search
Back to results

Study to Evaluate Efficacy/Safety of Combination Budesonide/Indacaterol vs Fluticasone/Salmeterol in Patients With COPD (COMBINE)

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Budesonide
Fluticasone
Indacaterol
Salmeterol
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Written informed consent must be obtained before any assessment is performed
  • Outpatients with stable COPD groups C and D according to the 2011 GOLD Guidelines.
  • Current or ex-smokers who have a smoking history of at least 10 pack years
  • Patients with a history of at least one exacerbation.
  • Patients able to read and complete

Exclusion Criteria:

  • Use of other investigational drugs within 30 days
  • Patients with a history of hypersensitivity to any of the study drugs
  • History or current diagnosis of ECG abnormalities
  • Patients with diabetes Type I or uncontrolled diabetes Type II including patients with a history of blood glucose levels consistently outside the normal range
  • Patients who have not achieved an acceptable spirometry result at Visit 1
  • Patients with a body mass index (BMI) of more than 40 kg/m2
  • Patients with lung cancer or a history of lung cancer
  • Patients with a history of malignancy of any organ system
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment
  • Patients who do not maintain regular day/night, waking/sleeping cycles (e.g., night shift workers)
  • Patients that are uncontrolled or unstable on permitted therapy, who in the opinion of the investigator, have clinically significant renal, cardiovascular, neurological, endocrine, immunological, psychiatric, gastrointestinal, hepatic, or haematological abnormalities which could interfere with the assessment of the efficacy and safety of the study treatment
  • Patients requiring oxygen therapy for chronic hypoxemia
  • Patients who have had a respiratory tract infection within 6 weeks prior to Visit 1
  • Patients with concomitant pulmonary disease, e.g. pulmonary tuberculosis, bronchiectasis, sarcoidosis, interstitial lung disorder or pulmonary hypertension
  • Patients with a known diagnosis of Alpha-1 Antitrypsin deficiency.
  • Patients with history of lung surgery
  • Patients who are participating in the active phase of a supervised pulmonary rehabilitation program.
  • Patients with a history of asthma Other protocol-defined inclusion/exclusion criteria may apply

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Budesonide/indacaterol

Fluticasone / salmeterol

Arm Description

Participants will receive a fixed combination of fluticasone and salmeterol during 4 weeks followed by a free combination of budesonide and indacaterol for the remainig of study.

Fixed combination of fluticasone and salmeterol

Outcomes

Primary Outcome Measures

Change From Baseline in Trough Forced Expiratory Volume in 1 Second (Non-inferiority Analysis).
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation.

Secondary Outcome Measures

Change in Health Status - mMRC
Modified Medical Research Council scale (mMRC) questionnaire will be completed by participants. 0 Not troubled with breathlessness except with strenuous exercise; 1 Troubled by shortness of breath when hurrying on the level or walking up a slight hill; 2 Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level; 3 Stops for breath after walking about 100 yards or after a few minutes on the level; 4 Too breathless to leave the house or breathless when dressing or undressing
Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 24 Week Treatment
A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours.
Change From Baseline in Trough Forced Expiratory Volume in 1 Second at Week 24 (Analysis of Superiority)
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Change in Health Status - SGRQ-C
St George's Respiratory Questionnaire short version questionnaire will be completed by participants. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life)

Full Information

First Posted
February 3, 2014
Last Updated
April 17, 2017
Sponsor
Novartis Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT02055352
Brief Title
Study to Evaluate Efficacy/Safety of Combination Budesonide/Indacaterol vs Fluticasone/Salmeterol in Patients With COPD
Acronym
COMBINE
Official Title
24-week Study to Evaluate Efficacy and Safety of the Combination Budesonide / Indacaterol vs Fluticasone / Salmeterol in Patients With COPD
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
May 30, 2014 (Actual)
Primary Completion Date
January 26, 2016 (Actual)
Study Completion Date
January 26, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To demonstrate the free combination of budesonide and indacaterol is as efficacious as fluticasone and salmeterol in patients with COPD

