Efficacy and Tolerability of Symbicort as an add-on Treatment to Spiriva Compare With Spiriva Alone in Patients With Severe Chronic Obstructive Pulmonary Disease (COPD)

NCT ID: NCT01397890

Last Updated: 2015-03-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

793 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2013-06-30

Brief Summary

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This is a multicentre study with a randomised, parallel group, open-label, 3-month phase IV design to assess the efficacy and tolerability of Symbicort as an add-on treatment to Spiriva compare with Spiriva alone in patients with severe chronic obstructive pulmonary disease (COPD).

Detailed Description

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Conditions

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Chronic Obstructive Pulmonary Disease (COPD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Add-on treatment

Group Type OTHER

Budesonide/formoterol (Symbicort® Turbuhaler®)

Intervention Type DRUG

Budesonide/formoterol (Symbicort® Turbuhaler®) 160/4.5μg/inhalation, 2 inhalations twice daily

Tiotropium (SpirivaTM)

Intervention Type DRUG

Tiotropium (SpirivaTM) 18 μg/inhalation, 1 inhalation once daily

2

Add-on treatment

Group Type OTHER

Tiotropium (SpirivaTM)

Intervention Type DRUG

Tiotropium (SpirivaTM) 18 μg/inhalation, 1 inhalation once daily

Interventions

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Budesonide/formoterol (Symbicort® Turbuhaler®)

Budesonide/formoterol (Symbicort® Turbuhaler®) 160/4.5μg/inhalation, 2 inhalations twice daily

Intervention Type DRUG

Tiotropium (SpirivaTM)

Tiotropium (SpirivaTM) 18 μg/inhalation, 1 inhalation once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed and dated informed consent
* Men or women patients ≥40 years of age
* Diagnosis of COPD with symptoms for more than 2 years and there is a history of at least one COPD exacerbation requiring a course of oral steroids and/or antibiotics within 1-12 months before Visit 2
* Forced Expiratory Volume in 1 second (FEV1) ≤50% of predicted normal value, pre-bronchodilator and Forced Expiratory Volume in 1 second (FEV1) / Forced Vital Capacity (FVC) \< 70%, pre-bronchodilator
* Total symptom score of 2 or more per day for at least half of run-in period (breathing, cough and sputum scores from the diary card) and complete morning recordings of Digital Peak Flow Meter data at least 7 out of the last 10 days of the run-in period

Exclusion Criteria

* A history of asthma and seasonal allergic rhinitis before 40 years of age
* Patients who have experienced exacerbation of COPD requiring hospitalisation and /or emergency room treatment and/or a course of oral steroids and/or intravenous corticosteroids and/or antibiotics within 4 weeks prior to Visit 2 and/or during run-in period and also the patients who use of systemic glucocorticosteroids (GCS) within 4 weeks and/or inhaled GCS within 2 weeks prior to Visit 2 and/or during run-in period
* Patients with relevant cardiovascular disorder judged by the investigator
* Patients with glaucoma, prostatic hyperplasia or bladder-neck obstruction judged by the investigator
* Women who are pregnant, breast-feeding or of child-bearing potential judged by the investigator
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Samuel Chen, M.D.

Role: STUDY_CHAIR

AstraZeneca Pharmaceutical Co., Ltd., Shanghai, China

Locations

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Research Site

Beijing, Beijing Municipality, China

Site Status

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Guangzhou, Guangdong, China

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Changsha, Hunan, China

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Changchun, Jilin, China

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Shenyang, Liaoning, China

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Shanghai, Shanghai Municipality, China

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Taiyuan, Shanxi, China

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Guangzhou, , China

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Kowloon, HK, Hong Kong

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Hong Kong, Hong Kong, Hong Kong

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Hong Kong, , Hong Kong

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Jakarta, , Indonesia

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Solo, , Indonesia

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Surabaya, , Indonesia

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Wŏnju, Gangwon-do, South Korea

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Suwon, Gyeonggi-do, South Korea

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Jinju, Gyeongsangnam-do, South Korea

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Busan, , South Korea

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Daegu, , South Korea

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Gwangju, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Muang, Changwat Nan, Thailand

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Nonthaburi, Changwat Nonthaburi, Thailand

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Chiang Mai, Thailand, Thailand

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Bangkok, , Thailand

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Chon Buri, , Thailand

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Khon Kaen, , Thailand

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Phitsanulok, , Thailand

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Songkhla, , Thailand

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Research Site

Udon Thani, , Thailand

Site Status

Countries

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China Hong Kong Indonesia South Korea Thailand

References

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Lee SD, Xie CM, Yunus F, Itoh Y, Ling X, Yu WC, Kiatboonsri S. Efficacy and tolerability of budesonide/formoterol added to tiotropium compared with tiotropium alone in patients with severe or very severe COPD: A randomized, multicentre study in East Asia. Respirology. 2016 Jan;21(1):119-27. doi: 10.1111/resp.12646. Epub 2015 Sep 23.

Reference Type DERIVED
PMID: 26394882 (View on PubMed)

Other Identifiers

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D589BL00023

Identifier Type: -

Identifier Source: org_study_id

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