NCT04320342

Brief Summary

The purpose of this study is to compare CHF 5993 with CHF 1535 in improving lung function, reducing moderate and severe COPD exacerbations, and other clinical efficacy and safety outcomes in the target subject population.

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
3,433

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2022

Typical duration for phase_3

Geographic Reach
10 countries

436 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

March 23, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 25, 2020

Completed
2.1 years until next milestone

Study Start

First participant enrolled

April 28, 2022

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 12, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 12, 2026

Completed
Last Updated

January 30, 2026

Status Verified

January 1, 2026

Enrollment Period

3.7 years

First QC Date

March 23, 2020

Last Update Submit

January 29, 2026

Conditions

Keywords

Lung FunctionSafety ProfileBeclomethasone DipropionateGlycopyrronium BromideFormoterol Fumarate

Outcome Measures

Primary Outcomes (1)

  • Change from baseline in pre-dose morning Forced Expiratory Volume in the 1st second (FEV1) at Week 28

    Week 28

Secondary Outcomes (21)

  • Change from baseline in 2-hour post-dose morning FEV1 at Week 28

    Week 28

  • Rate of moderate and severe COPD exacerbations over 52 weeks of treatment

    52-week treatment period

  • Change from baseline in pre-dose morning FEV1 at designated clinic visits

    Week 4, Week 10, Week 40, & Week 52

  • Change from baseline in 2-hour post-dose morning FEV1 designated clinic visits

    Day 1, Week 4, Week 10, Week 40, & Week 52

  • Change from pre-dose to 2-hour post-dose morning FEV1 at designated clinic visits

    Day 1, Week 4, Week 10, Week 28, Week 40, & Week 52

  • +16 more secondary outcomes

Study Arms (2)

BDP/FF/GB - CHF 5993

EXPERIMENTAL

Two inhalations twice daily of BDP/FF/GB (100/6/12.5μg) for a period of 52 weeks via pressurized metered dose inhaler

Drug: Beclomethasone DipropionateDrug: Glycopyrronium BromideDrug: Formoterol Fumarate

BDP/FF - CHF 1535

ACTIVE COMPARATOR

Two inhalations twice daily of BDP/FF (100/6μg) for a period of 52 weeks via pressurized metered dose inhaler

Drug: Beclomethasone DipropionateDrug: Formoterol Fumarate

Interventions

Available in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg and BDP/FF 100/6μg

Also known as: BDP
BDP/FF - CHF 1535BDP/FF/GB - CHF 5993

Available in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg

Also known as: glycopyrrolate, GB
BDP/FF/GB - CHF 5993

Available in pressurized inhalation solution BDP/FF/GB 100/6/12.5μg and BDP/FF 100/6μg

Also known as: FF
BDP/FF - CHF 1535BDP/FF/GB - CHF 5993

Eligibility Criteria

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

You may qualify if:

  • Signed and dated written informed consent must be obtained prior to initiating any study-related procedures
  • Outpatient
  • Male or female subjects aged ≥40 years
  • Female subjects:
  • WOCBP fulfilling one of the following criteria: i. WOCBP with fertile male partners: they and/or their partner must be willing to use a highly effective birth control method from the signing of the informed consent form and until the follow-up contact or ii. WOCBP with non-fertile male partners (contraception is not required in this case).
  • Female subjects of non-childbearing potential defined as physiologically incapable of becoming pregnant (i.e. post-menopausal or permanently sterile as per definitions given in Appendix 5). Tubal ligation or partial surgical interventions are not acceptable. If indicated, as per investigator's request, post-menopausal status may be confirmed by follicle-stimulating hormone levels (according to local laboratory ranges)
  • COPD diagnosis for at least 12 months before the screening visit in accordance with the definition by the GOLD 2020 Report
  • Current or ex-smokers who quit smoking at least 6 months prior to screening with a smoking history of at least 10 pack-years \[pack-years = (number of cigarettes per day x number of years)/20\]
  • COPD Assessment Test (CAT) score ≥10
  • A pre- and post-bronchodilator FEV1/FVC ratio \<0.70 at screening
  • A post-bronchodilator FEV1 \<50% predicted normal at screening and a documented history of ≥1 moderate or severe COPD exacerbation in the previous 12 months OR a post-bronchodilator FEV1 ≥50% and \<80% of predicted normal at screening and a documented history of ≥2 moderate COPD exacerbations or ≥1 severe COPD exacerbation in the previous 12 months
  • Subjects receiving daily inhaled maintenance therapy for their COPD, at a stable dose for at least 3 months prior to the screening and randomization visits
  • Documentation (including imagery and report) of chest x-ray (CXR) or CT scan performed within 6 months prior to the screening visit, without evidence of significant abnormalities (other than those related to the presence of COPD).
  • A cooperative attitude and ability to demonstrate correct use of the pMDI inhalers and eDiary.

You may not qualify if:

  • Female subjects who are pregnant (as evident by a positive urine hCG or serum β-hCG test) or lactating
  • Subjects using the following medications prior to the screening visit and during the run-in period:
  • Systemic/oral/parenteral corticosteroids in the prior 4 weeks
  • Use of antibiotics for a lower respiratory tract infection (e.g. pneumonia) or COPD exacerbation in the prior 4 weeks
  • Any long-term chronic maintenance use of antibiotic treatment in the prior 4 weeks
  • Oral xanthine derivatives (e.g. theophylline) in the prior 7 days
  • A moderate or severe COPD exacerbation or a respiratory tract infection (e.g., pneumonia) that has not resolved ≤14 days prior to the screening visit or during the run-in period
  • Current treatment with non-cardioselective β-blockers
  • Requirement of long term (\> 15 hours daily) oxygen therapy
  • Known respiratory disorders other than COPD which may impact the efficacy of the study drug according to investigator's judgement.
  • Lung transplant surgery or lung volume reduction surgery (subjects with lung volume reduction surgery are excluded if the procedure was performed within 1 year before the Screening visit)
  • Medical diagnosis of narrow-angle glaucoma, prostatic hypertrophy or bladder neck obstruction that, in the opinion of the investigator, would prevent use of anticholinergic agents
  • History of hypersensitivity to M3 receptor antagonists, β2 agonists, corticosteroids or any of the excipients contained in any of the study drugs used in the trial which may raise contra-indications or impact the efficacy of the study drug according to the investigator's judgement
  • Subject has severe, acute or uncontrolled cardiovascular condition (such as but not limited to unstable ischemic heart disease, NYHA Class IV, left ventricular failure, acute myocardial infarction or unstable angina) in the last 6 months
  • An abnormal and clinically significant 12-lead ECG at either the screening or randomization visit. This is characterized as but not limited to any of the following findings:
  • +16 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (436)

