CClinicalTrials.gg
CompletedNCT00970268Updated Jan 6, 2017Results posted

Long-term Extension Study of the Safety, Tolerability, and Efficacy of Aclidinium Bromide in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) (LAS-MD-36)

A Phase 3 interventional study of Aclidinium bromide and Aclidinium bromide in Chronic Obstructive Pulmonary Disease, sponsored by AstraZeneca. Completed at 83 sites in 2 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2017-01-06.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
291
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The purpose of this extension study is to evaluate the long-term safety, tolerability, and efficacy of inhaled aclidinium bromide at two dose levels in patients with moderate to severe chronic obstructive pulmonary disease (COPD). This study will be 54 weeks in duration; a 52-week double-blind treatment period and 2 week follow-up phone call, following a 12 week lead-in study. All patients will be randomized from the lead-in study at one of two doses of aclidinium.

02

Conditions studied

  • Chronic Obstructive Pulmonary Disease

Keywords

  • COPD
  • Chronic Obstructive Pulmonary Disease
  • Chronic Bronchitis
  • Emphysema
  • Airflow Obstruction, Chronic
  • Chronic Airflow Obstruction
  • Chronic Obstructive Airway Disease
  • Chronic Obstructive Lung Disease
03

In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's enrollment of 291 is above the median of 72 across 2,118 interventional studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Completion of a lead-in study (NCT00891462)

Exclusion criteria

Exclusion Criteria:

  • Use or anticipated use of any medication prohibited in this study
  • Evidence of abnormal clinical laboratory values, vital signs, or electrocardiographic (ECG) results or the presence of abnormities in physical examination findings
  • The presence of anti-cholinergic effects (eg, dry mouth, urinary retention, narrow angle glaucoma)
  • QTcB of >500 msec on both the pre-dose and post-dose ECG
  • Women who are pregnant, intend to become pregnant, or are breast-feeding
  • A life expectancy of less than 1 year
  • Noncompliance with IP dosing and/or attending clinic visits during the lead-in study
  • Significant interruption of double-blind therapy during the transition from the lead-in study into the extension study.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
291 participants (actual)

Study arms

  • Experimental
    1

    Aclidinium bromide dose, inhaled, for 52 weeks of treatment

    Drug: Aclidinium bromide

  • Experimental
    2

    Aclidinium bromide dose, inhaled, for 52 weeks of treatment

    Drug: Aclidinium bromide

Interventions

  • DrugAclidinium bromide

    Aclidinium bromide 200 μg, oral inhalation twice per day for 52 weeks of treatment

  • DrugAclidinium bromide

    Aclidinium bromide 400 μg, oral inhalation twice per day for 52 weeks of treatment

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)

    Change From Baseline (Visit 2 of lead-in Study NCT00891462, \[LAS-MD-33\]) to Week 52 (Week 64 From Start of NCT00891462, \[LAS-MD-33\]) in Morning Predose (Trough) FEV1

    Time frame: Change from baseline (visit 2 of lead-in study LAS-MD-33) to 52 weeks

Secondary outcomes

  1. Change From Baseline in Peak FEV1

    Change From Baseline (Visit 2 of study NCT00891462, \[LAS-MD-33\])in Peak FEV1 in liters at Week 52 (Week 64 from the start of NCT00891462, \[LAS-MD-33\]).

    Time frame: 52 weeks

07

Results

Posted Sep 14, 2012

Participant flow

Patient recruitment occurred from August of 2009 to March of 2010 and was by invitation only to patients who had completed study NCT00891462 (LAS-MD-33). In total, there were 77 individual study sites, 71 in the United States and 6 additional sites in Canada.

