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CompletedNCT01156844Updated Aug 17, 2011Results posted

Efficacy, Safety and Pharmacokinetics of Different Regimens of Indacaterol

A Phase 2 interventional study of Indacaterol and Placebo to Indacaterol in Persistent Asthma, sponsored by Novartis Pharmaceuticals. Completed at 30 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-08-17.

Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
191
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study assessed the bronchodilator efficacy of three different regimens of indacaterol in patients with asthma

02

Conditions studied

  • Persistent Asthma

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Keywords

  • Indacaterol
  • Asthma
  • Bronchodilation
  • Beta-agonist
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 191 is above the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Patients with a diagnosis of asthma and:
  • Receiving daily treatment with inhaled corticosteroid in a regimen that has been stable for at least a month prior to screening
  • FEV1 ≥50% and ≤90% of predicted normal at screening
  • An increase of ≥12% and ≥200 mL in FEV1 over prebronchodilator value within 30 minutes after inhaling a total dose of albuterol/salbutamol of 360/400 MDI

Exclusion criteria

Exclusion Criteria:

  • Smoking history of ≥ 10 years
  • Patients with a diagnosis of COPD
  • Patients who have been previously intubated for a severe asthma exacerbation/ attack
  • Patients who have experienced a severe asthma attack/exacerbation requiring hospitalization in the 6 months prior to screening
  • Patients who have had an emergency room visit for an asthma attack/exacerbation within 6 weeks prior to screening
  • Patients who have had a respiratory tract infection within 6 weeks prior to screening
  • Patients with seasonal allergy whose asthma is likely to deteriorate during the study period
  • Patients with Type I or uncontrolled Type II diabetes mellitus

Other protocol-defined inclusion/exclusion criteria may apply

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
191 participants (actual)

Study arms

  • Experimental
    Indacaterol 37.5 µg (twice a day)

    Indacaterol 37.5 µg twice a day (bid) inhaled via Concept1, a single dose dry powder inhaler (SDDPI), in the morning and in the evening for 16 days. All patients had to receive daily treatment with inhaled corticosteroid up to the maximum dose per day in a stable regimen for at least 4-weeks prior to screening and remain stable through out the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.

    Drug: Indacaterol

  • Experimental
    Indacaterol 75 µg (once a day)

    Indacaterol 75 µg once a day (qd) inhaled via Concept1, a single dose dry powder inhaler (SDDPI), in the morning and Placebo to Indacaterol inhaled once daily via Concept1 in the evening for 16 days. All patients had to receive daily treatment with inhaled corticosteroid up to the maximum dose per day in a stable regimen for at least 4-weeks prior to screening and remain stable through out the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.

    Drug: Indacaterol · Drug: Placebo to Indacaterol

  • Experimental
    Indacaterol 150 µg (every other day)

    Indacaterol 150 µg every other day (qod) inhaled via Concept1, a single dose dry powder inhaler (SDDPI) for a total of 16 days. Indacaterol 150 µg inhaled via Concept1, a SDDPI, in the morning and Placebo to Indacaterol inhaled via Concept1 in the evening on odd days; and Placebo to Indacaterol inhaled via Concept1 in the morning and in the evening on even days. All patients had to receive daily treatment with inhaled corticosteroid up to the maximum dose per day in a stable regimen for at least 4-weeks prior to screening and remain stable through out the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.

    Drug: Indacaterol · Drug: Placebo to Indacaterol

  • Placebo comparator
    Placebo

    Placebo to Indacaterol twice daily (bid) inhaled via Concept1, a single dose dry powder inhaler (SDDPI), in the morning and in the evening for 16 days. All patients had to receive daily treatment with inhaled corticosteroid up to the maximum dose per day in a stable regimen for at least 4-weeks prior to screening and remain stable through out the study. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.

    Drug: Placebo to Indacaterol

Interventions

  • DrugIndacaterol

    Indacaterol inhaled via Concept1, a single dose dry powder inhaler (SDDPI) for 16 days. Dosage and frequency varied according to randomization scheme.

  • DrugPlacebo to Indacaterol

    Placebo inhaled via Concept1, a SDDPI. Frequency varied according to randomization scheme.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) After Two Weeks of Treatment

    Spirometry was conducted according to internationally accepted standards. Trough FEV1 values were calculated as the mean of the 23.17 hours and 23.75 hours post morning dose FEV1 measurements. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

    Time frame: Baseline to week 2

  2. Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 24 Hours Post Dose (FEV1 AUC 0-24h) After Two Weeks of Treatment

    Spirometry was conducted according to internationally accepted standards. Standardized area under the curve (AUC 0-24 hours) of FEV1 measurements taken at pre-dose to 24 hours post-dose was calculated based on the trapezoidal rule and was adjusted for the area per time unit using the scheduled time of measurements for FEV1. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

