Trial Outcomes & Findings for A Study to Assess the Effects of PT001 and PT005 MDI on Specific Image Based Parameters in Subjects With Moderate to Severe COPD (NCT NCT02937584)

NCT ID: NCT02937584

Last Updated: 2019-07-24

Results Overview

Specific image-based airway volume. Average across lobe, adjusted for lobe volume. Ratio to baseline

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

23 participants

Primary outcome timeframe

Baseline, Day 15

Results posted on

2019-07-24

Participant Flow

This study randomized 23 subjects at 2 sites in Belgium from December 2016 to May 2018.

Subjects were randomized into 1 of 2 treatment sequences. Sequence 1 received GP MDI in Period 1 followed by FF MDI in Period 2. Sequence 2 received FF MDI in Period 1 followed by GP MDI in Period 2.

Participant milestones

Participant milestones
Measure
GP MDI/ FF MDI
Glycopyrronium Metered Dose Inhalation /Formoterol Fumarate Metered Dose Inhalation
FF MDI/GP MDI
Formoterol Fumarate Metered Dose Inhalation / Glycopyrronium Metered Dose Inhalation
Period 1
STARTED
11
12
Period 1
COMPLETED
10
10
Period 1
NOT COMPLETED
1
2
Washout
STARTED
10
10
Washout
COMPLETED
10
9
Washout
NOT COMPLETED
0
1
Period 2
STARTED
10
9
Period 2
COMPLETED
10
9
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
GP MDI/ FF MDI
Glycopyrronium Metered Dose Inhalation /Formoterol Fumarate Metered Dose Inhalation
FF MDI/GP MDI
Formoterol Fumarate Metered Dose Inhalation / Glycopyrronium Metered Dose Inhalation
Period 1
Adverse Event
1
2
Washout
Adverse Event
0
1

Baseline Characteristics

ITT Population

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=23 Participants
ITT Population
Age, Continuous
64.6 Years
STANDARD_DEVIATION 9.6 • n=5 Participants • ITT Population
Sex: Female, Male
Female
6 Participants
n=5 Participants • ITT Population
Sex: Female, Male
Male
17 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
White
23 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants • ITT Population
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants • ITT Population

PRIMARY outcome

Timeframe: Baseline, Day 15

Population: ITT Population

Specific image-based airway volume. Average across lobe, adjusted for lobe volume. Ratio to baseline

Outcome measures

Outcome measures
Measure
GP MDI
n=19 Participants
Glycopyrronium Metered Dose Inhalation
FF MDI
n=19 Participants
FF MDI Formoterol Fumarate Metered Dose Inhalation
Specific Image-Based Airway Volume (siVaw)
1.11 ratio
Interval 1.02 to 1.22
1.23 ratio
Interval 1.14 to 1.33

PRIMARY outcome

Timeframe: Baseline, Day 15

Population: ITT Population

Specific image-based airway resistance (siRaw). Average across lobes, adjusted for lobe volume. Ratio to baseline.

Outcome measures

Outcome measures
Measure
GP MDI
n=19 Participants
Glycopyrronium Metered Dose Inhalation
FF MDI
n=19 Participants
FF MDI Formoterol Fumarate Metered Dose Inhalation
Specific Image-based Airway Resistance (siRaw)
0.75 ratio
Interval 0.59 to 0.95
0.56 ratio
Interval 0.44 to 0.71

SECONDARY outcome

Timeframe: Baseline, Day 15

Population: ITT Population

Image-based airway volume (iVaw) without correction for lobe volume. Ratio to baseline.

Outcome measures

Outcome measures
Measure
GP MDI
n=19 Participants
Glycopyrronium Metered Dose Inhalation
FF MDI
n=19 Participants
FF MDI Formoterol Fumarate Metered Dose Inhalation
Image-based Airway Volume (iVaw)
1.12 ratio
Interval 1.01 to 1.24
1.21 ratio
Interval 1.12 to 1.31

SECONDARY outcome

Timeframe: Baseline, Day 15

Population: ITT Population

Image-based airway resistance (iRaw) without correction for lobe volume. Ratio to baseline.

Outcome measures

Outcome measures
Measure
GP MDI
n=19 Participants
Glycopyrronium Metered Dose Inhalation
FF MDI
n=19 Participants
FF MDI Formoterol Fumarate Metered Dose Inhalation
Image-based Airway Resistance (iRaw)
0.76 ratio
Interval 0.59 to 0.97
0.55 ratio
Interval 0.41 to 0.72

SECONDARY outcome

Timeframe: Baseline, Day 15

Population: ITT Population

FEV1 Change from baseline in Forced Expiratory Volume at 1 second.

Outcome measures

Outcome measures
Measure
GP MDI
n=19 Participants
Glycopyrronium Metered Dose Inhalation
FF MDI
n=19 Participants
FF MDI Formoterol Fumarate Metered Dose Inhalation
FEV1
0.065 L
Standard Deviation 0.193
0.151 L
Standard Deviation 0.293

SECONDARY outcome

Timeframe: Baseline, Day 15

Population: ITT Population

Functional residual capacity (FRC). Ratio to baseline.

Outcome measures

Outcome measures
Measure
GP MDI
n=19 Participants
Glycopyrronium Metered Dose Inhalation
FF MDI
n=19 Participants
FF MDI Formoterol Fumarate Metered Dose Inhalation
Functional Residual Capacity (FRC)
0.978 ratio
Interval 0.891 to 1.073
0.938 ratio
Interval 0.833 to 1.056

Adverse Events

GP MDI

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

FF MDI

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
GP MDI
n=20 participants at risk
Glycopyrronium Metered Dose Inhalation
FF MDI
n=22 participants at risk
FF MDI Formoterol Fumarate Metered Dose Inhalation
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's Lymphoma
5.0%
1/20 • Number of events 1 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.
0.00%
0/22 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.
Vascular disorders
Aortic Aneurysm
0.00%
0/20 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.
4.5%
1/22 • Number of events 1 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.

Other adverse events

Other adverse events
Measure
GP MDI
n=20 participants at risk
Glycopyrronium Metered Dose Inhalation
FF MDI
n=22 participants at risk
FF MDI Formoterol Fumarate Metered Dose Inhalation
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
5.0%
1/20 • Number of events 1 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.
13.6%
3/22 • Number of events 3 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.
Infections and infestations
Influenza
10.0%
2/20 • Number of events 2 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.
4.5%
1/22 • Number of events 1 • Adverse events were collected from the time the subject signed informed consent throughout the treatment period and up to 14 days following the last dose of study drug.
The Safety Population was defined as all subjects who were randomized to treatment regardless and received at least one dose of study treatment. Serious adverse events collected from the time the subject signed consent up to 14 days following the last dose of study drug.

Additional Information

Stephan Stenglein, MD

AstraZeneca

Phone: +46 (0)31 776 1000

Results disclosure agreements

  • Principal investigator is a sponsor employee Drafts of any and all publications or presentations of this study must be submitted at least 30 days prior to submission for publication or presentation to Pearl Therapeutics for review, approval, and to ensure consistency. Pearl Therapeutics has the right to request appropriate modification to correct facts and to represent it's opinions, or the opinions of the publication committee, if these differ with the proposed publication.
  • Publication restrictions are in place

Restriction type: OTHER