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CompletedNCT01039675Updated Nov 8, 2017Results posted

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of the Combination of GSK573719 and GW642444 in Subjects With COPD

A Phase 2 interventional study of 500mcg/25mcg once daily and Placebo once daily in Pulmonary Disease, Chronic Obstructive, sponsored by GlaxoSmithKline. Completed at 4 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2017-11-08.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
51
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The study will evaluate safety, tolerability, pharmacokinetics and pharmacodynamics of the combination of inhaled GSK573719 and GW64244 compared to placebo, in subjects with COPD.

Read the detailed description

This is a multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the safety and tolerability of the combination of GSK573719 (500mcg) Inhalation Powder and GW642444 (25mcg) Inhalation Powder administered once-daily via a novel dry powder inhaler (Novel DPI) over 28 days in subjects with COPD

02

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • long-acting beta2-receptor agonist
  • Safety and tolerability
  • pharmacodynamics
  • pharmacokinetics
  • long-acting muscarinic receptor antagonist
  • COPD
03

In context

Pulmonary Disease, Chronic Obstructive

4,252 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 707 are open to participants now.

This study's enrollment of 51 is below the median of 70 across 3,008 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,647 studies on the registry; 118 are open to participants now.

Of its 264 completed or terminated interventional studies of FDA-regulated products, 239 (91%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • A signed and dated written informed consent prior to study participation
  • Males or females of non-childbearing potential
  • 40 or more years of age
  • COPD diagnosis
  • 10 pack-years history or greater of cigarette smoking
  • Post-bronchodilator FEV1/FVC ratio of 0.70 or less
  • Post-bronchodilator FEV1 of 80% or less of predicted normal

Exclusion criteria

Exclusion Criteria:

  • Current diagnosis of asthma
  • Other significant respiratory disorders besides COPD, including alpha-1 deficiency
  • Previous lung resection surgery
  • Significant abnormalities in chest x-ray presentation
  • Use of oral steroids, antibiotics or hospitalization for a COPD exacerbation within 3 motnhs prior screening
  • Any significant disease that would put subject at risk through study participation
  • BMI greater than 35
  • Pacemaker
  • Significantly abnormal ECG, Holter, or clinical lab finding (including Hepatitis B or C)
  • Cancer
  • Allergy or hypersensitivity to anticholinergics or inhaler excipients
  • Diseases that would contra-indicate the use of anticholinergics
  • Use of oral corticosteroids within 6 weeks of screening
  • Use of long-acting beta-agonists within 48 hours of screening
  • Use of tiotropium within 14 days of screening
  • Use of theophyllines or anti-leukotrienes within 48 hours of screening
  • Use of short-acting bronchodilators within 4 hours of screening
  • Use of investigational medicines within 30 days of screening
  • Use of high dose inhaled corticosteroids
  • Use of long-term oxygen therapy, CPAP or NIPPV
  • Previous use of GSK573719 or GW642444
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
51 participants (actual)

Study arms

  • Experimental
    GSK573719/GW642444

    Drug: 500mcg/25mcg once daily

  • Placebo comparator
    Placebo

    Drug: Placebo once daily

Interventions

  • Drug500mcg/25mcg once daily

    GSK573719/GW642444

  • DrugPlacebo once daily

    Inactive, excipients only

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 28

    Pulse rate is defined as the number of heartbeats in a minute. The weighted mean pulse rate was derived by calculating the area under the pulse rate/time curve (AUC), and then dividing the value by the time interval over which the AUC was calculated. The weighted mean pulse rate was calculated using the 0 to 6 hours post dose measurements at Day 28, which included pre-dose, and post-dose 15 minutes, 45 minutes, 1.5 hours, 3 hours and 6 hours. Baseline pulse rate is the most recent result taken on or before pre-dose Day 1. Change from Baseline is the weighted mean pulse rate at Day 28 minus the Baseline value. Analysis was performed using a repeated measures model with covariates of Baseline pulse rate, sex, age, smoking status, treatment and day and day by treatment and day by Baseline interactions.

