Trial Outcomes & Findings for PT003 MDI Cardiovascular Safety Study (NCT NCT01349803)

NCT ID: NCT01349803

Last Updated: 2017-01-31

Results Overview

The primary safety objective of this study was to compare the change in mean heart rate averaged over 24 hours post-dose, following twice daily dosing over 14 days with PT003 MDI, PT005 MDI, PT001 MDI or Foradil Aerolizer compared to baseline in patients with moderate to severe chronic obstructive pulmonary disease (COPD).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

237 participants

Primary outcome timeframe

14 days

Results posted on

2017-01-31

Participant Flow

Conducted at 15 sites throughout the US, Australia, and New Zealand from May 2011 - November 2011. Study participation was a maximum of 7 weeks.

Study was a multicenter, randomized, double-blind, parallel group, chronic dosing (14 days) study; each patient was randomized to receive 1 of 4 possible treatments over the course of a 14-day treatment period

Participant milestones

Participant milestones
Measure
FF MDI (PT005)
FF MDI 9.6 mcg
GP MDI (PT001)
GP MDI 36 mcg
GFF MDI (PT003)
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
Formoterol Fumarate 12 μg
Overall Study
STARTED
60
58
60
59
Overall Study
COMPLETED
59
57
57
57
Overall Study
NOT COMPLETED
1
1
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
FF MDI (PT005)
FF MDI 9.6 mcg
GP MDI (PT001)
GP MDI 36 mcg
GFF MDI (PT003)
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
Formoterol Fumarate 12 μg
Overall Study
Adverse Event
0
0
0
2
Overall Study
Withdrawal by Subject
1
0
0
0
Overall Study
Protocol-specified criteria
0
1
3
0

Baseline Characteristics

PT003 MDI Cardiovascular Safety Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=60 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=59 Participants
Formoterol Fumarate 12 μg
Total
n=237 Participants
Total of all reporting groups
Age, Continuous
64.1 Years
STANDARD_DEVIATION 8.13 • n=5 Participants
63.3 Years
STANDARD_DEVIATION 7.93 • n=7 Participants
64.3 Years
STANDARD_DEVIATION 7.38 • n=5 Participants
64.1 Years
STANDARD_DEVIATION 7.91 • n=4 Participants
64.0 Years
STANDARD_DEVIATION 7.80 • n=21 Participants
Gender
Female
33 Participants
n=5 Participants
32 Participants
n=7 Participants
26 Participants
n=5 Participants
31 Participants
n=4 Participants
122 Participants
n=21 Participants
Gender
Male
27 Participants
n=5 Participants
26 Participants
n=7 Participants
34 Participants
n=5 Participants
28 Participants
n=4 Participants
115 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 14 days

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The primary safety objective of this study was to compare the change in mean heart rate averaged over 24 hours post-dose, following twice daily dosing over 14 days with PT003 MDI, PT005 MDI, PT001 MDI or Foradil Aerolizer compared to baseline in patients with moderate to severe chronic obstructive pulmonary disease (COPD).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=59 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=57 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=55 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=55 Participants
Formoterol Fumarate 12 μg
Change From Baseline in 24-Hour Mean Heart Rate Post-dose
-0.19 bpm
Interval -1.38 to 1.0
-1.84 bpm
Interval -3.05 to -0.63
0.40 bpm
Interval -0.84 to 1.63
-0.09 bpm
Interval -1.32 to 1.15

SECONDARY outcome

Timeframe: Day 7 to Day 14

Population: MITT - patients from the ITT population who completed at least one evaluable FEV1 spirometry assessment for baseline (pre-dose on Day 1) and had an evaluable FEV1 spirometry assessment on at least one of the following: Day 7 pre-dose or Day 14 pre-dose (or both).

Trough FEV1 averaged over Day 7 and Day 14

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=57 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=49 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=53 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=55 Participants
Formoterol Fumarate 12 μg
Change From Baseline in Mean FEV1 Trough
0.091 Liters
Interval 0.049 to 0.134
0.126 Liters
Interval 0.08 to 0.172
0.251 Liters
Interval 0.207 to 0.295
0.124 Liters
Interval 0.081 to 0.167

SECONDARY outcome

Timeframe: 24 hours

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in 24-Hour Mean Heart Rate for Day 1 of Treatment
0.56 bpm
Interval -0.73 to 1.85
-0.44 bpm
Interval -1.75 to 0.87
0.92 bpm
Interval -0.4 to 2.24
0.31 bpm
Interval -1.01 to 1.63

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=59 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in Daytime Mean Heart Rate
Day 1
0.00 bpm
Interval -1.4 to 1.4
-0.52 bpm
Interval -1.93 to 0.9
0.16 bpm
Interval -1.27 to 1.58
-0.17 bpm
Interval -1.6 to 1.25
Change From Baseline in Daytime Mean Heart Rate
Day 14
-1.22 bpm
Interval -2.64 to 0.2
-2.00 bpm
Interval -3.45 to -0.56
-0.40 bpm
Interval -1.87 to 1.07
-0.54 bpm
Interval -2.01 to 0.93

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=59 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=57 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=55 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in Night Time Mean Heart Rate
Day 14
0.04 bpm
Interval -1.94 to 2.03
-0.88 bpm
Interval -2.89 to 1.12
0.11 bpm
Interval -1.93 to 2.15
1.05 bpm
Interval -0.99 to 3.09
Change From Baseline in Night Time Mean Heart Rate
Day 1
3.05 bpm
Interval 1.63 to 4.47
-0.54 bpm
Interval -1.99 to 0.9
2.95 bpm
Interval 1.48 to 4.42
0.70 bpm
Interval -0.74 to 2.15

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in 24-Hour Maximum Heart Rate
Day 1
-4.71 bpm
Interval -8.72 to -0.69
-1.88 bpm
Interval -5.96 to 2.2
-1.91 bpm
Interval -6.03 to 2.21
0.31 bpm
Interval -3.81 to 4.42
Change From Baseline in 24-Hour Maximum Heart Rate
Day 14
0.75 bpm
Interval -3.46 to 4.97
-2.21 bpm
Interval -6.5 to 2.07
-0.06 bpm
Interval -4.42 to 4.31
-1.13 bpm
Interval -5.49 to 3.23

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in 24-Hour Minimum Heart Rate
Day 1
0.05 bpm
Interval -1.19 to 1.29
-0.03 bpm
Interval -1.3 to 1.23
0.50 bpm
Interval -0.78 to 1.78
0.45 bpm
Interval -0.82 to 1.72
Change From Baseline in 24-Hour Minimum Heart Rate
Day 14
-0.79 bpm
Interval -1.92 to 0.35
-1.92 bpm
Interval -3.07 to -0.77
-0.21 bpm
Interval -1.38 to 0.97
0.88 bpm
Interval -0.3 to 2.05

