Efficacy and Safety of NVA237 in Patients With Chronic Obstructive Pulmonary Disease (COPD)

NCT ID: NCT01119950

Last Updated: 2015-03-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

388 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2010-12-31

Brief Summary

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This study was designed to investigate the efficacy and safety of NVA237, a long-acting muscarinic antagonist, in patients with moderate to severe COPD.

Detailed Description

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Conditions

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Chronic Obstructive Pulmonary Disease

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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NVA237 12.5 µg q.d.

NVA237 12.5 µg once daily

Group Type EXPERIMENTAL

NVA237 12.5 µg once daily

Intervention Type DRUG

NVA237 12.5 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

NVA237 25.0 µg q.d.

NVA237 25.0 µg once daily

Group Type EXPERIMENTAL

NVA237 25.0 µg once daily

Intervention Type DRUG

NVA237 25.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

NVA237 12.5 µg b.i.d.

NVA237 12.5 µg twice daily

Group Type EXPERIMENTAL

NVA237 12.5 µg twice daily

Intervention Type DRUG

NVA237 12.5 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.

NVA237 50.0 µg q.d.

NVA237 50.0 µg once daily

Group Type EXPERIMENTAL

NVA237 50.0 µg once daily

Intervention Type DRUG

NVA237 50.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

NVA237 25.0 µg b.i.d.

NVA237 25.0 µg twice daily

Group Type EXPERIMENTAL

NVA237 25.0 µg twice daily

Intervention Type DRUG

NVA237 25.0 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.

NVA237 100.0 µg q.d.

NVA237 100.0 µg once daily

Group Type EXPERIMENTAL

NVA237 100.0 µg once daily

Intervention Type DRUG

NVA237 100.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

NVA237 50.0 µg b.i.d.

NVA237 50.0 µg twice daily

Group Type EXPERIMENTAL

NVA237 50.0 µg twice daily

Intervention Type DRUG

NVA237 50.0 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.

Placebo

Placebo to NVA237 once daily

Group Type PLACEBO_COMPARATOR

Placebo to NVA237 once daily

Intervention Type DRUG

Placebo to NVA237 via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

Interventions

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NVA237 12.5 µg once daily

NVA237 12.5 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

NVA237 25.0 µg once daily

NVA237 25.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

NVA237 12.5 µg twice daily

NVA237 12.5 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

NVA237 50.0 µg once daily

NVA237 50.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

NVA237 25.0 µg twice daily

NVA237 25.0 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

NVA237 100.0 µg once daily

NVA237 100.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

NVA237 50.0 µg twice daily

NVA237 50.0 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

Placebo to NVA237 once daily

Placebo to NVA237 via dry powder inhaler once daily for 28 days during either period 1 or during period 2.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female patients age 40 years or more
* Diagnosis of Chronic Obstructive Lung Disease (COPD) (moderate to severe as classified by the Global Initiative for COPD (GOLD) Guidelines, 2008
* Smoking history of at least 10 pack-years
* Post-bronchodilator Forced Expiratory Volume in 1 second (FEV1) \<80% and ≥30% of the predicted normal value
* Post-bronchodilator FEV1/Forced Vital Capacity (FVC) \<0.7
* Symptomatic patients, according to daily electronic diary data between visit 2 (Day -8) and Visit 3 (Day 1), with a total score of 1 or more on at least 4 of the last 7 days prior to visit 3

Exclusion Criteria

* Patients who have had a COPD exacerbation requiring systemic corticosteroids and/or antibiotics and/or hospitalization in the 6 weeks prior to the first visit
* Patients who have had a respiratory tract infection within 4 weeks prior to the first visit
* Patients with concomitant pulmonary disease
* Patients with diabetes Type I or uncontrolled diabetes Type II
* Any patient with lung cancer or a history of lung cancer
* Patients with a history of certain cardiovascular co-morbid conditions
* Patients with a history of asthma or a blood eosinophil count \>600/mm3 or onset of symptoms prior to 40 years
* Patients with eczema, known high IgE levels or a known positive skin prick test
* Patients participating in the active phase of a pulmonary rehabilitation programme
* Patients contraindicated for the treatment with anticholinergics, long and short-acting beta-2 agonists or sympathomimetic amines
* Patients with a history of alpha-1 anti-trypsin deficiency
* Patients on long term oxygen therapy (\>15hr per day)
Minimum Eligible Age

40 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

Almelo, , Netherlands

Site Status

Novartis Investigative Site

Eindhoven, , Netherlands

Site Status

Novartis Investigative Site

Harderwijk, , Netherlands

Site Status

Novartis Investigative Site

Heerlen, , Netherlands

Site Status

Novartis Investigative Site

Helmond, , Netherlands

Site Status

Novartis Investigative Site

Veldhoven, , Netherlands

Site Status

Novartis Investigative Site

Zutphen, , Netherlands

Site Status

Novartis Investigative Site

Anniston, Alabama, United States

Site Status

Novartis Investigative Site

San Diego, California, United States

Site Status

Novartis Investigative Site

Torrance, California, United States

Site Status

Novartis Investigative Site

Denver, Colorado, United States

Site Status

Novartis Investigative Site

Omaha, Nebraska, United States

Site Status

Novartis Investigative Site

Philadelphia, Pennsylvania, United States

Site Status

Novartis Investigative Site

Antwerp, , Belgium

Site Status

Novartis Investigative Site

Genk, , Belgium

Site Status

Novartis Investigative site

Jambes, , Belgium

Site Status

Novartis Investigative Site

München, , Germany

Site Status

Novartis Investigative Site

Balassagyarmat, , Hungary

Site Status

Novartis Investigative Site

Balatonfüred, , Hungary

Site Status

Novartis Investigative Site

Budapest, , Hungary

Site Status

Novartis Investigative Site

Debrecen, , Hungary

Site Status

Novartis Investigative Site

Szolnok, , Hungary

Site Status

Novartis Investigative Site

Törökbálint, , Hungary

Site Status

Novartis Investigative Site

Izabelin, , Poland

Site Status

Novartis Investigative Site

Lodz, , Poland

Site Status

Novartis Investigative Site

Warsaw, , Poland

Site Status

Novartis Investigative Site

A Coruña, , Spain

Site Status

Novartis Investigative Site

Alicante, , Spain

Site Status

Novartis Investigative Site

Ponferrada, , Spain

Site Status

Countries

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United States Belgium Germany Hungary Netherlands Poland Spain

References

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Arievich H, Overend T, Renard D, Gibbs M, Alagappan V, Looby M, Banerji D. A novel model-based approach for dose determination of glycopyrronium bromide in COPD. BMC Pulm Med. 2012 Dec 8;12:74. doi: 10.1186/1471-2466-12-74.

Reference Type DERIVED
PMID: 23217058 (View on PubMed)

Other Identifiers

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2009-014038-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CNVA237A2208

Identifier Type: -

Identifier Source: org_study_id

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