Chiesi Clinical Trial Site 840350

Birmingham, Alabama, 35215-7502, United States

Location

Chiesi Clinical Trial Site 840186

Dothan, Alabama, 36303, United States

Location

Chiesi Clinical Trial Site 840258

Foley, Alabama, 36535, United States

Location

Chiesi Clinical Trial Site 840279

Jasper, Alabama, 35501, United States

Location

Chiesi Clinical Trial Site 840433

Mobile, Alabama, 36608, United States

Location

Chiesi Clinical Trial Site 840206

Montgomery, Alabama, 36106, United States

Location

Chiesi Clinical Trial Site 840249

Muscle Shoals, Alabama, 35661, United States

Location

Chiesi Clinical Trial Site 840406

Chandler, Arizona, 85224, United States

Location

Chiesi Clinical Trial Site 840402

Peoria, Arizona, 85381, United States

Location

Chiesi Clinical Trial Site 840349

Tucson, Arizona, 85741, United States

Location

Chiesi Clinical Trial Site 840404

Covina, California, 91723, United States

Location

Chiesi Clinical Trial Site 840209

Escondido, California, 92025, United States

Location

Chiesi Clinical Trial Site 840427

La Palma, California, 90623, United States

Location

Chiesi Clinical Trial Site 840358

Lomita, California, 90717, United States

Location

Chiesi Clinical Trial Site 840173

Newport Beach, California, 92663, United States

Location

Chiesi Clinical Trial Site 840208

Northridge, California, 91324, United States

Location

Chiesi Clinical Trial Site 840277

Northridge, California, 91324, United States

Location

Chiesi Clinical Trial Site 840364

Redding, California, 96001, United States

Location

Chiesi Clinical Trial Site 840226

Sacramento, California, 95821, United States

Location

Chiesi Clinical Trial Site 840405

Sacramento, California, 95823, United States

Location

Chiesi Clinical Trial Site 840107

San Diego, California, 92120, United States

Location

Chiesi Clinical Trial Site 840373

Santa Ana, California, 92705, United States

Location

Chiesi Clinical Trial Site 840164

Upland, California, 91786, United States

Location

Chiesi Clinical Trial Site 840174

West Covina, California, 91790, United States

Location

Chiesi Clinical Trial Site 840144

Westminster, California, 92683, United States

Location

Chiesi Clinical Trial Site 840441

Aurora, Colorado, 80014, United States

Location

Chiesi Clinical Trial Site 840229

Boulder, Colorado, 80302, United States

Location

Chiesi Clinical Trial Site 840399

Norwalk, Connecticut, 06586, United States

Location

Chiesi Clinical Trial Site 840116

Altamonte Springs, Florida, 32701, United States

Location

Chiesi Clinical Trial Site 840268

Aventura, Florida, 33180, United States

Location

Chiesi Clinical Trial Site 840192

Brandon, Florida, 33511, United States

Location

Chiesi Clinical Trial Site 840310

Brooksville, Florida, 34613, United States

Location

Chiesi Clinical Trial Site 840240

Chiefland, Florida, 32626, United States

Location

Chiesi Clinical Trial Site 840153

Clearwater, Florida, 33756, United States

Location

Chiesi Clinical Trial Site 840272

Coral Gables, Florida, 33134, United States

Location

Chiesi Clinical Trial Site 840304

Coral Gables, Florida, 33134, United States

Location

Chiesi Clinical Trial Site 840193

Cutler Bay, Florida, 33157, United States

Location

Chiesi Clinical Trial Site 840311

Cutler Bay, Florida, 33189, United States

Location

Chiesi Clinical Trial Site 840335

Cutler Bay, Florida, 33189, United States

Location

Chiesi Clinical Trial Site 840141

Daytona Beach, Florida, 32117, United States

Location

Chiesi Clinical Trial Site 840133

DeLand, Florida, 32720, United States

Location

Chiesi Clinical Trial Site 840269

Doral, Florida, 33122, United States

Location

Chiesi Clinical Trial Site 840303

Hialeah, Florida, 33010, United States

Location

Chiesi Clinical Trial Site 840163

Hialeah, Florida, 33012, United States

Location

Chiesi Clinical Trial Site 840165

Hialeah, Florida, 33012, United States

Location

Chiesi Clinical Trial Site 840238

Hialeah, Florida, 33012, United States

Location

Chiesi Clinical Trial Site 840265

Hialeah, Florida, 33012, United States

Location

Chiesi Clinical Trial Site 840241

Hialeah, Florida, 33015, United States

Location

Chiesi Clinical Trial Site 840253

Hialeah, Florida, 33015, United States

Location

Chiesi Clinical Trial Site 840184

Hialeah, Florida, 33016, United States

Location

Chiesi Clinical Trial Site 840267

Hialeah, Florida, 33016, United States

Location

Chiesi Clinical Trial Site 840354

Hialeah Gardens, Florida, 33016, United States

Location

Chiesi Clinical Trial Site 840256

Hialeah Gardens, Florida, 33066, United States

Location

Chiesi Clinical Trial Site 840200

Kissimmee, Florida, 34741, United States

Location

Chiesi Clinical Trial Site 840232

Lakeland, Florida, 33803, United States

Location

Chiesi Clinical Trial Site 840113

Leesburg, Florida, 34748, United States

Location

Chiesi Clinical Trial Site 840372

Miami, Florida, 33122, United States

Location

Chiesi Clinical Trial Site 840137

Miami, Florida, 33125, United States

Location

Chiesi Clinical Trial Site 840289

Miami, Florida, 33125, United States

Location

Chiesi Clinical Trial Site 840377

Miami, Florida, 33125, United States

Location

Chiesi Clinical Trial Site 840387

Miami, Florida, 33125, United States

Location

Chiesi Clinical Trial Site 840326

Miami, Florida, 33126, United States

Location

Chiesi Clinical Trial Site 840175

Miami, Florida, 33133, United States

Location

Chiesi Clinical Trial Site 840346

Miami, Florida, 33133, United States

Location

Chiesi Clinical Trial Site 840347

Miami, Florida, 33134, United States

Location

Chiesi Clinical Trial Site 840205

Miami, Florida, 33135, United States

Location

Chiesi Clinical Trial Site 840247

Miami, Florida, 33135, United States

Location

Chiesi Clinical Trial Site 840341

Miami, Florida, 33135, United States

Location

Chiesi Clinical Trial Site 840148

Miami, Florida, 33144, United States

Location

Chiesi Clinical Trial Site 840239

Miami, Florida, 33144, United States

Location

Chiesi Clinical Trial Site 840312

Miami, Florida, 33144, United States

Location

Chiesi Clinical Trial Site 840355

Miami, Florida, 33144, United States

Location

Chiesi Clinical Trial Site 840388

Miami, Florida, 33144, United States

Location

Chiesi Clinical Trial Site 840237

Miami, Florida, 33155, United States

Location

Chiesi Clinical Trial Site 840261