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
222 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Budesonide/indacaterol
Arm Type
Experimental
Arm Description
Participants will receive a fixed combination of fluticasone and salmeterol during 4 weeks followed by a free combination of budesonide and indacaterol for the remainig of study.
Arm Title
Fluticasone / salmeterol
Arm Type
Active Comparator
Arm Description
Fixed combination of fluticasone and salmeterol
Intervention Type
Drug
Intervention Name(s)
Budesonide
Intervention Description
Budesonide 400 mcg twice a day via Breezhaler® device
Intervention Type
Drug
Intervention Name(s)
Fluticasone
Intervention Description
Fluticasone 250 mcg twice daily via Accuhaler® device
Intervention Type
Drug
Intervention Name(s)
Indacaterol
Intervention Description
Indacaterol 150 mcg once daily via Breezhaler® device
Intervention Type
Drug
Intervention Name(s)
Salmeterol
Intervention Description
Salmeterol 50 mcg twice daily via Diskus® device
Primary Outcome Measure Information:
Title
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (Non-inferiority Analysis).
Description
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation.
Time Frame
Baseline and week 12
Secondary Outcome Measure Information:
Title
Change in Health Status - mMRC
Description
Modified Medical Research Council scale (mMRC) questionnaire will be completed by participants. 0 Not troubled with breathlessness except with strenuous exercise; 1 Troubled by shortness of breath when hurrying on the level or walking up a slight hill; 2 Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level; 3 Stops for breath after walking about 100 yards or after a few minutes on the level; 4 Too breathless to leave the house or breathless when dressing or undressing
Time Frame
Baseline, week 12 and week 24
Title
Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 24 Week Treatment
Description
A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours.
Time Frame
24 weeks
Title
Change From Baseline in Trough Forced Expiratory Volume in 1 Second at Week 24 (Analysis of Superiority)
Description
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.
Time Frame
Baseline and week 24
Title
Change in Health Status - SGRQ-C
Description
St George's Respiratory Questionnaire short version questionnaire will be completed by participants. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life)
Time Frame
Baseline, week 12 and week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent must be obtained before any assessment is performed Outpatients with stable COPD groups C and D according to the 2011 GOLD Guidelines. Current or ex-smokers who have a smoking history of at least 10 pack years Patients with a history of at least one exacerbation. Patients able to read and complete Exclusion Criteria: Use of other investigational drugs within 30 days Patients with a history of hypersensitivity to any of the study drugs History or current diagnosis of ECG abnormalities Patients with diabetes Type I or uncontrolled diabetes Type II including patients with a history of blood glucose levels consistently outside the normal range Patients who have not achieved an acceptable spirometry result at Visit 1 Patients with a body mass index (BMI) of more than 40 kg/m2 Patients with lung cancer or a history of lung cancer Patients with a history of malignancy of any organ system Pregnant or nursing (lactating) women Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of study treatment Patients who do not maintain regular day/night, waking/sleeping cycles (e.g., night shift workers) Patients that are uncontrolled or unstable on permitted therapy, who in the opinion of the investigator, have clinically significant renal, cardiovascular, neurological, endocrine, immunological, psychiatric, gastrointestinal, hepatic, or haematological abnormalities which could interfere with the assessment of the efficacy and safety of the study treatment Patients requiring oxygen therapy for chronic hypoxemia Patients who have had a respiratory tract infection within 6 weeks prior to Visit 1 Patients with concomitant pulmonary disease, e.g. pulmonary tuberculosis, bronchiectasis, sarcoidosis, interstitial lung disorder or pulmonary hypertension Patients with a known diagnosis of Alpha-1 Antitrypsin deficiency. Patients with history of lung surgery Patients who are participating in the active phase of a supervised pulmonary rehabilitation program. Patients with a history of asthma Other protocol-defined inclusion/exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1056ABJ
Country
Argentina
Facility Name
Novartis Investigative Site
City
Florida
State/Province
Buenos Aires
ZIP/Postal Code
B1602DQD
Country
Argentina
Facility Name
Novartis Investigative Site
City
La Plata
State/Province
Buenos Aires
ZIP/Postal Code
1900
Country
Argentina
Facility Name
Novartis Investigative Site
City
Vicente Lopez
State/Province
Buenos Aires
ZIP/Postal Code
B1638AAI
Country
Argentina
Facility Name
Novartis Investigative Site
City
Zarate
State/Province
Buenos Aires
ZIP/Postal Code
2800
Country
Argentina
Facility Name
Novartis Investigative Site
City
Santa Rosa
State/Province
La Pampa
Country
Argentina
Facility Name
Novartis Investigative Site
City
Buenos Aires
ZIP/Postal Code
C1125ABE
Country
Argentina
Facility Name
Novartis Investigative Site
City
Ciudad Autonoma de Bs As
ZIP/Postal Code
C1425FVH
Country
Argentina
Facility Name
Novartis Investigative Site
City
Salta
ZIP/Postal Code
4000
Country
Argentina
Facility Name
Novartis Investigative Site
City
Rio de Janeiro
State/Province
RJ
ZIP/Postal Code
021941-617
Country
Brazil
Facility Name
Novartis Investigative Site
City
Porto Alegre
State/Province
RS
ZIP/Postal Code
90880-480
Country
Brazil
Facility Name
Novartis Investigative Site
City
Sao Bernardo do Campo
State/Province
SP
ZIP/Postal Code
09750-420
Country
Brazil
Facility Name
Novartis Investigative Site
City
São Paulo
State/Province
SP
ZIP/Postal Code
01244-030
Country
Brazil
Facility Name
Novartis Investigative Site
City
Santiago
State/Province
Region Metropolitana
ZIP/Postal Code
8431633
Country
Chile
Facility Name
Novartis Investigative Site
City
Rancagua
ZIP/Postal Code
2841959
Country
Chile
Facility Name
Novartis Investigative Site
City
Santo Domingo
State/Province
Republica Dominicana
ZIP/Postal Code
10205
Country
Dominican Republic
Facility Name
Novartis Investigative Site
City
Santo Domingo
State/Province
Republica Dominicana
Country
Dominican Republic
Facility Name
Novartis Investigative Site
City
Guayaquil
State/Province
Guayas
ZIP/Postal Code
412
Country
Ecuador
Facility Name
Novartis Investigative Site
City
San Pedro Sula
ZIP/Postal Code
21102
Country
Honduras
Facility Name
Novartis Investigative Site
City
Tegucigalpa
Country
Honduras
Facility Name
Novartis Investigative Site
City
Mexico
State/Province
Distrito Federal
ZIP/Postal Code
03310
Country
Mexico
Facility Name
Novartis Investigative Site
City
Mexico
State/Province
Distrito Federal
ZIP/Postal Code
06760
Country
Mexico
Facility Name
Novartis Investigative Site
City
Mexico
State/Province
Distrito Federal
ZIP/Postal Code
14050
Country
Mexico
Facility Name
Novartis Investigative Site
City
León
State/Province
Guanajuato
ZIP/Postal Code
37000
Country
Mexico
Facility Name
Novartis Investigative Site
City
Panama City
State/Province
Panamá
Country
Panama

12. IPD Sharing Statement

Learn more about this trial

Study to Evaluate Efficacy/Safety of Combination Budesonide/Indacaterol vs Fluticasone/Salmeterol in Patients With COPD

We'll reach out to this number within 24 hrs