Efficacy, Safety, and Tolerability of NVA237 Compared to Tiotropium in Patients With Chronic Obstructive Pulmonary Disease (COPD)

NCT ID: NCT01613326

Last Updated: 2014-04-23

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

657 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2013-01-31

Brief Summary

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This study compared the efficacy and safety of NVA237 with tiotropium in patients with moderate to severe COPD. Tiotropium belongs to the same drug class as NVA237.

Detailed Description

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This was a randomized, blinded, double-dummy, parallel-group 12-week study to assess the efficacy, safety, and tolerability of NVA237 (50 μg o.d.) compared to tiotropium (18 μg o.d.) in patients with chronic obstructive pulmonary disease (COPD).

Conditions

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Chronic Obstructive Pulmonary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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NVA237

NVA237 50 μg once a day and placebo to tiotropium once a day during 85 days. Salbutamol/albuterol was provided as rescue medication.

Group Type EXPERIMENTAL

NVA237

Intervention Type DRUG

NVA237 50 μg inhalation capsules once a day, delivered via SDDPI

Placebo to tiotropium

Intervention Type DRUG

Placebo to tiotropium 18 μg o.d. once a day delivered via HandiHaler® device.

salbutamol/albuterol

Intervention Type DRUG

salbutamol/albuterol given as a rescue medication via inhaler when needed

Tiotropium

Tiotropium 18 μg once a day and placebo to NVA237 once a day during 85 days. Salbutamol/albuterol was provided as rescue medication.

Group Type ACTIVE_COMPARATOR

Tiotropium

Intervention Type DRUG

Tiotropium 18 μg once a day delivered via HandiHaler® device

Placebo to NVA237

Intervention Type DRUG

Placebo to NVA237 50 μg once a day delivered via SDDPI

Interventions

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NVA237

NVA237 50 μg inhalation capsules once a day, delivered via SDDPI

Intervention Type DRUG

Tiotropium

Tiotropium 18 μg once a day delivered via HandiHaler® device

Intervention Type DRUG

Placebo to tiotropium

Placebo to tiotropium 18 μg o.d. once a day delivered via HandiHaler® device.

Intervention Type DRUG

Placebo to NVA237

Placebo to NVA237 50 μg once a day delivered via SDDPI

Intervention Type DRUG

salbutamol/albuterol

salbutamol/albuterol given as a rescue medication via inhaler when needed

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with moderate to severe stable COPD (Stage II or Stage III) according to the current GOLD Guidelines (GOLD 2010).
* Patients with a post-bronchodilator Forced Expiratory Volume in 1 second (FEV1) ≥ 30% and \< 80% of the predicted normal, and a post-bronchodilator FEV1/ Forced Vital Capacity (FVC) \< 0.70 at screening
* Current or ex-smokers who have a smoking history of at least 10 pack years (e.g. 10 pack years = 1 pack/day x 10 yrs, or ½ pack/day x 20 yrs).
* Symptomatic patients, according to daily electronic diary data between Visit 2 (Day -14) 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

* Pregnant or nursing (lactating) women
* Patients who, in the judgment of the investigator, or the responsible Novartis personnel, have a clinically relevant laboratory abnormality or a clinically significant condition before Visit 1.
* Patients with narrow-angle glaucoma, symptomatic benign prostatic hyperplasia or bladder-neck obstruction or moderate to severe renal impairment or urinary retention. (BPH patients who are stable on treatment can be considered).
* Patients receiving medications in the classes listed in the protocol as prohibited.
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

Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Gatineau, Quebec, Canada

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Mirabel, Quebec, Canada

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Saint-Charles-Borromée, Quebec, Canada

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Sisak, Croatia, Croatia

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Zagreb, Croatia, Croatia

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Zagreb, , Croatia

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Cvikov, Czech Republic, Czechia

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Liberec, Czech Republic, Czechia

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Prague, Czech Republic, Czechia

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Prague, Czech Republic, Czechia

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Prague, Czech Republic, Czechia

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Rudná, Czech Republic, Czechia

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Teplice, Czech Republic, Czechia

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Žatec, Czech Republic, Czechia

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Tartu, Estonia, Estonia

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Paide, , Estonia

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Tallinn, , Estonia

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Tallinn, , Estonia

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Beuvry, France, France

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Lyon, , France

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Nantes, , France

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Reims, , France

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Berlin, Germany, Germany

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Berlin, Germany, Germany

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Leipzig, Germany, Germany

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Wiesbaden, Germany, Germany

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Berlin, , Germany

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Frankfurt, , Germany

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Hamburg, , Germany

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Kassel, , Germany

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Potsdam, , Germany

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Rüdersdorf, , Germany

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Guatemala City, Departamento de Guatemala, Guatemala

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Guatemala City, Departamento de Guatemala, Guatemala

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Guntur, Andhra Pradesh, India

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Ahmedabad, Gujarat, India

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Chennai - Tamil Nadu, India, India

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Bangalore, Karnataka, India

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Nagpur, Maharashtra, India

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Coimbatore, Tamil Nadu, India

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Coimbatore, Tamil Nadu, India

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Daugavpils, , Latvia

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Riga, , Latvia

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Alytus, , Lithuania

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Kaunas, , Lithuania

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Klaipėda, , Lithuania

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Klaipėda, , Lithuania

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Utena, , Lithuania

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Vilnius, , Lithuania

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Vilnius, , Lithuania

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Lipa City, Batangas, Philippines

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Bulacan, Philippines, Philippines

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Manila, Philippines, Philippines

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Quezon City, , Philippines

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Gdansk, , Poland

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Gdansk, , Poland

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Katowice, , Poland

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Poznan, , Poland

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Wroclaw, , Poland

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Cape Town, , South Africa

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Cape Town, , South Africa

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Gatesville, , South Africa

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Busan, Busan, South Korea

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Bucheon-si, Gyeonggi-do, South Korea

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Seoul, Seoul, South Korea

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Seoul, Seoul, South Korea

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Daegu, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Chiayi City, Taiwan, Taiwan

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Niaosong Township, Taiwan, Taiwan

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Taichung, Taiwan, Taiwan

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Taipei County, Taiwan, Taiwan

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Novartis Investigative Site

Chiayi City, , Taiwan

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Countries

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Canada Croatia Czechia Estonia France Germany Guatemala India Latvia Lithuania Philippines Poland South Africa South Korea Taiwan

References

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Chapman KR, Beeh KM, Beier J, Bateman ED, D'Urzo A, Nutbrown R, Henley M, Chen H, Overend T, D'Andrea P. A blinded evaluation of the efficacy and safety of glycopyrronium, a once-daily long-acting muscarinic antagonist, versus tiotropium, in patients with COPD: the GLOW5 study. BMC Pulm Med. 2014 Jan 17;14:4. doi: 10.1186/1471-2466-14-4.

Reference Type DERIVED
PMID: 24438744 (View on PubMed)

Other Identifiers

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2011-000960-93

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CNVA237A2314

Identifier Type: -

Identifier Source: org_study_id

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