    Time frame: Baseline and Day 28

Secondary outcomes

  1. Change From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 1 and Day 14

    Pulse rate is defined as the number of heartbeats in a minute. The weighted mean pulse rate was derived by calculating the area under the pulse rate/time curve (AUC) using the trapezoidal rule, and then dividing the value by the time interval over which the AUC was calculated. The weighted mean pulse rate was calculated using the 0 to 6 hours post dose measurements on Day 1 and Day 14, which included pre-dose, and post-dose 15 minutes, 45 minutes, 1.5 hours, 3 hours and 6 hours. Baseline pulse rate is the most recent result taken on or before pre-dose Day 1. Change from Baseline is the weighted mean pulse rate at Day 1 or Day 14 minus the Baseline value. Analysis was performed using a repeated measures model with covariates of Baseline pulse rate, sex, age, smoking status, treatment and day and day by treatment and day by Baseline interactions.

    Time frame: Baseline, Day 1, and Day 14

  2. Change From Baseline in Maximum and Minimum Pulse Rate 0 to 6 Hours Post-dose on Days 1, 14, and 28

    Pulse rate is defined as the number of heartbeats in a minute (m). A maximum post-Baseline pulse rate was derived as the maximum value recorded at Days 1, 14 and 28. A minimum post-Baseline pulse rate was derived as the minimum value recorded at Days 1, 14 and 28. The maximum and minimum pulse rates were calculated using the 0 to 6 hours (h) post dose measurements on Days 1, 14 and 28, which included pre-dose, and post-dose 15 m, 45 m, 1.5 h, 3 h and 6 h. Maximum and minimum post-Baseline rate were calculated using the nominal 0-6 h post-dose records, and only records collected during the actual 0-7 h post-dose interval were used. Baseline pulse rate is the most recent result taken on or before pre-dose Day 1. Change from Baseline is the maximum or minimum pulse rate minus the Baseline value. Analysis performed using a repeated measures model with covariates of Baseline pulse rate, sex, age, smoking status, treatment and day and day by treatment and day by Baseline interactions.

    Time frame: Baseline, Day 1, Day 14 and Day 28

07

Results

Posted Feb 10, 2014

Participant flow

Participant flow — Overall Study
MilestonePlaceboUMEC/VI 500/25 µg QD
Started942
Completed935
Not completed07
Withdrew: Adverse event02
Withdrew: Lack of efficacy02
Withdrew: Withdrawal by subject01
Withdrew: Lost to follow-up01
Withdrew: Physician decision01

Outcome measures

PrimaryChange From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 28

Pulse rate is defined as the number of heartbeats in a minute. The weighted mean pulse rate was derived by calculating the area under the pulse rate/time curve (AUC), and then dividing the value by the time interval over which the AUC was calculated. The weighted mean pulse rate was calculated using the 0 to 6 hours post dose measurements at Day 28, which included pre-dose, and post-dose 15 minutes, 45 minutes, 1.5 hours, 3 hours and 6 hours. Baseline pulse rate is the most recent result taken on or before pre-dose Day 1. Change from Baseline is the weighted mean pulse rate at Day 28 minus the Baseline value. Analysis was performed using a repeated measures model with covariates of Baseline pulse rate, sex, age, smoking status, treatment and day and day by treatment and day by Baseline interactions.

Time frame:
Baseline and Day 28
Reported as:
Least squares mean · Beats per minutes (bpm)
Change From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 28
Beats per minutes (bpm)PlaceboUMEC/VI 500/25 µg QD
Change From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 281.4 ± 2.200.9 ± 1.05
Statistical analysis
  • Placebo vs UMEC/VI 500/25 µg QD · Mean difference (final values): -0.5 · 95% CI -5.5 to 4.5Estimated from repeated measures analysis of covariance.
SecondaryChange From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 1 and Day 14

Pulse rate is defined as the number of heartbeats in a minute. The weighted mean pulse rate was derived by calculating the area under the pulse rate/time curve (AUC) using the trapezoidal rule, and then dividing the value by the time interval over which the AUC was calculated. The weighted mean pulse rate was calculated using the 0 to 6 hours post dose measurements on Day 1 and Day 14, which included pre-dose, and post-dose 15 minutes, 45 minutes, 1.5 hours, 3 hours and 6 hours. Baseline pulse rate is the most recent result taken on or before pre-dose Day 1. Change from Baseline is the weighted mean pulse rate at Day 1 or Day 14 minus the Baseline value. Analysis was performed using a repeated measures model with covariates of Baseline pulse rate, sex, age, smoking status, treatment and day and day by treatment and day by Baseline interactions.

