Trial Outcomes & Findings for Safety Study of Arformoterol Tartrate Inhalation Solution in Chronic Obstructive Pulmonary Disease (COPD) Subjects (NCT NCT00909779)

NCT ID: NCT00909779

Last Updated: 2013-11-11

Results Overview

COPD exacerbation: an increase in COPD symptoms that necessitated any change in baseline medication (bronchodilators,anti-inflammatory agents, antibiotics, supplemental oxygen therapy, etc.).Hospitalization: any inpatient admission or any emergency department visit \> 24 hours in duration. Hospice was considered hospitalization.COPD exacerbation related hospitalization: hospitalization that was due to 1) COPD exacerbation or 2) a COPD exacerbation preceded, or occurred concomitantly with the onset of, the event for which the subject was hospitalized.Respiratory-related death: For each death the Primary Investigator designated a 'probable cause', which was the primary condition that precipitated the terminal events that were the immediate cause of death. If a probable cause could not be ascertained, the cause of death was considered 'UNKNOWN'. Cause other than 'UNKNOWN' was categorized as either respiratory or non-respiratory. Deaths of 'UNKNOWN' cause were counted as primary events.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

841 participants

Primary outcome timeframe

0-12 months

Results posted on

2013-11-11

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo Twice Daily
Placebo twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Arformoterol 15 Mcg Twice Daily
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Overall Study
STARTED
421
420
Overall Study
COMPLETED
211
255
Overall Study
NOT COMPLETED
210
165

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo Twice Daily
Placebo twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Arformoterol 15 Mcg Twice Daily
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Overall Study
Adverse Event
53
55
Overall Study
Lack of Efficacy
7
4
Overall Study
Lost to Follow-up
19
15
Overall Study
Physician Decision
8
2
Overall Study
Protocol Violation
2
5
Overall Study
Withdrawal by Subject
116
80
Overall Study
Site Ceasing Operation
2
2
Overall Study
Medical Monitor Decision
1
0
Overall Study
Noncompliance
1
1
Overall Study
Randomized in error
1
1

Baseline Characteristics

Safety Study of Arformoterol Tartrate Inhalation Solution in Chronic Obstructive Pulmonary Disease (COPD) Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Comparator: Placebo Twice Daily
n=421 Participants
Placebo twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Experimental: Arformoterol 15 Mcg Twice Daily
n=420 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Total
n=841 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
222 Participants
n=5 Participants
204 Participants
n=7 Participants
426 Participants
n=5 Participants
Age, Categorical
>=65 years
199 Participants
n=5 Participants
216 Participants
n=7 Participants
415 Participants
n=5 Participants
Age Continuous
63.3 years
STANDARD_DEVIATION 9.5 • n=5 Participants
64.2 years
STANDARD_DEVIATION 9.3 • n=7 Participants
63.8 years
STANDARD_DEVIATION 9.4 • n=5 Participants
Sex/Gender, Customized
Female
178 participants
n=5 Participants
183 participants
n=7 Participants
361 participants
n=5 Participants
Sex/Gender, Customized
Male
243 participants
n=5 Participants
236 participants
n=7 Participants
479 participants
n=5 Participants
Sex/Gender, Customized
Undifferentiated
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
n=5 Participants
9 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
402 Participants
n=5 Participants
411 Participants
n=7 Participants
813 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
43 Participants
n=5 Participants
45 Participants
n=7 Participants
88 Participants
n=5 Participants
Race (NIH/OMB)
White
374 Participants
n=5 Participants
372 Participants
n=7 Participants
746 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
421 participants
n=5 Participants
420 participants
n=7 Participants
841 participants
n=5 Participants
Number of COPD exacerbations in last year
0.8 Number of occurrences
STANDARD_DEVIATION 1.1 • n=5 Participants
1.0 Number of occurrences
STANDARD_DEVIATION 1.4 • n=7 Participants
0.9 Number of occurrences
STANDARD_DEVIATION 1.3 • n=5 Participants
FEV1
1.178 Liter
STANDARD_DEVIATION 0.487 • n=5 Participants
1.176 Liter
STANDARD_DEVIATION 0.482 • n=7 Participants
1.177 Liter
STANDARD_DEVIATION 0.485 • n=5 Participants
Percent predicted FEV1 (%)
39.4 Percentage (%)
STANDARD_DEVIATION 13.9 • n=5 Participants
39.7 Percentage (%)
STANDARD_DEVIATION 13.2 • n=7 Participants
39.5 Percentage (%)
STANDARD_DEVIATION 13.5 • n=5 Participants
Baseline smoking status
Current
218 Current
n=5 Participants
214 Current
n=7 Participants
432 Current
n=5 Participants
Baseline smoking status
Former
203 Current
n=5 Participants
206 Current
n=7 Participants
409 Current
n=5 Participants
Number of pack-years smoked
≥ 15 - < 25
41 Pack-years
9.7 • n=5 Participants
40 Pack-years
9.5 • n=7 Participants
81 Pack-years
9.6 • n=5 Participants
Number of pack-years smoked
≥ 25 - < 30
36 Pack-years
8.6 • n=5 Participants
29 Pack-years
6.9 • n=7 Participants
65 Pack-years
7.7 • n=5 Participants
Number of pack-years smoked
≥ 30
344 Pack-years
81.7 • n=5 Participants
351 Pack-years
83.6 • n=7 Participants
695 Pack-years
82.6 • n=5 Participants
Baseline Oral/Inhaled Corticosteroid Use
No
202 participants
48.0 • n=5 Participants
202 participants
48.1 • n=7 Participants
404 participants
48.0 • n=5 Participants
Baseline Oral/Inhaled Corticosteroid Use
Yes
219 participants
52.0 • n=5 Participants
218 participants
51.9 • n=7 Participants
437 participants
52.0 • n=5 Participants
Baseline Oxygen Therapy Use
No
330 participants
78.4 • n=5 Participants
334 participants
79.5 • n=7 Participants
664 participants
79.0 • n=5 Participants
Baseline Oxygen Therapy Use
Yes
91 participants
21.6 • n=5 Participants
86 participants
20.5 • n=7 Participants
177 participants
21.0 • n=5 Participants

