A Study to Evaluate the Effect of Budesonide, Glycopyrronium, Formoterol Fumarate (BGF) Metered Dose Inhaler (MDI), Budesonide and Formoterol Fumarate (BFF) MDI and Placebo MDI on Exercise Parameters in Participants With Chronic Obstructive Pulmonary Disease (COPD).

NCT ID: NCT06067828

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

171 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-24

Study Completion Date

2026-01-30

Brief Summary

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This study will investigate the effect of Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF) metered dose inhaler (MDI) compared with Placebo MDI, and Budesonide and Formoterol Fumarate (BFF) MDI on isotime inspiratory capacity (IC) and exercise endurance time.

Detailed Description

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This is a multicenter, three-treatment, three-period, cross-over study to assess the effect of BGF MDI vs Placebo MDI and BFF MDI in participants with COPD who have exertional breathlessness despite treatment with mono or dual COPD maintenance therapy.

Eligible participants will be randomized equally (1:1:1:1:1:1) to 1 of 6 treatment sequences. The total duration of the study for each participant will be up to 14 weeks.

Conditions

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Chronic Obstructive Pulmonary Disease

Keywords

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Metered Dose Inhalers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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BGF MDI

Pressurized MDI fixed combination product of Budesonide 160 μg, Glycopyrronium 7.2 μg, and Formoterol Fumarate 4.8 μg per actuation.

Group Type ACTIVE_COMPARATOR

Treatment A : Budesonide, Glycopyrronium, and Formoterol Fumarate

Intervention Type DRUG

Randomized participants will receive 2 inhalations of BGF MDI via oral inhalation twice daily (BID).

BFF MDI

Pressurized MDI fixed combination product of Budesonide 160 μg and Formoterol Fumarate 4.8 μg per actuation.

Group Type ACTIVE_COMPARATOR

Treatment B: Budesonide and Formoterol Fumarate

Intervention Type DRUG

Randomized participants will receive 2 inhalations of BFF MDI via oral inhalation BID.

Placebo

Placebo as pressurized inhalation suspension.

Group Type PLACEBO_COMPARATOR

Treatment C : Placebo

Intervention Type DRUG

Randomized participants will receive 2 inhalations of placebo MDI via oral inhalation BID.

Interventions

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Treatment A : Budesonide, Glycopyrronium, and Formoterol Fumarate

Randomized participants will receive 2 inhalations of BGF MDI via oral inhalation twice daily (BID).

Intervention Type DRUG

Treatment B: Budesonide and Formoterol Fumarate

Randomized participants will receive 2 inhalations of BFF MDI via oral inhalation BID.

Intervention Type DRUG

Treatment C : Placebo

Randomized participants will receive 2 inhalations of placebo MDI via oral inhalation BID.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant must be male or female, 40 to 80 years of age inclusive, at the time of signing the informed consent.
* Participant must have:

* a diagnosis of COPD confirmed by a post-bronchodilator Forced expiratory volume (FEV1)/ Forced vital capacity (FVC) \< 0.7 at Visit 1
* a post-bronchodilator FEV1 ≥ 30% and \<80% predicted normal (moderate to severe COPD) at Visit 1.
* a score of ≥ 2 on the modified Medical Research Council at Visit 1.
* pre-bronchodilator FRC of \> 120% of predicted normal FRC values at Visit 1.
* a constant work rate test endurance time of 3 to 8 minutes at Visit 2.
* Participant must be on a stable dose of mono-or dual inhaled maintenance COPD treatment for at least 6 weeks.
* Current or former smoker with a history of ≥ 10 pack-years of tobacco smoking
* Body mass index \< 40 kg/m2.
* Male and Female participants (not applicable for female participants with non-childbearing potential) and their partners must use an acceptable method of contraception.

Exclusion Criteria

* A current diagnosis of asthma, asthma- COPD-overlap, or any other chronic respiratory disease other than COPD such as alpha-1 antitrypsin deficiency, active tuberculosis, lung cancer, lung fibrosis, sarcoidosis, interstitial lung disease and pulmonary hypertension.
* Historical or current evidence of a clinically significant disease
* Participants on oxygen therapy or that desaturate significantly (\<82%) during exercise.
* Participants who are enrolled or entering a pulmonary rehabilitation program during the study.
* Participants who have cancer that has not been in complete remission for at least 5 years.
* Participants with a diagnosis of narrow-angle glaucoma that has not been adequately treated and/or change in vision that may be relevant, in the opinion of the investigator.
* Participants with symptomatic prostatic hypertrophy or bladder neck obstruction/urinary retention that, in the opinion of the investigator, is clinically significant.
* Participants who have a history of hypersensitivity to β2-agonists, budesonide or any other corticosteroid components, glycopyrronium or other muscarinic anticholinergics, or any component of the MDI or dry powder inhaler.
* Participant with resting (5 minutes) oxygen saturation SaO2 in room air ≤ 85%.
* A COPD exacerbation that requires hospitalization within 12 months prior to Visit 1 or a COPD exacerbation that requires systemic corticosteroids or antibiotics within 4 months of Visit 1.
* Participants with contraindications to cardiopulmonary exercise testing (CPET).
* Participants who have had a respiratory tract infection within 8 weeks prior to Visit 1 and/or during the screening period.
* Participants with lung lobectomy, lung volume reduction or lung transplantation.
* Unable to withhold short-acting bronchodilators for 6 hours prior to lung function testing at each study visit.
* Known history of drug or alcohol abuse within 12 months.
* Any regular recreational use of marijuana in the 12 months.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Seoul, , South Korea

Site Status

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Benalmádena, , Spain

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Madrid, , Spain

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Santiago de Compostela, , Spain

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Seville, , Spain

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Leicester, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Los Angeles, California, United States

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Tarzana, California, United States

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Torrance, California, United States

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Brooksville, Florida, United States

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Anderson, South Carolina, United States

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Greenville, South Carolina, United States

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Spartanburg, South Carolina, United States

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Edmonton, Alberta, Canada

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Kingston, Ontario, Canada

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Sainte-Foy, Quebec, Canada

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Guangzhou, , China

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Nanchang, , China

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Shenyang, , China

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Zhengzhou, , China

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Berlin, , Germany

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Berlin, , Germany

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Frankfurt, , Germany

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Großhansdorf, , Germany

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Hanover, , Germany

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Heidelberg, , Germany

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Lübeck, , Germany

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Mainz, , Germany

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Daegu, , South Korea

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Seoul, , South Korea

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Countries

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Argentina United States Canada China Germany South Korea Spain United Kingdom

Other Identifiers

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D5988C00001

Identifier Type: -

Identifier Source: org_study_id