Dose-range Finding Efficacy and Safety Study for QBW251 in COPD Patients
A 24-week Multi-center, Double-blind, Placebo Controlled Dose-range Finding Study to Investigate the Efficacy and Safety of Oral QBW251 in COPD Patients on Triple Inhaled Therapy (LABA / LAMA / ICS)
2 other identifiers
interventional
974
25 countries
144
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Sep 2019
144 active sites
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
First Submitted
Initial submission to the registry
August 7, 2019
CompletedFirst Posted
Study publicly available on registry
August 28, 2019
CompletedStudy Start
First participant enrolled
September 12, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 8, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2022
CompletedResults Posted
Study results publicly available
April 28, 2023
CompletedApril 28, 2023
April 1, 2023
2.1 years
August 7, 2019
January 30, 2023
April 6, 2023
Conditions
Keywords
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
EXPERIMENTALQBW251 was orally administered 450 mg b.i.d for 24 weeks
QBW251 300 mg
EXPERIMENTALQBW251 was orally administered 300 mg b.i.d for 24 weeks
QBW251 150 mg
EXPERIMENTALQBW251 was orally administered 150 mg b.i.d for 24 weeks
QBW251 75 mg
EXPERIMENTALQBW251 was orally administered 75 mg b.i.d for 24 weeks
QBW251 25 mg
EXPERIMENTALQBW251 was orally administered 25 mg b.i.d for 24 weeks
Placebo
PLACEBO COMPARATORPlacebo was orally administered b.i.d for 24 weeks
Interventions
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
Combination of fluticasone furoate, vilanterol and umeclidinium bromide
Eligibility Criteria
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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Los Angeles, California, 90025, United States
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Westminster, California, 92683, United States
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Ormond Beach, Florida, 32174, United States
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Sarasota, Florida, 34233, United States
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Winter Park, Florida, 32789, United States
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Florence, Kentucky, 41042, United States
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Crowley, Louisiana, 70526, United States
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New Orleans, Louisiana, 70115, United States
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Zachary, Louisiana, 70791, United States
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Livonia, Michigan, 48152, United States
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Edina, Minnesota, 55435, United States
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Minneapolis, Minnesota, 55407, United States
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Saint Charles, Missouri, 63301, United States
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St Louis, Missouri, 63141, United States
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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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Mar del Plata, Buenos Aires, 7600, Argentina
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Concepción del Uruguay, Entre Ríos Province, 3260, Argentina
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Rosario, Santa Fe Province, S2000AII, Argentina
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Rosario, Santa Fe Province, S2000DBS, Argentina
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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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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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Ostrava Poruba, Czech Republic, 708 68, Czechia
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Teplice, Czech Republic, 415 01, Czechia
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Varnsdorf, 40747, Czechia
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Aalborg, DK 9000, Denmark
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Copenhagen, DK-2400, Denmark
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Hvidovre, 2650, Denmark
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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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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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Toyonaka, Osaka, 560-8552, Japan
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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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Eindhoven, 5623 EJ, Netherlands
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Harderwijk, 3840 AC, Netherlands
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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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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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Spišská Nová Ves, 052 01, Slovakia
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Vyšné Hágy, 5984, Slovakia
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Seoul, Seocho Gu, 06591, South Korea
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Daegu, 705703, South Korea
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Incheon, 21431, South Korea
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Marbella, Andalusia, 29603, Spain
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Alzira, Valencia, 46600, Spain
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Girona, 17005, Spain
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Songkhla, Hat Yai, 90110, Thailand
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Khon Kaen, THA, 40002, Thailand
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Bangkok, 10330, Thailand
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Bangkok, 10400, Thailand
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Adana, 01330, Turkey (Türkiye)
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Mersin, 33079, Turkey (Türkiye)
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London, EC1A 7BE, United Kingdom
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.
PMID: 37411039DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
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