PRIMARY outcome

Timeframe: 0-12 months

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

COPD exacerbation: an increase in COPD symptoms that necessitated any change in baseline medication (bronchodilators,anti-inflammatory agents, antibiotics, supplemental oxygen therapy, etc.).Hospitalization: any inpatient admission or any emergency department visit \> 24 hours in duration. Hospice was considered hospitalization.COPD exacerbation related hospitalization: hospitalization that was due to 1) COPD exacerbation or 2) a COPD exacerbation preceded, or occurred concomitantly with the onset of, the event for which the subject was hospitalized.Respiratory-related death: For each death the Primary Investigator designated a 'probable cause', which was the primary condition that precipitated the terminal events that were the immediate cause of death. If a probable cause could not be ascertained, the cause of death was considered 'UNKNOWN'. Cause other than 'UNKNOWN' was categorized as either respiratory or non-respiratory. Deaths of 'UNKNOWN' cause were counted as primary events.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=63 Subjects with Primary Event
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=40 Subjects with Primary Event
Placebo twice daily
Time From Randomization to Respiratory Death or First COPD Exacerbation Related Hospitalization (Whichever Occurs First).
155.0 Days
Standard Deviation 91.2 • Interval 0.425 to 0.864
171.7 Days
Standard Deviation 98.7

SECONDARY outcome

Timeframe: 0-12 months

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

A protocol-defined exacerbation of COPD was defined as an increase in respiratory symptoms (classically, increased shortness of breath, increased sputum production, and/or increased sputum purulence) that necessitates any change in baseline medication other than bronchodilators (e.g., anti-inflammatory agents, antibiotics, supplemental oxygen therapy, etc) or causes the subject to require additional medical attention (i.e., emergency room visit or hospitalization).

