NCT01316900

Brief Summary

This is a Phase III multicenter, randomized, double-blind, double-dummy, parallel-group study to evaluate the efficacy and safety of two doses of GSK573719/GW642444 Inhalation Powder and GW642444 Inhalation Powder via a Novel Dry Powder Inhaler and tiotropium via HandiHaler when administered once-daily over a 24-week treatment period in subjects with chronic obstructive pulmonary disease (COPD). Subjects who meet eligibility criteria at Screening (Visit 1) will complete a 7 to10 day run-in period followed by a randomization visit (Visit 2) then a 24-week treatment period. There will be a total of 9 clinic study visits. A follow-up phone contact for adverse event assessment will be conducted approximately one week after the last study visit (Visit 9 or Early Withdrawal). The total duration of subject participation in the study will be approximately 26 weeks. The primary measure of efficacy is clinic visit trough (pre-bronchodilator and pre-dose) forced expiratory volume in one second (FEV1) on Treatment Day 169. Safety will be assessed by adverse events, 12-lead ECGs, vital signs, and clinical laboratory tests.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
846

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Mar 2011

Shorter than P25 for phase_3

Geographic Reach
10 countries

97 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

March 1, 2011

Completed
14 days until next milestone

First Submitted

Initial submission to the registry

March 15, 2011

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 16, 2011

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2012

Completed
23 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 24, 2012

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

February 10, 2014

Completed
Last Updated

January 24, 2018

Status Verified

January 1, 2018

Enrollment Period

1.1 years

First QC Date

March 15, 2011

Results QC Date

December 19, 2013

Last Update Submit

January 18, 2018

Conditions

Keywords

long-acting muscarinic antagonisttiotropiumCOPDlong-acting beta agonist

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24)

    FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84, 112, 168, and 169. Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (ie., trough FEV1 on Day 169 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 168). Change from Baseline at a particular visit was calculated as the trough FEV1 at that visit minus Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline , smoking status, center group, day, and day by Baseline and day by treatment interactions. ITT=Intent-to-Treat; par.=participants. .

    Baseline and Day 169

Secondary Outcomes (1)

  • Change From Baseline (BL) in Weighted Mean (WM) 0-6 Hour FEV1 Obtained Post-dose at Day 168

    Baseline and Day 168

Other Outcomes (1)

  • Change From Baseline (BL) in the Mean Shortness of Breath With Daily Activities (SOBDA) Score for Week 24

    Baseline and Week 24

Study Arms (4)

GSK573719/GW642444 125/25

EXPERIMENTAL

125/25 mcg once-daily

Drug: GSK573719/GW642444 125/25

GSK573719/GW642444 62.5/25

EXPERIMENTAL

62.5/25 mcg once-daily

Drug: GSK573719/GW642444 62.5/25

GW642444

EXPERIMENTAL

25 mcg once-daily

Drug: GW642444

tiotropium bromide

ACTIVE COMPARATOR

18 mcg once-daily

Drug: tiotropium bromide

Interventions

125/25 mcg once-daily

Also known as: GSK573719/vilanterol trifenatate
GSK573719/GW642444 125/25

62.5/26 mcg once-daily

Also known as: GSK573719/vilanterol trifenatate
GSK573719/GW642444 62.5/25

25 mcg once-daily

Also known as: vilanterol trifenatate
GW642444

18 mcg once-daily

tiotropium bromide

Eligibility Criteria

Age40 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • outpatient
  • signed and dated written informed consent
  • years of age or older
  • male and female subjects
  • COPD diagnosis
  • at least 10 pack-year smoking history
  • post-albuterol/salbutamol FEV1/FVC ratio of \<0.70 and post-albuterol/salbutamol FEV1 of less than or equal to 70% predicted normal values
  • score of greater than or equal to 2 on the Modified Medical Resarch Council Dyspnea Scale (mMRC)

You may not qualify if:

  • women who are pregnant or lactating or are planning on becoming pregnant during the study
  • current diagnosis of asthma
  • other respiratory disorders other than COPD
  • other diseases/abnormalities that are uncontrolled including cancer not in remission for at least 5 years
  • chest x-ray or CT scan with clinically significant abnormalities not believed to be due to COPD
  • hypersensitivity to anticholinergics, beta-agonists, lactose/milk protein or magnesium stearate or medical conditions associated with inhaled anticholinergics
  • hospitalization for COPD or pneumonia within 12 weeks prior to Visit 1
  • lung volume reduction surgery within 12 months prior to Visit 1
  • abnormal and clinically significant ECG at Visit 1
  • significantly abnormal finding from laboratory tests at Visit 1
  • unable to withhold albuterol/salbutamol at least 4 hours prior to spirometry at each visit
  • use of depot corticosteroids within 12 weeks of Visit 1
  • use of oral or parenteral corticosteroids, antibiotics for lower respiratory tract infection, or cytochrome P450 3A4 inhibitors, within 6 weeks of Visit 1
  • use of long-acting beta-agonist (LABA)/inhaled corticosteroid (ICS) product if LABA/ICS therapy is discontinued withing 30 days of Visit 1
  • use of ICS at a dose of \>1000mcg/day of fluticasone propionate or equivalent within 30 days of Visit 1
  • +14 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (97)