Participant flow — Overall Study
MilestoneAclidinium Bromide 200 μgAclidinium Bromide 400 μg
Started139152
Completed96103
Not completed4349
Withdrew: Withdrawal by subject1219
Withdrew: Adverse event1512
Withdrew: Lack of efficacy36
Withdrew: Protocol violation47
Withdrew: Other reason31
Withdrew: Copd exacerbation42
Withdrew: Lost to follow-up12
Withdrew: Inclusion/exclusion criteria10

Outcome measures

PrimaryChange From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)

Change From Baseline (Visit 2 of lead-in Study NCT00891462, \[LAS-MD-33\]) to Week 52 (Week 64 From Start of NCT00891462, \[LAS-MD-33\]) in Morning Predose (Trough) FEV1

Time frame:
Change from baseline (visit 2 of lead-in study LAS-MD-33) to 52 weeks
Reported as:
Least squares mean · L
Change From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)
LPlacebo - Aclidinium Bromide 200 μgAclidinium Bromide 200 μg - Aclidinium Bromide 200 μgPlacebo - Aclidinium Bromide 400 μgAclidinium Bromide 400 μg - Aclidinium Bromide 400 μg
Change From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)-0.035 ± 0.0400.069 ± 0.0280.069 ± 0.0370.056 ± 0.025
SecondaryChange From Baseline in Peak FEV1

Change From Baseline (Visit 2 of study NCT00891462, \[LAS-MD-33\])in Peak FEV1 in liters at Week 52 (Week 64 from the start of NCT00891462, \[LAS-MD-33\]).

Time frame:
52 weeks
Reported as:
Least squares mean · L
Change From Baseline in Peak FEV1
LPlacebo - Aclidinium Bromide 200 μgAclidinium Bromide 200 μg - Aclidinium Bromide 200 μgPlacebo - Aclidinium Bromide 400 μgAclidinium Bromide 400 μg - Aclidinium Bromide 400 μg
Change From Baseline in Peak FEV10.111 ± 0.0400.213 ± 0.0280.222 ± 0.0380.219 ± 0.025

Adverse events

Collected over Adverse Event Reporting occurred from August 2009 to November 2010 at 77 study sites (71 in the United States and 6 additional sites in Canada).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo to Aclidinium Bromide 200 μg—7/44 (15.9%)36/44 (81.8%)
Aclidinium Bromide 200 μg to Aclidinium Bromide 200 μg—13/93 (14%)63/93 (67.7%)
Placebo to Aclidinium Bromide 400μg—7/46 (15.2%)28/46 (60.9%)
Aclidinium Bromide 400μg to Aclidinium Bromide 400μg—13/106 (12.3%)64/106 (60.4%)
Most frequent serious events
Showing 10 of 49
Most frequent serious events
EventPlacebo to Aclidinium Bromide 200 μgAclidinium Bromide 200 μg to Aclidinium Bromide 200 μgPlacebo to Aclidinium Bromide 400μgAclidinium Bromide 400μg to Aclidinium Bromide 400μg
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders2/443/931/466/106
PneumoniaInfections and infestations1/443/930/462/106
Coronary artery diseaseCardiac disorders1/440/930/461/106
DehydrationMetabolism and nutrition disorders1/440/930/461/106
HypertensionVascular disorders1/440/930/461/106
Acute coronary syndromeCardiac disorders1/440/930/460/106
Carotid artery stenosisNervous system disorders1/440/930/460/106
ConstipationGastrointestinal disorders1/440/930/460/106
Femoral neck fractureInjury, poisoning and procedural complications1/440/930/460/106
GastroenteritisInfections and infestations1/440/930/460/106
Most frequent other events
Showing 10 of 24
Most frequent other events
EventPlacebo to Aclidinium Bromide 200 μgAclidinium Bromide 200 μg to Aclidinium Bromide 200 μgPlacebo to Aclidinium Bromide 400μgAclidinium Bromide 400μg to Aclidinium Bromide 400μg
Chronic obstructive pulmonary disorderRespiratory, thoracic and mediastinal disorders16/4423/9314/4624/106
Upper respiratory tract infectionInfections and infestations5/446/932/466/106
SinusitisInfections and infestations5/446/931/463/106
ContusionInjury, poisoning and procedural complications0/446/935/461/106
NasopharyngitisInfections and infestations4/448/934/4610/106
NauseaGastrointestinal disorders4/441/931/462/106
FatigueGeneral disorders4/443/930/463/106
Urinary tract infectionInfections and infestations4/444/933/468/106
CoughRespiratory, thoracic and mediastinal disorders2/447/934/464/106
DyspnoeaRespiratory, thoracic and mediastinal disorders1/447/934/464/106

