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Safety and Tolerability of 28 Days Treatment With Glycopyrrolate(NVA237) (100 or 200µg Once a Day) in Patients With Moderate to Severe COPD

Information source: Novartis
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Chronic Obstructive Pulmonary Disease (COPD)

Intervention: Glycopyrrolate (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Novartis

Official(s) and/or principal investigator(s):
Novartis Pharmaceuticals, Study Chair, Affiliation: Novartis

Summary

This study will assess the safety/tolerability of 28 days of treatment with NVA237 100 and 200µg once a day, compared to placebo in patients with moderate or severe Chronic Obstructive Pulmonary Disease (COPD).

Clinical Details

Official title: A Randomized, Double-Blind, Placebo Controlled, Parallel Group, Multi-Center Study, to Assess the Safety and Tolerability of 28 Days Treatment With NVA237 (100 or 200µg Once a Day) in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

Study design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Safety and tolerability of 28 days of treatment, based on all safety data including vital signs, ECGs, laboratory evaluations, spirometry and adverse events.

Secondary outcome: • Mean trough forced expiratory volume in 1 second (FEV1)at Day 28 and Day 1 • FEV1 over time for 8 time points on Day 1, Day 14 and Day 28 • Forced vital capacity (FVC) over time for 10 time points on Day 1 and Day 28 and 8 time points post-dosin

Eligibility

Minimum age: 40 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Male or female adults aged 40 years or older

- Patients with moderate to severe COPD according to the GOLD Guidelines (2006)

- Patients who have smoking history of at least 10 pack years

- Patients with a post-bronchodilator FEV1 equal or greater than 30% of the predicted

normal value and less than 80% of the predicted normal value, and post-bronchodilator FEV1/FVC less than 0. 7 at visit 2

- Written informed consent by the patient prior to initiation of any study-related

procedure

Exclusion Criteria:

- Patients requiring oxygen therapy on a daily basis for chronic hypoxemia, or who have

been hospitalized for an exacerbation of their airways disease in the 6 weeks prior to visit 1 or during the screening period (up to visit 3).

- Patients who have had a respiratory tract infection within 6 weeks prior to visit

1 or during the screening period (up to visit 3).

- Patients with a history of asthma indicated by (but not limited to):

- Blood eosinophil count > 400/mm3

- Onset of symptoms prior to age 40 years.

- Patients with a history of long QT syndrome or whose QTc measured at visit 1is

prolonged (more than 440 ms for males or more than 460 ms for females).

- Patients with a history of untoward reactions to sympathomimetic amines or

inhaled medication or any component thereof.

- Patients who, in the judgment of the investigator have a clinically relevant

laboratory abnormality or a clinically significant condition such as (but not limited to) unstable ischemic heart disease, left ventricular failure, long term prednisone therapy, history of myocardial infarction, arrhythmia, narrow-angle glaucoma, symptomatic prostatic hyperplasia, bladder-neck obstruction or moderate to severe renal impairment that might compromise patient safety or compliance, interfere with evaluation, or preclude completion of the study.

- History of malignancy of any organ system, treated or untreated, within the past

5 years whether or not there is evidence of local recurrence or metastases, with the exception of localized basal cell carcinoma of the skin.

Other protocol-defined inclusion/exclusion criteria may apply

Locations and Contacts

Novartis, Rueil-Malmaison, France

Novartis, Nurnberg, Germany

Netherlands, Arnhem, Netherlands

Novartis, Barcelona, Spain

Novartis, Istanbul, Turkey

Pulmonary Associates, Phoenix, Arizona 85006, United States

Pulmonary Associates,, Glendale, Arizona 85306, United States

Rocky Mountain Center for Clinical Research, Wheat Ridge, Colorado 80033, United States

Lung Health & Sleep Enhancement Center, Newark, Delaware 19713, United States

Elite Research Institute, Miami, Florida 33169, United States

South Miami Clinical Research, Miami, Florida 33143, United States

Central Medical Group, Tamarac, Florida 33321, United States

Asthma and Allergy Center of Chicago, River Forest, Illinois 60305, United States

College Park Family Care Center., Overland Park, Kansas 66210-2761, United States

Midwest Chest Consultants., St. Chares, Missouri 63301, United States

American Health Research, Charlotte, North Carolina 28207, United States

Allergy Associates Research Center, Portland, Oregon 97213, United States

S Carolina Pharmaceutical Research, Spartanburg, South Carolina 29303, United States

Union Pharmaceutical Research, Union, South Carolina 29379, United States

F. Adam Kawley MD, Houston, Texas 77024, United States

Texas Pulmonary & Critical Care Consultants, Ft Worth, Texas 76104, United States

Additional Information

Starting date: August 2007
Ending date: January 2008
Last updated: January 15, 2008

Page last updated: June 20, 2008

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