Time frame:
Baseline, Day 1, and Day 14
Reported as:
Least squares mean · Beats per minutes
Change From Baseline in Weighted Mean Pulse Rate Over 0 to 6 Hours Post-dose at Day 1 and Day 14
Beats per minutesPlaceboUMEC/VI 500/25 µg QD
Day 1, n=9, 42-1.2 ± 2.04-0.6 ± 0.92
Day 14, n=9, 39-1.7 ± 2.703.1 ± 1.26
SecondaryChange From Baseline in Maximum and Minimum Pulse Rate 0 to 6 Hours Post-dose on Days 1, 14, and 28

Pulse rate is defined as the number of heartbeats in a minute (m). A maximum post-Baseline pulse rate was derived as the maximum value recorded at Days 1, 14 and 28. A minimum post-Baseline pulse rate was derived as the minimum value recorded at Days 1, 14 and 28. The maximum and minimum pulse rates were calculated using the 0 to 6 hours (h) post dose measurements on Days 1, 14 and 28, which included pre-dose, and post-dose 15 m, 45 m, 1.5 h, 3 h and 6 h. Maximum and minimum post-Baseline rate were calculated using the nominal 0-6 h post-dose records, and only records collected during the actual 0-7 h post-dose interval were used. Baseline pulse rate is the most recent result taken on or before pre-dose Day 1. Change from Baseline is the maximum or minimum pulse rate minus the Baseline value. Analysis performed using a repeated measures model with covariates of Baseline pulse rate, sex, age, smoking status, treatment and day and day by treatment and day by Baseline interactions.

Time frame:
Baseline, Day 1, Day 14 and Day 28
Reported as:
Least squares mean · Beats per minutes
Change From Baseline in Maximum and Minimum Pulse Rate 0 to 6 Hours Post-dose on Days 1, 14, and 28
Beats per minutesPlaceboUMEC/VI 500/25 µg QD
Maximum pulse rate, Day 1, n=9, 424.5 ± 2.536.4 ± 1.15
Maximum pulse rate, Day 14, n=9, 404.9 ± 2.939.7 ± 1.37
Maximum pulse rate, Day 28, n=9, 357.4 ± 2.456.1 ± 1.19
Minimum pulse rate, Day 1, n=9, 42-7.0 ± 2.10-6.7 ± 0.95
Minimum pulse rate, Day 14, n=9, 40-7.2 ± 2.78-3.2 ± 1.28
Minimum pulse rate, Day 28, n=9, 35-6.8 ± 2.37-5.1 ± 1.15

Adverse events

Collected over On-treatment serious adverse events (SAEs) and non-serious adverse events (AEs) were collected from the start of study medication up to 4 weeks.. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—0/9 (0%)1/9 (11.1%)
UMEC/VI 500/25 µg QD—0/42 (0%)1/42 (2.4%)
Most frequent other events
Most frequent other events
EventPlaceboUMEC/VI 500/25 µg QD
SinusitisInfections and infestations1/91/42

Baseline characteristics

Age, Continuous
Age, Continuous(Years)PlaceboUMEC/VI 500/25 µg QDTotal
Mean58.7 ± 9.7759.2 ± 9.4859.1 ± 9.43
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboUMEC/VI 500/25 µg QDTotal
Female21820
Male72431
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboUMEC/VI 500/25 µg QDTotal
African American/African Heritage167
White83644
08

Study locations

4 sites
  • GSK Investigational Site
    Chester, South Carolina 29706, United States
  • GSK Investigational Site
    Gaffney, South Carolina 29340, United States
  • GSK Investigational Site
    Greenville, South Carolina 29615, United States
  • GSK Investigational Site
    Greenwood, South Carolina 29646, United States
09

References and documents

Publications

  • Feldman G, Walker RR, Brooks J, Mehta R, Crater G. 28-Day safety and tolerability of umeclidinium in combination with vilanterol in COPD: a randomized placebo-controlled trial. Pulm Pharmacol Ther. 2012 Dec;25(6):465-71. doi: 10.1016/j.pupt.2012.08.007. Epub 2012 Aug 31. PubMed 22955035 ↗

Individual participant data

Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 8, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01039675
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Dec 25, 2009
Start date
Jan 1, 2010
Primary completion
Apr 1, 2010
Completion
Apr 20, 2010
Results posted
Feb 10, 2014
Last update
Nov 8, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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