This study is to assess the safety and tolerability of two different doses of QVA149 and QAB149 in patients with moderate to severe airflow limitation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
614
QVA149 will be supplied in a capsule form in blister packs for use in the Novartis Concept1 SDDPI
QVA149 will be supplied in a capsule form in blister packs for use in the Novartis Concept1 SDDPI
QAB149 and matching placebo will be supplied in capsule form in blister packs for use in the Novartis Concept1 SDDPI
Number of Patients With Adverse Events, Serious Adverse Events, and Death
The overall rate of adverse events reported from initiation through 30 days post last dose.
Time frame: 56 weeks
Time to Premature Discontinuation of Treatment
methodTime to premature treatment discontinuation for each treatment group was displayed using a Kaplan-Meier curve. The date of last dose of study medication was considered as the event date and also as the censoring date for those patients who did not discontinue treatment earl
Time frame: 56 weeks
Change From Baseline in Pre-dose Trough FEV1
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.
Time frame: Day 29, 57,, 85, 141, 197, 253, 309 and 365
Change From Baseline in 1 Hour Post-dose FEV1 Measurements
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.
Time frame: Day 1, 29, 57, 85, 141, 197, 253, 309, and 365
Change From Baseline in FVC Measurement at All Post-baseline Time Points
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To mimic QAB149
Novartis Investigative Site
Vestavia Hills, Alabama, United States
Novartis Investigative Site
Huntington Beach, California, United States
Novartis Investigative Site
Lakewood, California, United States
Novartis Investigative Site
Los Angeles, California, United States
Novartis Investigative Site
Orange, California, United States
Novartis Investigative Site
Stockton, California, United States
Novartis Investigative Site
Walnut Creek, California, United States
Novartis Investigative Site
Boulder, Colorado, United States
Novartis Investigative Site
Honolulu, Hawaii, United States
Novartis Investigative Site
Lombard, Illinois, United States
...and 76 more locations
Pulmonary function assessments were performed using centralized spirometry according to international standards.
Time frame: Day1, 29, 57, 85, 141, 197, 253, 309, and 365
Percentage of Participants Experiencing Moderate or Severe COPD Exacerbation
Percentage of participants experiencing moderate or severe Chronic Obstructive Pulmonary Disease (COPD)
Time frame: 52 weeks
Change From Baseline in Mean Total Daily Symptom Scores
The participant recorded symptom scores twice daily in the eDiary. The daily clinical symptoms included: cough, wheezing, shortness of breath, sputum volume, sputum color, and night time awakening. The range of scores for each assessment is 0 to 3 where 0 indications No symptom and 3 indicates a Severe symptom. The maximum daytime total score is 27 and the maximum nighttime total score is 27. The total daily symptom score is obtained by adding the scores for the morning and evening symptoms for each day. The maximum possible total daily score is 54. A negative change from baseline indicated improvement.
Time frame: 52 weeks
Change From Baseline in the Daily Number of Puffs of Rescue Medication Over the 52 Week Period
Participants completed an electronic diary (eDiary) twice daily at the same time in the morning and evening to record the number of puffs of rescue medication taken in the previous 12 hours.
Time frame: 52 weeks