E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chronic Obstructive Pulmonary Disease (COPD) |
Chronická obstrukční plicní nemoc (CHOPN) |
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E.1.1.1 | Medical condition in easily understood language |
chronic airflow limitation |
chronické omezení proudění vzduchu |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10010952 |
E.1.2 | Term | COPD |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To demonstrate non-inferiority of 150 µg o.d. of indacaterol versus tiotropium 18 µg o.d. with respect to 24 hour post dose (trough) FEV1 after 12 weeks of treatment. Trough is defined as the mean of FEV1 measurements at 23h 10 min and 23h 45 min post morning dose. |
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E.2.2 | Secondary objectives of the trial |
To demonstrate that indacaterol 150 µg o.d, is non inferior to tiotropium 18 µg o.d. with regard to the rate of exacerbations during 52 weeks of treatment. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Male and female adults aged ≥40 years, who have signed an Informed Consent form prior to initiation of any study-related procedure
2.Patients diagnosed with COPD at age 40 and over
3.Co-operative outpatients with a diagnosis of COPD (severe as classified by the GOLD Guidelines, 2007 and including:
Smoking history of at least 10 pack years, both current and ex-smokers are eligible
Post-bronchodilator FEV1 <50% and ≥30% of the predicted normal value
Post-bronchodilator FEV1/FVC <70%
A documented history of at least 1 moderate or severe exacerbation in the previous 12 months (where exacerbation is defined as worsening of 2 or more of the following major symptoms for at least 2 consecutive days:
•dyspnea
•sputum volume
•sputum purulence
AND requiring treatment with systemic corticosteroids and/or antibiotic.
OR
worsening of any 1 major symptom together with any 1 of the following minor symptoms for at least 2 consecutive days:
•sore throat
•colds (nasal discharge and/or nasal congestion)
•fever without other cause
•increased cough
•increased wheeze
AND requiring treatment with systemic corticosteroids and/or antibiotic.
COPD exacerbations are considered of moderate severity if treatment with systemic corticosteroids and/or antibiotic was required and severe if hospitalization was required also. An Emergency Room (ER) visit of longer than 24 hours will be considered a hospitalization.
(Post refers to 15 min after inhalation of 400 µg (4x100µg) of salbutamol, equivalent to 4 x 90 µg albuterol delivered at the mouthpiece, at Visit 2).
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E.4 | Principal exclusion criteria |
1.Patients who have received systemic corticosteroids and/or antibiotics for a COPD exacerbation in the 6 weeks prior to screening or during the run-in period
2.Patients requiring long-term oxygen therapy (>15 h a day) for chronic hypoxemia
3.Patients who have had a respiratory tract infection within 6 weeks prior to screening
4.Patients with concomitant pulmonary disease
5.Patients with a history of asthma
6.Patients with diabetes Type I or uncontrolled diabetes Type II
7.Any patient with lung cancer or a history of lung cancer
8.Any patient with active cancer or a history of cancer with less than 5 years disease-free survival time
9.Patients with a history of long QT syndrome or whose QTc interval (Fredricia’s) measured at screening is prolonged
10.Patients who have been vaccinated with live attenuated vaccines within 30 days prior to screening or during the run-in period
11.Patients unable to successfully use a dry powder inhaler device, or perform spirometry measurements
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E.5 End points |
E.5.1 | Primary end point(s) |
To demonstrate non-inferiority of 150 µg o.d. of indacaterol versus tiotropium 18 µg o.d. with respect to 24 hour post dose (trough) FEV1 after 12 weeks of treatment. Trough is defined as the mean of FEV1 measurements at 23h 10 min and 23h 45 min post morning dose. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
To demonstrate that indacaterol 150 μg o.d. is non inferior to tiotropium 18 μg o.d. with regard to the rate of exacerbations during 52 weeks of treatment |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Dvojitě matoucí |
Double dummy |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Austria |
Belgium |
Brazil |
Canada |
China |
Colombia |
Costa Rica |
Czech Republic |
Denmark |
Estonia |
Finland |
France |
Germany |
Hungary |
Iceland |
India |
Israel |
Italy |
Latvia |
Lithuania |
Mexico |
Netherlands |
New Zealand |
Peru |
Philippines |
Poland |
Portugal |
Romania |
Russian Federation |
Slovakia |
South Africa |
Sweden |
Switzerland |
Taiwan |
Thailand |
Turkey |
United Kingdom |
United States |
Venezuela, Bolivarian Republic of |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 0 |