The purpose of this Phase III study is to evaluate the long-term safety and tolerability of two fixed-dose combinations of inhaled aclidinium bromide/formoterol fumarate, aclidinium bromide, formoterol fumarate and placebo in patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD). Long-term efficacy, pharmacoeconomic and health-related quality of life assessments will also be evaluated. This extension study will include a 28 week treatment period, followed by a four week follow up visit. All patients will remain in the same treatment group as for the lead-in study and continue on one of the four treatment arms or placebo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
921
Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose, twice per day
Inhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) low dose, twice per day
Inhaled Aclidinium bromide 400 μg, twice per day
Inhaled Formoterol Fumarate 12 μg, twice per day
Inhaled dose-matched placebo, twice per day
Forest Investigative Site 1827
Anniston, Alabama, United States
Forest Investigative Site 1920
Athens, Alabama, United States
Forest Investigative Site 1162
Birmingham, Alabama, United States
Forest Investigative Site 1493
Birmingham, Alabama, United States
Forest Investigative Site 1937
Birmingham, Alabama, United States
Percentage of Patients to Experience Any Treatment-emergent Adverse Event
For each safety parameter, the last assessment made before the first dose of investigational product in the lead-in study (LAC MD-31) was used as the baseline for all analyses of that safety parameter in this extension study
Time frame: Baseline of lead-in study to follow-up call 14±3 days after last dose of investigational product (up to Week 52)
Percentage of Patients to Experience Potentially Clinically Significant Post-baseline Clinical Laboratory Values for Hematology, Chemistry or Urinalysis
Potentially clinically significant change: \>1.15 × upper limit of normal (ULN) for absolute cell count of basophils, eosinophils or monocytes, blood alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, total bilirubin, blood urea nitrogen, total cholesterol, creatine kinase, creatinine, gamma glutamyl transferase, lactate dehydrogenase, triglycerides or uric acid \<0.85 x lower limit of normal (LLN) or \> 1.15 ULN for hematocrit ratio, haemoglobin, lymphocytes or neutrophils absolute cell count, platelet count (thrombocytes), red or white blood cell count, calcium, fasting glucose, phosphorus, total protein, or urinary pH \<0.95 x LLN or \>1.05 x ULN for chloride, potassium, sodium Urinary glucose ≥0.015, blood or ketones or protein ≥1 or specific gravity \>1.1 × ULN The last assessment made before the first dose of investigational product in the lead-in study was used as the baseline for all safety analyses in the extension study
Time frame: Baseline of lead-in study to end of treatment (up to Week 52)
Percentage of Patients to Experience a Potentially Significant Post-baseline 12-lead ECG Value
Time frame: Baseline of lead-in study to end of treatment (up to Week 52)
Percentage of Patients to Experience Potentially Clinically Significant Post-baseline Vital Signs (Pulse Rate, Systolic or Diastolic Blood Pressure or Weight)
Potentially clinically significant change: Systolic BP ≥180 mmHg and increase ≥20 mmHg from baseline or ≤90 mmHg and decrease ≥20 mmHg from baseline Diastolic BP ≥105 mmHg and increase ≥15 mmHg from baseline or ≤50 mmHg and decrease ≥15 mmHg from baseline Pulse rate ≥110 bpm and increase ≥15% from baseline or ≤50 bpm and decrease ≥15% from baseline Weight increase or decrease ≥7% from baseline The last assessment made before the first dose of investigational product in the lead-in study was used as the baseline for all safety analyses in the extension study
Time frame: Baseline of lead-in study to end of treatment (up to Week 52)
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Forest Investigative Site 1824
Gulf Shores, Alabama, United States
Forest Investigative Site 2088
Jasper, Alabama, United States
Forest Investigative Site 1918
Scottsboro, Alabama, United States
Forest Investigative Site 0909
Glendale, Arizona, United States
Forest Investigative Site 1379
Phoenix, Arizona, United States
...and 198 more locations