEV1 AUC0-12 on Day 29
Description
Change from Baseline in forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 12 hours (AUC0-12)
Time Frame
Day 29
Secondary Outcome Measure Information:
Title
Change From Baseline in Morning Pre-dose Trough FEV1 Over 28 Days
Time Frame
Over 28 days
Title
Peak Change From Baseline in FEV1 (in Liters) Day 15
Time Frame
Day 15
Title
Peak Change From Baseline in FEV1 (in Liters) Day 29
Time Frame
Day 29
Title
Peak Change From Baseline in FEV1 on Day 1
Time Frame
Day 1
Title
Forced Vital Capacity (FVC) AUC0-12 on Day 29
Time Frame
Day 29
Title
Transition Dyspnea Index (TDI) Focal Score on Day 29
Description
Min/Max Range of TDI scale -9 (major deterioration) to +9 (major improvement)
Time Frame
Day 29
Title
Change From Baseline in Average Daily Use of Rescue Ventolin HFA Over the Last Week of Treatment
Time Frame
Visit 12-13 (7 days)

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: Informed Consent Form (ICF) prior to any study related procedures COPD Diagnosis: Subjects with an established clinical history of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS) Tobacco Use: Current or former smokers with a history of at least 10 pack years of cigarette smoking Women of non-childbearing potential or medically acceptable contraception for women of child-bearing potential and males with female partners of childbearing potential Severity of Disease: Subjects with an established clinical history of COPD and severity defined as: FEV1/forced vital capacity (FVC) ratio of <0.70; At Screening (Visit 1a/b), post bronchodilator FEV1 must be <80% predicted normal value, calculated using NHANES III (Third National Health and Nutrition Examination Survey) reference equations; the measured FEV1 must also be ≥30% of predicted normal value; at Visit 2, the average of the 60 minutes and 30 minutes pre dose FEV1 assessments must be <80% predicted normal value calculated using NHANES III reference equations Screening clinical laboratory tests must be acceptable to the Investigator Screening ECG must be acceptable to the Investigator Chest x ray or computerized tomography (CT) scan within 6 months prior to Visit 1a must be acceptable to the Investigator. Exclusion Criteria: Significant diseases other than COPD, ie., disease or condition which, in the opinion of the Investigator, may put the subject at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study Pregnancy, nursing female subjects, or subjects trying to conceive, or not using medically acceptable form of contraception Asthma: Subjects who have a primary diagnosis of asthma (Note: Subjects with a prior history of asthma are eligible if COPD is currently their primary diagnosis). Alpha 1 Antitrypsin Deficiency: Subjects who have alpha 1 antitrypsin deficiency as the cause of COPD -Active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, primary pulmonary hypertension, interstitial lung disease, and uncontrolled sleep apnea (ie., in the opinion of the Investigator severity of the disorder would impact the conduct of the study)- Clinically significant neurologic, cardiovascular, hepatic, renal, endocrinologic, pulmonary, hematological, psychiatric, or other medical illness that would interfere with participation in this study Poorly Controlled COPD History of ECG abnormalities Cancer not in complete remission for at least 5 years Clinically significant, symptomatic prostatic hypertrophy Male subjects with a trans-urethral resection of the prostate or full resection of the prostate within 6 months prior to Screening Clinically significant bladder neck obstruction or urinary retention Inadequately treated glaucoma History of an allergic reaction or hypersensitivity to any drug or to any component of the formulations used in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shahid Siddiqui, MD, MHSA
Organizational Affiliation
Pearl Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Pearl Investigative Site
City
Rolling Hills Estates
State/Province
California
Country
United States
Facility Name
Pearl Investigative Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
Pearl Investigative Site
City
Panama City
State/Province
Florida
Country
United States
Facility Name
Pearl Investigative Site
City
Tampa
State/Province
Florida
Country
United States
Facility Name
Pearl Investigative Site
City
Winter Park
State/Province
Florida
Country
United States
Facility Name
Pearl Investigative Site
City
Edina
State/Province
Minnesota
Country
United States
Facility Name
Pearl Investigative Site
City
Minneapolis
State/Province
Minnesota
Country
United States
Facility Name
Pearl Investigative Site
City
Woodbury
State/Province
Minnesota
Country
United States
Facility Name
Pearl Investigative Site
City
Saint Charles
State/Province
Missouri
Country
United States
Facility Name
Pearl Investigative Site
City
Charlotte
State/Province
North Carolina
Country
United States
Facility Name
Pearl Investigative Site
City
Cincinnati
State/Province
Ohio
Country
United States
Facility Name
Pearl Investigative Site
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
Pearl Investigative Site
City
Dublin
State/Province
Ohio
Country
United States
Facility Name
Pearl Investigative Site
City
Medford
State/Province
Oregon
Country
United States
Facility Name
Pearl Investigative Site
City
Easley
State/Province
South Carolina
Country
United States
Facility Name
Pearl Investigative Site
City
Greenville
State/Province
South Carolina
Country
United States
Facility Name
Pearl Investigative Site
City
Spartanburg
State/Province
South Carolina
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_7111&studyid=4145&filename=PT009001-Protocol_Redacted_11APR2018.pdf
Description
Related Info

Learn more about this trial

Efficacy and Safety Study of PT009, PT008, and PT005 in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

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