NCT04072887

Brief Summary

This clinical study was designed to support the dose selection for future studies by evaluating efficacy and safety of different QBW251 doses in Chronic obstructive pulmonary disease (COPD) patients with chronic bronchitis and a history of exacerbations, compared to placebo, when added to a triple inhaled therapy of LABA, LAMA and ICS.

Trial Health

98
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
974

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Sep 2019

Geographic Reach
25 countries

144 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

First Submitted

Initial submission to the registry

August 7, 2019

Completed
21 days until next milestone

First Posted

Study publicly available on registry

August 28, 2019

Completed
15 days until next milestone

Study Start

First participant enrolled

September 12, 2019

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 8, 2021

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2022

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

April 28, 2023

Completed
Last Updated

April 28, 2023

Status Verified

April 1, 2023

Enrollment Period

2.1 years

First QC Date

August 7, 2019

Results QC Date

January 30, 2023

Last Update Submit

April 6, 2023

Conditions

Keywords

COPD

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Week 12

    The primary efficacy analysis assessed the effect of QBW251 on the absolute change from baseline in trough FEV1 in liters on Week 12. Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline measurement was defined as the baseline visit pre-bronchodilator spirometry assessment. Change from baseline in the FEV1 mean scores were analyzed using a Mixed Model for Repeated Measures (MMRM): treatment + baseline score + smoking status at screening + run-in FEV1 + airflow limitation severity + region + time interval + treatment\*time interval interaction + baseline score\*time interval interaction.

    Baseline and Week 12

Secondary Outcomes (10)

  • Change From Baseline in Forced Expiratory Volume in One Second (FEV1)

    Baseline, weeks 4, 8, 16, 20 and 24

  • Change From Baseline in Evaluating Respiratory Symptoms (E-RS); Total Score

    Baseline, weeks 12 and 24

  • Change From Baseline in Evaluating Respiratory Symptoms (E-RS); Cough and Sputum Score

    Baseline, weeks 12 and 24

  • Number of Participants With a "Better" Change in the Patient Global Impression of Severity (PGI-S) From Baseline

    Baseline, weeks 12 and 24

  • Change From Baseline in the Cough and Sputum Assessment Questionnaire (CASA-Q)

    Baseline, weeks 12 and 24

  • +5 more secondary outcomes

Study Arms (6)

QBW251 450 mg

EXPERIMENTAL

QBW251 was orally administered 450 mg b.i.d for 24 weeks

Drug: QBW251Drug: COPD maintenance background therapy

QBW251 300 mg

EXPERIMENTAL

QBW251 was orally administered 300 mg b.i.d for 24 weeks

Drug: QBW251Drug: COPD maintenance background therapy

QBW251 150 mg

EXPERIMENTAL

QBW251 was orally administered 150 mg b.i.d for 24 weeks

Drug: QBW251Drug: COPD maintenance background therapy

QBW251 75 mg

EXPERIMENTAL

QBW251 was orally administered 75 mg b.i.d for 24 weeks

Drug: QBW251Drug: COPD maintenance background therapy

QBW251 25 mg

EXPERIMENTAL

QBW251 was orally administered 25 mg b.i.d for 24 weeks

Drug: QBW251Drug: COPD maintenance background therapy

Placebo

PLACEBO COMPARATOR

Placebo was orally administered b.i.d for 24 weeks

Drug: PlaceboDrug: COPD maintenance background therapy

Interventions

QBW251DRUG

QBW251 oral capsules (450, 300, 150, 75 and 25 mg) of identical appearance to ensure blinding administered twice a day (b.i.d) for 24 weeks

QBW251 150 mgQBW251 25 mgQBW251 300 mgQBW251 450 mgQBW251 75 mg

Placebo oral capsules administered twice a day for 24 weeks

Placebo

Combination of fluticasone furoate, vilanterol and umeclidinium bromide

PlaceboQBW251 150 mgQBW251 25 mgQBW251 300 mgQBW251 450 mgQBW251 75 mg

Eligibility Criteria

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

You may qualify if:

  • Male and female COPD patients aged ≥40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure.
  • Current or ex-smokers who have a smoking history of at least 10 pack years.
  • Patients who have been treated with a triple combination of LABA/LAMA/ICS for the last 3 months prior to screening.
  • Patients featuring chronic bronchitis

You may not qualify if:

  • Patients who have had a COPD exacerbation that required treatment with antibiotics and/or oral corticosteroids and/or hospitalization, or a respiratory tract infection in the 4 weeks prior to screening, or between screening and randomization.
  • Patients with any documented history of asthma, or with an onset of chronic respiratory symptoms, including a COPD diagnosis, prior to age 40 years.
  • Patients with a body mass index (BMI) of more than 40 kg/m2.
  • Use of other investigational drugs (approved or unapproved) within 30 days or 5 half-lives prior to screening, or until the expected pharmacodynamic effect has returned to baseline (e.g., biologics), whichever is longer; or longer if required by local regulations.
  • Pregnant or nursing (lactating) women, and women of childbearing potential not willing to use acceptable effective methods of contraception during study participation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (148)

