Trial Outcomes & Findings for PT001 MDI Versus Atrovent Study in Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT01350128)

NCT ID: NCT01350128

Last Updated: 2018-06-20

Results Overview

FEV1 AUC0-12 following chronic dosing (1 week), normalized.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

103 participants

Primary outcome timeframe

Day 7 ( -1 hour, -30 min, 15 min, 30 min, 1 hour, 2 hours, 4 hours, 5.5 hours, 6.5 hours, 8 hours, 10 hours, 11.5 hours, and 12 hours)

Results posted on

2018-06-20

Participant Flow

Conducted at 9 US sites from May-October 2011. Entire period of study participation per subject was a maximum of 15 weeks. Planned target enrollment of 84 subjects.

This was a chronic dosing study (7 days), 3-period, 6-treatment, incomplete block, crossover study. Each subject received 3 of 6 possible treatments; each treatment period was separated by a washout period 7-28 days. By-treatment sequence tabulations of the data were not pre-specified.

Participant milestones

Participant milestones
Measure
All Subjects Randomized
Overall Study
STARTED
103
Overall Study
GP MDI 36 µg BID
49
Overall Study
GP MDI 18 µg BID
49
Overall Study
GP MDI 9 µg BID
49
Overall Study
GP MDI 4.6 µg BID
45
Overall Study
Placebo MDI BID
48
Overall Study
Atrovent HFA 34 µg BID
48
Overall Study
COMPLETED
89
Overall Study
NOT COMPLETED
14

Reasons for withdrawal

Reasons for withdrawal
Measure
All Subjects Randomized
Overall Study
Withdrawal by Subject
3
Overall Study
Protocol discontinuation criteria
8
Overall Study
Physician Decision
1
Overall Study
Lost to Follow-up
2

Baseline Characteristics

PT001 MDI Versus Atrovent Study in Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ITT Population
n=103 Participants
ITT Population includes all subjects who were randomized, received at least 1 dose of study treatment, and had both baseline and post-baseline efficacy data for that treatment.
Age, Continuous
61.2 years
STANDARD_DEVIATION 8.19 • n=5 Participants
Sex: Female, Male
Female
48 Participants
n=5 Participants
Sex: Female, Male
Male
55 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 7 ( -1 hour, -30 min, 15 min, 30 min, 1 hour, 2 hours, 4 hours, 5.5 hours, 6.5 hours, 8 hours, 10 hours, 11.5 hours, and 12 hours)

Population: Modified Intent to Treat (MITT) Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

FEV1 AUC0-12 following chronic dosing (1 week), normalized.

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=40 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=41 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=41 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=39 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=42 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=40 Participants
Placebo MDI BID.
FEV1 AUC0-12
1.477 Liter
Interval 1.418 to 1.537
1.497 Liter
Interval 1.437 to 1.556
1.443 Liter
Interval 1.385 to 1.501
1.514 Liter
Interval 1.456 to 1.572
1.465 Liter
Interval 1.405 to 1.524
1.323 Liter
Interval 1.263 to 1.382

SECONDARY outcome

Timeframe: Day 1

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Highest value of FEV1 post-dose minus baseline on Day 1 (baseline-adjusted)

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=45 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=46 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=44 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=41 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=44 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=46 Participants
Placebo MDI BID.
Peak Change From Baseline in FEV1 on Day 1
0.245 Liter
95% Confidence Interval 0.0252 • Interval 0.195 to 0.295
0.221 Liter
95% Confidence Interval 0.0247 • Interval 0.172 to 0.27
0.181 Liter
95% Confidence Interval 0.0256 • Interval 0.13 to 0.232
0.204 Liter
95% Confidence Interval 0.0206 • Interval 0.153 to 0.255
0.250 Liter
95% Confidence Interval 0.0258 • Interval 0.198 to 0.301
0.071 Liter
95% Confidence Interval 0.0251 • Interval 0.021 to 0.12

SECONDARY outcome

Timeframe: Day 1 (15 min, 30 min, 1 hour, 2 hours)

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Time to onset of action ( ≥10% improvement in FEV1)

