Efficacy of Fixed Combination of Beclometasone + Formoterol + Glycopyrrolate in Chronic Obstructive Pulmonary Disease

NCT ID: NCT01911364

Last Updated: 2021-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

3686 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2016-03-31

Brief Summary

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The purpose of this study is to determine the triple combination of beclometasone dipropionate+Formoterol fumarate+Glycopyrrolate bromide is effective for the treatment of severe COPD patients (chronic obstructive pulmonary disease)

Detailed Description

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A 52-WEEK, DOUBLE BLIND, DOUBLE DUMMY, RANDOMIZED, 3-ARM PARALLEL GROUP, ACTIVE CONTROLLED CLINICAL TRIAL OF FIXED COMBINATION OF BECLOMETASONE DIPROPIONATE PLUS FORMOTEROL FUMARATE PLUS GLYCOPYRROLATE BROMIDE ADMINISTERED VIA PMDI (CHF 5993) VERSUS TIOTROPIUM BROMIDE AND VERSUS FIXED COMBINATION OF BECLOMETASONE DIPROPIONATE PLUS FORMOTEROL FUMARATE ADMINISTERED VIA PMDI AND TIOTROPIUM BROMIDE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

A total of 8 clinic visits (V0 to V7) will be performed during the study, as follows:

* A pre-screening visit (V0) to obtain the written informed consent from the patient
* A screening visit (V1) to establish the eligibility of patients, followed by a 2-week open-label run-in under Tiotropium
* After the randomisation (V2), patients will be assessed after 4, 12, 26, 40 and 52 weeks of treatment (V3 to V7) The assessments performed at visits include routine haematology and blood chemistry, medical history, physical examination, a 12-lead ECG, spirometric parameters, vital signs).

During the run-in and the randomised treatment periods, patients use an e-diary to record symptoms, rescue medication use and compliance to the study medications daily.

AEs/SAEs and COPD exacerbations will be monitored.

Conditions

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Chronic Obstructive Pulmonary Disease

Keywords

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Frequent exacerbators

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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BDP/FF/GB

CHF 5993 pMDI 100/6/12.5 mcg 2 inhalations b.i.d

Group Type EXPERIMENTAL

BDP/FF/GB

Intervention Type DRUG

Superiority over Tiotropium

Tiotropium

Tiotropium bromide 18 mcg

Group Type ACTIVE_COMPARATOR

Tiotropium

Intervention Type DRUG

Superiority of CHF5993 over Tiotropium

BDP/FF + Tiotropium

BDP/FF pMDI 100/6/12.5 mcg 2 inhalations b.i.d and Tiotropium 18 mcg daily

BDP/FF/GB versus BDP/FF + Tiotropium

Group Type ACTIVE_COMPARATOR

BDP/FF + Tiotropium

Intervention Type DRUG

non inferiority vs CHF5993

Interventions

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BDP/FF/GB

Superiority over Tiotropium

Intervention Type DRUG

Tiotropium

Superiority of CHF5993 over Tiotropium

Intervention Type DRUG

BDP/FF + Tiotropium

non inferiority vs CHF5993

Intervention Type DRUG

Other Intervention Names

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CHF 5993 pMDI 100/6/12.5 mcg Spiriva 18 mcg 1 capsule o.d Foster 100/6 mcg 2 inhalations bid + Spiriva 18 mcg o.d.

Eligibility Criteria

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Inclusion Criteria

* Male and female COPD patients aged ≥ 40 years
* Current smokers or ex-smokers
* FEV1\<50% predicted (FEV1/FVC \<0,7)
* at least 1 documented exacerbations in the last 12 Mo

Exclusion Criteria

* Pregnant or lactating women and all women physiologically capable of becoming pregnant
* Diagnosis of asthma, history of allergic rhinitis or atopy
* Patients treated for exacerbations 1 Mo prior to screening
* Patients treated with non-cardioselective β-blockers
* Patients treated with long-acting antihistamines
* Known respiratory disorders other than COPD
* Patients who have clinically significant cardiovascular condition
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chiesi Farmaceutici S.p.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jorgen Vestbo, MD

Role: PRINCIPAL_INVESTIGATOR

Respiratory Research Group, Wythenshawe Hospital, MANCHESTER

Locations

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Institut für klinische Forschung

Hessen, , Germany

Site Status

Csongrád Megyei Mellkasi Betegségek Szakkórháza

Szeged, , Hungary

Site Status

Azienda Ospedaliera Perugia

Perugia, , Italy

Site Status

Countries

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Germany Hungary Italy

References

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Vanfleteren L, Fabbri LM, Papi A, Petruzzelli S, Celli B. Triple therapy (ICS/LABA/LAMA) in COPD: time for a reappraisal. Int J Chron Obstruct Pulmon Dis. 2018 Dec 12;13:3971-3981. doi: 10.2147/COPD.S185975. eCollection 2018.

Reference Type BACKGROUND
PMID: 30587953 (View on PubMed)

Singh D, Fabbri LM, Vezzoli S, Petruzzelli S, Papi A. Extrafine triple therapy delays COPD clinically important deterioration vs ICS/LABA, LAMA, or LABA/LAMA. Int J Chron Obstruct Pulmon Dis. 2019 Feb 28;14:531-546. doi: 10.2147/COPD.S196383. eCollection 2019.

Reference Type BACKGROUND
PMID: 30880943 (View on PubMed)

Singh D, Fabbri LM, Corradi M, Georges G, Guasconi A, Vezzoli S, Petruzzelli S, Papi A. Extrafine triple therapy in patients with symptomatic COPD and history of one moderate exacerbation. Eur Respir J. 2019 May 18;53(5):1900235. doi: 10.1183/13993003.00235-2019. Print 2019 May.

Reference Type BACKGROUND
PMID: 30792343 (View on PubMed)

Vestbo J, Papi A, Corradi M, Blazhko V, Montagna I, Francisco C, Cohuet G, Vezzoli S, Scuri M, Singh D. Single inhaler extrafine triple therapy versus long-acting muscarinic antagonist therapy for chronic obstructive pulmonary disease (TRINITY): a double-blind, parallel group, randomised controlled trial. Lancet. 2017 May 13;389(10082):1919-1929. doi: 10.1016/S0140-6736(17)30188-5. Epub 2017 Apr 3.

Reference Type RESULT
PMID: 28385353 (View on PubMed)

Related Links

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https://www.clinicaltrialsregister.eu/ctr-search/trial/2013-000063-91/results

Study Record on EU Clinical Trials Register including results

https://www.chiesi.com/clinic/CSR_Synopsis_CCD-1208-PR-0090.pdf

CSR Synopsis available in the CHIESI Clinical Study Register

Other Identifiers

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2013-000063-91

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CCD-1208-PR-0090

Identifier Type: -

Identifier Source: org_study_id