Efficacy, Safety, Tolerability, and Pharmacokinetics of Indacaterol Salts in Patients With Asthma

NCT ID: NCT00927901

Last Updated: 2013-09-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2009-11-30

Brief Summary

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This study assessed the efficacy, safety, and pharmacokinetics of indacaterol salts (maleate, xinafoate and acetate) in patients with asthma.

Detailed Description

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Conditions

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Asthma

Keywords

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QAB149 asthma indacaterol salts (acetate, maleate, and xinafoate) orally inhaled indacaterol salts persistent asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Indacaterol (ind) maleate-placebo-ind xinafoate-ind acetate

In treatment period 1, patients received indacaterol maleate 400 μg; in treatment period 2, patients received placebo to indacaterol; in treatment period 3, patients received indacaterol xinafoate 400 μg; and in treatment period 4, patients received indacaterol acetate 400 μg. Patients received each treatment once daily for 7 days via the Concept1 single-dose dry-powder inhaler. There was a washout period of at least 7 days between each treatment period. 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.

Group Type EXPERIMENTAL

Indacaterol maleate 400 μg

Intervention Type DRUG

Indacaterol maleate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol acetate 400 μg

Intervention Type DRUG

Indacaterol acetate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol xinafoate 400 μg

Intervention Type DRUG

Indacaterol xinafoate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Placebo to indacaterol

Intervention Type DRUG

Placebo to indacaterol was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler.

Indacaterol (ind) xinafoate-ind maleate-ind acetate-placebo

In treatment period 1, patients received indacaterol xinafoate 400 μg; in treatment period 2, patients received indacaterol maleate 400 μg; in treatment period 3, patients received indacaterol acetate 400 μg; and in treatment period 4, patients received placebo to indacaterol 400 μg. Patients received each treatment once daily for 7 days via the Concept1 single-dose dry-powder inhaler. There was a washout period of at least 7 days between each treatment period. 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.

Group Type EXPERIMENTAL

Indacaterol maleate 400 μg

Intervention Type DRUG

Indacaterol maleate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol acetate 400 μg

Intervention Type DRUG

Indacaterol acetate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol xinafoate 400 μg

Intervention Type DRUG

Indacaterol xinafoate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Placebo to indacaterol

Intervention Type DRUG

Placebo to indacaterol was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler.

Indacaterol (ind) acetate-ind xinafoate-placebo-ind maleate

In treatment period 1, patients received indacaterol acetate 400 μg; in treatment period 2, patients received indacaterol xinafoate 400 μg; in treatment period 3, patients received placebo to indacaterol; and in treatment period 4, patients received indacaterol maleate 400 μg. Patients received each treatment once daily for 7 days via the Concept1 single-dose dry-powder inhaler. There was a washout period of at least 7 days between each treatment period. 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.

Group Type EXPERIMENTAL

Indacaterol maleate 400 μg

Intervention Type DRUG

Indacaterol maleate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol acetate 400 μg

Intervention Type DRUG

Indacaterol acetate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol xinafoate 400 μg

Intervention Type DRUG

Indacaterol xinafoate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Placebo to indacaterol

Intervention Type DRUG

Placebo to indacaterol was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler.

Placebo-indacaterol (ind) acetate-ind maleate-ind xinafoate

In treatment period 1, patients received placebo to indacaterol; in treatment period 2, patients received indacaterol acetate 400 μg; in treatment period 3, patients received indacaterol maleate 400 μg; and in treatment period 4, patients received indacaterol xinafoate 400 μg. Patients received each treatment once daily for 7 days via the Concept1 single-dose dry-powder inhaler. There was a washout period of at least 7 days between each treatment period. 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.

Group Type EXPERIMENTAL

Indacaterol maleate 400 μg

Intervention Type DRUG

Indacaterol maleate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol acetate 400 μg

Intervention Type DRUG

Indacaterol acetate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Indacaterol xinafoate 400 μg

Intervention Type DRUG

Indacaterol xinafoate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Placebo to indacaterol

Intervention Type DRUG

Placebo to indacaterol was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler.

Interventions

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Indacaterol maleate 400 μg

Indacaterol maleate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Intervention Type DRUG

Indacaterol acetate 400 μg

Indacaterol acetate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Intervention Type DRUG

Indacaterol xinafoate 400 μg

Indacaterol xinafoate 400 μg was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler. The dose refers to 400 μg of free base indacaterol.

Intervention Type DRUG

Placebo to indacaterol

Placebo to indacaterol was provided in powder filled capsules with the Concept1 single-dose dry-powder inhaler.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Non-smoker male and female adult patients aged 18-75 years inclusive, who have signed an informed consent form prior to initiation of any study-related procedure, including any adjustments to asthma medication prior to screening.
* Patients with asthma, receiving daily treatment with inhaled corticosteroid.
* Patients with a forced expiratory volume in 1 second (FEV1) during screening of ≥ 50% of the predicted normal value for the patient.
* Body mass index (BMI) must be within the range 18-32 kg/m\^2 (inclusive).
* Able to communicate well with the investigator and comply with the requirements of the study.

Exclusion Criteria

* A urine cotinine level greater than the local laboratory lowest level of quantification (LOQ of 500 ng/ml or lower).
* Patients who have had a severe asthma attack/exacerbation requiring hospitalization in the 6 months prior to screening.
* Patients who have had an emergency room visit for an asthma attack/exacerbation within 6 weeks prior to screening or any time between screening and pre-dose on day 1 of the study.
* Patients who have had a respiratory tract infection within 4 weeks prior to screening or any time between screening and pre-dose on day 1 of the study.
* Patients who require the use of ≥ 8 inhalations per day of the short-acting β2-agonist salbutamol/albuterol (100 μg/90 μg salbutamol/albuterol metered dose inhaler \[MDI\] or equivalent dose of a dry-powder inhaler \[DPI\]) on any 2 consecutive days from screening to randomization.
* Patients diagnosed with chronic obstructive pulmonary disease (COPD) as defined by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines (2008).
* Participation in any clinical investigation within 4 weeks prior to dosing or longer if required by local regulation. Previous participation in a study with either the investigational or comparator drugs does not exclude a patient from participation in this study.
* Significant illness.
* History of being immunocompromised, including a positive human immunodeficiency virus (HIV) test result (ELISA and Western blot).
* A positive hepatitis B surface antigen (HBsAg) or hepatitis C test result.
* Patients who are considered vulnerable as per ICH GCP guidelines.
* Patients with a history of hypersensitivity to indacaterol or to similar drugs including untoward reactions to sympathomimetic amines or inhaled medication or any component thereof.
* Treatments for asthma and allied conditions:
* The following treatments should not be used unless they have been stabilized prior to screening: antihistamines, inhaled nasal cromolyn, inhaled nasal corticosteroids, and maintenance immunotherapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Poitiers, , France

Site Status

Novartis Investigative Site

Wiesbaden, , Germany

Site Status

Novartis Investigative Site

Verona, , Italy

Site Status

Countries

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Romania France Germany Italy

Other Identifiers

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2009-010589-46

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CQAB149D2301

Identifier Type: -

Identifier Source: org_study_id