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    Summary
    EudraCT Number:2016-002513-22
    Sponsor's Protocol Code Number:201749
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2017-01-25
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2016-002513-22
    A.3Full title of the trial
    A 24-week treatment, multi-center, randomized, double-blind, double-dummy, parallel group study to compare Umeclidinium/Vilanterol, Umeclidimium, and Salmeterol in subjects with chronic obstructive pulmonary disease (COPD).
    Estudio multicéntrico, aleatorizado, doble ciego, con doble enmascaramiento, de grupos paralelos y 24 semanas de duración, para comparar umeclidinio/ vilanterol, umeclidinio y salmeterol en sujetos con enfermedad pulmonar obstructiva crónica (EPOC).
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Clinical Research Study to compare Umeclidinium/Vilanterol, Umeclidimium, and Salmeterol in subjects with chronic obstructive pulmonary disease (COPD).
    Estudio clínico para comparar umeclidinio/ vilanterol, umeclidinio y salmeterol en sujetos con enfermedad pulmonar obstructiva crónica (EPOC).
    A.4.1Sponsor's protocol code number201749
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGlaxoSmithKline, S.A.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportGSK
    B.4.2CountryUnited Kingdom
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGlaxoSmithKline
    B.5.2Functional name of contact pointCentro de Información
    B.5.3 Address:
    B.5.3.1Street AddressC/Severo Ochoa, 2 (P.T.M.)
    B.5.3.2Town/ cityTres Cantos (Madrid)
    B.5.3.3Post code28760
    B.5.3.4CountrySpain
    B.5.4Telephone number34902202700
    B.5.5Fax number34918070479
    B.5.6E-mailes-ci@gsk.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Incruse
    D.2.1.1.2Name of the Marketing Authorisation holderGlaxo Group Limited
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameumeclidinium bromide
    D.3.2Product code GSK573719
    D.3.4Pharmaceutical form Inhalation powder
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPInhalation use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNUMECLIDINIUM BROMIDE
    D.3.9.1CAS number 869113-09-7
    D.3.9.2Current sponsor codeGSK573719
    D.3.9.4EV Substance CodeSUB119778
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number62.5
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name ANORO
    D.2.1.1.2Name of the Marketing Authorisation holderGlaxo Group Limited
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAnoro
    D.3.2Product code GSK573719
    D.3.4Pharmaceutical form Inhalation powder
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPInhalation use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNUMECLIDINIUM BROMIDE
    D.3.9.1CAS number 869113-09-7
    D.3.9.2Current sponsor codeGSK573719
    D.3.9.4EV Substance CodeSUB119778
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number62.5
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNVILANTEROL
    D.3.9.1CAS number 503070-58-4
    D.3.9.3Other descriptive nameVILANTEROL TRIFENATATE
    D.3.9.4EV Substance CodeSUB36527
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Serevent Accuhaler
    D.2.1.1.2Name of the Marketing Authorisation holderGlaxo Wellcome UK Ltd
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameSerevent Accuhaler
    D.3.4Pharmaceutical form Inhalation powder
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPInhalation use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNSALMETEROL
    D.3.9.1CAS number 94749-08-3
    D.3.9.3Other descriptive nameSALMETEROL XINAFOATE
    D.3.9.4EV Substance CodeSUB04314MIG
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboInhalation powder
    D.8.4Route of administration of the placeboInhalation use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboInhalation powder
    D.8.4Route of administration of the placeboInhalation use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Chronic obstructive pulmonary disease (COPD)
    Enfermedad pulmonar obstructiva crónica (EPOC)
    E.1.1.1Medical condition in easily understood language
    Chronic obstructive pulmonary disease (COPD)
    Enfermedad pulmonar obstructiva crónica (EPOC)
    E.1.1.2Therapeutic area Diseases [C] - Respiratory Tract Diseases [C08]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 19.1
    E.1.2Level PT
    E.1.2Classification code 10009033
    E.1.2Term Chronic obstructive pulmonary disease
    E.1.2System Organ Class 10038738 - Respiratory, thoracic and mediastinal disorders
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To compare the effect of UMEC/VI (62.5/25 mcg once daily) with UMEC (62.5 mcg once daily) on lung function.
    Comparar el efecto de UMEC/VI (62,5/25 μg una vez al día) con el de UMEC (62,5 μg una vez al día) sobre la función respiratoria.
    E.2.2Secondary objectives of the trial
    To compare UMEC/VI (62.5/25 mcg once daily), UMEC (62.5 mcg once daily) with salmeterol (50 mcg twice daily) on patient reported outcomes (PROs).
    Comparar el efecto de UMEC/VI (62,5/25 μg una vez al día), UMEC (62,5 μg una vez al día) y salmeterol (50 μg dos veces al día) sobre resultados de salud comunicados por los pacientes (PROs).
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    AGE
    1. 40 years or older at date of signing informed consent at Screening Visit 1.
    TYPE OF SUBJECT AND DIAGNOSIS INCLUDING DISEASE SEVERITY
    2. Outpatient with a diagnosis of COPD.
    3. FEV1: Persistent airflow limitations as indicated by: A pre and postalbuterol/ salbutamol FEV1/FVC ratio of <0.70 and a post-albuterol/salbutamol FEV1 of ≥30% to ≤80% predicted normal values at Screening Visit 1.
    4. CAT score: A CAT score of ≥10 at Screening Visit 1.