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=44 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=45 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=43 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=40 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=44 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=45 Participants
Placebo MDI BID.
Time to Onset of Action ( ≥10% Improvement in FEV1) on Day 1
30 minutes
32 % of subjects
18 % of subjects
7 % of subjects
20 % of subjects
25 % of subjects
9 % of subjects
Time to Onset of Action ( ≥10% Improvement in FEV1) on Day 1
15 minutes
32 % of subjects
31 % of subjects
19 % of subjects
25 % of subjects
48 % of subjects
7 % of subjects
Time to Onset of Action ( ≥10% Improvement in FEV1) on Day 1
1 hour
5 % of subjects
11 % of subjects
23 % of subjects
8 % of subjects
9 % of subjects
4 % of subjects
Time to Onset of Action ( ≥10% Improvement in FEV1) on Day 1
2 hours
2 % of subjects
13 % of subjects
14 % of subjects
15 % of subjects
2 % of subjects
13 % of subjects
Time to Onset of Action ( ≥10% Improvement in FEV1) on Day 1
No onset within 2 hours
30 % of subjects
27 % of subjects
37 % of subjects
33 % of subjects
16 % of subjects
67 % of subjects

SECONDARY outcome

Timeframe: Day 1

Population: MITT Population: This includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Proportion of subjects achieving at least 12% improvement in FEV1 (relative to baseline)

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=45 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=46 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=44 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=41 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=45 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=46 Participants
Placebo MDI BID.
Proportion of Subjects Achieving at Least 12% Improvement in FEV1 on Day 1
66.67 Percent
58.70 Percent
52.27 Percent
60.98 Percent
77.78 Percent
17.39 Percent

SECONDARY outcome

Timeframe: Day 1

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Peak change from baseline in Inspiratory Capacity (IC) on Day 1 (mean of 1 and 2 hours post-dose minus baseline on Day 1)

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=45 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=45 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=44 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=41 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=45 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=46 Participants
Placebo MDI BID.
Peak Change From Baseline in IC on Day 1
0.240 Liter
95% Confidence Interval 0.0379 • Interval 0.165 to 0.316
0.276 Liter
95% Confidence Interval 0.0377 • Interval 0.201 to 0.351
0.185 Liter
95% Confidence Interval 0.0374 • Interval 0.111 to 0.259
0.187 Liter
95% Confidence Interval 0.0380 • Interval 0.111 to 0.262
0.252 Liter
95% Confidence Interval 0.0396 • Interval 0.173 to 0.33
0.040 Liter
95% Confidence Interval 0.0385 • Interval -0.036 to 0.117

SECONDARY outcome

Timeframe: Day 7

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Change from baseline in morning pre-dose FEV1

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=45 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=45 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=43 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=41 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=43 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=46 Participants
Placebo MDI BID.
Change From Baseline in Morning Pre-dose FEV1 on Day 7
0.088 Liter
95% Confidence Interval 0.0246 • Interval 0.039 to 0.136
0.075 Liter
95% Confidence Interval 0.0245 • Interval 0.027 to 0.124
0.010 Liter
95% Confidence Interval 0.0248 • Interval -0.039 to 0.059
0.084 Liter
95% Confidence Interval 0.0247 • Interval 0.035 to 0.133
-0.088 Liter
95% Confidence Interval 0.0256 • Interval -0.138 to -0.037
-0.043 Liter
95% Confidence Interval 0.0246 • Interval -0.092 to 0.006

SECONDARY outcome

Timeframe: Day 7

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Peak change from baseline in FEV1

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=45 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=45 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=43 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=41 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=43 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=44 Participants
Placebo MDI BID.
Peak Change From Baseline in FEV1 on Day 7
0.242 Liter
95% Confidence Interval 0.0303 • Interval 0.181 to 0.302
0.224 Liter
95% Confidence Interval 0.0300 • Interval 0.164 to 0.284
0.223 Liter
95% Confidence Interval 0.0307 • Interval 0.162 to 0.285
0.238 Liter
95% Confidence Interval 0.0308 • Interval 0.176 to 0.3
0.225 Liter
95% Confidence Interval 0.0307 • Interval 0.164 to 0.287
0.070 Liter
95% Confidence Interval 0.0305 • Interval 0.009 to 0.131

SECONDARY outcome

Timeframe: Day 7

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Peak change from baseline in IC

