A Study to Investigate the Effect of Budesonide/Glycopyrronium/Formoterol Fumarate Metered Dose Inhaler (BGF MDI) Compared With Placebo MDI on Heart and Lung Function in Participants With Chronic Obstructive Pulmonary Disease (COPD)

NCT ID: NCT07073950

Last Updated: 2025-12-18

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-24

Study Completion Date

2027-03-31

Brief Summary

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The purpose of the study is to evaluate the effect of BGF MDI compared with placebo MDI on cardiac and lung function when administered in participants diagnosed with COPD and hyperinflation.

Detailed Description

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This is a Phase IV, randomised, double blind, multiple centre, placebo controlled, crossover study where the effectiveness of BGF MDI in comparison with matching placebo MDI on cardiac and pulmonary function will be evaluated in patients with COPD and hyperinflation.

The study will comprise of:

* Screening period
* Participants will receive placebo inhaler and salbutamol before randomization
* Two treatment periods where participants will be randomized 1:1 to receive either the study intervention BGF MDI followed by matching placebo or study interventions in reverse order
* A final follow-up period

Conditions

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Chronic Obstructive Pulmonary Disease Hyperinflation

Keywords

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Metered Dose Inhalers (MDI) Inhaled Corticosteroid (ICS) Long-acting muscarinic antagonist (LAMA) Long-acting beta2 agonist (LABA)

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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Sequence 1: BGF MDI and Placebo

Participants will receive BGF MDI in Period 1 followed by Placebo in Period 2.

Group Type EXPERIMENTAL

Budesonide/Glycopyrronium/Formoterol Fumarate

Intervention Type DRUG

BGF will be administered as 2 inhalations via oral route of administration

Placebo

Intervention Type DRUG

Matching placebo will be administered as 2 inhalations via oral route of administration

Metered dose inhaler

Intervention Type DEVICE

Participants will receive BGF and matching placebo via metered dose inhaler in treatment periods of the study.

Sequence 2: Placebo and BGF MDI

Participants will receive Placebo in Period 1 followed by BGF MDI in Period 2.

Group Type EXPERIMENTAL

Budesonide/Glycopyrronium/Formoterol Fumarate

Intervention Type DRUG

BGF will be administered as 2 inhalations via oral route of administration

Placebo

Intervention Type DRUG

Matching placebo will be administered as 2 inhalations via oral route of administration

Metered dose inhaler

Intervention Type DEVICE

Participants will receive BGF and matching placebo via metered dose inhaler in treatment periods of the study.

Interventions

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Budesonide/Glycopyrronium/Formoterol Fumarate

BGF will be administered as 2 inhalations via oral route of administration

Intervention Type DRUG

Placebo

Matching placebo will be administered as 2 inhalations via oral route of administration

Intervention Type DRUG

Metered dose inhaler

Participants will receive BGF and matching placebo via metered dose inhaler in treatment periods of the study.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Current or former smoker with a history of ≥ 10 pack-years of tobacco smoking.
* A diagnosis of COPD confirmed by a post-bronchodilator forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) \< 0.7.
* At Visit 1: A pre-bronchodilator FEV1 \< 80%.
* At Visit 1: Peripheral blood eosinophil count \< 300 cells/cubic millimeter (mm³), with no recorded history of eosinophil count \> 300 cells/mm³ in the past 12 months.
* At Visit 1: Modified Medical Research Council (mMRC) ≥ 1.
* At Visit 2: A pre-bronchodilator functional residual capacity (FRC) of \> 135% of predicted normal FRC.
* At Visit 2: A post-bronchodilator FEV1 ≥ 30% and \< 80% of the predicted normal value.
* Participants must be on mono-, dual-, or triple-inhaled maintenance COPD treatment.
* Female participants must either be not of childbearing potential or using a form of highly effective birth control.
* All women of child bearing potential must have a negative pregnancy test at the Visit 1.

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.
* History of a COPD exacerbation that required hospitalisation, or 2 or more COPD exacerbations that required systemic corticosteroids.
* History of myocardial infarction or acute coronary syndrome.
* History or current atrial or ventricular arrhythmia to be confirmed by electrocardiogram (ECG).
* Participants with a cardiac implantable electronic device, including pacemaker, implantable cardioverter defibrillator, or cardiac resynchronization therapy.
* Participants with ECG QTcF interval at Visit 1 \> 460 milliseconds (ms) for males and \> 480 ms for females.
* Participants who have had a respiratory tract infection within 8 weeks prior to Visit 1 and/or during the screening/run-in period.
* Participants with lung lobectomy, lung volume reduction (during the study and within 3 months of Visit 1), or lung transplantation.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 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

Ahrensburg, , Germany

Site Status SUSPENDED

Research Site

Berlin, , Germany

Site Status RECRUITING

Research Site

Hanover, , Germany

Site Status RECRUITING

Research Site

Harefield, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Manchester, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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Germany United Kingdom

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

Phone: 1-877-240-9479

Email: [email protected]

Other Identifiers

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D5980C00048

Identifier Type: -

Identifier Source: org_study_id

2025-521987-37-00

Identifier Type: OTHER

Identifier Source: secondary_id