GSK Investigational Site

Birmingham, Alabama, 35216, United States

Location

GSK Investigational Site

San Diego, California, 92117, United States

Location

GSK Investigational Site

DeLand, Florida, 32720, United States

Location

GSK Investigational Site

Orlando, Florida, 32822, United States

Location

GSK Investigational Site

Tampa, Florida, 33603, United States

Location

GSK Investigational Site

Decatur, Georgia, 30033, United States

Location

GSK Investigational Site

Saint Charles, Missouri, 63301, United States

Location

GSK Investigational Site

Albuquerque, New Mexico, 87108, United States

Location

GSK Investigational Site

Oklahoma City, Oklahoma, 73103, United States

Location

GSK Investigational Site

Phoenixville, Pennsylvania, 19460, United States

Location

GSK Investigational Site

Charleston, South Carolina, 29406-7108, United States

Location

GSK Investigational Site

Gaffney, South Carolina, 29340, United States

Location

GSK Investigational Site

Greenville, South Carolina, 29615, United States

Location

GSK Investigational Site

Rock Hill, South Carolina, 29732, United States

Location

GSK Investigational Site

Seneca, South Carolina, 29678, United States

Location

GSK Investigational Site

Rapid City, South Dakota, 57702, United States

Location

GSK Investigational Site

San Antonio, Texas, 78229, United States

Location

GSK Investigational Site

Newport News, Virginia, 23606, United States

Location

GSK Investigational Site

Richmond, Virginia, 23229, United States

Location

GSK Investigational Site

Clermont-Ferrand, 63003, France

Location

GSK Investigational Site

Nantes, 44093, France

Location

GSK Investigational Site

Nîmes, 30029, France

Location

GSK Investigational Site

Saint-Pierre, 97448, France

Location

GSK Investigational Site

Sinsheim, Baden-Wurttemberg, 74889, Germany

Location

GSK Investigational Site

Stuttgart, Baden-Wurttemberg, 70378, Germany

Location

GSK Investigational Site

Bamberg, Bavaria, 96049, Germany

Location

GSK Investigational Site

Erlangen, Bavaria, 91052, Germany

Location

GSK Investigational Site

Munich, Bavaria, 80339, Germany

Location

GSK Investigational Site

Nuremberg, Bavaria, 90402, Germany

Location

GSK Investigational Site

Potsdam, Brandenburg, 14467, Germany

Location

GSK Investigational Site

Marburg, Hesse, 35037, Germany

Location

GSK Investigational Site

Hanover, Lower Saxony, 30159, Germany

Location

GSK Investigational Site

Hanover, Lower Saxony, 30173, Germany

Location

GSK Investigational Site

Dortmund, North Rhine-Westphalia, 44147, Germany

Location

GSK Investigational Site

Dortmund, North Rhine-Westphalia, 44263, Germany

Location

GSK Investigational Site

Berlin, 10717, Germany

Location

GSK Investigational Site

Berlin, 12157, Germany

Location

GSK Investigational Site

Berlin, 12203, Germany

Location

GSK Investigational Site

Berlin, 13086, Germany

Location

GSK Investigational Site

Hamburg, 22299, Germany

Location

GSK Investigational Site

Foggia, Apulia, 71100, Italy

Location

GSK Investigational Site

Avellino, Campania, 83100, Italy

Location

GSK Investigational Site

Pordenone, Friuli Venezia Giulia, 33170, Italy

Location

GSK Investigational Site

Rome, Lazio, 00144, Italy

Location

GSK Investigational Site

Pietra Ligure (SV), Liguria, 17027, Italy

Location

GSK Investigational Site

Milan, Lombardy, 20121, Italy

Location

GSK Investigational Site

Pavia, Lombardy, 27100, Italy

Location

GSK Investigational Site

Tradate (VA), Lombardy, 21049, Italy

Location

GSK Investigational Site

Catania, Sicily, 95123, Italy

Location

GSK Investigational Site

Pisa, Tuscany, 56124, Italy

Location

GSK Investigational Site

Guadalajara, Jalisco, 44100, Mexico

Location

GSK Investigational Site

Zapopan, Jalisco, 45200, Mexico

Location

GSK Investigational Site

Mexico City, 07760, Mexico

Location

GSK Investigational Site

México, 10700, Mexico

Location

GSK Investigational Site

Lima, Lima Province, Lima 27, Peru

Location

GSK Investigational Site

Jesus Maria, Lima region, Lima 11, Peru

Location

GSK Investigational Site

San Borja, Lima region, Lima 41, Peru

Location

GSK Investigational Site

San Isidro, Lima region, Lima 27, Peru

Location

GSK Investigational Site

