A Phase 3 interventional study of Aclidinium bromide and Tiotropium in Chronic Obstructive Pulmonary Disease (COPD), sponsored by AstraZeneca. Completed at 41 sites in 4 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2017-01-04.
Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment
The aim of the present study is to evaluate the 24h bronchodilatory efficacy of inhaled aclidinium bromide 400 µg administered twice a day versus placebo and tiotropium bromide, respectively, after 6 weeks of treatment.
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This study's enrollment of 414 is above the median of 72 across 2,118 interventional studies indexed under Lung Diseases.
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Exclusion Criteria:
Aclidinium bromide 400 µg administered twice per day during 6 weeks of treatment
Drug: Aclidinium bromide
Tiotropium bromide 18 µg administered once per day during 6 weeks of treatment
Drug: Tiotropium
Placebo comparator administered during 6 weeks of treatment
Drug: Placebo
Dosage form: Dry powder. Route of administration: Oral inhalation by Genuair multidose dry powder inhaler Dose and regimen: 1 puff of 400 micrograms in the morning (09:00 ± 1h) and in the evening (21:00 ± 1h)
Dosage form: Dry powder hard gelatin capsule. Route of administration: Oral inhalation by HandiHaler single-dose dry powder inhaler Dose and regimen: 1 capsule (18 μg) in the morning (09:00 ± 1h)
Dosage form: Dry powder Route of administration: Oral inhalation by Genuair multidose dry powder inhaler. 1 puff of placebo in the morning (09:00 ± 1h) and 1 puff in the evening (21:00 ± 1h) AND Oral inhalation by HandiHaler single-dose dry powder inhaler. 1 puff of placebo in the morning (09:00 ± 1h).
Change From Baseline in Normalised Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve Over the 24-h Period After 6 Weeks of Treatment
Change from baseline in normalised FEV1 area under the curve over the 24-h period immediately after morning Investigational Medicinal Product administration (AUC0-24h ) after 6 weeks on treatment. The normalised AUC were calculated by means of a trapezoidal method, dividing by the corresponding time interval.
Time frame: Week 6
Change From Baseline in Normalised FEV1 Area Under the Curve Over the 12-h Night-time Period After 6 Weeks of Treatment
Change from baseline in normalised FEV1 area under the curve over the 12-h night-time period (AUC12-24) after 6 weeks of treatment. The normalised AUC were calculated by means of a trapezoidal method, dividing by the corresponding time interval.
Time frame: Week 6
This study was conducted in 49 sites investigators in 4 countries (3 sites in the Czech Republic, 23 in Germany, 8 in Hungary and 15 in Poland). 8 sites (3 in Germany, 3 in Hungary and 2 in Poland) did not randomise any patients. The first patient was screened in Oct 2011 and the last patient visit was in Mar 2012.
| Milestone | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo |
|---|---|---|---|
| Started | 171 | 158 | 85 |
| Completed | 166 | 154 | 80 |
| Not completed | 5 | 4 | 5 |
| Withdrew: Adverse event | 3 | 3 | 4 |
| Withdrew: Withdrawal by subject | 2 | 1 | 0 |
| Withdrew: Lack of efficacy | 0 | 0 | 1 |
Change from baseline in normalised FEV1 area under the curve over the 24-h period immediately after morning Investigational Medicinal Product administration (AUC0-24h ) after 6 weeks on treatment. The normalised AUC were calculated by means of a trapezoidal method, dividing by the corresponding time interval.
| Liters | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo |
|---|---|---|---|
| Change From Baseline in Normalised Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve Over the 24-h Period After 6 Weeks of Treatment | 0.065 ± 0.017 | 0.055 ± 0.018 | -0.085 ± 0.023 |
Change from baseline in normalised FEV1 area under the curve over the 12-h night-time period (AUC12-24) after 6 weeks of treatment. The normalised AUC were calculated by means of a trapezoidal method, dividing by the corresponding time interval.
| Liters | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo |
|---|---|---|---|
| Change From Baseline in Normalised FEV1 Area Under the Curve Over the 12-h Night-time Period After 6 Weeks of Treatment | 0.032 ± 0.017 | -0.006 ± 0.018 | -0.128 ± 0.024 |
Collected over 8 Weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Aclidinium Bromide 400 µg BID | — | 3/171 (1.8%) | 16/171 (9.4%) |
| Tiotropium 18 μg Once-daily | — | 4/158 (2.5%) | 17/158 (10.8%) |
| Placebo | — | 0/85 (0%) | 6/85 (7.1%) |
| Event | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo |
|---|---|---|---|
| Angina UnstableCardiac disorders | 0/171 | 1/158 | 0/85 |
| Ventricular ExtrasystolesCardiac disorders | 0/171 | 1/158 | 0/85 |
| Pancreatitis AcuteGastrointestinal disorders | 0/171 | 1/158 | 0/85 |
| Chronic Obstructive Pulmonary DiseaseRespiratory, thoracic and mediastinal disorders | 0/171 | 1/158 | 0/85 |
| Peripheral Vascular DisorderVascular disorders | 0/171 | 1/158 | 0/85 |
| Mental DisorderPsychiatric disorders | 1/171 | 0/158 | 0/85 |
| DysphagiaGastrointestinal disorders | 1/171 | 0/158 | 0/85 |
| PneumoniaInfections and infestations | 1/171 | 0/158 | 0/85 |
| Viral InfectionInfections and infestations | 1/171 | 0/158 | 0/85 |
| Transient Ischaemic AttackNervous system disorders | 1/171 | 0/158 | 0/85 |
| Event | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo |
|---|---|---|---|
| HeadacheNervous system disorders | 6/171 | 11/158 | 4/85 |
| NasopharyngitisInfections and infestations | 11/171 | 8/158 | 2/85 |
| Age, Continuous(years) | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo | Total |
|---|---|---|---|---|
| Mean | 61.8 ± 8.2 | 62.8 ± 7.9 | 62.2 ± 8.2 | 62.3 ± 8.1 |
| Gender(Participants) | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo | Total |
|---|---|---|---|---|
| Female | 57 | 42 | 37 | 136 |
| Male | 114 | 116 | 48 | 278 |
| Region of Enrollment(participants) | Aclidinium Bromide 400 µg BID | Tiotropium 18 μg Once-daily | Placebo | Total |
|---|---|---|---|---|
| Hungary | 18 | 16 | 10 | 44 |
| Czech Republic | 5 | 3 | 3 | 11 |
| Poland | 64 | 58 | 32 | 154 |
| Germany | 84 | 81 | 40 | 205 |
This study is completed, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.
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