E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
COPD = Chronic Obstructive Pulmonary Disease
|
COPD = chronisch obstructieve longziekte
|
|
E.1.1.1 | Medical condition in easily understood language |
COPD includes chronic bronchitis and emphysema (= less elastic lungs, shortness of breath may occur) and is characterized by airway narrowing that is not fully reversible. |
COPD omvat chronische bronchitis en emfyseem (= longen zijn minder rekbaar waardoor kortademigheid kan voorkomen) en wordt gekenmerkt door luchtwegvernauwing die niet volledig omkeerbaar is. |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Respiratory Tract Diseases [C08] |
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 | 10010952 |
E.1.2 | Term | COPD |
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 |
The primary objective of this study is to evaluate the possible use of CT based Functional Respiratory Imaging on the phenotyping of severe COPD patients after a 6month treatment with Daxas®. |
|
E.2.2 | Secondary objectives of the trial |
Secondary outcome variables are health related quality of life, lung function tests and exercise tolerance. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Men or female patient ≥ 30 years old
2. Patient with BMI ≥ 20
3. Written informed consent obtained
4. Female patient of childbearing potential who confirm that a contraception method was used at least 14 days before visit 1 and will continue to use a contraception method during the study.
5. Patient should be treated according to GOLD guidelines
6. COPD patient with GOLD stages III until IV
7. Patient with smoking history of at least 10 pack-years
8. Patient takes Spiriva® and a fixed combination of inhaled steroids and long acting beta agonist (LABA) at least 6 weeks before visit 1
9. Patient must be able to understand and complete the protocol requirements, instructions, questionnaires and protocol-stated restrictions.
|
|
E.4 | Principal exclusion criteria |
1. Pregnant or lactating females
2. Patient with severe immunological diseases and/ or severe acute infectious diseases.
3. Patient with heart failure
4. Patient with diagnosis of cancer (except basal cell carcinoma)
5. Patient with a history of depression associated with suicidal ideation or behaviour
6. Patient with moderate or severe hepatic impairment.
7. Patient with lactose intolerance
8. Patient is unlikely to comply with the protocol or unable to understand the nature, scope and possible consequences of the study.
9. Patient who received any investigational new drug within the last 4 weeks prior to the screening visit or twice the duration of the biological effect of any drug (whichever is longer). |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Phenotyping of severe COPD patients, after 6 month treatment with Daxas®, with use of functional respiratory imaging.
|
Fenotypering van ernstige COPD patiënten, na 6 maanden behandeling met Daxas®, met behulp van functionele respiratoire beeldvorming. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
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 | No |
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 | 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 | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | No |
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 | No |
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 | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |