Status:

COMPLETED

Formoterol Via pMDI HFA-134a Propellant or DPI in Partially Reversible Chronic Obstructive Pulmonary Disease (COPD)

Lead Sponsor:

Chiesi Farmaceutici S.p.A.

Collaborating Sponsors:

Vito Brusasco "Centro Dipartimentale di Fisiopatologia Respiratoria", University of Genoa, Italy (Co-ordinating centre)

Giovanni Barisione "Unità Operativa di Medicina Preventiva e del Lavoro, Laboratorio di Fisiopatologia Respiratoria", S. Martino Hospital, Genoa, Italy

Conditions:

Chronic Obstructive Pulmonary Disease

Eligibility:

All Genders

40+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to demonstrate equivalent efficacy between two different formulations of formoterol (pMDI using HFA-134 propellant and dry powder) on lung function in adult patients with ...

Detailed Description

The present study is aimed at investigating the effect of a single 12 µg dose and of a short 7-day course of formoterol HFA-134a, compared to a formoterol DPI formulation, on specific parameters that ...

Eligibility Criteria

Inclusion

  • Patients of either sex aged \> 40 years.
  • Clinical diagnosis of partially reversible COPD, with or without chronic symptoms, in line with the following recommendations of the National Heart Lung and Blood Institute/World Health Organisation (NHLBI/WHO) Global Initiative for Chronic Obstructive Lung Disease (GOLD) (22):
  • Post-bronchodilator FEV1 ≥ 30% and \< 80% of the predicted normal values, and at least 0.7 L (if less than 0.7 L, FEV1 must be ≥ 40% of predicted normal value)
  • FEV1/FVC ratio \< 70%.
  • Positive partial response to the reversibility test in the screening visit, defined as an increase from baseline value of at least 5% of the percentage of predicted normal value (post-dosing minus pre-dosing/pre-dosing x 100) in the FEV1 measurement 30 minutes following 4 puffs (4 x 100 µg) of inhaled salbutamol pMDI.
  • Current or past tobacco heavy smoking habits (defined as smoking for \> 20 pack years, where 1 pack year = 20 cigarettes/day for 1 year or equivalent).
  • A cooperative attitude and ability to be trained to use correctly the pMDI and the AerolizerTM inhaler.
  • Written informed consent obtained.

Exclusion

  • Evidence of COPD exacerbation and/or symptomatic infection of the airways in the previous 4 weeks requiring antibiotic therapy.
  • History of clinically significant disease whose sequelae and/or treatments can interfere with the results of the present study.
  • Presence of asthma.
  • Evidence of bronchiectases.
  • History of inadequate cardiac, hepatic and/or renal function.
  • History of coronary artery disease, myocardial infarction, cerebrovascular disease, cardiac arrhythmias, severe hypertension and diabetes mellitus.
  • Other haemodynamic relevant rhythm disturbances (including atrial flutter or atrial fibrillation with ventricular response, bradycardia (≤ 55 bpm), evidence of atrial-ventricular (AV) block on ECG of more than 1st degree.
  • History of percutaneous transluminal coronary angioplasty (PTCA) or coronary artery by-pass graft (CABG).
  • Patients with a serum potassium value ≤ 3.5 mEq/L and/or serum glucose value ≥ 140 mg/dL.
  • Patients with an abnormal QTc interval value in the ECG test, defined as \> 450 msec in males or \> 470 msec in females.
  • Evidence of posture and gait disturbances, or impairment of limb coordination due to any cause.
  • Patients taking oral corticosteroids in the last month prior to study entry.
  • Patients taking inhaled long-acting β2-agonists or anticholinergics in the last 48 hours.
  • Patients already taking inhaled corticosteroids (including nasal), sodium cromoglycate and nedocromil sodium, leukotriene antagonists, xanthyne derivatives, mucolytics, antitussives for whom the dose has been changed in the last month before study entry or is likely to change during the total study period.
  • History of hypersensitivity to sympathomimetic drugs.
  • Patients taking β-antagonists, tricyclic antidepressants or monoamine oxidase inhibitors (MAOI).
  • Pregnant or lactating females or females at risk of pregnancy, i.e. those not demonstrating adequate contraception (i.e. barrier methods, intrauterine devices, hormonal treatment or sterilization). A pregnancy test is recommended - Patients with a post-bronchodilator FEV1 \< 0.7 L and with a predicted normal FEV1 \< 40%.
  • Patients requiring long-term oxygen therapy.

Key Trial Info

Start Date :

September 1 2004

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2005

Estimated Enrollment :

54 Patients enrolled

Trial Details

Trial ID

NCT00742248

Start Date

September 1 2004

End Date

May 1 2005

Last Update

July 31 2020

Active Locations (1)

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"Centro Dipartimentale di Fisiopatologia Respiratoria", University of Genoa

Genova, Italy, 16132