| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT01782326 | QVA vs. Salmeterol/Fluticasone, 52-week Exacerbation Study, FLAME (EFfect of Indacaterol Glycopyronium Vs Fluticasone Salmeterol on COPD Exacerbations) | PHASE3 | COMPLETED | 3,362 | — | — | Jul 1, 2013 | Sep 1, 2015 | May 16, 2016 | 499 | Argentina, Austria +41 |
| NCT01712516 | A 12-week Treatment, Multi-center, Randomized, Double-blind, Parallel-group, Placebo and Active Controlled Study to Assess the Efficacy, Safety, and Tolerability of Indacaterol Maleate / Glycopyrronium Bromide in COPD Patients With Moderate to Severe Airflow Limitation | PHASE3 | COMPLETED | 1,001 | — | — | Dec 1, 2012 | Feb 1, 2014 | Jul 15, 2015 | 95 | United States, Colombia +7 |
| NCT01727141 | A 12 Week Treatment, Multi-center, Randomized, Double-blind, Parallel-group, Placebo and Active Controlled Study to Assess the Efficacy, Safety, and Tolerability of Indacaterol Maleate / Glycopyrronium Bromide in COPD Patients With Moderate to Severe Airflow Limitation. | PHASE3 | COMPLETED | 1,042 | — | — | Nov 1, 2012 | Feb 1, 2014 | Mar 29, 2016 | 143 | United States, Canada +6 |
| NCT01610037 | Comparison of Long-term Safety of the Combination Product QVA149A Against Placebo and Standard of Care Treatment in Chronic Obstructive Pulmonary Disease Patients With Moderate to Severe Airflow Limitation | PHASE3 | COMPLETED | 1,215 | — | — | Oct 1, 2012 | Feb 1, 2015 | Jun 15, 2016 | 116 | Argentina, Colombia +15 |
| NCT01682863 | A Multi-centre Randomized Double Blind 52-week Study to Assess the Safety of QVA149 Compared to QAB149 in Patients With COPD Who Have Moderate to Severe Airflow Limitation | PHASE3 | COMPLETED | 614 | — | — | Oct 1, 2012 | Jun 1, 2014 | Mar 30, 2016 | 86 | United States, Bulgaria +5 |
| NCT01574651 | The Effect of QVA149 on Health Related Quality of Life in Patients With Chronic Obstructive Pulmonary Disease (COPD) | PHASE3 | COMPLETED | 934 | — | — | May 1, 2012 | Apr 1, 2013 | May 22, 2014 | 144 | Germany |
| NCT01285492 | Long Term Safety and Tolerability of QVA149 Versus Tiotropium in Japanese Patients With Chronic Obstructive Pulmonary Disease (COPD) | PHASE3 | COMPLETED | 160 | — | — | Jan 1, 2011 | Sep 1, 2012 | Dec 27, 2013 | 35 | Japan |
COPD exacerbations starting between first dose and one day after last treatment are included. COPD exacerbations that occurred within 7 days of each other are collapsed as one event. Estimates are from a generalized linear model assuming a negative binomial distribution with terms for treatment, baseline total symptom score, baseline COPD exacerbation history (i.e. number of COPD exacerbations during the past 12 months prior to study), smoking status at screening, ICS use at screening, airflow limitation severity, and region. As the offset variable log(exposure time in years) was used.
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 \* visit interaction, and visit, treatment \* visit interaction. Missing values of FEV1 AUC0-12 at Day 1 and Week 12 will not imputed. The trapezoidal rule was used to calculate FEV1 AUC and then normalized to the length of time.
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 \* visit interaction, and visit, treatment \* visit interaction. Missing values of FEV1 AUC0-12 at Day 1 and Week 12 will not imputed. The trapezoidal rule was used to calculate FEV1 AUC and then normalized to the length of time.
The overall rate of serious adverse events reported from initiation through 30 days post last dose.
The overall rate of adverse events reported from initiation through 30 days post last dose.
SGRQ is a health related quality of life questionnaire consisting of 40 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. For patients who completed the study but with missing SGRQ-C during treatment, the missing SGRQ-C were replaced by the last observation carried forward (LOCF). Symptom scores were expected to improve over treatment, therefore the replacement of missing values with earlier measurements did not result in overoptimistic imputation and this procedure could be regarded as conservative.
An AE was the appearance or worsening of any undesirable sign, symptom, or medical condition occurring after starting the study drug even if the event was not considered to be related to study drug. Study drug includes the investigational drug under evaluation and the comparator drug or placebo that was given during any phase of the study. Adverse events starting on or after the time of the first inhalation of study drug were classified as a treatment emergent adverse event.
| Arm | Type | Description |
|---|---|---|
| QVA149 | EXPERIMENTAL | QVA149 (110/50 μg) once daily |
| Long acting B2 agonist (LABA) and inhaled corticosteroid (ICS) | ACTIVE_COMPARATOR | Salmeterol/fluticasone (50/500μg) b.i.d |
| QAB149 | ACTIVE_COMPARATOR | 27.5 ug b.i.d. |
| NVA237 | ACTIVE_COMPARATOR | 12.5 ug b.i.d. |
| Placebo | PLACEBO_COMPARATOR | b.i.d. |
| Tiotropium | ACTIVE_COMPARATOR | - |
| QVA149 dose 1 | EXPERIMENTAL | QVA149 27.5/12.5 μg capsules |
| QVA149 dose 2 | EXPERIMENTAL | QVA149 27.5/25 μg capsules |
| QVA149 plus placebo to tiotropium and placebo to formoterol | EXPERIMENTAL | QVA149 110/50µg, once daily for inhalation use plus placebo to tiotropium, once daily for inhalation use and placebo to formoterol, twice daily for inhalation use. |
| Tiotropium plus Formoterol and placebo to QVA149 | ACTIVE_COMPARATOR | Tiotropium 18µg, once daily for inhalation use plus Formoterol 12µg, twice daily for inhalation use and placebo to QVA149, once daily for inhalation use. |
| Name | Type | Description |
|---|---|---|
| QVA149 | DRUG | QVA149 will be supplied in a capsule form in blister packs for use in the Novartis Concept 1 SDDPI. |
| Long acting B2 agonist (LABA) and inhaled corticosteroid (ICS) | DRUG | Salmeterol/fluticasone dry inhalation powder delivered via the Accuhaler device. |
| QAB149 | DRUG | QAB149 was supplied in capsule form in blister packs for use in the Novartis Concept1 SDDPI. |
| NVA237 | DRUG | NVA237 was supplied in capsule form in blister packs for use in the Novartis Concept1 SDDPI. |
| Placebo | DRUG | Placebo was supplied in capsule form in blister packs for use in the Novartis Concept1 SDDPI. |
| Tiotropium | DRUG | Tiotropium 18 µg will be supplied as capsules in blister packs for once daily inhalation using the HandiHaler SDDPI |
| Placebo to tiotropium | DRUG | Placebo to tiotropium capsules daily (q.d.) for inhalation, delivered via proprietary inhaler (Handihaler®). Placebo tiotropium inhalation capsules were matched in size and color to tiotropium 18 μg q.d. inhalation capsules |
| Placebo to formoterol | DRUG | Placebo to formoterol capsules twice daily (b.i.d) delivered via Aerolizer® device. Placebo formoterol inhalation capsules were equally matched in size, shape and color to formoterol 12 μg b.i.d. inhalation capsules. |
| Formoterol | DRUG | Formoterol 12µg, twice daily is administered via the manufacturer's proprietary inhalation device. |
| Placebo to QVA149 | DRUG | Placebo to QVA149 is administered via a single-dose dry powder inhaler. Placebo QVA149 inhalation capsules were equally matched in size, shape and color to QVA149 110/50 μg q.d. inhalation capsules |
Inclusion Criteria: * Written informed consent must be obtained before any assessment is performed * Male or female adults aged ≥40 years * Patients with stable Chronic Obstructive Pulmonary Disease ( COPD) according to the current GOLD strategy (GOLD 2011) * Current or ex-smokers who have a smokin...