Baseline characteristics

Age, Continuous
Age, Continuous(years)Aclidinium Bromide 200 μgAclidinium Bromide 400 μgTotal
Mean63.3 ± 10.164.4 ± 10.063.9 ± 9.9
Age, Customized
Age, Customized(participants)Aclidinium Bromide 200 μgAclidinium Bromide 400 μgTotal
≥ 40 to < 60 years494089
≥ 60 to < 70 years5167118
≥ 70 years374582
Gender
Gender(Participants)Aclidinium Bromide 200 μgAclidinium Bromide 400 μgTotal
Female6376139
Male7476150
Region of Enrollment
Region of Enrollment(participants)Aclidinium Bromide 200 μgAclidinium Bromide 400 μgTotal
United States128138266
Canada91423
08

Study locations

83 sites
  • Forest Investigative Site 1162
    Birmingham, Alabama 35209, United States
  • Forest Investigative Site 1127
    Mobile, Alabama 36608, United States
  • Forest Investigative Site 0909
    Glendale, Arizona 85306, United States
  • Forest Investigative Site 2060
    Phoenix, Arizona 85023, United States
  • Forest Investigative Site 2065
    Fullerton, California 92835, United States
  • Forest Investigative Site 1088
    Lakewood, California 90712, United States
  • Forest Investigative Site 1122
    Orange, California 92868, United States
  • Forest Investigative Site 2029
    Rancho Mirage, California 92270, United States
  • Forets Investigative Site 2064
    Riverside, California 92506, United States
  • Forest Investigative Site 0517
    Sacramento, California 95821, United States
  • Forest Investigative Site 2009
    San Diego, California 92120, United States
  • Forest Investigative Site 1137
    Colorado Springs, Colorado 80907, United States
  • Forest Investigative Site 2100
    Waterbury, Connecticut 06708, United States
  • Forest Investigative Site 1154
    Brandon, Florida 33511, United States
  • Forest Investigative Site 1152
    Clearwater, Florida 33765, United States
  • Forest Investigative Site 0670
    DeLand, Florida 32720, United States
  • Forest Investigative Site 0990
    Fort Lauderdale, Florida 33316, United States
  • Forest Investigative Site 1167
    Melbourne, Florida 32935, United States
  • Forest Investigative Site 1060
    Ormond Beach, Florida 32174, United States
  • Forest Investigative Site 0974
    Pensacola, Florida 32504, United States
  • Forest Investigative Site 2082
    Tamarac, Florida 33321, United States
  • Forest Investigative Site 2053
    Tampa, Florida 33606, United States
  • Forest Investigative Site 2047
    Tampa, Florida 33613, United States
  • Forest Investigative Site 1185
    Winter Park, Florida 32789, United States
  • Forest Investigative Site 1183
    Atlanta, Georgia 30329, United States
  • Forest Investigative Site 0987
    Austell, Georgia 30106, United States
  • Forest Investigative Site 1101
    Blue Ridge, Georgia 30513, United States
  • Forest Investigative Site 1180
    Decatur, Georgia 30033, United States
  • Forest Investigative Site 1161
    Duluth, Georgia 30096, United States
  • Forest Investigative Site 2051
    River Forest, Illinois 60305, United States
  • Forest Investigative Site 0989
    Skokie, Illinois 60076, United States
  • Forest Investigative Site 1149
    South Bend, Indiana 46617, United States
  • Forest Investigative Site 2085
    Crescent Springs, Kentucky 41017, United States
  • Forest Investigative Site 0539
    Lexington, Kentucky 40504, United States
  • Forest Investigative Site 2024
    Lafayette, Louisiana 70503, United States
  • Forest Investigative Site 2040
    Biddeford, Maine 04005, United States
  • Forest Investigative Site 1128
    Edina, Minnesota 55435, United States
  • Forest Investigative Site 2041
    Minneapolis, Minnesota 55402, United States
  • Forest Investigative Site 1124
    Minneapolis, Minnesota 55407, United States
  • Forest Investigative Site 1100
    Florissant, Missouri 63033, United States
  • Forest Investigative Site 2079
    St. Charles, Missouri 63301, United States
  • Forest Investigative Site 2067
    Butte, Montana 59701, United States
  • Forest Investigative Site 1169