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
The Incidence of Protocol Defined COPD Exacerbations.
Overall
132 participants
122 participants
The Incidence of Protocol Defined COPD Exacerbations.
1 COPD event
72 participants
71 participants
The Incidence of Protocol Defined COPD Exacerbations.
2 COPD events
34 participants
29 participants
The Incidence of Protocol Defined COPD Exacerbations.
3 or more COPD events
26 participants
22 participants

SECONDARY outcome

Timeframe: 0-12 months

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

Survival status at the end of the study will be determined for each subject. The proportion of subjects dead and the annual event rate will be summarized by treatment.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
The Incidence of All Cause Mortality
10 participants
12 participants

SECONDARY outcome

Timeframe: 0-12 months

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

TEAEs were defined as: 1) adverse events that occurred on or after the date of first dose of study medication, 2) adverse events with a missing start date and a stop date on or after the date of first does of study medication, or 3) adverse events with both a missing start and stop date. The frequency and percentage of subjects with TEAEs were summarized. At each level of summarization, a subject was counted only once for each AE he/she experienced within that level. The percentage of subjects having had at least 1 AE at each level was calculated.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
The Incidence of Treatment Emergent AEs
287 participants
306 participants

SECONDARY outcome

Timeframe: Baseline and on treatment at months 3, 6 and 12 (or early termination)

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

The SGRQ assessed health status and consisted of 3 component scores (Symptoms, Activity, and Impacts) as well as a total score. Items were scored in accordance with the developer's guidelines. Scores were expressed as a percentage of overall impairment, where 100 represented worst possible health status and 0 indicated best possible health status. The SGRQ was assessed pre-dose at baseline, months 3, 6 and 12 or the end of study (EOS). Visit 2 was defined as baseline. A change from baseline in the Total Score of ≥ 4 units is considered the minimal clinically important difference (MCID) for SGRQ.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
SGRQ: Mean Change From Baseline in Total Score
Month 3 (n=276,308)
-1.544 Score
Standard Error 0.609
-3.876 Score
Standard Error 0.575
SGRQ: Mean Change From Baseline in Total Score
Month 6 (n=233,287)
-1.855 Score
Standard Error 0.746
-4.054 Score
Standard Error 0.679
SGRQ: Mean Change From Baseline in Total Score
Month 12 (n=199,236)
-2.673 Score
Standard Error 0.800
-4.796 Score
Standard Error 0.735
SGRQ: Mean Change From Baseline in Total Score
EOS (n=375,379)
-0.587 Score
Standard Error 0.616
-3.231 Score
Standard Error 0.613

SECONDARY outcome

Timeframe: Baseline and on treatments at months 3, 6, 9 and 12 (or early termination)

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

FEV1 was measured at Visit 1 (screening), pre- and post-albuterol administration for reversibility testing, pre-dose at baseline, months 3, 6, 9 and 12/EOS. The best FEV1 from at least 3 acceptable maneuvers was recorded. Study baseline was defined as the Visit 2 pre-dose value. If the Visit 2 pre-dose value was missing, the last FEV1 value obtained prior to first treatment was used for baseline.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
FEV1: Mean Change From Baseline
Month 6 (n=248,300)
0.036 Liter
Standard Error 0.023
0.090 Liter
Standard Error 0.021
FEV1: Mean Change From Baseline
Month 3 (n=289,331)
0.027 Liter
Standard Error 0.018
0.093 Liter
Standard Error 0.016
FEV1: Mean Change From Baseline
Month 9 (n=223,268)
0.048 Liter
Standard Error 0.019
0.092 Liter
Standard Error 0.018
FEV1: Mean Change From Baseline
Month 12 (n=206,253)
0.020 Liter
Standard Error 0.020
0.059 Liter
Standard Error 0.018
FEV1: Mean Change From Baseline
EOS (n=380,391)
0.047 Liter
Standard Error 0.016
0.072 Liter
Standard Error 0.016

SECONDARY outcome

Timeframe: Baseline and on treatments at months 3, 6, 9 and 12 (or early termination)

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

Percent predicted FEV1: measured FEV1 as a percent of the "predicted values" for the patients of similar characteristics (height, age, sex, and sometimes race and weight). Best FEV1 percent predicted was measured at Visit 1 (screening), pre-dose at baseline, months 3, 6, 9 and 12/EOS, as described for FEV1.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
Percent Predicted FEV1: Mean Change From Baseline
Month 3 (n=289,331)
1.410 Liter
Standard Error 0.533
3.480 Liter
Standard Error 0.498
Percent Predicted FEV1: Mean Change From Baseline
Month 6 (n=248,300)
1.768 Liter
Standard Error 0.648
3.460 Liter
Standard Error 0.594
Percent Predicted FEV1: Mean Change From Baseline
Month 9 (n=223,268)
2.606 Liter
Standard Error 0.626
3.651 Liter
Standard Error 0.576
Percent Predicted FEV1: Mean Change From Baseline
Month 12 (n=206,252)
1.678 Liter
Standard Error 0.642
2.662 Liter
Standard Error 0.586
Percent Predicted FEV1: Mean Change From Baseline
EOS (n=380,391)
2.156 Liter
Standard Error 0.493
2.936 Liter
Standard Error 0.486

