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Indacaterol 300 µg

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |Novartis AG|Last Updated: Nov 8, 2011

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment186
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00876694Confirmatory Study of Indacaterol in Patients With Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 186Mar 1, 2009Oct 1, 2010Nov 8, 201137 Japan
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Study Endpoints
Primary Endpoints
The Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment
52 weeks

The number of participants with newly occurring or worsening clinically notable vital sign: Pulse Rate in beats per minute (bpm) at anytime post baseline (BL) by treatment. Low Pulse Rate was defined as a pulse rate \<40 bpm or \<= to 50 bpm and a decrease from baseline \>= to 15 bpm. High Pulse Rate was defined as a pulse rate \>130 bpm or \>= to 120 bpm and an increase from baseline \>= to 15 bpm.

The Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment
52 weeks

The number of participants with newly occurring or worsening clinically notable vital sign: Systolic Blood Pressure (mmHg) at anytime post baseline (BL) by treatment. A Low Systolic Blood Pressure was defined as a systolic blood pressure measurement: \<75 mmHg or \<= to 90 mmHg and a decrease from baseline \>= to 20 mmHg. A High Systolic Blood Pressure was defined as a systolic blood pressure measurement: \>200 mmHg or \>= to 180 mmHg and an increase from baseline \>= to 20 mmHg.

The Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment
52 weeks

The number of participants with newly occurring or worsening clinically notable vital sign: Diastolic blood pressure (mmHg) at anytime post baseline (BL) by treatment. A Low Diastolic Blood Pressure was defined as a diastolic blood pressure measurement: \<40 mmHg or \<= to 50 mmHg and a decrease from baseline \>= to 15 mmHg. A High Diastolic Blood Pressure was defined as a diastolic blood pressure measurement: \>115 mmHg or \>= to 105 mmHg and an increase from baseline \>= to 15 mmHg.

The Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment
52 weeks

The number of participants with newly occurring or worsening clinically notable QTc Interval value at anytime post baseline. The QTc interval is calculated using Fridericia's formula: QTc= QT/cube root RR. QTc is the interval between the Q and T waves corrected for heart rate and RR is the interval between two R waves in milliseconds (ms). Notable QTc interval \>450 ms for males and \>470 ms for females. The maximum QTc increase from baseline at any time during the study was also tabulated with absolute and relative frequencies for categories 30- 60 ms and \>60 ms.

Serum Potassium (mmol/L) at Weeks 4, 8, 12, 24, 36, 44, and 52
4, 8, 12, 24, 36, 44, and 52 weeks

The least squares mean of the serum potassium in mmol/L at weeks 4, 8, 12, 24, 36, 44 and 52. Mixed model used baseline serum potassium as a covariate.

Blood Glucose (mmol/L) 1 Hour Post Dose at Weeks 4, 8, 12, 24, 36, 44, and 52
4, 8, 12, 24, 36, 44, and 52 weeks

The least squares mean of the blood glucose in mmol/L at weeks 4, 8, 12, 24, 36, 44 and 52. Mixed model used baseline blood glucose as a covariate.

Secondary Endpoints
Trough Forced Expiratory Volume in 1 Second (FEV1) After 12, 24 and 52 Weeks
After 12, 24 and 52 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Indacaterol 300 µgEXPERIMENTALIndacaterol 300 μg once a day (o.d.) delivered via single dose dry powder inhaler (SDDPI). Daily ICS monotherapy, if needed, was allowed to remain stable throughout study. Salbutamol was available for rescue use throughout study.
Salmeterol 50 µgACTIVE_COMPARATORSalmeterol 50 μg twice a day (b.i.d.) delivered via Diskus®. Daily ICS monotherapy, if needed, was allowed to remain stable throughout study. Salbutamol was available for rescue use throughout study.
Interventions
NameTypeDescription
Indacaterol 300 µgDRUGIndacaterol 300 µg once daily (od) via SDDPI
Salmeterol 50 µgDRUGSalmeterol 50 µg twice daily (bid) via Diskus®
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: 1\. Diagnosis of COPD (moderate-to-severe as classified by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines) and: * Smoking history of at least 20 pack-years * Post-bronchodilator FEV1 \<80% and ≥30% of the predicted normal value * Post-bronchodilato...

Countries:Japan
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