    Smoking History
    5. Current or former cigarette smokers with a history of cigarette smoking of ≥ 10 pack-years [number of pack years = (number of cigarettes per day / 20) x number of years smoked (e.g. 20 cigarettes per day for 10 years, or 10 cigarettes per day for 20 years both equal 10 pack-years)]. Former smokers are defined as those who have stopped smoking for at least 6 months prior to Visit 1. Pipe and/or cigar use cannot be used to calculate pack-year history.

    SEX
    6. Male and female subjects are eligible to participate in the study
    A female subject is eligible to participate if she is not pregnant (as confirmed by a negative urine human chorionic gonadotrophin (hCG) test), not lactating, and at least one of the following conditions applies:
    a. Non-reproductive potential defined as:
    Pre-menopausal females with one of the following:
    • Documented tubal ligation
    • Documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion
    • Hysterectomy
    • Documented Bilateral Oophorectomy
    Postmenopausal defined as 12 months of spontaneous amenorrhea. In questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) and estradiol levels consistent with menopause must be tested. Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study.
    Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment.
    b. Reproductive potential and agrees to follow one of the options listed in the Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) from 30 days prior to the first dose of study medication and until [at least five terminal half-lives OR until any continuing pharmacologic effect has ended, whichever is longer] after the last dose of study medication and completion of the follow-up visit.

    INFORMED CONSENT
    7. Capable of giving signed informed consent prior to study participation, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol.
    EDAD
    1. 40 años o más de edad en la fecha de la firma del consentimiento informado, en la visita de selección.
    TIPO DE SUJETO Y DIAGNÓSTICO, INCLUIDA LA GRAVEDAD DE LA ENFERMEDAD
    2. Paciente ambulatorio con diagnóstico de EPOC según la definición de la American Thoracic Society/Sociedad Europea de Neumología (ATS/ERS) [Celli, 2004].
    3. FEV1: obstrucción persistente del flujo aéreo indicado por: un cociente FEV1/FVC pre- y post-salbutamol < 0,70 y FEV1 post-salbutamol ≥ 30% y ≤ 80% de los valores normales teóricos en la visita 1. Los valores teóricos se basarán en la ‘Global Lung Function Initiative’ de la ERS [Quanjer, 2012].
    4. Puntuación CAT: puntuación CAT ≥ 10 en la visita 1 (selección).
    ANTECEDENTES DE TABAQUISMO.
    5. Fumador activo o ex fumador con antecedentes de tabaquismo de ≥ 10 paquetes año [número de paquetes año = (número de cigarrillos al día / 20) x número de años de fumador (p. ej., 20 cigarrillos al día durante 10 años o 10 cigarrillos al día durante 20 años equivalen a 10 paquetes año)]. Los ex fumadores se definen como los sujetos que han dejado de fumar al menos 6 meses antes de la visita 1. El uso de pipas o de puros no puede utilizarse para calcular los antecedentes de paquetes año.
    SEXO
    6. En el estudio podrán participar varones y mujeres.
    Las mujeres podrán participar en el estudio si no están embarazadas (confirmado con un resultado negativo de la prueba de gonadotropina coriónica humana (hCG) en orina) ni en período de lactancia, y si cumplen al menos una de las condiciones siguientes:
    a. No tienen capacidad de procrear, definida como:
    Situación premenopáusica con alguna de las circunstancias siguientes:
    -Ligadura de trompas documentada.
    -Procedimiento documentado de oclusión histeroscópica de trompas con confirmación de seguimiento de oclusión de trompas bilateral.
    -Histerectomía.
    -Ovariectomía bilateral documentada.
    Situación posmenopáusica, definida como 12 meses de amenorrea espontánea. En los casos dudosos deberá analizarse una muestra de sangre con determinación simultánea de concentraciones de folitropina (FSH) y estradiol compatibles con menopausia. Las mujeres que estén recibiendo tratamiento hormonal sustitutivo (THS) y cuya situación menopáusica suscite dudas, tendrán que utilizar uno de los métodos anticonceptivos muy eficaces si desean continuar con el THS durante el estudio. De lo contrario, deberán interrumpir el THS para poder confirmar la situación posmenopáusica antes de su inclusión en el estudio.
    b. Capacidad de procrear y compromiso de utilizar una de las opciones enumeradas en la Lista modificada de métodos anticonceptivos eficaces en mujeres en edad fértil (MEF) desde 30 días antes de la primera dosis de la medicación del estudio y hasta al menos cinco semividas terminales O hasta que haya finalizado cualquier efecto farmacológico continuado, lo que dure más tiempo, después de la última dosis de la medicación del estudio y la finalización de la visita de seguimiento.
    El investigador será responsable de garantizar que los sujetos conozcan el modo correcto de empleo de estos métodos anticonceptivos.
    CONSENTIMIENTO INFORMADO
    7.Capacidad de otorgar el consentimiento informado firmado, lo que incluye el cumplimiento de los requisitos y restricciones mencionados en el documento de consentimiento y en este protocolo.
    E.4Principal exclusion criteria
    A subject will not be eligible for inclusion in this study if any of the following criteria apply:

    CONCURRENT CONDITIONS/MEDICAL HISTORY (INCLUDES LIVER FUNCTION
    1. Asthma
    2. Alpha-antitrypsin deficiency
    3. Other respiratory disorder
    4. Unstable liver disease
    5. Unstable or life threatening cardiac disease
    6. 12 Lead ECG:
    7. Antimuscarinic effects
    8. Other disease abnormalities
    9. Hospitalization
    10. Inhaled corticosteroids (ICS)
    11. Exacerbation
    12. Other respiratory tract infections
    13. Lung Resection
    14. Oxygen
    (For detailed list, please refer to pages 27-29 of the study protocol)

    CONCOMITANT MEDICATIONS
    1. Medications prior to Screening: Use of the following medications according to the following defined time intervals prior to Screening (Visit 1) (Please refer to table listed on page 29 of study protocol)
    2. Medication prior to spirometry: Unable to withhold albuterol/salbutamol for the 4 hour period required prior to spirometry testing at each study visit.
    3. Maintenance use of short-acting bronchodilators: Regular use (prescribed for daily/ regular use, not for as-needed use) of short-acting bronchodilators (e.g. albuterol/salbutamol).

    RELEVANT HABITS
    1. Drug or alcohol abuse: A known or suspected history of alcohol or drug abuse within 2 years prior to Screening Visit 1 that in the opinion of the investigator would prevent the subject from completing the study procedures.

    CONTRAINDICATIONS
    1. Any history of allergy or hypersensitivity to any anticholinergic/muscarinic receptor antagonist, sympathomimetic, lactose/milk protein or magnesium stearate.

    DIAGNOSTIC ASSESSMENTS AND OTHER CRITERIA
    1. Pulmonary Rehabilitation program: Participation in the acute phase of a pulmonary rehabilitation program within 4 weeks prior to Screening Visit 1. Subjects who are in the maintenance phase of a pulmonary rehabilitation program are not excluded.
    2. Affiliation with investigator sites: Is an investigator, sub-investigator, study coordinator, employee of a participating investigator or study site, or immediate family member of the aforementioned that is involved in this study
    3. Inability to read: In the opinion of the investigator, any subject who is unable to read and/or would not be able to complete questionnaires on the electronic diary.

    Subjects who fail to meet inclusion and exclusion criteria at the Screening Visit 1 will be considered screen failures and cannot be re-screened.
    ENFERMEDADES CONCURRENTES/ANTECEDENTES MÉDICOS (INCLUIDA FUNCIÓN HEPÁTICA)
    1. Asma
    2. Carencia de α1 antitripsina
    3. Otros trastornos respiratorios
    4. Hepatopatía inestable
    5. Cardiopatía inestable o potencialmente mortal
    6. ECG de 12 derivaciones
    7. Efectos antimuscarínicos
    8. Otras enfermedades o anomalías
    9. Hospitalización
    10. Corticoides inhalados
    11. Exacerbaciones
    12. Otras infecciones de las vías respiratorias
    13. Resección pulmonar
    14. Oxígeno
    (Para una lista detallada, ver Sección 5.2del Protocolo )
    MEDICAMENTOS CONCOMITANTES
    1. Medicamentos antes de la selección: Uso de los siguientes medicamentos conforme a los siguientes intervalos definidos, antes de la selección (visita 1):
    2. Medicación antes de la espirometría: imposibilidad de suspender el uso de salbutamol durante el período de 4 horas exigido antes de la espirometría en cada visita del estudio.
    3. Uso de mantenimiento de broncodilatadores de acción corta: uso regular (prescritos para uso diario y regular, no para uso a demanda) de broncodilatadores de acción corta (p. ej., salbutamol).
    HÁBITOS RELEVANTES
    1. Abuso de drogas o alcohol: antecedentes conocidos o presuntos de alcoholismo o toxicomanía en los 2 años previos a la visita 1 de selección que, en opinión del investigador, impidan que el sujeto complete los procedimientos del estudio.
    CONTRAINDICACIONES
    1. Cualquier antecedente de alergia o hipersensibilidad a anticolinérgicos o antagonistas de receptores muscarínicos, simpaticomiméticos, lactosa/proteínas de la leche o estearato de magnesio.
    EVALUACIONES DIAGNÓSTICAS Y OTROS CRITERIOS
    1. Programa de rehabilitación pulmonar: participación en la fase inicial de un programa de rehabilitación pulmonar en las 4 semanas previas a la visita 1 (selección). No se excluirá a los sujetos que se encuentren en la fase de mantenimiento de un programa de rehabilitación pulmonar.
    2. Relación con el centro de investigación: se trata de un investigador, subinvestigador, coordinador del estudio o empleado de un centro participante de investigación o del estudio o un familiar inmediato del participante mencionado anteriormente que interviene en este estudio.
    3. Incapacidad para leer: cualquier sujeto que, en opinión del investigador, no sepa leer o no pueda rellenar un cuestionario en el diario electrónico.
    E.5 End points
    E.5.1Primary end point(s)
    Change from baseline in trough Forced Expiratory Volume in One Second (FEV1) at week 24
    Variación del FEV1 en la semana 24 con respecto al valor basal
    E.5.1.1Timepoint(s) of evaluation of this end point
    24 weeks post treatment
    24 semanas después del tratamiento
    E.5.2Secondary end point(s)
    To compare UMEC/VI (62.5/25 mcg once daily), UMEC (62.5 mcg once daily) with salmeterol (50 mcg twice daily) on patient reported outcomes (PROs)
    Comparar el efecto de UMEC/VI (62,5/25 μg una vez al día), UMEC (62,5 μg una vez al día) y salmeterol (50 μg dos veces al día) sobre resultados de salud comunicados por los pacientes (PROs).
    E.5.2.1Timepoint(s) of evaluation of this end point
    over 24 weeks of treatment
    durante las 24 semanas del tratamiento
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other Yes
    E.8.2.3.1Comparator description
    Salmeterol (Serevent) & Umeclidinum (UMEC) (Incruse)
    E.8.2.4Number of treatment arms in the trial3
    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.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA100
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Argentina
    Australia
    Canada
    Mexico
    South Africa
    United States
    E.8.7Trial 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
    LVLS
    última visita del último paciente
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months7
    E.8.9.1In the Member State concerned days21
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months7
    E.8.9.2In all countries concerned by the trial days21
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 1818
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 606
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state63
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 1007
    F.4.2.2In the whole clinical trial 2424
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Subjects will not receive any additional treatment from GSK after completion of the study, since the study treatments are commercially available.
    The investigator is responsible for ensuring that consideration has been given to the poststudy care of the subject’s medical condition, post-study treatment.
    Los sujetos no recibirán más tratamiento de GSK tras la finalización del estudio porque los tratamientos del estudio se encuentran comercializados.
    El investigador será responsable de garantizar que se tenga en cuenta la asistencia adecuada del sujeto después del estudio, una vez finalizado el tratamiento del estudio.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2017-03-08
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2017-02-20
    P. End of Trial
    P.End of Trial StatusCompleted
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