Miami, Florida, 33155, United States

Location

Chiesi Clinical Trial Site 840262

Miami, Florida, 33155, United States

Location

Chiesi Clinical Trial Site 840280

Miami, Florida, 33155, United States

Location

Chiesi Clinical Trial Site 840178

Miami, Florida, 33165, United States

Location

Chiesi Clinical Trial Site 840292

Miami, Florida, 33165, United States

Location

Chiesi Clinical Trial Site 840202

Miami, Florida, 33166, United States

Location

Chiesi Clinical Trial Site 840275

Miami, Florida, 33169, United States

Location

Chiesi Clinical Trial Site 840122

Miami, Florida, 33173, United States

Location

Chiesi Clinical Trial Site 840352

Miami, Florida, 33173, United States

Location

Chiesi Clinical Trial Site 840235

Miami, Florida, 33174, United States

Location

Chiesi Clinical Trial Site 840360

Miami, Florida, 33174, United States

Location

Chiesi Clinical Trial Site 840381

Miami, Florida, 33174, United States

Location

Chiesi Clinical Trial Site 840243

Miami, Florida, 33175, United States

Location

Chiesi Clinical Trial Site 840244

Miami, Florida, 33175, United States

Location

Chiesi Clinical Trial Site 840257

Miami, Florida, 33175, United States

Location

Chiesi Clinical Trial Site 840380

Miami, Florida, 33175, United States

Location

Chiesi Clinical Trial Site 840382

Miami, Florida, 33175, United States

Location

Chiesi Clinical Trial Site 840367

Miami, Florida, 33176, United States

Location

Chiesi Clinical Trial Site 840162

Miami, Florida, 33186, United States

Location

Chiesi Clinical Trial Site 840166

Miami, Florida, 33186, United States

Location

Chiesi Clinical Trial Site 840370

Miami, Florida, 33186, United States

Location

Chiesi Clinical Trial Site 840392

Miami, Florida, 33186, United States

Location

Chiesi Clinical Trial Site 840319

Miami Beach, Florida, 33141, United States

Location

Chiesi Clinical Trial Site 840328

Miami Lakes, Florida, 33014, United States

Location

Chiesi Clinical Trial Site 840378

Miami Lakes, Florida, 33014, United States

Location

Chiesi Clinical Trial Site 840288

Miami Lakes, Florida, 33016, United States

Location

Chiesi Clinical Trial Site 840385

Miami Lakes, Florida, 33016, United States

Location

Chiesi Clinical Trial Site 840353

Miami Lakes, Florida, 33144, United States

Location

Chiesi Clinical Trial Site 840140

Mt. Dora, Florida, 32757, United States

Location

Chiesi Clinical Trial Site 840263

New Port Richey, Florida, 34652, United States

Location

Chiesi Clinical Trial Site 840132

North Miami, Florida, 33161, United States

Location

Chiesi Clinical Trial Site 840161

North Miami Beach, Florida, 33160, United States

Location

Chiesi Clinical Trial Site 840255

Orlando, Florida, 32807, United States

Location

Chiesi Clinical Trial Site 840110

Orlando, Florida, 32822, United States

Location

Chiesi Clinical Trial Site 840125

Orlando, Florida, 32825, United States

Location

Chiesi Clinical Trial Site 840121

Palmetto Bay, Florida, 33157, United States

Location

Chiesi Clinical Trial Site 840196

Pembroke Pines, Florida, 33024, United States

Location

Chiesi Clinical Trial Site 840198

Pembroke Pines, Florida, 33024, United States

Location

Chiesi Clinical Trial Site 840363

Plantation, Florida, 33317, United States

Location

Chiesi Clinical Trial Site 840371

Plantation, Florida, 33317, United States

Location

Chiesi Clinical Trial Site 840252

Pompano Beach, Florida, 33064, United States

Location

Chiesi Clinical Trial Site 840105

Port Charlotte, Florida, 33952, United States

Location

Chiesi Clinical Trial Site 840294

Sarasota, Florida, 34239, United States

Location

Chiesi Clinical Trial Site 840291

St. Petersburg, Florida, 33704, United States

Location

Chiesi Clinical Trial Site 840313

Tampa, Florida, 33607, United States

Location

Chiesi Clinical Trial Site 840356

Tampa, Florida, 33607, United States

Location

Chiesi Clinical Trial Site 840379

Tampa, Florida, 33607, United States

Location

Chiesi Clinical Trial Site 840131

Tampa, Florida, 33613, United States

Location

Chiesi Clinical Trial Site 840324

Tampa, Florida, 33614, United States

Location

Chiesi Clinical Trial Site 840309

Tampa, Florida, 33634, United States

Location

Chiesi Clinical Trial Site 840210

The Villages, Florida, 32162, United States

Location

Chiesi Clinical Trial Site 840129

Winter Park, Florida, 32789, United States

Location

Chiesi Clinical Trial Site 840223

Adairsville, Georgia, 30103, United States

Location

Chiesi Clinical Trial Site 840218

Columbus, Georgia, 31904, United States

Location

Chiesi Clinical Trial Site 840414

Columbus, Georgia, 31904, United States

Location

Chiesi Clinical Trial Site 840437

Cordele, Georgia, 31015, United States

Location

Chiesi Clinical Trial Site 840390

Lawrenceville, Georgia, 30044, United States

Location

Chiesi Clinical Trial Site 840227

Lawrenceville, Georgia, 30046, United States

Location

Chiesi Clinical Trial Site 840138

Rincon, Georgia, 31326, United States

Location

Chiesi Clinical Trial Site 840417

Stonecrest, Georgia, 30038, United States

Location

Chiesi Clinical Trial Site 840383

Union City, Georgia, 30291, United States

Location

Chiesi Clinical Trial Site 840321

Chicago, Illinois, 60602, United States

Location

Chiesi Clinical Trial Site 840365

Chicago Ridge, Illinois, 60415, United States

Location

Chiesi Clinical Trial Site 840407

Hammond, Indiana, 46324, United States

Location

Chiesi Clinical Trial Site 840108

Valparaiso, Indiana, 76383, United States

Location

Chiesi Clinical Trial Site 840318

Council Bluffs, Iowa, 51503, United States

Location

Chiesi Clinical Trial Site 840207

Crowley, Louisiana, 70526, United States

Location

Chiesi Clinical Trial Site 840436

Zachary, Louisiana, 70791, United States

Location

Chiesi Clinical Trial Site 840451

Bangor, Maine, 04401, United States

Location

Chiesi Clinical Trial Site 840447

Baltimore, Maryland, 21237, United States

Location

Chiesi Clinical Trial Site 840376

Baltimore, Maryland, 21287, United States

Location

Chiesi Clinical Trial Site 840199

Westminster, Maryland, 21157, United States

Location

Chiesi Clinical Trial Site 840214

Fall River, Massachusetts, 02723, United States

Location

Chiesi Clinical Trial Site 840322

New Bedford, Massachusetts, 02740, United States

Location

Chiesi Clinical Trial site 840250

North Dartmouth, Massachusetts, 02747, United States

Location

Chiesi Clinical Trial Site 840325

Dearborn, Michigan, 48124, United States

Location

Chiesi Clinical Trial Site 840400

Dearborn, Michigan, 48126, United States

Location

Chiesi Clinical Trial Site 840183

Farmington Hills, Michigan, 48336, United States

Location

Chiesi Clinical Trial Site 840340

Flint, Michigan, 48504, United States

Location

Chiesi Clinical Trial Site 840401

Flint, Michigan, 48532, United States

Location

Chiesi Clinical Trial Site 840345

Novi, Michigan, 48375, United States

Location

Chiesi Clinical Trial Site 840287

Southfield, Michigan, 48034, United States

Location

Chiesi Clinical Trial Site 840415

Southfield, Michigan, 48075, United States

Location

Chiesi Clinical Trial Site 840444

Fayette, Mississippi, 39069, United States

Location

Chiesi Clinical Trial Site 840448

Ridgeland, Mississippi, 39157, United States

Location

Chiesi Clinical Trial Site 840278

Chesterfield, Missouri, 63017, United States

Location

Chiesi Clinical Trial Site 840155

Columbia, Missouri, 65203, United States

Location

Chiesi Clinical Trial Site 840316

Richmond Heights, Missouri, 63117, United States

Location

Chiesi Clinical Trial Site 840150

Saint Charles, Missouri, 63301, United States

Location

Chiesi Clinical Trial Site 840282

St Louis, Missouri, 63123, United States

Location

Chiesi Clinical Trial Site 840123

St Louis, Missouri, 63141, United States

Location

Chiesi Clinical Trial Site 840142

St Louis, Missouri, 63141, United States

Location

Chiesi Clinical Trial Site 840273

Missoula, Montana, 59808, United States

Location

Chiesi Clinical Trial Site 840281

Lincoln, Nebraska, 68506, United States

Location

Chiesi Clinical Trial Site 840329

Omaha, Nebraska, 68114, United States

Location

Chiesi Clinical Trial Site 840213

Las Vegas, Nevada, 840213, United States

Location

Chiesi Clinical Trial Site 840285

Las Vegas, Nevada, 89106, United States

Location

Chiesi Clinical Trial Site 840299

Las Vegas, Nevada, 89123, United States

Location

Chiesi Clinical Trial Site 840338

Portsmouth, New Hampshire, 03810, United States

Location

Chiesi Clinical Trial Site 840297

Berlin, New Jersey, 08009, United States

Location

Chiesi Clinical Trial Site 840333

Toms River, New Jersey, 08755, United States

Location

Chiesi Clinical Trial Site 840330

Binghamton, New York, 13905, United States

Location

Chiesi Clinical Trial Site 840397

Brooklyn, New York, 11235, United States

Location

Chiesi Clinical Trial Site 840254

Buffalo, New York, 14201, United States

Location

Chiesi Clinical Trial Site 840307

Buffalo, New York, 14203, United States

Location

Chiesi Clinical Trial Site 840368

Flushing, New York, 11355, United States

Location

Chiesi Clinical Trial Site 840362

New Windsor, New York, 12553, United States

Location

Chiesi Clinical Trial Site 840128

The Bronx, New York, 10455, United States

Location

Chiesi Clinical Trial Site 840215

Charlotte, North Carolina, 28207, United States

Location

Chiesi Clinical Trial Site 840366

Charlotte, North Carolina, 28210, United States

Location

Chiesi Clinical Trial Site 840158

Charlotte, North Carolina, 28277, United States

Location

Chiesi Clinical Trial Site 840409

Denver, North Carolina, 28037, United States

Location

Chiesi Clinical Trial Site 840403

Durham, North Carolina, 27705, United States

Location

Chiesi Clinical Trial Site 840428

Gastonia, North Carolina, 28054, United States

Location

Chiesi Clinical Trial Site 840236

Huntersville, North Carolina, 28078, United States

Location

Chiesi Clinical Trial Site 840259

Monroe, North Carolina, 28112, United States

Location

Chiesi Clinical Trial Site 840440

Morgantown, North Carolina, 28655, United States

Location

Chiesi Clinical Trial Site 840194

New Bern, North Carolina, 28562, United States

Location

Chiesi Clinical Trial Site 840120

Raleigh, North Carolina, 27607, United States

Location

Chiesi Clinical Trial Site 840438

Raleigh, North Carolina, 27607, United States

Location

Chiesi Clinical Trial Site 840429

Raleigh, North Carolina, 27617, United States

Location

Chiesi Clinical Trial Site 840112

Rocky Mount, North Carolina, 27804, United States

Location

Chiesi Clinical Trial Site 840135

Shelby, North Carolina, 28150, United States

Location

Chiesi Clinical Trial Site 840189

Wilmington, North Carolina, 28403, United States

Location

Chiesi Clinical Trial Site 840412

Winston-Salem, North Carolina, 27103, United States

Location

Chiesi Clinical Trial Site 840445

Akron, Ohio, 44313, United States

Location

Chiesi Clinical Trial Site 840104

Cincinnati, Ohio, 45231, United States

Location

Chiesi Clinical Trial Site 840357

Cincinnati, Ohio, 45242, United States

Location

Chiesi Clinical Trial Site 840124

Columbus, Ohio, 43215, United States

Location

Chiesi Clinical Trial Site 840426

Dayton, Ohio, 45424, United States

Location

Chiesi Clinical Trial Site 840302

Kettering, Ohio, 45439, United States

Location

Chiesi Clinical Trial Site 840233

Maumee, Ohio, 43537, United States

Location

Chiesi Clinical Trial Site 840167

Middleburg Heights, Ohio, 44130, United States

Location

Chiesi Clinical Trial Site 840157

Toledo, Ohio, 43617, United States

Location

Chiesi Clinical Trial Site 840203

Medford, Oregon, 97504, United States

Location

Chiesi Clinical Trial Site 840300

Beaver, Pennsylvania, 15009, United States

Location

Chiesi Clinical Trial Site 840308

DuBois, Pennsylvania, 15801, United States

Location

Chiesi Clinical Trial Site 840156

Jenkintown, Pennsylvania, 19046, United States

Location

Chiesi Clinical Trial Site 840327

Pittsburgh, Pennsylvania, 15236, United States

Location

Chiesi Clinical Trial Site 840418

Scotland, Pennsylvania, 15683, United States

Location

Chiesi Clinical Trial Site 840419

Smithfield, Pennsylvania, 15478, United States

Location

Chiesi Clinical Trial Site 840450

Cranston, Rhode Island, 02920, United States

Location

Chiesi Clinical Trial Site 840332

Cumberland, Rhode Island, 02864, United States

Location

Chiesi Clinical Trial Site 840222

Anderson, South Carolina, 29621, United States

Location

Chiesi Clinical Trial Site 840435

Anderson, South Carolina, 29621, United States

Location

Chiesi Clinical Trial Site 840431

Charleston, South Carolina, 29406, United States

Location

Chiesi Clinical Trial Site 840334