Novartis Investigative Site

Andalusia, Alabama, 36420, United States

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Novartis Investigative Site

Los Angeles, California, 90025, United States

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Novartis Investigative Site

Westminster, California, 92683, United States

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Novartis Investigative Site

Ormond Beach, Florida, 32174, United States

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Novartis Investigative Site

Sarasota, Florida, 34233, United States

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Novartis Investigative Site

Winter Park, Florida, 32789, United States

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Novartis Investigative Site

Florence, Kentucky, 41042, United States

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Novartis Investigative Site

Crowley, Louisiana, 70526, United States

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Novartis Investigative Site

New Orleans, Louisiana, 70115, United States

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Novartis Investigative Site

Zachary, Louisiana, 70791, United States

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Novartis Investigative Site

Livonia, Michigan, 48152, United States

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Novartis Investigative Site

Edina, Minnesota, 55435, United States

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Novartis Investigative Site

Minneapolis, Minnesota, 55407, United States

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Novartis Investigative Site

Saint Charles, Missouri, 63301, United States

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Novartis Investigative Site

St Louis, Missouri, 63141, United States

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Novartis Investigative Site

Omaha, Nebraska, 68134, United States

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Charlotte, North Carolina, 28207, United States

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Gastonia, North Carolina, 28054, United States

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Shelby, North Carolina, 28150, United States

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Columbus, Ohio, 43215, United States

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Medford, Oregon, 97504, United States

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El Paso, Texas, 79903, United States

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Houston, Texas, 77030, United States

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McKinney, Texas, 75069, United States

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Midlothian, Virginia, 23114, United States

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Berazategui, Buenos Aires, 1888, Argentina

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Novartis Investigative Site

Mar del Plata, Buenos Aires, 7600, Argentina

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Novartis Investigative Site

Concepción del Uruguay, Entre Ríos Province, 3260, Argentina

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Novartis Investigative Site

Rosario, Santa Fe Province, S2000AII, Argentina

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Rosario, Santa Fe Province, S2000DBS, Argentina

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Novartis Investigative Site

Ciudad Autonoma de Bs As, C1425FVH, Argentina

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Mendoza, 5500, Argentina

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Mendoza, M5500CBA, Argentina

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Salta, 4000, Argentina

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Santa Fe, S3000FIL, Argentina

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South Brisbane, Queensland, 4101, Australia

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Clayton, Victoria, 3168, Australia

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Footscray, Victoria, 3011, Australia

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Spearwood, Western Australia, 6163, Australia

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Feldbach, 8330, Austria

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Grieskirchen, 4710, Austria

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Thalheim bei Wels, 4600, Austria

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Erpent, 5100, Belgium

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Leuven, 3000, Belgium

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Liège, 4000, Belgium

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Sherwood Park, Alberta, T8H 0N2, Canada

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Saint-Charles-Borromée, Quebec, J6E 2B4, Canada

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Novartis Investigative Site

Sainte-Foy, Quebec, G1V 4G5, Canada

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Zipaquirá, Cundinamarca, 250252, Colombia

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Liberec, Czech Republic, 460 05, Czechia

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Novartis Investigative Site

Ostrava Poruba, Czech Republic, 708 68, Czechia

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Novartis Investigative Site

Teplice, Czech Republic, 415 01, Czechia

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Novartis Investigative Site

Varnsdorf, 40747, Czechia

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Aalborg, DK 9000, Denmark

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Copenhagen, DK-2400, Denmark

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Novartis Investigative Site

Hvidovre, 2650, Denmark

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Novartis Investigative Site

Montpellier, Herault, 34059, France

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Lyon, 69317, France

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Pessac, 33604, France

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Reims, 51092, France

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Berlin, 10119, Germany

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Berlin, 12157, Germany

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Berlin, 12159, Germany

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Frankfurt, 60596, Germany

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Halle, 06108, Germany

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Hamburg, 20354, Germany

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Landsberg, 86899, Germany

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Leipzig, 04207, Germany

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Leipzig, D-04299, Germany

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Leipzig, D-04347, Germany

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Mainz, 55131, Germany

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Marburg, 35037, Germany

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Mittweida, 09648, Germany

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Novartis Investigative Site

Witten, 58452, Germany

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Heraklion Crete, Greece, 711 10, Greece

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Thessaloniki, GR, 570 10, Greece

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Guatemala City, GTM, 01010, Guatemala

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Guatemala City, GTM, 01011, Guatemala

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Guatemala City, 01011, Guatemala

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New Territories, Hong Kong, Hong Kong

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Pokfulam, Hong Kong, Hong Kong

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Budapest, 1106, Hungary

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Gödöllő, 2100, Hungary

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Komárom, 2900, Hungary

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Makó, 6900, Hungary

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Pécs, 7635, Hungary

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Genova, GE, 16132, Italy

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Siena, SI, 53100, Italy

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Negrar, VR, 37024, Italy

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Nagoya, Aichi-ken, 457 8510, Japan