San Miguel, Lima region, Lima 32, Peru

Location

GSK Investigational Site

Santiago de Surco, Lima region, Lima 33, Peru

Location

GSK Investigational Site

Callao, Callao 2, Peru

Location

GSK Investigational Site

Lima, Lima 1, Peru

Location

GSK Investigational Site

Gdansk, 80-405, Poland

Location

GSK Investigational Site

Gidle, 97-540, Poland

Location

GSK Investigational Site

Krakow, 31-023, Poland

Location

GSK Investigational Site

Lubliniec, 42-700, Poland

Location

GSK Investigational Site

Sopot, 81-741, Poland

Location

GSK Investigational Site

Włocławek, 87-800, Poland

Location

GSK Investigational Site

Zabrze, 41-800, Poland

Location

GSK Investigational Site

Bacau, 600252, Romania

Location

GSK Investigational Site

Bucharest, 011794, Romania

Location

GSK Investigational Site

Ploieşti, 100184, Romania

Location

GSK Investigational Site

Timișoara, 300310, Romania

Location

GSK Investigational Site

Chita, 672000, Russia

Location

GSK Investigational Site

Irkutsk, 664005, Russia

Location

GSK Investigational Site

Moscow, 115446, Russia

Location

GSK Investigational Site

Petrozavodsk, 185019, Russia

Location

GSK Investigational Site

Ryazan, 390039, Russia

Location

GSK Investigational Site

Saint Petersburg, 194354, Russia

Location

GSK Investigational Site

Saratov, 410018, Russia

Location

GSK Investigational Site

Saratov, 410028, Russia

Location

GSK Investigational Site

Tomsk, 634001, Russia

Location

GSK Investigational Site

Voronezh, 394018, Russia

Location

GSK Investigational Site

Yaroslavl, Russia

Location

GSK Investigational Site

Dnipropetrovsk, 49027, Ukraine

Location

GSK Investigational Site

Dnipropetrovsk, 49074, Ukraine

Location

GSK Investigational Site

Donetsk, 83099, Ukraine

Location

GSK Investigational Site

Ivano-Frankivsk, 76018, Ukraine

Location

GSK Investigational Site

Kharkiv, 61037, Ukraine

Location

GSK Investigational Site

Kharkiv, 61124, Ukraine

Location

GSK Investigational Site

Kiev, 03680, Ukraine

Location

GSK Investigational Site

Kyiv, 01114, Ukraine

Location

GSK Investigational Site

Kyiv, 03038, Ukraine

Location

GSK Investigational Site

Kyiv, 03680, Ukraine

Location

GSK Investigational Site

Simferopol, 95043, Ukraine

Location

GSK Investigational Site

Vinnytsia, 21029, Ukraine

Location

GSK Investigational Site

Zaporizhia, 69035, Ukraine

Location

Related Publications (2)

  • Maleki-Yazdi MR, Singh D, Anzueto A, Tombs L, Fahy WA, Naya I. Assessing Short-term Deterioration in Maintenance-naive Patients with COPD Receiving Umeclidinium/Vilanterol and Tiotropium: A Pooled Analysis of Three Randomized Trials. Adv Ther. 2017 Jan;33(12):2188-2199. doi: 10.1007/s12325-016-0430-6. Epub 2016 Oct 28.

  • Decramer M, Anzueto A, Kerwin E, Kaelin T, Richard N, Crater G, Tabberer M, Harris S, Church A. Efficacy and safety of umeclidinium plus vilanterol versus tiotropium, vilanterol, or umeclidinium monotherapies over 24 weeks in patients with chronic obstructive pulmonary disease: results from two multicentre, blinded, randomised controlled trials. Lancet Respir Med. 2014 Jun;2(6):472-86. doi: 10.1016/S2213-2600(14)70065-7. Epub 2014 May 14.

Related Links

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

GSK573719fluticasone furoate-vilanterol trifenatateTiotropium Bromide

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Scopolamine DerivativesTropanesAzabicyclo CompoundsAza CompoundsOrganic ChemicalsAlkaloidsHeterocyclic CompoundsBridged Bicyclo Compounds, HeterocyclicHeterocyclic Compounds, Bridged-Ring

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 15, 2011

First Posted

March 16, 2011

Study Start

March 1, 2011

Primary Completion

April 1, 2012

Study Completion

April 24, 2012

Last Updated

January 24, 2018

Results First Posted

February 10, 2014

Record last verified: 2018-01

Data Sharing

IPD Sharing
Will share

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Available IPD Datasets

Statistical Analysis Plan (113360)Access
Clinical Study Report (113360)Access
Dataset Specification (113360)Access
Annotated Case Report Form (113360)Access
Study Protocol (113360)Access
Informed Consent Form (113360)Access
Individual Participant Data Set (113360)Access

Locations