Columbia, South Carolina, 29201, United States

Location

Chiesi Clinical Trial Site 840130

Columbia, South Carolina, 29204, United States

Location

Chiesi Clinical Trial Site 840430

Columbia, South Carolina, 29223, United States

Location

Chiesi Clinical Trial Site 840211

Fort Mill, South Carolina, 29707, United States

Location

Chiesi Clinical Trial Site 840182

Gaffney, South Carolina, 29340, United States

Location

Chiesi Clinical Trial Site 840111

Greenville, South Carolina, 29615, United States

Location

Chiesi Clinical Trial Site 840420

Lancaster, South Carolina, 29720, United States

Location

Chiesi Clinical Trial Site 840386

Mauldin, South Carolina, 29662, United States

Location

Chiesi Clinical Trial Site 840100

Rock Hill, South Carolina, 29732, United States

Location

Chiesi Clinical Trial Site 840375

Spartanburg, South Carolina, 29303, United States

Location

Chiesi Clinical Trial Site 840106

Union, South Carolina, 29379, United States

Location

Chiesi Clinical Trial Site 840295

West Columbia, South Carolina, 29169, United States

Location

Chiesi Clinical Trial Site 840398

Rapid City, South Dakota, 57702, United States

Location

Chiesi Clinical Trial Site 840305

Chattanooga, Tennessee, 37404, United States

Location

Chiesi Clinical Trial Site 840351

Franklin, Tennessee, 37067, United States

Location

Chiesi Clinical Trial Site 840306

Johnson City, Tennessee, 37601, United States

Location

Chiesi Clinical Trial Site 840171

Knoxville, Tennessee, 37909, United States

Location

Chiesi Clinical Trial Site 840361

Nashville, Tennessee, 37203, United States

Location

Chiesi Clinical Trial Site 840271

Tullahoma, Tennessee, 37388, United States

Location

Chiesi Clinical Trial Site 840101

Baytown, Texas, 77521, United States

Location

Chiesi Clinical Trial Site 840114

Boerne, Texas, 78006, United States

Location

Chiesi Clinical Trial Site 840146

Cypress, Texas, 77429, United States

Location

Chiesi Clinical Trial Site 840413

Dallas, Texas, 75230, United States

Location

Chiesi Clinical Trial Site 840284

Houston, Texas, 77008, United States

Location

Chiesi Clinical Trial Site 840411

Houston, Texas, 77008, United States

Location

Chiesi Clinical Trial Site 840389

Houston, Texas, 77030, United States

Location

Chiesi Clinical Trial Site 840185

Houston, Texas, 77084, United States

Location

Chiesi Clinical Trial Site 840224

Houston, Texas, 77098, United States

Location

Chiesi Clinical Trial Site 840408

Humble, Texas, 77396, United States

Location

Chiesi Clinical Trial Site 840102

Katy, Texas, 77494, United States

Location

Chiesi Clinical Trial Site 840274

Katy, Texas, 77494, United States

Location

Chiesi Clinical Trial Site 840432

Kerrville, Texas, 78028, United States

Location

Chiesi Clinical Trial Site 840160

Lampasas, Texas, 76550, United States

Location

Chiesi Clinical Trial Site 840424

McAllen, Texas, 78503, United States

Location

Chiesi Clinical Trial Site 840119

McKinney, Texas, 75069, United States

Location

Chiesi Clinical Trial Site 840442

Nederland, Texas, 77627, United States

Location

Chiesi Clinical Trial Site 840176

North Richland Hills, Texas, 76180, United States

Location

Chiesi Clinical Trial Site 840283

Pearland, Texas, 77584, United States

Location

Chiesi Clinical Trial Site 840191

San Antonio, Texas, 78063, United States

Location

Chiesi Clinical Trial Site 840320

San Antonio, Texas, 78215, United States

Location

Chiesi Clinical Trial Site 840410

San Antonio, Texas, 78229, United States

Location

Chiesi Clinical Trial Site 840231

Sherman, Texas, 75092, United States

Location

Chiesi Clinical Trial Site 840396

Sherman, Texas, 75092, United States

Location

Chiesi Clinical Trial Site 840394

Splendora, Texas, 77372, United States

Location

Chiesi Clinical Trial Site 840221

Sugar Land, Texas, 77479, United States

Location

Chiesi Clinical Trial Site 840139

Tomball, Texas, 77375, United States

Location

Chiesi Clinical Trial Site 840314

Tomball, Texas, 77375, United States

Location

Chiesi Clinical Trial Site 840337

Colchester, Vermont, 05446, United States

Location

Chiesi Clinical Trial Site 840264

Manassas, Virginia, 20110, United States

Location

Chiesi Clinical Trial Site 840159

Richmond, Virginia, 23219, United States

Location

Chiesi Clinical Trial Site 840425

Richmond, Virginia, 23226, United States

Location

Chiesi Clinical Trial Site 840423

Everett, Washington, 98208, United States

Location

Chiesi Clinical Trial Site 840342

Renton, Washington, 98055, United States

Location

Chiesi Clinical Trial Site 840154

Vancouver, Washington, 98664, United States

Location

Chiesi Clinical Trial Site 840421

Kingwood, West Virginia, 26537, United States

Location

Chiesi Clinical Trial Site 840201

Morgantown, West Virginia, 26505, United States

Location

Chiesi Clinical Trial Site 032115

Ciudad Autonoma de Buenos Aire, Buenos Aires, 1056ABJ, Argentina

Location

Chiesi Clinical Trial Site 032113

Ciudad Autonoma de Buenos Aire, Buenos Aires, 1426, Argentina

Location

Chiesi Clinical Trial Site 032107

Ciudad Autonoma de Buenos Aire, Buenos Aires, B1837, Argentina

Location

Chiesi Clinical Trial Site 032112

Ciudad Autonoma de Buenos Aire, Buenos Aires, C1426ABO, Argentina

Location

Chiesi Clinical Trial Site 032121

Ciudad Autonoma de Buenos Aire, Buenos Aires, Cl425DTG, Argentina

Location

Chiesi Clinical Trial Site 032108

La Plata, Buenos Aires, 1900, Argentina

Location

Chiesi Clinical Trial Site 032118

Mar del Plata, Buenos Aires, 3168, Argentina

Location

Chiesi Clinical Trial Site 032114

Mar del Plata, Buenos Aires, B7600FZO, Argentina

Location

Chiesi Clinical Trial Site 032102

Monte Grande, Buenos Aires, 1842, Argentina

Location

Chiesi Clinical Trial Site 032106

Quilmes, Buenos Aires, B1878FNR, Argentina

Location

Chiesi Clinical Trial Site 032116

San Fernando, Buenos Aires, 1646, Argentina

Location

Chiesi Clinical Trial Site 032110

San Juan Bautista, Buenos Aires, B1853AIK, Argentina

Location

Chiesi Clinical Trial Site 032100

Vicente López, Buenos Aires, 1602, Argentina

Location

Chiesi Clinical Trial Site 032111

Córdoba, Córdoba Province, X5008HHW, Argentina

Location

Chiesi Clinical Trial Site 032120

Concepción del Uruguay, Entre Ríos Province, E3260EPD, Argentina

Location

Chiesi Clinical Trial Site 032101

Rosario, Santa Fe Province, 2000, Argentina

