CClinicalTrials.gg
CompletedNCT01462929Updated Jan 4, 2017Results posted

Efficacy and Safety of Aclidinium Bromide 400 µg Compared to Placebo and to Tiotropium Bromide in Patients With Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

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

Phase
Phase 3
Study type
Interventional
Enrollment
414
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Chronic Obstructive Pulmonary Disease (COPD)

Keywords

  • COPD
  • antimuscarinic
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 414 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

  • Adult male and female patients aged ≥40 with stable moderate to severe COPD (GOLD guidelines).
  • Post-salbutamol (FEV1) \< 80% and ≥ 30% of predicted normal value and Post-salbutamol FEV1/FVC \< 70%.
  • Current or ex-smokers of 10 ≥pack-years.

Exclusion criteria

Exclusion Criteria:

  • Patients with no history or current diagnosis of asthma.
  • No evidence of an exacerbation within 6 weeks prior to the screening visit.
  • No evidence of clinically significant respiratory and/or cardiovascular conditions or laboratory abnormalities.
  • No contraindication to use of anticholinergic drugs such as known symptomatic prostatic hypertrophy, bladder neck obstruction or narrow-angle glaucoma.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
414 participants (actual)

Study arms

  • Experimental
    Aclidinium bromide

    Aclidinium bromide 400 µg administered twice per day during 6 weeks of treatment

    Drug: Aclidinium bromide

  • Active comparator
    Tiotropium

    Tiotropium bromide 18 µg administered once per day during 6 weeks of treatment

    Drug: Tiotropium

  • Placebo comparator
    Placebo

    Placebo comparator administered during 6 weeks of treatment

    Drug: Placebo

Interventions

  • DrugAclidinium bromide

    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)

  • DrugTiotropium

    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)

  • DrugPlacebo

    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).

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

07

Results

Posted May 22, 2013

Participant flow

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.

Participant flow — Overall Study
MilestoneAclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlacebo
Started17115885
Completed16615480
Not completed545
Withdrew: Adverse event334
Withdrew: Withdrawal by subject210
Withdrew: Lack of efficacy001

Outcome measures

PrimaryChange 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
Reported as:
Least squares mean · Liters
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
LitersAclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlacebo
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 Treatment0.065 ± 0.0170.055 ± 0.018-0.085 ± 0.023
SecondaryChange 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
Reported as:
Least squares mean · Liters
Change From Baseline in Normalised FEV1 Area Under the Curve Over the 12-h Night-time Period After 6 Weeks of Treatment
LitersAclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlacebo
Change From Baseline in Normalised FEV1 Area Under the Curve Over the 12-h Night-time Period After 6 Weeks of Treatment0.032 ± 0.017-0.006 ± 0.018-0.128 ± 0.024

Adverse events

Collected over 8 Weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
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%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventAclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlacebo
Angina UnstableCardiac disorders0/1711/1580/85
Ventricular ExtrasystolesCardiac disorders0/1711/1580/85
Pancreatitis AcuteGastrointestinal disorders0/1711/1580/85
Chronic Obstructive Pulmonary DiseaseRespiratory, thoracic and mediastinal disorders0/1711/1580/85
Peripheral Vascular DisorderVascular disorders0/1711/1580/85
Mental DisorderPsychiatric disorders1/1710/1580/85
DysphagiaGastrointestinal disorders1/1710/1580/85
PneumoniaInfections and infestations1/1710/1580/85
Viral InfectionInfections and infestations1/1710/1580/85
Transient Ischaemic AttackNervous system disorders1/1710/1580/85
Most frequent other events
Most frequent other events
EventAclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlacebo
HeadacheNervous system disorders6/17111/1584/85
NasopharyngitisInfections and infestations11/1718/1582/85

Baseline characteristics

Age, Continuous
Age, Continuous(years)Aclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlaceboTotal
Mean61.8 ± 8.262.8 ± 7.962.2 ± 8.262.3 ± 8.1
Gender
Gender(Participants)Aclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlaceboTotal
Female574237136
Male11411648278
Region of Enrollment
Region of Enrollment(participants)Aclidinium Bromide 400 µg BIDTiotropium 18 μg Once-dailyPlaceboTotal
Hungary18161044
Czech Republic53311
Poland645832154
Germany848140205
08

Study locations

41 sites
  • Almirall Investigational Site #9
    Humpolec, 396 26, Czech Republic
  • Almirall Investigational Site #1
    Jaromer, 551 01, Czech Republic
  • Almirall Investigational Site #3
    Melnik, 276 01, Czech Republic
  • Almirall Investigational Site #4
    Berlin, 10117, Germany
  • Almirall Investigational Site #12
    Berlin, 10717, Germany
  • Almirall Investigational Site #10
    Berlin, 10969, Germany
  • Almirall Investigational Site #8
    Berlin, 13125, Germany
  • Almirall Investigational Site #20
    Berlin, 13507, Germany
  • Almirall Investigational Site #21
    Berlin, 14050, Germany
  • Almirall Investigational Site #2
    Berlin, 14057, Germany
  • Almirall Investigational Site #13
    Dresden, Germany
  • Almirall Investigational Site #9
    Frankfurt, 60596, Germany
  • Almirall Investigational Site #3
    Grosshansdorf, 22927, Germany
  • Almirall Investigational Site #1
    Hamburg, 20253, Germany
  • Almirall Investigational Site #18
    Hamburg, 22143, Germany
  • Almirall Investigational Site #5
    Hannover, 30159, Germany
  • Almirall Investigational Site #22
    Hannover, 30625, Germany
  • Almirall Investigational Site #14
    Jena, 07740, Germany
  • Almirall Investigational Site #24
    Koln, 51069, Germany
  • Almirall Investigational Site #17
    Lubeck, 23552, Germany
  • Almirall Investigational Site #23
    Rudersdorf, 15562, Germany
  • Almirall Investigational Site #6
    Schwerin, 19055, Germany
  • Almirall Investigational Site #16
    Wiesbaden, 65187, Germany
  • Almirall Investigational Site #4
    Debrecen, 4043, Hungary
  • Almirall Investigational Site #2
    Komarom, 2900, Hungary
  • Almirall Investigational Site #3
    Matrahaza, 3233, Hungary
  • Almirall Investigational Site #1
    Szarvas, 5540, Hungary
  • Almirall Investigational Site #11
    Szigetszentmiklos, 2310, Hungary
  • Almirall Investigational Site #18
    Bialystok, 15-540, Poland
  • Almirall Investigational Site #8
    Bialystok, 15-540, Poland
  • Almirall Investigational Site #2
    Elblag, 82-300, Poland
  • Almirall Investigational Site #17
    Krakow, 31-023, Poland
  • Almirall Investigational Site #10
    Krakow, 31-455, Poland
  • Almirall Investigational Site #16
    Lodz, 90-153, Poland
  • Almirall Investigational Site #20
    Lodz, 90-153, Poland
  • Almirall Investigational Site #4
    Proszowice, 32-100, Poland
  • Almirall Investigational Site #6
    Sopot, 84-741, Poland
  • Almirall Investigational Site #14
    Tarnow, 33-100, Poland
  • Almirall Investigational Site #19
    Warszawa, 01-138, Poland
  • Almirall Investigational Site #12
    Wilkowice-Bystra, 43-365, Poland
  • Almirall Investigational Site #13
    Wroclaw, 50-349, Poland
09

References and documents

Publications

  • McGarvey L, Morice AH, Smith JA, Birring SS, Chuecos F, Seoane B, Jarreta D. Effect of aclidinium bromide on cough and sputum symptoms in moderate-to-severe COPD in three phase III trials. BMJ Open Respir Res. 2016 Dec 8;3(1):e000148. doi: 10.1136/bmjresp-2016-000148. eCollection 2016. PubMed 28074135 ↗

Related links

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 4, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01462929
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Nov 1, 2011
Start date
Nov 2011
Primary completion
Mar 2012
Completion
May 2012
Results posted
May 22, 2013
Last update
Jan 4, 2017

Study contacts

Esther Garcia, Ph.D.
study director · AstraZeneca

Oversight

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

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