Efficacy and Safety Trial of 12 Weeks of Treatment With Nebulized SUN-101 in Patients With COPD

NCT ID: NCT02347761

Last Updated: 2018-03-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

653 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2015-11-30

Brief Summary

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This is a trial of 12 weeks of treatment with nebulized SUN-101 using an Investigational eFlow® Closed System (CS) nebulizer in subjects with chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD 2014) guidelines.

Detailed Description

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This is a Phase 3, randomized, double-blind, placebo-controlled, parallel-group, multicenter, efficacy and safety trial of 12 weeks of treatment with nebulized SUN-101 using an Investigational eFlow® Closed System (CS) nebulizer in approximately 645 subjects with chronic obstructive pulmonary disease (COPD) according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD 2014) guidelines.

SUN-101 or placebo will be administered twice daily as an oral inhalation using the investigational eFlow CS nebulizer. Approximately 150 subjects will be enrolled in the substudy (at selected sites only). These subjects will be required to participate in serial spirometry, vital signs, ECGs, and an additional Holter monitor assessment at Visit 6 (Week 12). This subset of subjects will be referred to as the Substudy Population.

Conditions

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COPD

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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SUN-101 50 mcg BID eFlow (CS) nebulizer

SUN-101 50 mcg twice daily (BID) eFlow (R) Closed System (CR) nebulizer

Group Type EXPERIMENTAL

SUN-101 50 mcg BID eFlow (CS) nebulizer

Intervention Type DRUG

SUN-101 50 mcg twice daily (BID) eFlow Closed System (CS) nebulizer

SUN-101 25 mcg BID eFlow (CS) nebulizer

SUN-101 25 mcg twice daily (BID) eFlow (R) Closed System (CR) nebulizer

Group Type EXPERIMENTAL

SUN-101 25 mcg BID eFlow (CS) nebulizer

Intervention Type DRUG

SUN-101 25 mcg twice daily (BID) eFlow Closed System (CS) nebulizer

Placebo BID eFlow (CS) nebulizer

Placebo twice daily (BID) eFlow (R) Closed System (CR) nebulizer

Group Type PLACEBO_COMPARATOR

Placebo BID eFlow Closed System (CS) nebulizer

Intervention Type DRUG

Placebo twice daily (BID) eFlow Closed System (CS) nebulizer

Interventions

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SUN-101 50 mcg BID eFlow (CS) nebulizer

SUN-101 50 mcg twice daily (BID) eFlow Closed System (CS) nebulizer

Intervention Type DRUG

SUN-101 25 mcg BID eFlow (CS) nebulizer

SUN-101 25 mcg twice daily (BID) eFlow Closed System (CS) nebulizer

Intervention Type DRUG

Placebo BID eFlow Closed System (CS) nebulizer

Placebo twice daily (BID) eFlow Closed System (CS) nebulizer

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients age ≥ 40 years, inclusive
2. A clinical diagnosis of COPD according to the GOLD 2014 guidelines
3. Current smokers or ex-smokers with at least 10 pack-year smoking history (eg, at least 1 pack/day for 10 years, or equivalent)
4. Post-bronchodilator (following inhalation of ipratropium bromide) FEV1 \< 80% of predicted normal and \> 0.7 L during Screening (Visit 1)
5. Post-bronchodilator (following inhalation of ipratropium bromide) FEV1/FVC ratio \< 0.70 during Screening (Visit 1)
6. Ability to perform reproducible spirometry according to the American Thoracic Society (ATS) and European Respiratory Society (ERS) guidelines (2005)
7. Subject, if female ≤ 65 years of age and of child bearing potential, must have a negative serum pregnancy test at Visit 1. Females of childbearing potential must be instructed to and agree to avoid pregnancy during the study and must use an acceptable method of birth control: a) an oral contraceptive, an intrauterine device (IUD), implantable contraceptive, transdermal or injectable contraceptive for at least 1 month prior to entering the study with continued use throughout the study and for thirty days following participation; b) barrier method of contraception, eg, condom and /or diaphragm with spermicide while participating in the study; and/or c) abstinence
8. Willing and able to provide written informed consent
9. Willing and able to attend all study visits and adhere to all study assessments and procedures

Exclusion Criteria

1. Severe comorbidities including unstable cardiac or pulmonary disease or any other medical conditions that would, in the opinion of the Investigator, preclude the subject from safely completing the required tests or the study, or is likely to result in disease progression that would require withdrawal of the subject
2. Concomitant clinically significant respiratory disease other than COPD (eg, asthma, tuberculosis, bronchiectasis or other non-specific pulmonary disease).
3. Recent history of COPD exacerbation requiring hospitalization or need for increased treatments for COPD within 6 weeks prior to Screening (Visit 1)
4. Use of daily oxygen therapy \> 12 hours per day
5. Respiratory tract infection within 6 weeks prior to Screening (Visit 1)
6. Use of oral, intravenous, or intramuscular steroids within 3 months prior to Screening (Visit 1)
7. History of malignancy of any organ system, treated or untreated within the past 5 years, with the exception of localized basal cell carcinoma of the skin
8. Prolonged QTcF (\> 450 msec for males and \> 470 msec for females) during Screening (Visit 1) as determined from the report provided by the central laboratory, or history of long QT syndrome
9. History of or clinically significant ongoing bladder outflow obstruction or history of catheterization for relief of bladder outflow obstruction within the previous 6 months.
10. History of narrow angle glaucoma
11. History of hypersensitivity or intolerance to aerosol medications
12. Recent documented history (within the previous 3 months) of substance abuse
13. Significant psychiatric disease that would likely result in the subject not being able to complete the study, in the opinion of the Investigator
14. Participation in another investigational drug study where drug was received within 30 days prior to Screening (Visit 1) or current participation in another investigational drug trial, including a SUN-101 study
15. Previously received SUN-101 (active treatment; formerly known as EP-101).
16. Contraindicated for treatment with, or having a history of reactions/hypersensitivity to anticholinergic agents, beta2 agonists, or sympathomimetic amines
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sunovion Respiratory Development Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Respiratory Medical Director, MD

Role: STUDY_DIRECTOR

Sunovion Respiratory Director

Locations

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Pinnacle Research Group, LLC

Anniston, Alabama, United States

Site Status

Pulmonary Associates, PA

Phoenix, Arizona, United States

Site Status

Clinical Research Consortium - Arizona

Tempe, Arizona, United States

Site Status

Desert Sun Clinical Research, LLC

Tucson, Arizona, United States

Site Status

Western States Clinical Research, Inc.

Wheat Ridge, Colorado, United States

Site Status

Clinical Research of West Florida, Inc.

Clearwater, Florida, United States

Site Status

Clermont Medical Research

Clermont, Florida, United States

Site Status

Riverside Clinical Research

Edgewater, Florida, United States

Site Status

Pulmonary Disease Specialists, PA, d/b/a PDS Research

Kissimmee, Florida, United States

Site Status

AppleMed Research, Inc.

Miami, Florida, United States

Site Status

Clinical Trials of Florida, LLC

Miami, Florida, United States

Site Status

Florida Institute for Clinical Research, LLC

Orlando, Florida, United States

Site Status

Emerald Coast Research Associates

Panama City, Florida, United States

Site Status

Clinical Research of West Florida, Inc

Tampa, Florida, United States

Site Status

Abraham Reasearch, PLLC

Fort Mitchell, Kentucky, United States

Site Status

Pulmonary Research Institute of Southeast Michigan

Livonia, Michigan, United States

Site Status

Minnesota Lung Center

Edina, Minnesota, United States

Site Status

Minnesota Lung Center

Woodbury, Minnesota, United States

Site Status

Midwest Chest Consultants, P.C.

Saint Charles, Missouri, United States

Site Status

Clinical Research Consortium

Las Vegas, Nevada, United States

Site Status

AAIR Research Center

Rochester, New York, United States

Site Status

American Health Research, Inc.

Charlotte, North Carolina, United States

Site Status

Hickory Research Center

Hickory, North Carolina, United States

Site Status

North Carolina Clinical Research

Raleigh, North Carolina, United States

Site Status

PMG Research of Wilmington

Wilmington, North Carolina, United States

Site Status

Columbus Regional Research Institute

Columbus, Ohio, United States

Site Status

Columbus Clinical Research, Inc

Columbus, Ohio, United States

Site Status

Optimed Research, LTD

Columbus, Ohio, United States

Site Status

Clinical Research Institute of Southern Oregon, PC

Medford, Oregon, United States

Site Status

Research Protocol Management Specialists

Pittsburgh, Pennsylvania, United States

Site Status

Safe Harbor Clinical Research

East Providence, Rhode Island, United States

Site Status

Palmetto Medical Research Associates, LLC

Easley, South Carolina, United States

Site Status

Greenville Pharmaceutical Research, Inc

Greenville, South Carolina, United States

Site Status

Upstate Pharmaceutical Research

Greenville, South Carolina, United States

Site Status

Piedmont Research Partners, LLC

Old Point Station, South Carolina, United States

Site Status

S. Carolina Pharmaceutical Research

Spartanburg, South Carolina, United States

Site Status

Spartanburg Medical Research

Spartanburg, South Carolina, United States

Site Status

CU Pharmaceutical Research

Union, South Carolina, United States

Site Status

Texas Pulmonary and Critical Care Consultants, PA

Fort Worth, Texas, United States

Site Status

Pioneer Research Solutions, Inc.

Houston, Texas, United States

Site Status

Central Texas Health Research

New Braunfels, Texas, United States

Site Status

Sylvana Research Associates

San Antonio, Texas, United States

Site Status

Pulmonary Research of Abingdon, LLC

Abingdon, Virginia, United States

Site Status

Pulmonary Associates of Richmond, Inc.

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Kerwin E, Donohue JF, Goodin T, Tosiello R, Wheeler A, Ferguson GT. Efficacy and safety of glycopyrrolate/eFlow(R) CS (nebulized glycopyrrolate) in moderate-to-very-severe COPD: Results from the glycopyrrolate for obstructive lung disease via electronic nebulizer (GOLDEN) 3 and 4 randomized controlled trials. Respir Med. 2017 Nov;132:238-250. doi: 10.1016/j.rmed.2017.07.011. Epub 2017 Jul 19.

Reference Type RESULT
PMID: 28838685 (View on PubMed)

Ohar J, Tosiello R, Goodin T, Sanjar S. Efficacy and safety of a novel, nebulized glycopyrrolate for the treatment of COPD: effect of baseline disease severity and age; pooled analysis of GOLDEN 3 and GOLDEN 4. Int J Chron Obstruct Pulmon Dis. 2018 Dec 18;14:27-37. doi: 10.2147/COPD.S184808. eCollection 2019.

Reference Type DERIVED
PMID: 30587959 (View on PubMed)

Ferguson GT, Kerwin EM, Donohue JF, Ganapathy V, Tosiello RL, Bollu VK, Rajagopalan K. Health-Related Quality of Life Improvements in Moderate to Very Severe Chronic Obstructive Pulmonary Disease Patients on Nebulized Glycopyrrolate: Evidence from the GOLDEN Studies. Chronic Obstr Pulm Dis. 2018 Jun 6;5(3):193-207. doi: 10.15326/jcopdf.5.3.2017.0178.

Reference Type DERIVED
PMID: 30584583 (View on PubMed)

Other Identifiers

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SUN101-301

Identifier Type: -

Identifier Source: org_study_id

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