Location

Chiesi Clinical Trial Site 032132

Rosario, Santa Fe Province, S2121, Argentina

Location

Chiesi Clinical Trial Site 032117

San Miguel de Tucumán, Tucumán Province, T4000, Argentina

Location

Chiesi Clinical Trial Site 032125

Buenos Aires, 1407, Argentina

Location

Chiesi Clinical Trial Site 032130

Buenos Aires, C1425FVH, Argentina

Location

Chiesi Clinical Trial Site 032133

Buenos Aires, Argentina

Location

Chiesi Clinical Trial Site 032103

Ciudad Autonoma de Buenos Aire, 1430, Argentina

Location

Chiesi Clinical Trial Site 032109

Ciudad Autonoma de Buenos Aire, B1602DOH, Argentina

Location

Chiesi Clinical Trial Site 032122

Córdoba, 5000, Argentina

Location

Chiesi Clinical Trial Site 032131

Lobos, 7240, Argentina

Location

Chiesi Clinical Trial Site 032119

Mar del Plata, 7600, Argentina

Location

Chiesi Clinical Trial Site 032105

Mendoza, 5500, Argentina

Location

Chiesi Clinical Trial Site 032129

Mendoza, 5500, Argentina

Location

Chiesi Clinical Trial Site 032126

Mendoza, M5502IDE, Argentina

Location

Chiesi Clinical Trial Site 032123

Paraná, 3100, Argentina

Location

Chiesi Clinical Trial Site 032128

Rosario, S2002OJN, Argentina

Location

Chiesi Clinical Trial Site 032134

San Miguel de Tucumán, 4000, Argentina

Location

Chiesi Clinical Trial Site 032136

San Miguel de Tucumán, 4000, Argentina

Location

Chiesi Clinical Trial Site 032127

San Rafael, 5600, Argentina

Location

Chiesi Clinical Trial Site 032124

Santa Fe, 3000, Argentina

Location

Chiesi Clinical Trial Site 100125

Gabrovo, Bulgaria

Location

Chiesi Clinical Trial Site 100109

Haskovo, Bulgaria

Location

Chiesi Clinical Trial Site 100129

Kozloduy, 3320, Bulgaria

Location

Chiesi Clinical Trial Site 100111

Lovech, Bulgaria

Location

Chiesi Clinical Trial Site 100115

Montana, Bulgaria

Location

Chiesi Clinical Trial Site 100132

Pleven, 5808, Bulgaria

Location

Chiesi Clinical Trial Site 100101

Pleven, Bulgaria

Location

Chiesi Clinical Trial Site 100131

Plovdiv, 4003, Bulgaria

Location

Chiesi Clinical Trial Site 100102

Plovdiv, Bulgaria

Location

Chiesi Clinical Trial Site 100126

Plovdiv, Bulgaria

Location

Chiesi Clinical Trial Site 100128

Razgrad, 7200, Bulgaria

Location

Chiesi Clinical Trial Site 100104

Rousse, Bulgaria

Location

Chiesi Clinical Trial Site 100113

Rousse, Bulgaria

Location

Chiesi Clinical Trial Site 100100

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100110

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100112

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100116

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100117

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100118

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100119

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100121

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100123

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100124

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100127

Sofia, Bulgaria

Location

Chiesi Clinical Trial Site 100103

Stara Zagora, Bulgaria

Location

Chiesi Clinical Trial Site 100107

Stara Zagora, Bulgaria

Location

Chiesi Clinical Trial Site 100130

Varna, 9020, Bulgaria

Location

Chiesi Clinical Trial Site 100122

Veliko Tarnovo, Bulgaria

Location

Chiesi Clinical Trial Site 100106

Vidin, Bulgaria

Location

Chiesi Clinical Trial Site 100114

Vidin, Bulgaria

Location

Chiesi Clinical Trial Site 124103

Edmonton, Alberta, T5A 4L8, Canada

Location

Chiesi Clinical Trial Site 124105

Sherwood Park, Alberta, T8H 0N2, Canada

Location

Chiesi Clinical Trial Site 124102

Burlington, Ontario, L7N 3V2, Canada

Location

Chiesi Clinical Trial Site 124104

Greater Sudbury, Ontario, P3C 1X3, Canada

Location

Chiesi Clinical Trial Site 124100

Windsor, Ontario, N8X 1T3, Canada

Location

Chiesi Clinical Trial Site 124106

Trois-Rivières, Quebec, G8T 7A1, Canada

Location

Chiesi Clinical Trial Site 203101

Brandýs nad Labem, Czechia

Location

Chiesi Clinical Trial Site 203107

Jindřichův Hradec, Czechia

Location

Chiesi Clinical Trial Site 203109

Miroslav, Czechia

Location

Chiesi Clinical Trial Site 203116

Prague, 11000, Czechia

Location

Chiesi Clinical Trial Site 203115

Prague, 140 00, Czechia

Location

Chiesi Clinical Trial Site 203114

Prague, Czechia

Location

Chiesi Clinical Trial Site 203112

Rokycany, Czechia

Location

Chiesi Clinical Trial Site 203108

Strakonice, Czechia

Location

Chiesi Clinical Trial Site 203105

Tábor, Czechia

Location

Chiesi Clinical Trial Site 203104

Teplice, Czechia

Location

Chiesi Clinical Trial Site 203110

Varnsdorf, Czechia

Location

Chiesi Clinical Trial Site 348121

Komló, BA, 7300, Hungary

Location

Chiesi Clinical Trial Site 348122

Pécs, BA, 7626, Hungary

Location

Chiesi Clinical Trial Site 348124

Csorna, GS, 9300, Hungary

Location

Chiesi Clinical Trial Site 348126

Szolnok, JN, 5000, Hungary

Location

Chiesi Clinical Trial Site 348107

Balassagyarmat, Nógrád megye, Hungary

Location

Chiesi Clinical Trial Site 348120

Gödöllő, Pest County, Hungary

Location

Chiesi Clinical Trial Site 348104

Nyíregyháza, Szabolcs-Szatmár-Bereg, Hungary

Location

Chiesi Clinical Trial Site 348109

Nyíregyháza, Szabolcs-Szatmár-Bereg, Hungary

Location

Chiesi Clinical Trial Site 348105

Szombathely, Vas County, Hungary

Location

Chiesi Clinical Trial Site 348118

Debrecen, Hungary

Location

Chiesi Clinical Trial Site 348112

Hajdúnánás, Hungary

Location

Chiesi Clinical Trial Site 348116

Hatvan, Hungary

Location

Chiesi Clinical Trial Site 348103

Monor, Hungary

Location

Chiesi Clinical Trial Site 348125

Sellye, 7960, Hungary

Location

Chiesi Clinical Trial Site 484110

Tijuana, Estado de Baja California, Mexico

Location

Chiesi Clinical Trial Site 484113

Guadalajara, Jalisco, 44610, Mexico

Location

Chiesi Clinical Trial Site 484100

Guadalajara, Jalisco, Mexico

Location

Chiesi Clinical Trial Site 484102

Guadalajara, Jalisco, Mexico

Location

Chiesi Clinical Trial Site 484104

Guadalajara, Jalisco, Mexico

Location

Chiesi Clinical Trial Site 484106

Guadalajara, Jalisco, Mexico

Location

Chiesi Clinical Trial Site 484112

Guadalajara, Jalisco, Mexico

Location

Chiesi Clinical Trial Site 484115

Guadalupe, Jalisco, 44200, Mexico

Location

Chiesi Clinical Trial Site 484103

Cuauhtémoc, Mexico City, Mexico

Location

Chiesi Clinical Trial Site 484107

Morelia, Michoacán, Mexico

Location

Chiesi Clinical Trial Site 484101

Monterrey, Nuevo León, Mexico

Location

Chiesi Clinical Trial Site 484111

Monterrey, Nuevo León, Mexico

Location

Chiesi Clinical Trial Site 484116

Chihuahua City, 31217, Mexico

Location

Chiesi Clinical Trial Site 484105

Chihuahua City, Mexico

Location

Chiesi Clinical Trial Site 484109

Chihuahua City, Mexico

Location

Chiesi Clinical Trial Site 484108

Tlalpan, Mexico

Location

Chiesi Clinical Trial Site 616125

Bialystok, 15-003, Poland

Location

Chiesi Clinical Trial Site 616119

Bialystok, Poland

Location

Chiesi Clinical Trial Site 616100

Giżycko, Poland

Location

Chiesi Clinical Trial Site 616113

Grudziądz, Poland

Location

Chiesi Clinical Trial Site 616116

Katowice, Poland

Location

Chiesi Clinical Trial Site 616122

Krakow, 30-149, Poland

Location

Chiesi Clinical Trial Site 616106

Krakow, Poland

Location

Chiesi Clinical Trial Site 616109

Krakow, Poland

Location

Chiesi Clinical Trial Site 616118

Krakow, Poland

Location

Chiesi Clinical Trial Site 616103

Lodz, Poland

Location

Chiesi Clinical Trial Site 616128

Olsztyn, Poland

Location

Chiesi Clinical Trial Site 616117

Ostrowiec, Poland

Location

Chiesi Clinical Trial Site 616105

Ostróda, Poland

Location

Chiesi Clinical Trial Site 616123

Poznan, 60-214, Poland

Location

Chiesi Clinical Trial Site 616107

Poznan, Poland

Location

Chiesi Clinical Trial Site 616110

Poznan, Poland

Location

Chiesi Clinical Trial Site 616108

Rzeszów, Poland

Location

Chiesi Clinical Trial Site 616114

Skierniewice, Poland

Location

Chiesi Clinical Trial Site 616120

Skorzewo, 60-185, Poland

Location

Chiesi Clinical Trial Site 616102

Sosnowiec, Poland

Location

Chiesi Clinical Trial Site 616111

Tarnów, Poland

Location

Chiesi Clinical Trial Site 616115

Torun, Poland

Location

Chiesi Clinical Trial Site 616127

Warsaw, 00-215, Poland

Location

Chiesi Clinical Trial Site 616126

Wroclaw, 54-239, Poland

Location

Chiesi Clinical Trial Site 616104

Wroclaw, Poland

Location

Chiesi Clinical Trial Site 616112

Wroclaw, Poland

Location

Chiesi Clinical Trial Site 616101

Zawadzkie, Poland

Location

Chiesi Clinical Trial Site 840393

Guaynabo, 00968, Puerto Rico

Location

Chiesi Clinical Trial Site 642102

Oradea, Bihor County, 410169, Romania

Location

Chiesi Clinical Trial Site 642104

Cluj-Napoca, Cluj, 400371, Romania

Location

Chiesi Clinical Trial Site 642120

Deva, Hunedoara County, 330162, Romania

Location

Chiesi Clinical Trial Site 642107

Bragadiru, Ilfov, 077025, Romania

Location

Chiesi Clinical Trial Site 642119

Timișoara, Timiș County, 300336, Romania

Location

Chiesi Clinical Trial Site 642109

Bacau, 600252, Romania

Location

Chiesi Clinical Trial Site 642106

Bragadiru, 077025, Romania

Location

Chiesi Clinical Trial Site 642117

Brasov, 500283, Romania

Location

Chiesi Clinical Trial Site 642108

Bucharest, 012071, Romania

Location

Chiesi Clinical Trial Site 642103

Bucharest, 020125, Romania

Location

Chiesi Clinical Trial Site 642113

Bucharest, 11025, Romania

Location

Chiesi Clinical Trial Site 642115

Caracal, 235200, Romania

Location

Chiesi Clinical Trial Site 642111

Cluj-Napoca, 400275, Romania

Location

Chiesi Clinical Trial Site 642105

Constanța, 900433, Romania

Location

Chiesi Clinical Trial Site 642110

Craiova, 200515, Romania

Location

Chiesi Clinical Trial Site 642118

Craiova, 200515, Romania

Location

Chiesi Clinical Trial Site 642101

Iași, 700141, Romania

Location

Chiesi Clinical Trial Site 642114

Reșca, 237143, Romania

Location

Chiesi Clinical Trial Site 642112

Satu Mare, 44055, Romania

Location

Chiesi Clinical Trial Site 642116

Timișoara, 300134, Romania

Location

Related Publications (33)

  • Quanjer PH, Stanojevic S, Cole TJ, Baur X, Hall GL, Culver BH, Enright PL, Hankinson JL, Ip MS, Zheng J, Stocks J; ERS Global Lung Function Initiative. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J. 2012 Dec;40(6):1324-43. doi: 10.1183/09031936.00080312. Epub 2012 Jun 27.

    PMID: 22743675BACKGROUND
  • Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, Schmid V, Buist S. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J. 2006 Feb;27(2):397-412. doi: 10.1183/09031936.06.00025805. No abstract available.

    PMID: 16452599BACKGROUND
  • Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, Abraham J, Adair T, Aggarwal R, Ahn SY, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Barker-Collo S, Bartels DH, Bell ML, Benjamin EJ, Bennett D, Bhalla K, Bikbov B, Bin Abdulhak A, Birbeck G, Blyth F, Bolliger I, Boufous S, Bucello C, Burch M, Burney P, Carapetis J, Chen H, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahodwala N, De Leo D, Degenhardt L, Delossantos A, Denenberg J, Des Jarlais DC, Dharmaratne SD, Dorsey ER, Driscoll T, Duber H, Ebel B, Erwin PJ, Espindola P, Ezzati M, Feigin V, Flaxman AD, Forouzanfar MH, Fowkes FG, Franklin R, Fransen M, Freeman MK, Gabriel SE, Gakidou E, Gaspari F, Gillum RF, Gonzalez-Medina D, Halasa YA, Haring D, Harrison JE, Havmoeller R, Hay RJ, Hoen B, Hotez PJ, Hoy D, Jacobsen KH, James SL, Jasrasaria R, Jayaraman S, Johns N, Karthikeyan G, Kassebaum N, Keren A, Khoo JP, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lipnick M, Lipshultz SE, Ohno SL, Mabweijano J, MacIntyre MF, Mallinger L, March L, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGrath J, Mensah GA, Merriman TR, Michaud C, Miller M, Miller TR, Mock C, Mocumbi AO, Mokdad AA, Moran A, Mulholland K, Nair MN, Naldi L, Narayan KM, Nasseri K, Norman P, O'Donnell M, Omer SB, Ortblad K, Osborne R, Ozgediz D, Pahari B, Pandian JD, Rivero AP, Padilla RP, Perez-Ruiz F, Perico N, Phillips D, Pierce K, Pope CA 3rd, Porrini E, Pourmalek F, Raju M, Ranganathan D, Rehm JT, Rein DB, Remuzzi G, Rivara FP, Roberts T, De Leon FR, Rosenfeld LC, Rushton L, Sacco RL, Salomon JA, Sampson U, Sanman E, Schwebel DC, Segui-Gomez M, Shepard DS, Singh D, Singleton J, Sliwa K, Smith E, Steer A, Taylor JA, Thomas B, Tleyjeh IM, Towbin JA, Truelsen T, Undurraga EA, Venketasubramanian N, Vijayakumar L, Vos T, Wagner GR, Wang M, Wang W, Watt K, Weinstock MA, Weintraub R, Wilkinson JD, Woolf AD, Wulf S, Yeh PH, Yip P, Zabetian A, Zheng ZJ, Lopez AD, Murray CJ, AlMazroa MA, Memish ZA. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2095-128. doi: 10.1016/S0140-6736(12)61728-0.