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in Number of Isolated Ventricular Events Recorded During 24-Hour Holter Monitoring
Day 1
1.31 Ventricular events / hour
Standard Error 1.605 • Interval -0.25 to 0.24
0.56 Ventricular events / hour
Standard Error 0.853 • Interval -0.32 to 0.18
1.59 Ventricular events / hour
Standard Error 1.879 • Interval -0.19 to 0.31
0.45 Ventricular events / hour
Standard Error 0.580 • Interval -0.24 to 0.26
Change From Baseline in Number of Isolated Ventricular Events Recorded During 24-Hour Holter Monitoring
Day 14
3.09 Ventricular events / hour
Standard Error 4.092 • Interval -0.31 to 0.16
0.62 Ventricular events / hour
Standard Error 1.088 • Interval -0.5 to -0.03
-0.10 Ventricular events / hour
Standard Error 0.541 • Interval -0.17 to 0.31
-0.54 Ventricular events / hour
Standard Error 0.424 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Ventricular Couplets Recorded During 24-Hour Holter Monitoring
Day 1
0.09 Ventricular couplets / hour
Standard Error 0.071 • Interval -0.25 to 0.24
0.00 Ventricular couplets / hour
Standard Error 0.005 • Interval -0.32 to 0.18
0.00 Ventricular couplets / hour
Standard Error 0.009 • Interval -0.19 to 0.31
0.00 Ventricular couplets / hour
Standard Error 0.005 • Interval -0.24 to 0.26
Change From Baseline in the Number of Ventricular Couplets Recorded During 24-Hour Holter Monitoring
Day 14
0.02 Ventricular couplets / hour
Standard Error 0.021 • Interval -0.31 to 0.16
0.00 Ventricular couplets / hour
Standard Error 0.009 • Interval -0.5 to -0.03
-0.03 Ventricular couplets / hour
Standard Error 0.033 • Interval -0.17 to 0.31
-0.01 Ventricular couplets / hour
Standard Error 0.004 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Ventricular Runs Recorded During 24-Hour Holter Monitoring
Day 14
-0.004 Ventricular runs / hour
Standard Error 0.0021 • Interval -0.31 to 0.16
0.001 Ventricular runs / hour
Standard Error 0.0029 • Interval -0.5 to -0.03
0.001 Ventricular runs / hour
Standard Error 0.0013 • Interval -0.17 to 0.31
-0.004 Ventricular runs / hour
Standard Error 0.0037 • Interval 0.04 to 0.52
Change From Baseline in the Number of Ventricular Runs Recorded During 24-Hour Holter Monitoring
Day 1
-0.003 Ventricular runs / hour
Standard Error 0.0024 • Interval -0.25 to 0.24
-0.001 Ventricular runs / hour
Standard Error 0.0017 • Interval -0.32 to 0.18
0.001 Ventricular runs / hour
Standard Error 0.0019 • Interval -0.19 to 0.31
-0.003 Ventricular runs / hour
Standard Error 0.0040 • Interval -0.24 to 0.26

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Isolated Supraventricular Events Recorded During 24-Hour Holter Monitoring
Day 1
7.72 Supraventricular events / hour
Standard Error 6.971 • Interval -0.25 to 0.24
0.74 Supraventricular events / hour
Standard Error 0.804 • Interval -0.32 to 0.18
-4.55 Supraventricular events / hour
Standard Error 5.947 • Interval -0.19 to 0.31
15.36 Supraventricular events / hour
Standard Error 16.359 • Interval -0.24 to 0.26
Change From Baseline in the Number of Isolated Supraventricular Events Recorded During 24-Hour Holter Monitoring
Day 14
3.61 Supraventricular events / hour
Standard Error 5.179 • Interval -0.31 to 0.16
-9.29 Supraventricular events / hour
Standard Error 9.398 • Interval -0.5 to -0.03
3.61 Supraventricular events / hour
Standard Error 5.179 • Interval -0.17 to 0.31
5.81 Supraventricular events / hour
Standard Error 11.320 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Supraventricular Couplets Recorded During 24-Hour Holter Monitoring
Day 1
0.03 Supraventricular couplets / hour
Standard Error 0.034 • Interval -0.25 to 0.24
0.01 Supraventricular couplets / hour
Standard Error 0.021 • Interval -0.32 to 0.18
0.05 Supraventricular couplets / hour
Standard Error 0.019 • Interval -0.19 to 0.31
0.04 Supraventricular couplets / hour
Standard Error 0.065 • Interval -0.24 to 0.26
Change From Baseline in the Number of Supraventricular Couplets Recorded During 24-Hour Holter Monitoring
Day 14
0.01 Supraventricular couplets / hour
Standard Error 0.025 • Interval -0.31 to 0.16
0.00 Supraventricular couplets / hour
Standard Error 0.017 • Interval -0.5 to -0.03
0.00 Supraventricular couplets / hour
Standard Error 0.018 • Interval -0.17 to 0.31
-0.02 Supraventricular couplets / hour
Standard Error 0.020 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Supraventricular Runs Recorded During 24-Hour Holter Monitoring
Day 1
0.00 Supraventricular runs / hour
Standard Error 0.014 • Interval -0.25 to 0.24
0.02 Supraventricular runs / hour
Standard Error 0.011 • Interval -0.32 to 0.18
0.01 Supraventricular runs / hour
Standard Error 0.011 • Interval -0.19 to 0.31
0.01 Supraventricular runs / hour
Standard Error 0.010 • Interval -0.24 to 0.26
Change From Baseline in the Number of Supraventricular Runs Recorded During 24-Hour Holter Monitoring
Day 14
0.01 Supraventricular runs / hour
Standard Error 0.013 • Interval -0.31 to 0.16
0.02 Supraventricular runs / hour
Standard Error 0.015 • Interval -0.5 to -0.03
0.00 Supraventricular runs / hour
Standard Error 0.012 • Interval -0.17 to 0.31
0.01 Supraventricular runs / hour
Standard Error 0.014 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Bradycardia Episodes Recorded During 24-Hour Holter Monitoring
Day 1
-0.04 Bradycardia episodes / hour
Standard Error 0.139 • Interval -0.25 to 0.24
-0.02 Bradycardia episodes / hour
Standard Error 0.083 • Interval -0.32 to 0.18
0.11 Bradycardia episodes / hour
Standard Error 0.193 • Interval -0.19 to 0.31
0.03 Bradycardia episodes / hour
Standard Error 0.036 • Interval -0.24 to 0.26
Change From Baseline in the Number of Bradycardia Episodes Recorded During 24-Hour Holter Monitoring
Day 14
-0.02 Bradycardia episodes / hour
Standard Error 0.111 • Interval -0.31 to 0.16
0.40 Bradycardia episodes / hour
Standard Error 0.210 • Interval -0.5 to -0.03
0.27 Bradycardia episodes / hour
Standard Error 0.283 • Interval -0.17 to 0.31
0.13 Bradycardia episodes / hour
Standard Error 0.132 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, and Day 14

