E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
|
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10009032 |
E.1.2 | Term | Chronic obstructive lung disease |
E.1.2 | System Organ Class | 10038738 - Respiratory, thoracic and mediastinal disorders |
|
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 evaluate the effect of Formoterol compared to Salmeterol (HFA-pMDI) on small aiways physiological paramaters in patients with COPD. |
|
E.2.2 | Secondary objectives of the trial |
to assess the safety and tolerability, as determined by the recording of vital signs [heart rate (HR), blood pressure (BP)], adverse events (AEs) and adverse drug reactions
(ADRs). |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Subject’s written informed consent obtained prior to any
study-related procedures
2. Male and female outpatients, aged ≥ 40 years
3. Patients with a clinical diagnosis of COPD (according
to GOLD guidelines)
4. Post bronchodilator (to salbutamol 400 micrograms inhalation pMDI as per GOLD guidelines) FEV1 between 30% and 80% predicted values (30% ≤ FEV1 < 80%) documented at screening visit [=Stage 2 and Stage 3 GOLD criteria]
5. Post-bronchodilator (to salbutamol 400 micrograms inhalation pMDI as per GOLD guidelines) FEV1/FVC < 0.7 (absolute value) documented at screening visit
6. Ability to be trained to use the pMDI device correctly. |
|
E.4 | Principal exclusion criteria |
1. Current or past diagnosis of asthma
2. Positive FEV1 reversibility test: FEV1 30 minutes following inhalation of 400 µg of salbutamol pMDI greater than 200 mL and 12% above the prebronchodilator
FEV1
3. History of any chronic respiratory diseases other than COPD
4. History of another medical condition, which in the opinion of the Unit Physician, contraindicates his/her participation in the study.
5. Clinical evidence of heart failure (NYHA class III-IV)
6. Unstable respiratory disease in the last four weeks prior to the screening visit (indicated by any change in their maintenance inhaled therapy or who have had a
lower respiratory tract infection in the previous four weeks)
7. Evidence of a respiratory exacerbation requiring emergency room treatment and/or hospitalisation within four weeks before screening.
8. Use of systemic (oral or intravenous) steroids 4 weeks prior to inclusion (injectable depot steroids 6 weeks) or more than 3 periods during the last 12 months
9. Participants with a known or suspected allergy, sensitivity or intolerance to the study drugs or to long acting beta agonists, will be excluded from the study.
10. Patient with a contraindication to taking an inhaled long-acting beta-agonists, listed in the British National Formulary (BNF)
11. Patients treated with beta-blockers in the week preceding the screening visit and during the study period
12. Females who are pregnant or lactating or are likely to become pregnant during the trial. Women of childbearing potential may be included in the study if, in the opinion of the investigator, they are taking adequate contraceptive precautions.
13. Patients who have evidence of alcohol or substance
abuse
14. Participation in another clinical trial with an investigational drug in the four weeks preceding the screening visit |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Lung Reactance (X5) from Impulse oscillometry (IOS) |
|
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 | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
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 | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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 | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
|
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 1 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
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
| |
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 10 |