Assessment of Switching From Salmeterol/Fluticasone to Indacaterol/Glycopyrronium in a symtomaticCOPD Patient Cohort

NCT ID: NCT02516592

Last Updated: 2019-03-21

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-13

Study Completion Date

2017-05-04

Brief Summary

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This study will investigate whether switching symptomatic COPD patients from a fixed-dose combination of salmeterol/fluticasone 50/500 µg b.i.d. to a fixed dose combination of QVA149 110/50 µg o.d. leads to improved lung function and airflow. It will also assess the effect on symptom burden, breathlessness, and use of rescue medication after this switch.

Detailed Description

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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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QVA149 110/50 micrograms

QVA149 110/50 micrograms o.d. Capsules for inhalation

Group Type EXPERIMENTAL

QVA149 110/50 micrograms

Intervention Type DRUG

QVA149 110/50 micrograms o.d. capsules for inhalation, supplied in blisters via a single dose dry powder inhalater (SDDPI)

salmeterol/fluticasone 50/500 micrograms

salmeterol/fluticasone 50/500 micrograms b.i.d. Dry inhalation powder

Group Type ACTIVE_COMPARATOR

Salmeterol/fluticasone 50/500 microgrammes

Intervention Type DRUG

Salmeterol/fluticasone 50/500 microgrammes b.i.d.dry inhalation powder delivered via Accuhaler / Diskus device

Interventions

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QVA149 110/50 micrograms

QVA149 110/50 micrograms o.d. capsules for inhalation, supplied in blisters via a single dose dry powder inhalater (SDDPI)

Intervention Type DRUG

Salmeterol/fluticasone 50/500 microgrammes

Salmeterol/fluticasone 50/500 microgrammes b.i.d.dry inhalation powder delivered via Accuhaler / Diskus device

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent must be obtained before any assessment is performed.
* Male and female ≥ 40 years
* Current or ex-smokers who have a smoking history of at least 10 pack years (Ten pack years are defined as 20 cigarettes per day for 10 years or 10 cigarettes per day for 20 years). An ex-smoker is defined as a patient who has not smoked for ≥ 6 months at visit 1
* Confirmed diagnosis of COPD and post-bronchodilator FEV1 ≥ 30% and \< 80% of the predicted normal value and post-bronchodilator FEV1/FVC \< 0.70 at visit 1
* Treated with salmeterol/fluticasone 50/500 µg b.i.d. for at least 3 months prior to visit 1
* Documented CAT score of ≥ 10 at Visit 1 and 2

Exclusion Criteria

* Treatment with any LAMA in the 2 weeks prior to visit 1
* Presence of any contraindication, warning, precaution, hypersensitivity in the approved prescribing information for salmeterol/fluticasone
* Prior or current diagnosis of asthma
* More than one COPD exacerbation requiring treatment with antibiotics and/or systemic corticosteroids and/or hospitalization in the year prior to Visit 1
* Patients who developed a COPD exacerbation of any severity within the 6 weeks before the screening (Visit 1) or between screening (Visit 1) and start of treatment (Visit 2) will not be eligible but will be permitted to be re-screened after a minimum of 6 weeks after the resolution of the COPD exacerbation
* Respiratory tract infection within 4 weeks prior to Visit 1
* Respiratory tract infection between Visit 1 and 2. Patients can be re-screened 4 weeks after resolution of the infection
* Requiring oxygen therapy prescribed for \>12 hours per day
* Onset of respiratory symptoms, including a COPD diagnosis prior to age 40 years
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

Locations

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Novartis Investigative Site

Coffs Harbour, New South Wales, Australia

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Drummoyne, New South Wales, Australia

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Westmead, New South Wales, Australia

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Cairns, Queensland, Australia

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Daw Park, South Austrailia, Australia

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Bedford Park, South Australia, Australia

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Glen Osmond, South Australia, Australia

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Murdoch, Western Australia, Australia

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Al Fayyum, , Egypt

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Alexandria, , Egypt

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Cairo, , Egypt

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Ahmedabad, Gujarat, India

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Nagpur, Maharashtra, India

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Nagpur, Maharashtra, India

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Mohali, Punjab, India

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Coimbatore, Tamil Nadu, India

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New Delhi, , India

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Ashkelon, , Israel

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Rehovot, , Israel

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Sefad, , Israel

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Tel Giborim, Holon, , Israel

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El Chouf, LBN, Lebanon

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Beirut, , Lebanon

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Beirut, , Lebanon

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Beirut, , Lebanon

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El Achrafiyé, , Lebanon

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Hazmiyeh, , Lebanon

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Saida, , Lebanon

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Kota Bharu, Kelantan, Malaysia

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Kuantan, Pahang, Malaysia

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Taiping, Perak, Malaysia

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Kuching, Sarawak, Malaysia

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Miri, Sarawak, Malaysia

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Kuala Lumpur, , Malaysia

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Lipa City, Batangas, Philippines

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Bulacan, , Philippines

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Manila, , Philippines

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Quezon City, , Philippines

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San Pablo City, Laguna, , Philippines

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Riyadh, SAU, Saudi Arabia

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Jeddah, , Saudi Arabia

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Cape Town, , South Africa

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Durban, , South Africa

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Gatesville, , South Africa

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Johannesburg, , South Africa

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Phoenix, , South Africa

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Kaoshiung, , Taiwan

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Linkou District, , Taiwan

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New Taipei City, , Taiwan

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Taichung, , Taiwan

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Adana, , Turkey (Türkiye)

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Aydin, , Turkey (Türkiye)

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Erzurum, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Konya, , Turkey (Türkiye)

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Mersin, , Turkey (Türkiye)

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Trabzon, , Turkey (Türkiye)

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Yenisehir/Izmir, , Turkey (Türkiye)

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Countries

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Australia Egypt India Israel Lebanon Malaysia Philippines Saudi Arabia South Africa Taiwan Turkey (Türkiye)

References

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Frith PA, Ashmawi S, Krishnamurthy S, Gurgun A, Hristoskova S, Pilipovic V, Hamann AM, Backer A, Olsson P, Kostikas K, Diaz DV; FLASH Investigators. Efficacy and safety of the direct switch to indacaterol/glycopyrronium from salmeterol/fluticasone in non-frequently exacerbating COPD patients: The FLASH randomized controlled trial. Respirology. 2018 Dec;23(12):1152-1159. doi: 10.1111/resp.13374. Epub 2018 Aug 3.

Reference Type DERIVED
PMID: 30074294 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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CQVA149A3405

Identifier Type: -

Identifier Source: org_study_id

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