Trial Outcomes & Findings for Efficacy and Safety of Indacaterol in Patients With Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT00624286)

NCT ID: NCT00624286

Last Updated: 2011-08-18

Results Overview

FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 10 minutes and 23 hours 45 minutes post-dose at the end of treatment. The analysis included baseline FEV1, FEV1 pre-dose and 30 minutes post-dose of salbutamol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

416 participants

Primary outcome timeframe

24 hours post-dose at the end of the study (Week 12 + 1 day, Day 85)

Results posted on

2011-08-18

Participant Flow

Participant milestones

Participant milestones
Measure
Indacaterol 150 μg
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Overall Study
STARTED
211
205
Overall Study
COMPLETED
186
178
Overall Study
NOT COMPLETED
25
27

Reasons for withdrawal

Reasons for withdrawal
Measure
Indacaterol 150 μg
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Overall Study
Protocol Deviation
7
9
Overall Study
Adverse Event
6
3
Overall Study
Withdrawal by Subject
5
4
Overall Study
Lost to Follow-up
3
2
Overall Study
Administrative problems
3
0
Overall Study
Lack of Efficacy
1
6
Overall Study
Not stated
0
1
Overall Study
Abnormal test procedure result(s)
0
1
Overall Study
Death
0
1

Baseline Characteristics

Efficacy and Safety of Indacaterol in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Indacaterol 150 μg
n=211 Participants
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
n=205 Participants
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Total
n=416 Participants
Total of all reporting groups
Age Continuous
62.9 years
STANDARD_DEVIATION 9.89 • n=5 Participants
63.2 years
STANDARD_DEVIATION 9.62 • n=7 Participants
63.0 years
STANDARD_DEVIATION 9.75 • n=5 Participants
Sex: Female, Male
Female
103 Participants
n=5 Participants
95 Participants
n=7 Participants
198 Participants
n=5 Participants
Sex: Female, Male
Male
108 Participants
n=5 Participants
110 Participants
n=7 Participants
218 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 hours post-dose at the end of the study (Week 12 + 1 day, Day 85)

Population: Intent-to-treat population: All randomized patients who received at least 1 dose of study drug, last observation carried forward (LOCF).

FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 10 minutes and 23 hours 45 minutes post-dose at the end of treatment. The analysis included baseline FEV1, FEV1 pre-dose and 30 minutes post-dose of salbutamol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.

Outcome measures

Outcome measures
Measure
Indacaterol 150 μg
n=201 Participants
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
n=189 Participants
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Trough Forced Expiratory Volume in 1 Second (FEV1) 24 Hours Post-dose at the End of the Study (Week 12 + 1 Day, Day 85)
1.48 Liters
Standard Error 0.018
1.35 Liters
Standard Error 0.019

SECONDARY outcome

Timeframe: 24 hours post-dose on Day 2

Population: Intent-to-treat population: All randomized patients who received at least 1 dose of study drug. FEV1 data taken within 6 h of rescue medication was excluded from this analysis.

FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 10 minutes and 23 hours 45 minutes post-dose at the end of treatment. The analysis included baseline FEV1, FEV1 pre-dose and 30 minutes post-dose of salbutamol during screening, and FEV1 pre-dose and 1 hour post-dose of ipratropium during screening as covariates.

Outcome measures

Outcome measures
Measure
Indacaterol 150 μg
n=205 Participants
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
n=197 Participants
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Trough Forced Expiratory Volume in 1 Second (FEV1) 24 Hours Post-dose on Day 2
1.47 Liters
Standard Error 0.014
1.38 Liters
Standard Error 0.014

Adverse Events

Indacaterol 150 μg

Serious events: 7 serious events
Other events: 30 other events
Deaths: 0 deaths

Placebo to Indacaterol

Serious events: 5 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Indacaterol 150 μg
n=211 participants at risk
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
n=205 participants at risk
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Cardiac disorders
Acute myocardial infarction
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Cardiac disorders
Myocardial infarction
0.00%
0/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.49%
1/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Gastrointestinal disorders
Pancreatitis acute
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Gastrointestinal disorders
Peptic ulcer
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
General disorders
Death
0.00%
0/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.49%
1/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Hepatobiliary disorders
Cholelithiasis
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Infections and infestations
Staphylococcal infection
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Injury, poisoning and procedural complications
Exposure to toxic agent
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Injury, poisoning and procedural complications
Lower limb fracture
0.00%
0/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.49%
1/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.98%
2/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Vascular disorders
Haematoma
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Vascular disorders
Vascular pseudoaneurysm
0.47%
1/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
0.00%
0/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Indacaterol 150 μg
n=211 participants at risk
Patients inhaled indacaterol 150 μg once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to Indacaterol
n=205 participants at risk
Patients inhaled placebo to indacaterol once daily in the morning between 8:00 AM and 11:00 AM via a single-dose dry-powder inhaler (SDDPI) for 12 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
8.5%
18/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
11.7%
24/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
13/211 • 12 weeks
Safety population included all patients who received at least one dose of study drug.
7.3%
15/205 • 12 weeks
Safety population included all patients who received at least one dose of study drug.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862 778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER