Trial Outcomes & Findings for A Study to Evaluate the Effects of BGF and GFF on Specific Image Based Airway Volumes and Resistance in Subjects With Moderate to Severe COPD (NCT NCT03836677)

NCT ID: NCT03836677

Last Updated: 2021-02-11

Results Overview

Specific image-based airway volume (SiVaw) measured in mL/L. Average across lobes, adjusted for lobe volume. Reported as ratio to baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

23 participants

Primary outcome timeframe

Baseline, Day 29

Results posted on

2021-02-11

Participant Flow

This study randomized 23 subjects at 4 study centers (1 center in Belgium and 3 centers in the Netherlands) from Feb 2019 to Nov 2019.

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

Participant milestones

Participant milestones
Measure
BGF MDI/GFF MDI
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation followed by Washout and then Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI/BGF MDI
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation followed by Washout and then Budesonide/Glycopyrronium/Formoterol Metered Dose Inhalation
Period 1
STARTED
13
10
Period 1
COMPLETED
13
9
Period 1
NOT COMPLETED
0
1
Washout
STARTED
13
9
Washout
COMPLETED
13
9
Washout
NOT COMPLETED
0
0
Period 2
STARTED
13
9
Period 2
COMPLETED
12
9
Period 2
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
BGF MDI/GFF MDI
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation followed by Washout and then Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI/BGF MDI
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation followed by Washout and then Budesonide/Glycopyrronium/Formoterol Metered Dose Inhalation
Period 1
Adverse Event
0
1
Period 2
Severe non-compliance to protocol
1
0

Baseline Characteristics

A Study to Evaluate the Effects of BGF and GFF on Specific Image Based Airway Volumes and Resistance in Subjects With Moderate to Severe COPD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=23 Participants
ITT Population
Age, Continuous
64.9 Years
STANDARD_DEVIATION 7.6 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
23 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Day 29

Population: ITT Population

Specific image-based airway volume (SiVaw) measured in mL/L. Average across lobes, adjusted for lobe volume. Reported as ratio to baseline.

Outcome measures

Outcome measures
Measure
BGF MDI
n=20 Participants
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=21 Participants
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Specific Image-based Airway Volume (siVaw)
1.72 Ratio to baseline
Interval 1.38 to 2.13
1.53 Ratio to baseline
Interval 1.28 to 1.83

PRIMARY outcome

Timeframe: Baseline, Day 29

Population: ITT Population

Specific image-based airway resistance (siRaw) measured in kPa∙s. Average across lobes, adjusted for lobe volume. Reported as ratio to baseline.

Outcome measures

Outcome measures
Measure
BGF MDI
n=20 Participants
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=21 Participants
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Specific Image-based Airway Resistance (siRaw)
0.50 Ratio to baseline
Interval 0.39 to 0.63
0.52 Ratio to baseline
Interval 0.4 to 0.67

SECONDARY outcome

Timeframe: Baseline, Day 29

Population: ITT Population

Image-based Airway Volume (iVaw) measured in mL. Average across lobes, without adjustment for lobe volume. Reported as ratio to baseline.

Outcome measures

Outcome measures
Measure
BGF MDI
n=20 Participants
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=21 Participants
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Image-based Airway Volume (iVaw)
1.70 Ratio to baseline
Interval 1.37 to 2.11
1.51 Ratio to baseline
Interval 1.26 to 1.8

SECONDARY outcome

Timeframe: Baseline, 29 Days

Population: ITT Population

Image-based airway resistance (iRaw) measured in kPa∙s/L. Average across lobes, without adjustment for lobe volume. Reported as ratio to baseline.

Outcome measures

Outcome measures
Measure
BGF MDI
n=20 Participants
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=21 Participants
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Image-based Airway Resistance (iRaw)
0.50 Ratio to baseline
Interval 0.4 to 0.63
0.52 Ratio to baseline
Interval 0.4 to 0.68

SECONDARY outcome

Timeframe: Baseline 29 Days

Population: ITT Population

Change from baseline in Forced Expiratory Volume in One Second (Post-dose FEV1).

Outcome measures

Outcome measures
Measure
BGF MDI
n=21 Participants
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=21 Participants
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Forced Expiratory Volume in One Second (Post-dose FEV1).
0.346 L
Interval 0.182 to 0.509
0.273 L
Interval 0.14 to 0.405

SECONDARY outcome

Timeframe: Baseline, Day 29

Population: ITT Population

Change from baseline in Functional residual capacity (FRC).

Outcome measures

Outcome measures
Measure
BGF MDI
n=22 Participants
Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=21 Participants
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Functional Residual Capacity (FRC)
-0.28 L
Interval -0.77 to 0.21
-0.50 L
Interval -0.81 to -0.18

Adverse Events

BGF MDI

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

GFF MDI

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
BGF MDI
n=22 participants at risk
Budoesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=23 participants at risk
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
4.5%
1/22 • Number of events 1 • Adverse events were collected from visit 2 throughout the treatment period and including the follow-up period telephone call.
The Safety Population was defined as all subjects who were randomized to treatment and received at least one dose of study treatment. Serious adverse events were collected visit 2 throughout the treatment period and including the follow-up period telephone call.
0.00%
0/23 • Adverse events were collected from visit 2 throughout the treatment period and including the follow-up period telephone call.
The Safety Population was defined as all subjects who were randomized to treatment and received at least one dose of study treatment. Serious adverse events were collected visit 2 throughout the treatment period and including the follow-up period telephone call.

Other adverse events

Other adverse events
Measure
BGF MDI
n=22 participants at risk
Budoesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
GFF MDI
n=23 participants at risk
Glycopyrronium/Formoterol Fumarate Metered Dose Inhalation
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/22 • Adverse events were collected from visit 2 throughout the treatment period and including the follow-up period telephone call.
The Safety Population was defined as all subjects who were randomized to treatment and received at least one dose of study treatment. Serious adverse events were collected visit 2 throughout the treatment period and including the follow-up period telephone call.
8.7%
2/23 • Number of events 2 • Adverse events were collected from visit 2 throughout the treatment period and including the follow-up period telephone call.
The Safety Population was defined as all subjects who were randomized to treatment and received at least one dose of study treatment. Serious adverse events were collected visit 2 throughout the treatment period and including the follow-up period telephone call.

Additional Information

AstraZeneca AB

AstraZeneca AB

Phone: 1-877-240-9479

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60