NCT01602523

Brief Summary

This study will look at the effects of the drug Symbicort on sleep quality. Symbicort is an inhaled medication that contains 2 drugs. One is a medication that opens up the airways (formoterol). The other is a steroid to decrease airway inflammation (budesonide). Symbicort is not an experimental medication. It is approved by the Food and Drug Administration for use in patients with emphysema. Patients with severe emphysema commonly sleep poorly. The cause of poor sleep in these patients is unknown. Symbicort may improve sleep quality by opening the airways and reducing lung inflammation. It is not known for sure if these effects actually improve sleep and quality of life. It is hoped that this study will answer this question.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
40

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Mar 2011

Typical duration for phase_3

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2011

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

April 23, 2012

Completed
28 days until next milestone

First Posted

Study publicly available on registry

May 21, 2012

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2014

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2014

Completed
Last Updated

December 7, 2012

Status Verified

December 1, 2012

Enrollment Period

3.1 years

First QC Date

April 23, 2012

Last Update Submit

December 6, 2012

Conditions

Keywords

EmphysemaCOPDSleep

Outcome Measures

Primary Outcomes (1)

  • The primary outcome is the objective assessment of sleep quality.

    Sleep quality will be assessed quantitatively by polysomnogram and include measurement of sleep efficiency (total sleep time/time in bed), total sleep time, and arousal index during the night. Subjective sleep quality and assessment of daytime function will be measured using the Pittsburgh sleep quality index (PSQI) and the Epworth Sleepiness scale (ESS), respectively.

    28 days

Secondary Outcomes (4)

  • Secondary outcome includes assessment of nocturnal oxygenation.

    28 days

  • Secondary outcome is the subjective assessment of sleep quality.

    28 days

  • Secondary outcome includes assessment respiratory mechanics/function.

    28 days

  • Secondary outcome includes assessment of overall quality of life.

    28 days

Study Arms (2)

budesonide/formoterol

ACTIVE COMPARATOR

budesonide/formoterol 160/4.5 mcg (Symbicort)

Drug: Budesonide/formoterol

Placebo

PLACEBO COMPARATOR

Symbicort placebo

Drug: Placebo

Interventions

Budesonide/formoterol Spray inhaler 160/4.5 mcg daily 28 days

Also known as: Symbicort
budesonide/formoterol

Placebo inhaler once daily 28 days

Placebo

Eligibility Criteria

Age40 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Moderate to severe emphysema (GOLD stages 2 and 3)

You may not qualify if:

  • Use of supplemental oxygen,
  • A recent COPD exacerbation within the past 4 weeks.
  • A previous diagnosis of obstructive sleep apnea
  • A known urinary outflow obstruction,
  • Glaucoma
  • History of an allergic reaction to one of the study medications.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Temple Lung Center

Philadelphia, Pennsylvania, 19140, United States

Location

MeSH Terms

Conditions

EmphysemaPulmonary Disease, Chronic Obstructive

Interventions

Budesonide, Formoterol Fumarate Drug Combination

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and SymptomsLung Diseases, ObstructiveLung DiseasesRespiratory Tract DiseasesChronic DiseaseDisease Attributes

Intervention Hierarchy (Ancestors)

Formoterol FumarateEthanolaminesAmino AlcoholsAlcoholsOrganic ChemicalsAminesBudesonidePregnenedionesPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsDrug CombinationsPharmaceutical Preparations

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
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator, Professor of Medicine

Study Record Dates

First Submitted

April 23, 2012

First Posted

May 21, 2012

Study Start

March 1, 2011

Primary Completion

April 1, 2014

Study Completion

August 1, 2014

Last Updated

December 7, 2012

Record last verified: 2012-12

Locations