    Time frame: Baseline, 0-24 hours post dose week 2

  3. Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 48 Hours (FEV1 AUC 0-48h) After Two Weeks of Treatment

    Spirometry was conducted according to internationally accepted standards. Standardized area under the curve (AUC 0-48 hours) of FEV1 measurements taken at pre-dose to 48 hours post-dose was calculated based on the trapezoidal rule and was adjusted for the area per time unit by using the scheduled time of measurements for FEV1. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

    Time frame: Baseline, 0 to 48 hours post dose week 2

Secondary outcomes

  1. Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 12 Hours (FEV1 AUC 0-12h) After Two Weeks of Treatment

    Spirometry was conducted according to internationally accepted standards. Standardized area under the curve (AUC 0-12 hours) of FEV1 measurements taken at pre-dose to 12 hours post-dose was calculated based on the trapezoidal rule and was adjusted for the area per time unit by using the scheduled time of measurements for FEV1. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

    Time frame: Baseline, 0 to 12 hours post dose week 2

07

Results

Posted Aug 17, 2011

Participant flow

Participant flow — Overall Study
MilestoneIndacaterol 37.5 µg (Twice a Day)Indacaterol 75 µg (Once a Day)Indacaterol 150 µg (Every Other Day)Placebo
Started48484847
Pd & safety sets: received study drug48474846
Completed46464241
Not completed2266
Withdrew: Adverse event0011
Withdrew: Abnormal test procedure result(s)0122
Withdrew: Withdrawal by subject0022
Withdrew: Lost to follow-up0010
Withdrew: Administrative problems0101
Withdrew: Protocol deviation2000

Outcome measures

PrimaryChange From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) After Two Weeks of Treatment

Spirometry was conducted according to internationally accepted standards. Trough FEV1 values were calculated as the mean of the 23.17 hours and 23.75 hours post morning dose FEV1 measurements. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

Time frame:
Baseline to week 2
Reported as:
Least squares mean · Liters
Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) After Two Weeks of Treatment
LitersIndacaterol 37.5 µg (Twice a Day)Indacaterol 75 µg (Once a Day)Indacaterol 150 µg (Every Other Day)Placebo
Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) After Two Weeks of Treatment0.156 (0.083 to 0.228)0.197 (0.125 to 0.269)0.199 (0.125 to 0.272)-0.005 (-0.080 to 0.071)
PrimaryChange From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 24 Hours Post Dose (FEV1 AUC 0-24h) After Two Weeks of Treatment

Spirometry was conducted according to internationally accepted standards. Standardized area under the curve (AUC 0-24 hours) of FEV1 measurements taken at pre-dose to 24 hours post-dose was calculated based on the trapezoidal rule and was adjusted for the area per time unit using the scheduled time of measurements for FEV1. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

Time frame:
Baseline, 0-24 hours post dose week 2
Reported as:
Least squares mean · Liters
Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 24 Hours Post Dose (FEV1 AUC 0-24h) After Two Weeks of Treatment
LitersIndacaterol 37.5 µg (Twice a Day)Indacaterol 75 µg (Once a Day)Placebo
Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 24 Hours Post Dose (FEV1 AUC 0-24h) After Two Weeks of Treatment0.196 (0.127 to 0.266)0.198 (0.127 to 0.269)0.030 (-0.044 to 0.103)
PrimaryChange From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 48 Hours (FEV1 AUC 0-48h) After Two Weeks of Treatment

Spirometry was conducted according to internationally accepted standards. Standardized area under the curve (AUC 0-48 hours) of FEV1 measurements taken at pre-dose to 48 hours post-dose was calculated based on the trapezoidal rule and was adjusted for the area per time unit by using the scheduled time of measurements for FEV1. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

Time frame:
Baseline, 0 to 48 hours post dose week 2
Reported as:
Least squares mean · Liters
Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 48 Hours (FEV1 AUC 0-48h) After Two Weeks of Treatment
LitersIndacaterol 75 µg (Once a Day)Indacaterol 150 µg (Every Other Day)Placebo
Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 48 Hours (FEV1 AUC 0-48h) After Two Weeks of Treatment0.218 (0.148 to 0.288)0.198 (0.135 to 0.260)0.059 (-0.012 to 0.129)
SecondaryChange From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 12 Hours (FEV1 AUC 0-12h) After Two Weeks of Treatment

Spirometry was conducted according to internationally accepted standards. Standardized area under the curve (AUC 0-12 hours) of FEV1 measurements taken at pre-dose to 12 hours post-dose was calculated based on the trapezoidal rule and was adjusted for the area per time unit by using the scheduled time of measurements for FEV1. Analysis of covariance model was used with baseline FEV1 as a continuous covariate.