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=45 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=45 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=43 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=41 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=43 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=44 Participants
Placebo MDI BID.
Peak Change From Baseline in IC on Day 7
0.213 Liters
95% Confidence Interval 0.0416 • Interval 0.13 to 0.295
0.189 Liters
95% Confidence Interval 0.0411 • Interval 0.107 to 0.271
0.161 Liters
95% Confidence Interval 0.0424 • Interval 0.077 to 0.245
0.192 Liters
95% Confidence Interval 0.0426 • Interval 0.107 to 0.277
0.191 Liters
95% Confidence Interval 0.0424 • Interval 0.106 to 0.275
-0.029 Liters
95% Confidence Interval 0.0419 • Interval -0.112 to 0.055

SECONDARY outcome

Timeframe: Day 7

Population: MITT Population includes subjects who completed at least 2 treatment periods, with minimally 1 pre-dose assessment on Day 7 for each of those 2 treatment periods with no protocol deviations believed to have a potential impact on efficacy results.

Change from baseline in 12-hour post-dose trough FEV1

Outcome measures

Outcome measures
Measure
PT001 MDI 36 µg BID
n=40 Participants
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=41 Participants
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=41 Participants
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=39 Participants
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=42 Participants
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo MDI BID
n=41 Participants
Placebo MDI BID.
Change From Baseline in 12-hour Post-dose Trough FEV1 on Day 7
0.018 Liters
95% Confidence Interval 0.0313 • Interval -0.045 to 0.08
0.079 Liters
95% Confidence Interval 0.0304 • Interval 0.018 to 0.139
0.004 Liters
95% Confidence Interval 0.0306 • Interval -0.057 to 0.065
0.077 Liters
95% Confidence Interval 0.0307 • Interval 0.016 to 0.139
-0.041 Liters
95% Confidence Interval 0.0311 • Interval -0.103 to 0.021
-0.054 Liters
95% Confidence Interval 0.0316 • Interval -0.117 to 0.009

Adverse Events

PT001 MDI 36 µg BID

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

PT001 MDI 18 µg BID

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

PT001 MDI 9 µg BID

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

PT001 MDI 4.6 µg BID

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Ipratropium Bromide HFA Inhalation Aerosol

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo BID

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

Serious adverse events

Serious adverse events
Measure
PT001 MDI 36 µg BID
n=49 participants at risk
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=49 participants at risk
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=49 participants at risk
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=45 participants at risk
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=48 participants at risk
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo BID
n=48 participants at risk
Placebo BID.
Respiratory, thoracic and mediastinal disorders
COPD Exacerbation
0.00%
0/49 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/49 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/49 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
2.2%
1/45 • Number of events 1 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/48 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/48 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
Vascular disorders
Deep Vein Thrombosis
0.00%
0/49 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/49 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/49 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/45 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
2.1%
1/48 • Number of events 1 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
0.00%
0/48 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received

Other adverse events

Other adverse events
Measure
PT001 MDI 36 µg BID
n=49 participants at risk
PT001 MDI 36 µg BID.
PT001 MDI 18 µg BID
n=49 participants at risk
PT001 MDI 18 µg BID.
PT001 MDI 9 µg BID
n=49 participants at risk
PT001 MDI 9 µg BID
PT001 MDI 4.6 µg BID
n=45 participants at risk
PT001 MDI 4.6 µg BID.
Ipratropium Bromide HFA Inhalation Aerosol
n=48 participants at risk
Ipratropium Bromide HFA Inhalation Aerosol 34 µg QID.
Placebo BID
n=48 participants at risk
Placebo BID.
Gastrointestinal disorders
Dry Mouth
2.0%
1/49 • Number of events 1 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
4.1%
2/49 • Number of events 2 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
8.2%
4/49 • Number of events 4 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
8.9%
4/45 • Number of events 4 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
6.2%
3/48 • Number of events 3 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received
2.1%
1/48 • Number of events 1 • Adverse events were collected from the time the subject signed consent up to the follow-up phone call 7-14 days after last dose of study drug.
Safety population included all participants who received at least one dose of investigational drug and had safety data available; participants were included in safety population according to the investigational drug received

Additional Information

Colin Reisner, MD, FCCP, FAAAAI

Pearl Therapeutics, Inc

Phone: 650-305-2600

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