SECONDARY outcome

Timeframe: Baseline and on treatment at months 3, 6, 9 and 12 (or early termination)

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

Forced Vital capacity: the volume of air that can forcibly be blown out after full inspiration. Best FVC was measured at Visit 1 (screening), pre-dose at baseline, months 3, 6, 9 and 12/EOS. The best FVC from at least 3 acceptable maneuvers was recorded.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
Forced Vital Capacity (FVC): Mean Change From Baseline
EOS (n=380,391)
0.056 Liter
Standard Error 0.022
0.102 Liter
Standard Error 0.022
Forced Vital Capacity (FVC): Mean Change From Baseline
Month 3 (n=289,331)
0.039 Liter
Standard Error 0.024
0.139 Liter
Standard Error 0.022
Forced Vital Capacity (FVC): Mean Change From Baseline
Month 6 (n=248,300)
0.056 Liter
Standard Error 0.031
0.120 Liter
Standard Error 0.028
Forced Vital Capacity (FVC): Mean Change From Baseline
Month 9 (n=223,268)
0.049 Liter
Standard Error 0.029
0.139 Liter
Standard Error 0.027
Forced Vital Capacity (FVC): Mean Change From Baseline
Month 12 (n=206,253)
0.040 Liter
Standard Error 0.029
0.088 Liter
Standard Error 0.027

SECONDARY outcome

Timeframe: Baseline and on treatment at months 3, 6, 9 and 12 (or early termination)

Population: Intent-to-treat population: subjects who were randomized to treatment and received at least 1 dose of study medication.

IC: the total amount of air that can be drawn into the lungs after normal expiration. IC was measured pre- and post-albuterol administration at Visit 1 (screening), pre-dose at baseline, months 3, 6, 9 and 12/EOS. IC maneuvers were done in triplicate. The mean of all recorded IC values was used for each subject at each time point. Study baseline was defined as the Visit 2 pre-dose value. If the Visit 2 pre-dose value was missing, the last IC value obtained prior to first treatment dose was used for baseline.

Outcome measures

Outcome measures
Measure
Experimental: Arformoterol 15 Mcg Twice Daily
n=421 Participants
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Placebo
n=420 Participants
Placebo twice daily
Inspiratory Capacity (IC): Mean Change From Baseline
EOS (n=374,384)
0.031 Liter
Standard Error 0.022
0.058 Liter
Standard Error 0.021
Inspiratory Capacity (IC): Mean Change From Baseline
Month 3 (n=284,320)
0.030 Liter
Standard Error 0.023
0.054 Liter
Standard Error 0.021
Inspiratory Capacity (IC): Mean Change From Baseline
Month 6 (n=243,298)
-0.011 Liter
Standard Error 0.026
0.067 Liter
Standard Error 0.024
Inspiratory Capacity (IC): Mean Change From Baseline
Month 9 (n=218,258)
0.046 Liter
Standard Error 0.029
0.096 Liter
Standard Error 0.027
Inspiratory Capacity (IC): Mean Change From Baseline
Month 12 (n=199,246)
0.004 Liter
Standard Error 0.029
0.035 Liter
Standard Error 0.027

Adverse Events

Placebo Comparator: Placebo Twice Daily

Serious events: 95 serious events
Other events: 180 other events
Deaths: 0 deaths