    Papillion, Nebraska 68406, United States
  • Forest Investigative Site 1150
    Berlin, New Jersey 08009, United States
  • Forest Investigative Site 2084
    Summit, New Jersey 07901, United States
  • Forest Investigative Site 1147
    Brooklyn, New York 11234, United States
  • Forest Investigative Site 1119
    Elmira, New York 14901, United States
  • Forest Investigative Site 1151
    New Hyde Park, New York 11040, United States
  • Forest Investigative Site 1141
    New York, New York 10016, United States
  • Forest Investigative Site 1163
    New York, New York 10016, United States
  • Forest Investigative Site 1130
    Asheville, North Carolina 28801, United States
  • Forest Investigative Site 1134
    Canton, Ohio 44718, United States
  • Forest Investigative Site 1181
    Centerville, Ohio 45459, United States
  • Forest Investigative Site 1136
    Cincinnati, Ohio 45227, United States
  • Forest Investigative Site 2007
    Cincinnati, Ohio 45231, United States
  • Forest Investigative Site 2028
    Cincinnati, Ohio 45242, United States
  • Forest Investigative Site 0959
    Columbus, Ohio 43215, United States
  • Forest Investigative Site 2006
    Columbus, Ohio 43215, United States
  • Forest Investigative Site 2043
    Medford, Oregon 97504, United States
  • Forest Investigative Site 1106
    Portland, Oregon 97213, United States
  • Forest Investigative Site 1126
    Bethlehem, Pennsylvania 18020, United States
  • Forest Investigative Site 2016
    Erie, Pennsylvania 16506, United States
  • Forest Investigative Site 1146
    Pittsburgh, Pennsylvania 15243, United States
  • Forest Investigative Site 1158
    Upland, Pennsylvania 19013, United States
  • Forest Investigative Site 1089
    East Providence, Rhode Island 02914, United States
  • Forest Investigative Site 1144
    Johnston, Rhode Island 02919, United States
  • Forest Investigative Site 2072
    Charleston, South Carolina 29406, United States
  • Forest Investigative Site 1078
    Greenville, South Carolina 29615, United States
  • Forest Investigative Site 2080
    Greer, South Carolina 29651, United States
  • Forest Investigative Site 1121
    Spartanburg, South Carolina 29303, United States
  • Forest Investigative Site 1155
    Dallas, Texas 75231, United States
  • Forest Investigative Site 2012
    Fort Worth, Texas 76104, United States
  • Forest Investigative Site 1165
    San Antonio, Texas 78229, United States
  • Forest Investigative Site 1129
    Waco, Texas 76712, United States
  • Forest Investigative Site 2099
    Richmond, Virginia 23225, United States
  • Forest Investigative Site 1142
    Spokane, Washington 99204, United States
  • Forest Investigative Site 0988
    Tacoma, Washington 98405, United States
  • Forest Investigative Site 2201
    Kelowna, British Columbia V1Y 8E7, Canada
  • Forest Investigative Site 1177
    Vancouver, British Columbia V5Z 4E1, Canada
  • Forest Investigative Site 2200
    Niagara Falls, Ontario L2g 1J4, Canada
  • Forest Investigative Site 1168
    Toronto, Ontario M5G 1N8, Canada
  • Forest Investigative Site 1171
    Toronto, Ontario M5T 3A9, Canada
  • Forest Investigative Site 2203
    Toronto, Ontario M6H 3M2, Canada
09

References and documents

Publications

  • D'Urzo A, Kerwin E, Rennard S, He T, Gil EG, Caracta C. One-year extension study of ACCORD COPD I: safety and efficacy of two doses of twice-daily aclidinium bromide in patients with COPD. COPD. 2013 Aug;10(4):500-10. doi: 10.3109/15412555.2013.791809. Epub 2013 May 16. PubMed 23679347 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00970268
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Sep 2, 2009
Start date
Aug 2009
Primary completion
Oct 2010
Completion
Oct 2010
Results posted
Sep 14, 2012
Last update
Jan 6, 2017

Study contacts

Esther Garcia, MD
study director · AstraZeneca

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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