Population: Safety Holter Monitoring Population: a sub-set of the safety population that had at least 18 hours of Holter monitoring data at Screening and at Day 1 and/or Day 14. Exclusions from this population were identified prior to database lock and unblinding.

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=57 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=57 Participants
Formoterol Fumarate 12 μg
Change From Baseline in the Number of Tachycardia Episodes Recorded During 24-Hour Holter Monitoring
Day 1
-0.16 Tachycardia episodes / hour
Standard Error 0.170 • Interval -0.25 to 0.24
-0.24 Tachycardia episodes / hour
Standard Error 0.209 • Interval -0.32 to 0.18
-0.02 Tachycardia episodes / hour
Standard Error 0.160 • Interval -0.19 to 0.31
-0.09 Tachycardia episodes / hour
Standard Error 0.197 • Interval -0.24 to 0.26
Change From Baseline in the Number of Tachycardia Episodes Recorded During 24-Hour Holter Monitoring
Day 14
-0.23 Tachycardia episodes / hour
Standard Error 0.146 • Interval -0.31 to 0.16
-0.34 Tachycardia episodes / hour
Standard Error 0.229 • Interval -0.5 to -0.03
0.22 Tachycardia episodes / hour
Standard Error 0.154 • Interval -0.17 to 0.31
-0.01 Tachycardia episodes / hour
Standard Error 0.206 • Interval 0.04 to 0.52

SECONDARY outcome

Timeframe: Baseline, Day 1, Day 7, and Day 14

Population: Safety Population

The secondary objectives of the study was to further characterize cardiovascular safety parameters of all treatment groups including the maximum 24-hour heart rate, mean night-time and day-time heart rate, ventricular ectopic events, ventricular couplets, ventricular runs, the number of supraventricular runs, and sustained ventricular tachycardia (VT), supraventricular ectopic events, and other clinically relevant arrhythmias (such as atrial fibrillation).