Experimental: Arformoterol 15 Mcg Twice Daily

Serious events: 86 serious events
Other events: 174 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo Comparator: Placebo Twice Daily
n=421 participants at risk
Placebo twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Experimental: Arformoterol 15 Mcg Twice Daily
n=420 participants at risk
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Blood and lymphatic system disorders
Anemia
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Blood and lymphatic system disorders
Leukocytosis
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Cardiac disorders
Acute coronary syndrome
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Cardiac disorders
Acute myocardial infarction
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Cardiac disorders
Angina pectoris
0.24%
1/421 • Number of events 1 • 1 year
0.71%
3/420 • Number of events 3 • 1 year
Cardiac disorders
Angina Unstable
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Cardiac disorders
Atrial fibrillation
0.48%
2/421 • Number of events 2 • 1 year
0.71%
3/420 • Number of events 3 • 1 year
Cardiac disorders
Atrioventricular block complete
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Cardiac disorders
Bundle branch block right
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Cardiac disorders
Cardiac failure congestive
0.71%
3/421 • Number of events 3 • 1 year
0.48%
2/420 • Number of events 2 • 1 year
Cardiac disorders
Cardio-respiratory arrest
0.00%
0/421 • 1 year
0.48%
2/420 • Number of events 2 • 1 year
Cardiac disorders
Cardiomyopathy
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Cardiac disorders
Corpulmonale
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Cardiac disorders
Coronary artery disease
0.00%
0/421 • 1 year
0.71%
3/420 • Number of events 3 • 1 year
Cardiac disorders
Myocardial infarction
0.48%
2/421 • Number of events 2 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Cardiac disorders
Myocardial ischaemia
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Ear and labyrinth disorders
Vertigo
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 2 • 1 year
Eye disorders
Iridocyclitis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Eye disorders
Retinal artery occlusion
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Abdominal pain
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Abdominal pain upper
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Barrett's oesophagus
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Colonic polyp
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Diverticular perforation
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Enteritis
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Gastric ulcer
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastritis erosive
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.48%
2/421 • Number of events 2 • 1 year
0.48%
2/420 • Number of events 2 • 1 year
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Hiatus hernia
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Intestinal perforation
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Gastrointestinal disorders
Rectal haemorrhage
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Gastrointestinal disorders
Small intestinal obstruction
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
General disorders
Non-cardiac chest pain
0.24%
1/421 • Number of events 1 • 1 year
0.71%
3/420 • Number of events 3 • 1 year
General disorders
Oedema peripheral
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Hepatobiliary disorders
Cholecystitis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Hepatobiliary disorders
Gallbladder perforation
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Abscess limb
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Bronchitis
2.1%
9/421 • Number of events 10 • 1 year
0.71%
3/420 • Number of events 4 • 1 year
Infections and infestations
Bronchopneumonia
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Cellulitis
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Clostridial infection
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Clostridium difficile colitis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Diverticulitis
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Gastritis fungal
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Gastroenteritis bacteria
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Influenza
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Osteomyelitis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Osteomy
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Osteomyelitis acute
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Peridiverticular abscess
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Pneumonia
3.3%
14/421 • Number of events 18 • 1 year
2.9%
12/420 • Number of events 13 • 1 year
Infections and infestations
Postoperative wound infection
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Infections and infestations
Sepsis
0.00%
0/421 • 1 year
0.71%
3/420 • Number of events 3 • 1 year
Infections and infestations
Septic shock
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Infections and infestations
Urinary tract infection
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Alcohol poisoning
0.24%
1/421 • Number of events 4 • 1 year
0.00%
0/420 • 1 year
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Fibula fracture
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Injury, poisoning and procedural complications
Head injury
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Incisional hernia
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Injury
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Injury, poisoning and procedural complications
Open wound
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Thermal burn
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Injury, poisoning and procedural complications
Tibia fracture
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Injury, poisoning and procedural complications
Toxicity to various agents
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Investigations
Blood phosphorus decreased
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Metabolism and nutrition disorders
Dehydration
0.48%
2/421 • Number of events 2 • 1 year
0.00%
0/420 • 1 year
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
0.24%
1/421 • Number of events 2 • 1 year
0.00%
0/420 • 1 year
Metabolism and nutrition disorders
Hypocalcaemia
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Metabolism and nutrition disorders
Hypokalaemia
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Musculoskeletal and connective tissue disorders
Arthralgia
0.48%
2/421 • Number of events 2 • 1 year
0.00%
0/420 • 1 year
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.48%
2/421 • Number of events 2 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain neoplasm
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lymph nodes
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Throat cancer
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Nervous system disorders
Altered state of consciousness
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Nervous system disorders
Ataxia
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Nervous system disorders
Carotid artery aneurysm
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Nervous system disorders
Carotid artery disease
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Nervous system disorders
Cerebrovascular accident
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Nervous system disorders
Headache
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Nervous system disorders
Ischaemic stroke
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Nervous system disorders
Sensory disturbance
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Nervous system disorders
Syncope
0.48%
2/421 • Number of events 2 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Nervous system disorders
Transient ischaemic attack
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Psychiatric disorders
Affective disorder
0.24%
1/421 • Number of events 4 • 1 year
0.00%
0/420 • 1 year
Psychiatric disorders
Alcohol withdrawal syndrome
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Psychiatric disorders
Depression
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Psychiatric disorders
Major depression
0.00%
0/421 • 1 year
0.48%
2/420 • Number of events 2 • 1 year
Psychiatric disorders
Mental status changes
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Renal and urinary disorders
Haematuria
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Renal and urinary disorders
Nephropathy
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Renal and urinary disorders
Renal artery stenosis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Renal and urinary disorders
Renal failure
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Renal and urinary disorders
Renal failure acute
0.24%
1/421 • Number of events 1 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Renal and urinary disorders
Urethral obstruction
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Renal and urinary disorders
Urinary retention
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.95%
4/421 • Number of events 5 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Bronchiectasis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
13.1%
55/421 • Number of events 76 • 1 year
8.3%
35/420 • Number of events 44 • 1 year
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.48%
2/421 • Number of events 3 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Pleuritic pain
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.48%
2/421 • Number of events 2 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory distress
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.48%
2/421 • Number of events 3 • 1 year
0.48%
2/420 • Number of events 2 • 1 year
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Vascular disorders
Aortic aneurysm
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Vascular disorders
Hypertension
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Vascular disorders
Hypertensive crisis
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Vascular disorders
Hypertensive emergency
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year
Vascular disorders
Hypotension
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Vascular disorders
Iliac artery stenosis
0.00%
0/421 • 1 year
0.48%
2/420 • Number of events 2 • 1 year
Vascular disorders
Peripheral arterial occlusive disease
0.00%
0/421 • 1 year
0.24%
1/420 • Number of events 1 • 1 year
Investigations
C-reactive protein increased
0.24%
1/421 • Number of events 1 • 1 year
0.00%
0/420 • 1 year

Other adverse events

Other adverse events
Measure
Placebo Comparator: Placebo Twice Daily
n=421 participants at risk
Placebo twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Experimental: Arformoterol 15 Mcg Twice Daily
n=420 participants at risk
Arformoterol 15 mcg twice daily by nebulization. All subjects will be dispensed albuterol HFA metered-dose inhaler (MDI) to be used as needed as rescue medication for bronchospasm and acute treatment of COPD symptoms.
Infections and infestations
Bronchitis
6.7%
28/421 • Number of events 36 • 1 year
10.2%
43/420 • Number of events 58 • 1 year
Infections and infestations
Nasopharyngitis
7.8%
33/421 • Number of events 49 • 1 year
9.0%
38/420 • Number of events 50 • 1 year
Infections and infestations
Sinusitis
5.2%
22/421 • Number of events 29 • 1 year
4.5%
19/420 • Number of events 27 • 1 year
Infections and infestations
Upper respiratory tract infection
5.2%
22/421 • Number of events 26 • 1 year
5.2%
22/420 • Number of events 28 • 1 year
Nervous system disorders
Headache
5.0%
21/421 • Number of events 39 • 1 year
8.3%
35/420 • Number of events 53 • 1 year
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
19.7%
83/421 • Number of events 122 • 1 year
17.9%
75/420 • Number of events 115 • 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.1%
30/421 • Number of events 46 • 1 year
5.7%
24/420 • Number of events 27 • 1 year

Additional Information

Respiratory Medical Director

Sunovion

Phone: 1-866-503-6351

Results disclosure agreements

  • Principal investigator is a sponsor employee In the event the Study is part of a multi-center study, the first publication of the results of the Study shall be made in conjunction with the results of other participating study sites as a multi-center publication; provided however, if a multi-center publication is not forthcoming within twenty-four (24) months following completion of the Study at all sites, Institution and Investigator shall be free to publish.
  • Publication restrictions are in place

Restriction type: OTHER