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Nagoya, Aichi-ken, 457-8511, Japan

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Fukuoka, Fukuoka, 811-1394, Japan

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Fukuoka, Fukuoka, 819-8555, Japan

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Kasuga, Fukuoka, 816-0813, Japan

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Koga, Fukuoka, 811 3195, Japan

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Yanagawa, Fukuoka, 832-0059, Japan

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Mizunami, Gifu, 509 6134, Japan

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Asahikawa, Hokkaido, 070-8644, Japan

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Sapporo, Hokkaido, 062-8618, Japan

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Naka-gun, Ibaraki, 319-1113, Japan

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Kawasaki, Kanagawa, 210-0852, Japan

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Sagamihara, Kanagawa, 252-0392, Japan

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Yokohama, Kanagawa, 223-0059, Japan

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Matsusaka, Mie-ken, 515-8544, Japan

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Sendai, Miyagi, 983 8520, Japan

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Kawachi-Nagano, Osaka, 586-8521, Japan

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Kishiwada, Osaka, 596-8501, Japan

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Novartis Investigative Site

Toyonaka, Osaka, 560-8552, Japan

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Novartis Investigative Site

Chuo Ku, Tokyo, 104-0031, Japan

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Chuo-ku, Tokyo, 103-0003, Japan

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Chuo-ku, Tokyo, 103-0028, Japan

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Kodaira, Tokyo, 187-0024, Japan

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Setagaya-Ku, Tokyo, 157-0072, Japan

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Setagaya-ku, Tokyo, 158-8531, Japan

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Shinagawa, Tokyo, 140-8522, Japan

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Toshima Ku, Tokyo, 170 0003, Japan

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Yamagata, Yamagata, 990-8533, Japan

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Osaka, 531-0073, Japan

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Novartis Investigative Site

Eindhoven, 5623 EJ, Netherlands

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Novartis Investigative Site

Harderwijk, 3840 AC, Netherlands

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Novartis Investigative Site

Lipa City, Batangas, 4217, Philippines

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Iloilo City, Iloilo, 5000, Philippines

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Bulacan, 3020, Philippines

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Novartis Investigative Site

Iloilo City, 5000, Philippines

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Manila, 1000, Philippines

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Grudziądz, 86-300, Poland

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Katowice, 40-648, Poland

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Zawadzkie, 47-120, Poland

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Bardejov, Slovak Republic, 085 01, Slovakia

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Bojnice, Slovak Republic, 972 01, Slovakia

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Humenné, Slovak Republic, 066 01, Slovakia

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Poprad, 058 01, Slovakia

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Prešov, 080 01, Slovakia

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Novartis Investigative Site

Spišská Nová Ves, 052 01, Slovakia

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Novartis Investigative Site

Vyšné Hágy, 5984, Slovakia

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Novartis Investigative Site

Seoul, Seocho Gu, 06591, South Korea

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Novartis Investigative Site

Daegu, 705703, South Korea

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Novartis Investigative Site

Incheon, 21431, South Korea

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Marbella, Andalusia, 29603, Spain

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Novartis Investigative Site

Alzira, Valencia, 46600, Spain

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Novartis Investigative Site

Girona, 17005, Spain

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Novartis Investigative Site

Songkhla, Hat Yai, 90110, Thailand

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Novartis Investigative Site

Khon Kaen, THA, 40002, Thailand

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Novartis Investigative Site

Bangkok, 10330, Thailand

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Novartis Investigative Site

Bangkok, 10400, Thailand

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Novartis Investigative Site

Adana, 01330, Turkey (Türkiye)

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Novartis Investigative Site

Mersin, 33079, Turkey (Türkiye)

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Novartis Investigative Site

London, EC1A 7BE, United Kingdom

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Related Publications (1)

  • Martinez FJ, Criner GJ, Gessner C, Jandl M, Scherbovsky F, Shinkai M, Siler TM, Vogelmeier CF, Voves R, Wedzicha JA, Bartels C, Bottoli I, Byiers S, Cardenas P, Eckert JH, Gutzwiller FS, Knorr B, Kothari M, Parlikar R, Tanase AM, Franssen FME. Icenticaftor, a CFTR Potentiator, in COPD: A Multicenter, Parallel-Group, Double-Blind Clinical Trial. Am J Respir Crit Care Med. 2023 Aug 15;208(4):417-427. doi: 10.1164/rccm.202303-0458OC.

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

icenticaftor

Condition Hierarchy (Ancestors)

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

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
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

August 7, 2019

First Posted

August 28, 2019

Study Start

September 12, 2019

Primary Completion

October 8, 2021

Study Completion

February 1, 2022

Last Updated

April 28, 2023

Results First Posted

April 28, 2023

Record last verified: 2023-04

Data Sharing

IPD Sharing
Will share

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Locations