Outcome measures

Outcome measures
Measure
FF MDI (PT005)
n=60 Participants
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 Participants
GP MDI 36 mcg
GFF MDI (PT003)
n=60 Participants
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=59 Participants
Formoterol Fumarate 12 μg
Mean Change From Baseline in QTcF Interval
Day 1: Post-dose 30 minutes
1.53 msec
Standard Deviation 11.238 • Interval -0.25 to 0.24
4.67 msec
Standard Deviation 12.548 • Interval -0.32 to 0.18
3.27 msec
Standard Deviation 9.223 • Interval -0.19 to 0.31
3.71 msec
Standard Deviation 9.816 • Interval -0.24 to 0.26
Mean Change From Baseline in QTcF Interval
Day 1: Post-dose 2 hours
1.75 msec
Standard Deviation 13.861 • Interval -0.31 to 0.16
3.57 msec
Standard Deviation 12.866 • Interval -0.5 to -0.03
1.62 msec
Standard Deviation 13.785 • Interval -0.17 to 0.31
5.25 msec
Standard Deviation 11.709 • Interval 0.04 to 0.52
Mean Change From Baseline in QTcF Interval
Day 1: Post-dose 24 hours
-0.09 msec
Standard Deviation 13.309
1.23 msec
Standard Deviation 16.142
-1.43 msec
Standard Deviation 12.724
0.36 msec
Standard Deviation 10.989
Mean Change From Baseline in QTcF Interval
Day 7: Pre-dose
-1.80 msec
Standard Deviation 10.362
1.40 msec
Standard Deviation 14.713
1.06 msec
Standard Deviation 12.151
3.85 msec
Standard Deviation 12.599
Mean Change From Baseline in QTcF Interval
Day 14: Pre-dose
-0.59 msec
Standard Deviation 12.523
1.79 msec
Standard Deviation 13.028
-0.42 msec
Standard Deviation 11.910
1.53 msec
Standard Deviation 14.085
Mean Change From Baseline in QTcF Interval
Day 14: Post-dose 30 minutes
1.21 msec
Standard Deviation 13.350
4.10 msec
Standard Deviation 17.202
2.23 msec
Standard Deviation 13.194
1.20 msec
Standard Deviation 14.458
Mean Change From Baseline in QTcF Interval
Day 14: Post-dose 2 hours
0.44 msec
Standard Deviation 12.521
6.02 msec
Standard Deviation 16.774
5.01 msec
Standard Deviation 14.861
3.98 msec
Standard Deviation 14.135
Mean Change From Baseline in QTcF Interval
Day 14: Post-dose 24 hours
-1.32 msec
Standard Deviation 12.738
-0.05 msec
Standard Deviation 13.794
-1.93 msec
Standard Deviation 11.269
1.44 msec
Standard Deviation 16.086

Adverse Events

FF MDI (PT005)

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

GP MDI (PT001)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

GFF MDI (PT003)

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Foradil® Aerolizer®

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
FF MDI (PT005)
n=60 participants at risk
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 participants at risk
GP MDI 36 mcg
GFF MDI (PT003)
n=60 participants at risk
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=59 participants at risk
Formoterol Fumarate 12 μg
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.7%
1/60 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
0.00%
0/58 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/60 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/59 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.

Other adverse events

Other adverse events
Measure
FF MDI (PT005)
n=60 participants at risk
FF MDI 9.6 mcg
GP MDI (PT001)
n=58 participants at risk
GP MDI 36 mcg
GFF MDI (PT003)
n=60 participants at risk
GFF MDI 36/9.6 mcg
Foradil® Aerolizer®
n=59 participants at risk
Formoterol Fumarate 12 μg
Respiratory, thoracic and mediastinal disorders
Cough
3.3%
2/60 • Number of events 2 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
5.2%
3/58 • Number of events 3 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
0.00%
0/60 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/59 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
Infections and infestations
Nasopharyngitis
0.00%
0/60 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/58 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/60 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
5.1%
3/59 • Number of events 3 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
Nervous system disorders
Tremor
6.7%
4/60 • Number of events 5 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
0.00%
0/58 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/60 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.
1.7%
1/59 • Number of events 1 • Adverse events (AEs) and Serious Adverse Events (SAEs) were collected from the time the subject signs the informed consent form up to 14 days following the last dose of study drug.
All patients who were randomized to a treatment, received at least one dose of the study treatment, and had any safety data after starting study treatment. A patient who used a study treatment, but took less than one full dose qualified for this population.

Additional Information

Colin Reisner, MD, FCCP, FAAAAI

Pearl Therapeutics, Inc

Phone: 973-975-0320

Results disclosure agreements

  • Principal investigator is a sponsor employee Drafts of any and all publications or presentations of this study must be submitted at least 30 days prior to submission for publication or presentation to Pearl Therapeutics for review, approval, and to ensure consistency. Pearl Therapeutics has the right to request appropriate modification to correct facts and to represent its opinions, or the opinions of the publication committee, if these differ with the proposed publication.
  • Publication restrictions are in place

Restriction type: OTHER