Study to Assess Efficacy and Safety of Aclidinium Bromide and Aclidinium Bromide/Formoterol Fumarate in Stabile COPD Patients

NCT ID: NCT03022097

Last Updated: 2025-03-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1625 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-02

Study Completion Date

2022-04-14

Brief Summary

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This is a multiple dose, randomised, parallel, double blind, double dummy, multicentre and multinational Phase III study to determine the efficacy and safety of Aclidinium bromide/Formoterol fumarate compared with individual components and placebo and Aclidinium bromide compared with Placebo when administered to patients with stable Chronic Obstructive Pulmonary Disease (COPD).

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

DOUBLE

Participants Investigators

Study Groups

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Experimental 1

Aclidinium bromide 400μg/Formoterol fumarate 12 μg

Group Type EXPERIMENTAL

Aclidinium bromide/formoterol Fixed-Dose Combination

Intervention Type DRUG

Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination, twice per day via Genuair

Experimental 2

Aclidinium bromide 400 μg

Group Type EXPERIMENTAL

Aclidinium bromide

Intervention Type DRUG

Inhaled Aclidinium bromide 400 μg, twice per day via Genuair

Comparator

Formoterol fumarate 12 μg

Group Type ACTIVE_COMPARATOR

Formoterol Fumarate

Intervention Type DRUG

Inhaled Formoterol Fumarate 12 μg, twice per day via Turbuhaler

Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Inhaled dose-matched placebo, twice per day via Genuair or via Turbuhaler

Interventions

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Aclidinium bromide/formoterol Fixed-Dose Combination

Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination, twice per day via Genuair

Intervention Type DRUG

Aclidinium bromide

Inhaled Aclidinium bromide 400 μg, twice per day via Genuair

Intervention Type DRUG

Formoterol Fumarate

Inhaled Formoterol Fumarate 12 μg, twice per day via Turbuhaler

Intervention Type DRUG

Placebo

Inhaled dose-matched placebo, twice per day via Genuair or via Turbuhaler

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 1\. Adult male or non-pregnant, non-lactating female patients aged ≥40
* 2\. Patients with a diagnosis of COPD prior to Visit 1 (screening)
* 3\. Patients with moderate to severe stable COPD (Stage II or Stage III) at Visit 1: post-bronchodilator FEV1 ≥30% and \< 80% and post-bronchodilator FEV1/Forced vital capacity (FVC) \< 70%
* 4\. Current or former smokers with a smoking history of ≥ 10 pack-years
* 5\. Patients able to perform repeatable pulmonary function testing for FEV1 according to the American Thoracic Society (ATS)/European Respiratory Society (ERS) 2005 criteria at Visit 1(screening)
* 6\. Patients who understand the study procedures and are willing to participate in the study as indicated by signing the informed consent

Exclusion Criteria

* 1\. Involvement in the planning and/or conduct of the study (applies to AstraZeneca staff and/or site staff) or patients employed by or relatives of the employees of the site or sponsor.
* 2\. Previous enrolment or randomisation in the present study
* 3\. History or current diagnosis of asthma
* 4\. Any respiratory tract infection (including the upper respiratory tract) or COPD exacerbation (including the mild COPD exacerbation) within 6 weeks prior to screening or during the run-in period
* 5\. Patients hospitalized for COPD exacerbation (an emergency room visit for longer than 24 hours will be considered a hospitalization) within 3 months prior to screening and during the run-in period
* 6\. Clinically significant respiratory conditions other than COPD
* 7\. Patients who in the Investigator's opinion may need to start a pulmonary rehabilitation program during the study and/or patients who started/finished it within 3 months prior to screening
* 8\. Use of long-term oxygen therapy (≥15 hours/day)
* 9\. Patient who does not maintain regular day/night, waking/sleeping cycles including night shift workers
* 10\. Clinically significant cardiovascular conditions
* 11\. Patients with Type I or uncontrolled Type II diabetes, uncontrolled hypo-or hyperthyroidism, hypokalaemia, or hyperadrenergic state, uncontrolled or untreated hypertension
* 12\. Patients with QT corrected interval (QTc) using Fridericia formula (QTcF) (QTc=QT/ Duration in milliseconds between two R peaks of two consecutive QRS complexes (RR1/3) \>470 msec as indicated in the centralised reading report assessed at Screening (Visit 1)
* 13\. Patients with clinically significant abnormalities in the clinical laboratory tests, ECG parameters (other than QTcF) or in the physical examination at Visit 1 (screening)
* 14\. Patients with abnormal liver function tests defined as Aspartate aminotransferase (AST), Alanine aminotransferase (ALT), or total bilirubin ≥ 2.5 times upper limit of normal ranges at screening
* 15\. Patient with known non-controlled history of infection with human immunodeficiency virus and/or active hepatitis
* 16\. Patient with a history of hypersensitivity reaction to inhaled anticholinergic drugs, sympathomimetic amines, inhaled medication or any component thereof
* 17\. Patient with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic non-stable prostatic hypertrophy
* 18\. History of malignancy of any organ system (including lung cancer), treated or untreated, within the past 5 years other than basal or squamous cell skin cancer
* 19\. Any other serious or uncontrolled physical or mental dysfunction
* 20\. Patients with a history (within 2 years prior to Visit 1 (screening) of drug and/or alcohol abuse that may prevent study compliance based on the Investigator judgment
* 21\. Patients unlikely to be cooperative or cannot comply with the study procedures
* 22\. Patients treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to screening
* 23\. Patients who intended to use any concomitant medication not permitted by this protocol or who had not undergone the required washout period for a particular prohibited medication
* 24\. Patients unable to give consent, or patients of consenting age but under guardianship, or vulnerable patients
* 25\. Any other conditions that, in the Investigator's opinion, might have indicated the patient to be unsuitable for the study
Minimum Eligible Age

40 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Baotou, , China

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Cangzhou, , China

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Changchun, , China

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Changsha, , China

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Changsha, , China

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Chengdu, , China

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Guangzhou, , China

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Haikou, , China

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Hangzhou, , China

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Hangzhou, , China

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Hangzhou, , China

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Hefei, , China

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Hefei, , China

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Hefei, , China

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Hengyang, , China

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Hohhot, , China

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Liangyugang, , China

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Linhai, , China

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Nanchang, , China

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Nanjing, , China

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Qiqihar, , China

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Shanghai, , China

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Shanghai, , China

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Shanghai, , China

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Shanghai, , China

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Shanghai, , China

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Shanghai, , China

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Shanghai, , China

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Shanxi, , China

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Shengyang, , China

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Shenzhen, , China

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Shenzhen, , China

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Shijiazhuang, , China

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Taiyuan, , China

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Tianjin, , China

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Wenzhou, , China

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Wuxi, , China

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Xi'an, , China

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Xiamen, , China

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Xining, , China

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Yangzhou, , China

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Yanji, , China

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Yinchuan, , China

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Zhanjiang, , China

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Ahmedabad, , India

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Alappuzha, , India

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Ernākulam, , India

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Guntur, , India

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Jaipur, , India

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Kozhikode, , India

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Mysore, , India

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Nagpur, , India

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Nagpur, , India

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Nagpur, , India

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Pune, , India

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Pune, , India

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Pune, , India

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Vijayawada, , India

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Caloocan City, , Philippines

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Iloilo City, , Philippines

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Manila, , Philippines

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Quezon City, , Philippines

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Quezon City, , Philippines

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Quezon City, , Philippines

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Keelung, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Hanoi, , Vietnam

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Ho Chi Minh City, , Vietnam

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Ho Chi Minh City, , Vietnam

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Countries

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China India Philippines Taiwan Vietnam

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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M-AS464-30

Identifier Type: OTHER

Identifier Source: secondary_id

D6570C00002

Identifier Type: -

Identifier Source: org_study_id

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