NCT00424528

Brief Summary

The purpose of this study is to evaluate and compare the efficacy of arformoterol twice a day and tiotropium once a day (dosed sequentially) versus tiotropium once a day alone in subjects with Chronic Obstructive Pulmonary Disease (COPD).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
235

participants targeted

Target at P75+ for phase_4 chronic-obstructive-pulmonary-disease

Timeline
Completed

Started Dec 2006

Shorter than P25 for phase_4 chronic-obstructive-pulmonary-disease

Geographic Reach
1 country

28 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2006

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

January 17, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 19, 2007

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2007

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

April 2, 2009

Completed
Last Updated

June 4, 2012

Status Verified

May 1, 2012

Enrollment Period

10 months

First QC Date

January 17, 2007

Results QC Date

October 24, 2008

Last Update Submit

May 29, 2012

Conditions

Keywords

COPD including chronic bronchitis and emphysema

Outcome Measures

Primary Outcomes (1)

  • Time-normalized Area Under the Change From Study Baseline Curve for Forced Expiratory Volume in One Second (FEV1) Over 24 Hours (nAUC0-24B)

    24 hours following two weeks of dosing.

Secondary Outcomes (15)

  • Time-normalized Area From Study Baseline Curve for FEV1 Over 0-12 Hours (nAUC0-12B)

    0-12 hours following two weeks of dosing

  • Time Normalized Area Under the Change From Study Baseline Curve for FEV1 Over 12-24 Hours (nAUC12-24B)

    Following 2 weeks of dosing

  • Change in FEV1 From Study Baseline to the 24-hour Timepoint (Trough)

    Following 2 weeks of dosing

  • Change in FEV1 From Study Baseline at Each Assessed Timepoint Post First Dose of Study Medication

    2 weeks

  • Change in FEV1 Percent of Predicted From Study Baseline at Each Assessed Timepoint Post First Dose of Study Medication

    2 weeks

  • +10 more secondary outcomes

Study Arms (3)

Arformoterol 15 mcg twice daily

ACTIVE COMPARATOR

Arformoterol 15 mcg twice daily/Placebo Inhalation Powder

Drug: Arformoterol Tartrate Inhalation SolutionDrug: Placebo

Tiotropium 18 mcg once daily

ACTIVE COMPARATOR

Tiotropium 18 mcg once daily/Placebo Inhalation Solution

Drug: TiotropiumDrug: Placebo

Arformoterol /Tiotropium

EXPERIMENTAL

Arformoterol 15 mcg twice daily/Tiotropium 18 mcg once daily

Drug: Arformoterol and Tiotropium

Interventions

Arformoterol tartrate inhalation solution 15 mcg twice daily and placebo inhalation powder once daily.

Also known as: Brovana®
Arformoterol 15 mcg twice daily

Placebo inhalation solution twice daily and tiotropium inhalation powder 18 mcg once daily.

Also known as: Spiriva
Tiotropium 18 mcg once daily

Arformoterol tartrate inhalation solution 15 mcg twice daily and Tiotropium inhalation powder 18 mcg once daily.

Also known as: Brovana, Spiriva
Arformoterol /Tiotropium

Placebo inhalation solution and placebo inhalation powder

Arformoterol 15 mcg twice dailyTiotropium 18 mcg once daily

Eligibility Criteria

Age45 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female subjects must be at least 45 years old at the time of consent.
  • Subjects must have a pre-established primary clinical diagnosis of COPD.
  • Subjects must have a baseline FEV1 of ≤65% of predicted normal value at Visit 1.
  • Subjects must have a FEV1 ≥ 0.70L at Visit 1.

You may not qualify if:

  • Subjects who do not have a FEV1/forced vital capacity (FVC) ratio of ≤70% at Visit 1.
  • Subjects who do not have a ³15 pack-year smoking history and a baseline breathlessness severity grade of ³2 (Modified Medical Research Council \[MMRC\] Dyspnea Scale Score) at Visit 1.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (28)

Unknown Facility

Jasper, Alabama, 35501, United States

Location

Unknown Facility

Tucson, Arizona, 85715, United States

Location

Unknown Facility

San Diego, California, 92120, United States

Location

Unknown Facility

Colorado Springs, Colorado, 80909, United States

Location

Unknown Facility

DeFuniak Springs, Florida, 32435, United States

Location

Unknown Facility

DeLand, Florida, 32720, United States

Location

Unknown Facility

Topeka, Kansas, 66606, United States

Location

Unknown Facility

Hazard, Kentucky, 41701, United States

Location

Unknown Facility

Madisonville, Kentucky, 42431, United States

Location

Unknown Facility

Marrero, Louisiana, 70072, United States

Location

Unknown Facility

Sunset, Louisiana, 70584, United States

Location

Unknown Facility

Ann Arbor, Michigan, 48106, United States

Location

Unknown Facility

Kalamazoo, Michigan, 49007, United States

Location

Unknown Facility

Saint Charles, Missouri, 63301, United States

Location

Unknown Facility

Charlotte, North Carolina, 28207, United States

Location

Unknown Facility

Cincinnati, Ohio, 45242, United States

Location

Unknown Facility

Columbus, Ohio, 43215, United States

Location

Unknown Facility

Eugene, Oregon, 97404, United States

Location

Unknown Facility

Medford, Oregon, 97504, United States

Location

Unknown Facility

Portland, Oregon, 97213, United States

Location

Unknown Facility

East Providence, Rhode Island, 02914, United States

Location

Unknown Facility

Lincoln, Rhode Island, 02865, United States

Location

Unknown Facility

Columbia, South Carolina, 29201, United States

Location

Unknown Facility

Simpsonville, South Carolina, 29681, United States

Location

Unknown Facility

Spartanburg, South Carolina, 29303, United States

Location

Unknown Facility

Knoxville, Tennessee, 37920, United States

Location

Unknown Facility

Tacoma, Washington, 98405, United States

Location

Unknown Facility

Morgantown, West Virginia, 26505, United States

Location

Related Publications (1)

  • Tashkin DP, Donohue JF, Mahler DA, Huang H, Goodwin E, Schaefer K, Hanrahan JP, Andrews WT. Effects of arformoterol twice daily, tiotropium once daily, and their combination in patients with COPD. Respir Med. 2009 Apr;103(4):516-24. doi: 10.1016/j.rmed.2008.12.014. Epub 2009 Feb 8.

MeSH Terms

Conditions

Pulmonary Disease, Chronic ObstructiveBronchitisEmphysema

Interventions

Formoterol FumarateTiotropium Bromide

Condition Hierarchy (Ancestors)

Lung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsRespiratory Tract InfectionsInfectionsBronchial Diseases

Intervention Hierarchy (Ancestors)

EthanolaminesAmino AlcoholsAlcoholsOrganic ChemicalsAminesScopolamine DerivativesTropanesAzabicyclo CompoundsAza CompoundsAlkaloidsHeterocyclic CompoundsBridged Bicyclo Compounds, HeterocyclicHeterocyclic Compounds, Bridged-Ring

Limitations and Caveats

As of October 24, 2008, Sepracor is unaware of any limitations or caveats associated with this study.

Results Point of Contact

Title
Respiratory Medical Affairs Director
Organization
Sepracor Inc

Study Officials

  • William Andrews, M.D.

    Sumitomo Pharma America, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 17, 2007

First Posted

January 19, 2007

Study Start

December 1, 2006

Primary Completion

October 1, 2007

Study Completion

October 1, 2007

Last Updated

June 4, 2012

Results First Posted

April 2, 2009

Record last verified: 2012-05

Locations