Time frame:
Baseline, 0 to 12 hours post dose week 2
Reported as:
Least squares mean · Liters
Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 12 Hours (FEV1 AUC 0-12h) After Two Weeks of Treatment
LitersIndacaterol 37.5 µg (Twice a Day)Indacaterol 75 µg (Once a Day)Placebo
Change From Baseline in the Forced Expiratory Volume in 1 Second Standardized (With Respect to Time) Area Under the Curve (AUC) From 0 to 12 Hours (FEV1 AUC 0-12h) After Two Weeks of Treatment0.245 (0.170 to 0.319)0.243 (0.163 to 0.317)0.059 (-0.018 to 0.137)

Adverse events

Non-serious events are listed at a 4% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Indacaterol 37.5 ug (Twice a Day)—0/48 (0%)7/48 (14.6%)
Indacaterol 75 ug (Once a Day)—0/47 (0%)8/47 (17%)
Indacaterol 150 ug (Every Other Day)—1/48 (2.1%)11/48 (22.9%)
Placebo—0/46 (0%)8/46 (17.4%)
Most frequent serious events
Most frequent serious events
EventIndacaterol 37.5 ug (Twice a Day)Indacaterol 75 ug (Once a Day)Indacaterol 150 ug (Every Other Day)Placebo
AsthmaRespiratory, thoracic and mediastinal disorders0/480/471/480/46
Most frequent other events
Most frequent other events
EventIndacaterol 37.5 ug (Twice a Day)Indacaterol 75 ug (Once a Day)Indacaterol 150 ug (Every Other Day)Placebo
CoughRespiratory, thoracic and mediastinal disorders3/483/477/481/46
HeadacheNervous system disorders3/482/473/486/46
NasopharyngitisInfections and infestations1/482/470/480/46
DizzinessNervous system disorders0/482/471/481/46
VomitingGastrointestinal disorders0/481/472/480/46

Baseline characteristics

Age Continuous
Age Continuous(years)Indacaterol 37.5 µg (Twice a Day)Indacaterol 75 µg (Once a Day)Indacaterol 150 µg (Every Other Day)PlaceboTotal
Mean37.4 ± 11.041.1 ± 14.742.0 ± 12.240.8 ± 12.740.3 ± 12.7
Sex: Female, Male
Sex: Female, Male(Participants)Indacaterol 37.5 µg (Twice a Day)Indacaterol 75 µg (Once a Day)Indacaterol 150 µg (Every Other Day)PlaceboTotal
Female2124161879
Male27233228110
08

Study locations

30 sites
  • Novartis Investigative Site
    Anniston, Alabama 36207, United States
  • Novartis Investigative Site
    Cypress, California 90630, United States
  • Novartis Investigative Site
    Fresno, California 93726, United States
  • Novartis Investigative Site
    San Diego, California 92120, United States
  • Novartis Investigative Site
    Denver, Colorado 80206, United States
  • Novartis Investigative Site
    Clearwater, Florida 33756, United States
  • Novartis Investigative Site
    Miami, Florida 33167, United States
  • Novartis Investigative Site
    Miami, Florida 33175, United States
  • Novartis Investigative Site
    Sarasota, Florida 34233, United States
  • Novartis Investigative Site
    Tampa, Florida 33617, United States
  • Novartis Investigative Site
    Normal, Illinois 61761, United States
  • Novartis Investigative Site
    Lafayette, Louisiana 70503, United States
  • Novartis Investigative Site
    Las Vegas, Nevada 89119, United States
  • Novartis Investigative Site
    Berlin, New Jersey 08009, United States
  • Novartis Investigative Site
    Raleigh, North Carolina 27607, United States
  • Novartis Investigator Site
    Oklahoma City, Oklahoma 73120, United States
  • Novartis Investigative Site
    Houston, Texas 77070, United States
  • Novartis Investigative Site
    Plano, Texas 75075, United States
  • Novartis Investigative Site
    San Antonio, Texas 78212, United States
  • Novartis Investigative Site
    Tacoma, Washington 98405, United States
  • Novartis Investigative Site
    Tacoma, Washington 98418, United States
  • Novartis Investigative Site
    Paris, France
  • Novartis Investigative Site
    Rennes, France
  • Novartis Investigative Site
    Wiesbaden, Germany
  • Novartis Investigative Site
    Amman, Jordan
  • Novartis Investigative Site
    Irbid, Jordan
  • Novartis Investigative Site
    Groningen, Netherlands
  • Novartis Investigative Site
    London, United Kingdom
  • Novartis Investigative Site
    Manchester, United Kingdom
  • Novartis Investigative Site
    Merthyr Tydfil, United Kingdom
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01156844
Lead sponsor
Novartis Pharmaceuticals
First posted
Jul 5, 2010
Start date
Mar 2010
Primary completion
Jul 2010
Results posted
Aug 17, 2011
Last update
Aug 17, 2011

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

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