Efficacy of Fixed Combination of Beclometasone + Formoterol + Glycopyrrolate Versus Foster® in COPD

NCT ID: NCT01917331

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

1368 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-31

Study Completion Date

2016-03-31

Brief Summary

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Randomized,double-blind,multicenter,multinational,parallel-group,Phase III study to demonstrate the superiority of the triple fixed combination of Beclometasone+Formoterol+Glycopyrrolate (BDP/FF/GB) administered via pMDI over the equivalent dose of Foster® in COPD (Chronic Obstructive Pulmonary Disease) patients after 52 weeks of treatment

Detailed Description

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This 52-week randomised 2 parallel groups study aimed at evaluating the superiority of fixed triple therapy with ICS/LABA/LAMA compared to ICS/LABA in severe to very severe COPD patients.

Patients' eligibility was checked during the screening visit including the review of medical history, spirometry assessments, routine labs, physical examination, 12-lead ECG, vital signs measurement. This visit was followed by a 2-week open-label run-in period under Foster® (BDP/FF 400/24 µg total daily dose). Eligible patients were then randomised to either fixed triple therapy BDP/FF/GB or BDP/FF. During the 52-week treatment period, completing patients did have 5 subsequent visits post randomisation scheduled respectively after 4 (Visit 3), 12 (Visit 4), 26 (Visit 5), 40 (Visit 6) and 52 (Visit 7) weeks of treatment.

During these, pre-dose and post-dose spirometry, 12-lead ECG, vital signs, dyspnea assessments were performed. Rescue medication use, compliance with the treatment and EXACT-PRO questionnaire were recorded daily (via an electronic diary) during the run-in and randomised treatment periods.

Conditions

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Chronic Obstructive Pulmonary Disease

Keywords

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spirometry severe COPD lung disease fixed combination

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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Beclometasone/Formoterol/Glycopyrrolate

CHF 5993 pMDI 100/6/12.5 mcg 2 inhalations bid

Group Type EXPERIMENTAL

Beclometasone/Formoterol/Glycopyrrolate

Intervention Type DRUG

Active drug tested

Beclometasone/Formoterol

Foster® 100/6 mcg 2 inhalations bid

Group Type ACTIVE_COMPARATOR

Beclometasone/Formoterol

Intervention Type DRUG

Active comparator

Interventions

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Beclometasone/Formoterol/Glycopyrrolate

Active drug tested

Intervention Type DRUG

Beclometasone/Formoterol

Active comparator

Intervention Type DRUG

Other Intervention Names

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BDP/FF/GB or CHF 5993 pMDI 100/6/12.5 mcg Foster® or CHF 1535 pMDI 100/6 mcg

Eligibility Criteria

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Inclusion Criteria

* Male or female adults aged ≥ 40 years with a diagnosis of COPD
* Current smokers or ex-smokers
* A post-bronchodilator FEV1 \< 50% of the predicted normal value and a post- bronchodilator FEV1/FVC \< 0.7
* At least one exacerbation in the 12 months preceding the screening visit

Exclusion Criteria

* Pregnant or lactating women
* Diagnosis of asthma or history of allergic rhinitis or atopy
* Patients treated with non-cardioselective β-blockers in the month preceding the screening visit
* Patients treated for exacerbations in the 4 weeks prior to screening visit
* Patients treated with long-acting antihistamines unless taken at stable regimen at least 2 months prior to screening and to be maintained constant during the study or if taken as PRN
* Patients requiring long term (at least 12 hours daily) oxygen therapy for chronic hypoxemia
* 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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Dave SINGH, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of South Manchester, MANCHESTER M23 9 QZ, UK

Locations

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Dr Beatrix BALINT

Szeged, , Hungary

Site Status

Countries

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Hungary

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)

Singh D, Papi A, Corradi M, Pavlisova I, Montagna I, Francisco C, Cohuet G, Vezzoli S, Scuri M, Vestbo J. Single inhaler triple therapy versus inhaled corticosteroid plus long-acting beta2-agonist therapy for chronic obstructive pulmonary disease (TRILOGY): a double-blind, parallel group, randomised controlled trial. Lancet. 2016 Sep 3;388(10048):963-73. doi: 10.1016/S0140-6736(16)31354-X. Epub 2016 Sep 1.

Reference Type RESULT
PMID: 27598678 (View on PubMed)

Related Links

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https://www.clinicaltrialsregister.eu/ctr-search/search?query=CCD-1207-PR-0091

EU Clinical Trial Register - Study Record including results

https://www.chiesi.com/clinic/CSR_Synopsis_CCD-1207-PR-0091.pdf

CSR Synopsis available in the CHIESI Clinical Study Register

Other Identifiers

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CCD-1207-PR-0091

Identifier Type: -

Identifier Source: org_study_id