A Chronic Obstructive Pulmonary Disease (COPD) Trial Investigating Roflumilast on Safety and Effectiveness in China, Hong Kong and Singapore:
ACROSS
A 6-month, Double-blind, Randomised, Multicenter, Multinational Trial to Investigate the Effect of 500 µg Roflumilast Tablets Once Daily Versus Placebo on Pulmonary Function in Patients With COPD. The ACROSS Trial
2 other identifiers
interventional
626
3 countries
15
Brief Summary
The aim of this trial is to determine the efficacy, safety and tolerability of 500 µg Roflumilast tablets once daily in patients with COPD in China, Hong Kong, and Singapore.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Mar 2011
Shorter than P25 for phase_3
15 active sites
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
March 1, 2011
CompletedFirst Submitted
Initial submission to the registry
March 3, 2011
CompletedFirst Posted
Study publicly available on registry
March 11, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2012
CompletedResults Posted
Study results publicly available
August 2, 2013
CompletedFebruary 1, 2017
September 1, 2016
1.2 years
March 3, 2011
March 18, 2013
December 2, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Pre-bronchodilator Forced Expiratory Volume in First Second (FEV1)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Pulmonary function testing was performed using centralized spirometry prior to taking study medication. Change from baseline over 24 weeks of treatment was calculated from a repeated measures analysis of covariance (ANCOVA) model with treatment, baseline value of pre-bronchodilator FEV1, time and a treatment-by-time interaction as independent variables.
Baseline to Week 24
Secondary Outcomes (23)
Change From Baseline in Post-bronchodilator FEV1
Baseline to Week 24
Change From Baseline in Pre-bronchodilator Forced Vital Capacity (FVC)
Baseline to Week 24
Change From Baseline in Post-bronchodilator Forced Vital Capacity (FVC)
Baseline to Week 24
Change From Baseline in Pre-bronchodilator Forced Expiratory Flow 25-75%
Baseline to Week 24
Change From Baseline in Post-bronchodilator Forced Expiratory Flow 25-75%
Baseline to Week 24
- +18 more secondary outcomes
Study Arms (2)
Roflumilast
EXPERIMENTALRoflumilast 500 μg, tablet, oral, once daily for up to 24 weeks.
Placebo
PLACEBO COMPARATORPlacebo to roflumilast, tablet, oral, once daily for up to 24 weeks.
Interventions
Salbutamol (given by MDI and spacer) used as rescue medication on an ass needed basis throughout the trial, and was used for post-bronchodilator spirometry tests at all study visits.
Eligibility Criteria
You may qualify if:
- Willingness to sign a written informed consent
- Chronic obstructive pulmonary disease (COPD) according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines 2009
- Chinese or Malay or Indian ethnicity
- History of chronic obstructive pulmonary disease symptoms for at least 12 months prior to baseline visit V0
- Forced expiratory volume in the first second/ Forced vital capacity (FEV1/FVC) ratio (post-bronchodilator) \< 70%
- Forced expiratory volume in the first second (FEV1) (post-bronchodilator) \< 50 % of predicted
- Former smoker (defined as: smoking cessation at least one year ago) or current smoker both with a smoking history of at least 10 pack years
You may not qualify if:
- Moderate or severe COPD exacerbation and/or COPD exacerbations treated with antibiotics not stopped at V0
- Lower respiratory tract infection not resolved 4 weeks prior to the baseline visit V0
- History of asthma diagnosis in patients \< 40 years of age or relevant lung disease other than COPD
- Current participation in a pulmonary rehabilitation program or completion of a pulmonary rehabilitation program within 3 months preceding the baseline visit V0
- Known alpha-1-antitrypsin deficiency
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (15)
Unknown Facility
Beijing, China
Unknown Facility
Changsha, China
Unknown Facility
Chengdu, China
Unknown Facility
Chongqing, China
Unknown Facility
Fuzhou, China
Unknown Facility
Guangzhou, China
Unknown Facility
Hangzhou, China
Unknown Facility
Nanjing, China
Unknown Facility
Nanning, China
Unknown Facility
Qingdao, China
Unknown Facility
Shanghai, China
Unknown Facility
Shenyang, China
Unknown Facility
Shijiazhuang, China
Unknown Facility
Hong Kong, Hong Kong
Unknown Facility
Singapore, Singapore
Related Publications (1)
Zheng J, Yang J, Zhou X, Zhao L, Hui F, Wang H, Bai C, Chen P, Li H, Kang J, Brose M, Richard F, Goehring UM, Zhong N. Roflumilast for the treatment of COPD in an Asian population: a randomized, double-blind, parallel-group study. Chest. 2014 Jan;145(1):44-52. doi: 10.1378/chest.13-1252.
PMID: 24135893DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- AstraZeneca Clinical Study Information Center
- Organization
- AstraZeneca
Study Officials
- STUDY DIRECTOR
AstraZeneca AstraZeneca
AstraZeneca
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 3, 2011
First Posted
March 11, 2011
Study Start
March 1, 2011
Primary Completion
May 1, 2012
Study Completion
May 1, 2012
Last Updated
February 1, 2017
Results First Posted
August 2, 2013
Record last verified: 2016-09