    PMID: 23245604BACKGROUND
  • Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):e442. doi: 10.1371/journal.pmed.0030442.

    PMID: 17132052BACKGROUND
  • Montes de Oca M, Perez-Padilla R, Talamo C, Halbert RJ, Moreno D, Lopez MV, Muino A, Jose Roberto BJ, Valdivia G, Pertuze J, Ana Maria BM; PLATINO Team. Acute bronchodilator responsiveness in subjects with and without airflow obstruction in five Latin American cities: the PLATINO study. Pulm Pharmacol Ther. 2010 Feb;23(1):29-35. doi: 10.1016/j.pupt.2009.09.005. Epub 2009 Oct 8.

    PMID: 19818867BACKGROUND
  • Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999 Jul;54(7):581-6. doi: 10.1136/thx.54.7.581.

    PMID: 10377201BACKGROUND
  • Jones PW, Harding G, Berry P, Wiklund I, Chen WH, Kline Leidy N. Development and first validation of the COPD Assessment Test. Eur Respir J. 2009 Sep;34(3):648-54. doi: 10.1183/09031936.00102509.

    PMID: 19720809BACKGROUND
  • Lane DC, Stemkowski S, Stanford RH, Tao Z. Initiation of Triple Therapy with Multiple Inhalers in Chronic Obstructive Pulmonary Disease: An Analysis of Treatment Patterns from a U.S. Retrospective Database Study. J Manag Care Spec Pharm. 2018 Nov;24(11):1165-1172. doi: 10.18553/jmcp.2018.24.11.1165.

    PMID: 30362922BACKGROUND
  • Lipson DA, Barnhart F, Brealey N, Brooks J, Criner GJ, Day NC, Dransfield MT, Halpin DMG, Han MK, Jones CE, Kilbride S, Lange P, Lomas DA, Martinez FJ, Singh D, Tabberer M, Wise RA, Pascoe SJ; IMPACT Investigators. Once-Daily Single-Inhaler Triple versus Dual Therapy in Patients with COPD. N Engl J Med. 2018 May 3;378(18):1671-1680. doi: 10.1056/NEJMoa1713901. Epub 2018 Apr 18.

    PMID: 29668352BACKGROUND
  • Welte T, Miravitlles M, Hernandez P, Eriksson G, Peterson S, Polanowski T, Kessler R. Efficacy and tolerability of budesonide/formoterol added to tiotropium in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2009 Oct 15;180(8):741-50. doi: 10.1164/rccm.200904-0492OC. Epub 2009 Jul 30.

    PMID: 19644045BACKGROUND
  • Hanania NA, Crater GD, Morris AN, Emmett AH, O'Dell DM, Niewoehner DE. Benefits of adding fluticasone propionate/salmeterol to tiotropium in moderate to severe COPD. Respir Med. 2012 Jan;106(1):91-101. doi: 10.1016/j.rmed.2011.09.002. Epub 2011 Oct 29.

    PMID: 22040533BACKGROUND
  • Jung KS, Park HY, Park SY, Kim SK, Kim YK, Shim JJ, Moon HS, Lee KH, Yoo JH, Lee SD; Korean Academy of Tuberculosis and Respiratory Diseases study group; Korea Chronic Obstructive Pulmonary Disease study group. Comparison of tiotropium plus fluticasone propionate/salmeterol with tiotropium in COPD: a randomized controlled study. Respir Med. 2012 Mar;106(3):382-9. doi: 10.1016/j.rmed.2011.09.004. Epub 2011 Oct 4.

    PMID: 21975275BACKGROUND
  • Lipson DA, Barnacle H, Birk R, Brealey N, Locantore N, Lomas DA, Ludwig-Sengpiel A, Mohindra R, Tabberer M, Zhu CQ, Pascoe SJ. FULFIL Trial: Once-Daily Triple Therapy for Patients with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2017 Aug 15;196(4):438-446. doi: 10.1164/rccm.201703-0449OC.

    PMID: 28375647BACKGROUND
  • Ferguson GT, Rabe KF, Martinez FJ, Fabbri LM, Wang C, Ichinose M, Bourne E, Ballal S, Darken P, DeAngelis K, Aurivillius M, Dorinsky P, Reisner C. Triple therapy with budesonide/glycopyrrolate/formoterol fumarate with co-suspension delivery technology versus dual therapies in chronic obstructive pulmonary disease (KRONOS): a double-blind, parallel-group, multicentre, phase 3 randomised controlled trial. Lancet Respir Med. 2018 Oct;6(10):747-758. doi: 10.1016/S2213-2600(18)30327-8. Epub 2018 Sep 16.

    PMID: 30232048BACKGROUND
  • Singh D, Papi A, Corradi M, Pavlisova I, Montagna I, Francisco C, Cohuet G, Vezzoli S, Scuri M, Vestbo J. Single inhaler triple therapy versus inhaled corticosteroid plus long-acting beta2-agonist therapy for chronic obstructive pulmonary disease (TRILOGY): a double-blind, parallel group, randomised controlled trial. Lancet. 2016 Sep 3;388(10048):963-73. doi: 10.1016/S0140-6736(16)31354-X. Epub 2016 Sep 1.

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  • Vestbo J, Papi A, Corradi M, Blazhko V, Montagna I, Francisco C, Cohuet G, Vezzoli S, Scuri M, Singh D. Single inhaler extrafine triple therapy versus long-acting muscarinic antagonist therapy for chronic obstructive pulmonary disease (TRINITY): a double-blind, parallel group, randomised controlled trial. Lancet. 2017 May 13;389(10082):1919-1929. doi: 10.1016/S0140-6736(17)30188-5. Epub 2017 Apr 3.

    PMID: 28385353BACKGROUND
  • Papi A, Vestbo J, Fabbri L, Corradi M, Prunier H, Cohuet G, Guasconi A, Montagna I, Vezzoli S, Petruzzelli S, Scuri M, Roche N, Singh D. Extrafine inhaled triple therapy versus dual bronchodilator therapy in chronic obstructive pulmonary disease (TRIBUTE): a double-blind, parallel group, randomised controlled trial. Lancet. 2018 Mar 17;391(10125):1076-1084. doi: 10.1016/S0140-6736(18)30206-X. Epub 2018 Feb 9.

    PMID: 29429593BACKGROUND
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Related Links

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Interventions

BeclomethasoneGlycopyrrolateFormoterol Fumarate

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

PregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, ChlorinatedQuaternary Ammonium CompoundsAminesOrganic ChemicalsOnium CompoundsPyrrolidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsEthanolaminesAmino AlcoholsAlcohols

Study Officials

  • Thomas Siler, MD

    Midwest Chest Consultants

    PRINCIPAL INVESTIGATOR

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 23, 2020

First Posted

March 25, 2020

Study Start

April 28, 2022

Primary Completion

January 12, 2026

Study Completion

January 12, 2026

Last Updated

January 30, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations