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A 16-Week Study to Evaluate the Effect of Advair DISKUS™ 250/50mcg on Arterial Stiffness in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

Information source: GlaxoSmithKline
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Cardiovascular Disease; Chronic Bronchitis; Chronic Obstructive Pulmonary Disease (COPD); CV Risk; Emphysema; Smoking

Intervention: ADVAIR DISKUS™ 250/50mcg (Drug); Placebo (Other)

Phase: N/A

Status: Recruiting

Sponsored by: GlaxoSmithKline

Official(s) and/or principal investigator(s):
GSK Clinical Trials, Study Director, Affiliation: GlaxoSmithKline

Overall contact:
US GSK Clinical Trials Call Center, Phone: 877-379-3718

Summary

The purpose of this study is to evaluate in patients with Chronic Obstructive Pulmonary Disease (COPD) if Advair DISKUS™ 250/50mcg BID modifies arterial stiffness which is a measure associated with risk of heart disease.

Clinical Details

Official title: A Randomized, Double-Blind, Parallel-Group, 16-Week Study to Evaluate the Effect of Fluticasone Propionate/Salmeterol DISKUS™ 250/50mcg BID and Placebo on Arterial Stiffness in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

Study design: Case-Only, Prospective

Primary outcome: The primary outcome measure is Pulse Wave Velocity.

Secondary outcome: The secondary outcome measures are Augmentation Index (AIx) and Forced Expiratory Volume in 1 second (FEV1)

Detailed description: This is a multicenter, randomized, double-blind, placebo controlled study to evaluate the effect of Fluticasone Propionate/Salmeterol DISKUS 250/50mcg (FSC) BID on arterial stiffness in COPD subjects. Following a 1 to 14 day run-in period, approximately 250 subjects will be randomly assigned to double-blind treatment for 12 weeks. After the 12 week treatment period, subjects in both treatment arms will receive open label Tiotropium bromide Handihaler18mcg (Tio)QD for 4 weeks in addition to their continued study drug (either FSC250/50 or placebo). The primary measure of efficacy is Pulse Wave Velocity (PWV) at Endpoint. Secondary efficacy measures include Augmentation Index (AIx), Biomarkers of cardiovascular disease, measures of lung function. (e. g. FEV1). Safety will be assessed through the collection of adverse events and COPD exacerbations. Exploratory endpoints include the effect of Tiotropium on PWV and AIx when added to placebo or FSC. Treatment groups will be stratified based on current smoking status. There will be a total of 6 study visits (screening, randomization, and after 4, 8, 12 and 16 weeks of treatment). A follow-up phone contact for collection of adverse event and pregnancy information (if applicable) will be conducted approximately 14 days following the last study visit.

Eligibility

Minimum age: 50 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Signed and dated written informed consent obtained from the subject and/or subject's

legally acceptable representative prior to study participation.

- Males or females greater then or equal to 50 years of age.

- A post-albuterol FEV1/FVC ratio of < or equal to 0. 70

- A post-albuterol FEV1 < 80% of predicted normal.

- Patients can be current or fomer smoker and must have a cigarette smoking history of

> greater then or equal to 10 pack-years .

Exclusion Criteria:

- A current diagnosis of asthma

- A body mass index (BMI) of > or equal to 35kg/m2

- A respiratory diagnosis other than COPD (e. g., lung cancer, bronchiectasis,

sarcoidosis, tuberculosis, lung fibrosis).

Locations and Contacts

US GSK Clinical Trials Call Center, Phone: 877-379-3718

GSK Investigational Site, Birmingham, Alabama 35294, United States; Recruiting

GSK Investigational Site, Jasper, Alabama 35501, United States; Recruiting

GSK Investigational Site, Florence, Alabama 35630, United States; Not yet recruiting

GSK Investigational Site, Mobile, Alabama 36608, United States; Recruiting

GSK Investigational Site, Phoenix, Arizona 85006, United States; Recruiting

GSK Investigational Site, Torrance, California 90505, United States; Recruiting

GSK Investigational Site, San Diego, California 92103-8415, United States; Recruiting

GSK Investigational Site, Hartford, Connecticut 06105, United States; Recruiting

GSK Investigational Site, Coeur D'Alene, Idaho 83814, United States; Recruiting

GSK Investigational Site, Sunset, Louisiana 70584, United States; Recruiting

GSK Investigational Site, Minneapolis, Minnesota 55407, United States; Recruiting

GSK Investigational Site, Chesterfield, Missouri 63017, United States; Recruiting

GSK Investigational Site, St. Louis, Missouri 63141, United States; Recruiting

GSK Investigational Site, St. Charles, Missouri 63301, United States; Recruiting

GSK Investigational Site, Charlotte, North Carolina 28207, United States; Recruiting

GSK Investigational Site, Downington, Pennsylvania 19335, United States; Recruiting

GSK Investigational Site, Pittsburgh, Pennsylvania 15213, United States; Recruiting

GSK Investigational Site, Union, South Carolina 29379, United States; Recruiting

GSK Investigational Site, Charleston, South Carolina 29406-7108, United States; Recruiting

GSK Investigational Site, Greenville, South Carolina 29615, United States; Recruiting

GSK Investigational Site, Gaffney, South Carolina 29340, United States; Recruiting

GSK Investigational Site, Spartanburg, South Carolina 29303, United States; Recruiting

GSK Investigational Site, Johnson City, Tennessee 37601, United States; Recruiting

GSK Investigational Site, Spokane, Washington 99204, United States; Recruiting

GSK Investigational Site, Morgantown, West Virginia 26505, United States; Recruiting

Additional Information

Starting date: March 2009
Ending date: September 2010
Last updated: August 13, 2009

Page last updated: October 19, 2009

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