ClinicalTrials.gg
CompletedNCT02497001KRONOSUpdated Dec 24, 2020Results posted

A Randomized, Double-Blind, Parallel-Group, 24-Week, Chronic-Dosing, Multi-Center Study to Assess the Efficacy and Safety of PT010, PT003, and PT009 Compared With Symbicort® Turbuhaler® (Kronos)

A Phase 3 interventional study of BGF MDI 320/14.4/9.6 μg and GFF MDI (PT003) 14.4/9.6 μg in COPD, sponsored by Pearl Therapeutics, Inc.. Completed at 190 sites in 4 countries. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-12-24.

Sponsored by Pearl Therapeutics, Inc. (part of AstraZeneca) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
1,902
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 43 studies testing budesonide in Pulmonary Disease, Chronic Obstructive — 3 open to participants now, 3 under way, 1 of them phase 3. Budesonide · Pulmonary Disease, Chronic Obstructive.

Enrollment
5th of 43
1,902 · median 99
Started
2015
with 6 others
Phase 3
15 of 43
1 open now
Registered
23rd of 43
by date
Lead sponsor
7 of 43
Pearl Therapeutics, Inc.

Among the 43 studies testing budesonide in Pulmonary Disease, Chronic Obstructive, this one is the 5th largest by enrollment, is one of 7 that started in 2015, is one of 15 in phase 3, and was the 23rd registered.

Pulmonary Disease, Chronic Obstructive

5,522 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

3 of the 43 studies testing budesonide in Pulmonary Disease, Chronic Obstructive are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

About budesonide

Budesonide: first FDA approval 1994 (RHINOCORT), first EMA approval 2014. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 88 take healthy volunteers.

This study: 40 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 43 studies testing budesonide in Pulmonary Disease, Chronic Obstructive, or all of them as a file.
02

Study summary

Study to Assess the Efficacy and Safety of PT010, PT003, and PT009 Compared With Symbicort® Turbuhaler® in Subjects with Moderate to Very Severe Chronic Obstructive Pulmonary Disease.

Read the detailed description

A Randomized, Double-Blind, Parallel-Group, 24-Week, Chronic-Dosing, Multi-Center Study to Assess the Efficacy and Safety of PT010, PT003, and PT009 Compared With Symbicort® Turbuhaler® as an Active Control in Subjects with Moderate to Very Severe Chronic Obstructive Pulmonary Disease

This study includes the following 3 sub-studies: 12-hour Pulmonary Function Test (PFT), Pharmacokinetic (PK) Profile, and Hypothalamic-pituitary-adrenal Axis.

03

Conditions studied

04

Who can participate

Ages eligible
40 Years to 80 Years
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

  • Given their signed written to participate.
  • Non-child bearing potential (ie, physiologically incapable of becoming pregnant, including any female who is 2 years ); or Child bearing potential, has a negative serum pregnancy test at Visit 1, and agrees to acceptable methods used consistently and correctly for the duration of the study.
  • Subjects with an established clinical history of as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS), or other local applicable guidelines.
  • Current or former smokers with a history of at least 10 pack-years of cigarette smoking.
  • (FEV1)/Forced vital capacity (FVC) ratio must be \<0.70 and FEV1 must be \<80% predicted normal value calculated using NHANES III reference equations (or reference norms applicable to other regions).
  • Required COPD maintenance therapy:
  • All Subjects must have been on two or more inhaled maintenance therapies for the management of their COPD for at least 6 weeks prior to Screening. Scheduled SABA and/or scheduled SAMA are considered inhaled maintenance therapies

Please refer to the study protocol for the complete inclusion criteria list.

Exclusion criteria

Exclusion Criteria

  • Significant diseases or conditions other than , which, in the opinion of the Investigator, may put the subject at risk because of participation in the study or may influence either the results of the study or the subject's ability to participate in the study.
  • Women who are pregnant or lactating, or are planning to become pregnant during the course of the study, or women of who are not using an acceptable method of .
  • Subjects, who in the opinion of the Investigator, have a current diagnosis of asthma.
  • Subjects who have been hospitalized due to poorly controlled COPD within 3 months prior to Visit 1 (Screening) or during the Screening Period
  • Subjects who have poorly controlled COPD, defined as acute worsening of COPD that requires treatment with oral or antibiotics within 6 weeks prior to Visit 1 (Screening) or during the Screening Period
  • Immune suppression or severe neurological disorders affecting control of the upper airway or other risk factors that in the opinion of the Investigator would put the subject at substantial risk of pneumonia.
  • Subjects with a diagnosis of narrow angle glaucoma, who, in the opinion of the Investigator, have not been adequately treated.
  • Subjects who have a history of to β2-agonists, budesonide or any other corticosteroid components, glycopyrronium or other muscarinic anticholinergics, or any other component of the IMPs.

Please refer to the study protocol for the complete inclusion criteria list.

Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,902 participants (actual)

Study arms

  • Experimental
    BGF MDI (PT010) 320/14.4/9.6 μg ex-actuator

    BGF MDI 320/14.4/9.6 μg,Budesonide, Glycopyrronium, Formoterol Fumarate Inhalation Aerosol

    Drug: BGF MDI 320/14.4/9.6 μg

  • Experimental
    GFF MDI (PT003) 14.4/9.6 μg ex-actuator

    GFF MDI 14.4/9.6 μg ex-actuator Glycopyrronium, Formoterol Fumarate Inhalation Aerosol

    Drug: GFF MDI (PT003) 14.4/9.6 μg

  • Experimental
    BFF MDI (PT009) 320/9.6 μg ex-actuator

    BFF MDI 320/9.6 μg, Budesonide, Formoterol Fumarate Inhalation Aerosol

    Drug: BFF MDI (PT009) 320/9.6 μg

  • Active comparator
    Symbicort

    Symbicort® Turbuhaler® (TBH) Inhalation Powder 200/6 μg

    Drug: Symbicort® Turbuhaler® (TBH) Inhalation Powder

Interventions

  • DrugBGF MDI 320/14.4/9.6 μg

    Drug pages: Budesonide · Glycopyrrolate · Formoterol

    Budesonide, Glycopyrronium, and Formoterol Fumarate Inhalation Aerosol (PT010, BGF metered dose inhaler \[MDI\])

    Also known as: BGF

  • DrugGFF MDI (PT003) 14.4/9.6 μg

    Glycopyrronium and Formoterol Fumarate Inhalation Aerosol (PT003, GFF MDI)

    Also known as: GFF

  • DrugBFF MDI (PT009) 320/9.6 μg

    Drug pages: Budesonide · Formoterol

    Budesonide and Formoterol Fumarate Inhalation Aerosol (PT009, BFF MDI)

    Also known as: BFF

  • DrugSymbicort® Turbuhaler® (TBH) Inhalation Powder
06

What researchers measure

Primary outcomes

  1. FEV1 AUC0-4

    FEV1 AUC0-4 (L) for The Efficacy Estimand (Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 4 hours (AUC0-4) AUC was normalized for length of follow up (e.g. typically 4 hours)).

    Time frame: at Week 24

  2. Change From Baseline in Morning Pre-dose Trough FEV1

    Morning Pre-Dose Trough FEV1 (L) for The Efficacy Estimand

    Time frame: at Week 24

Secondary outcomes

  1. Change From Baseline in Morning Pre-dose Trough FEV1

    Morning Pre-Dose Trough FEV1 (L) for The Efficacy Estimand

    Time frame: over 24 Weeks

  2. Peak Change From Baseline in FEV1 Within 4 Hours Post-dosing

    Peak Change from Baseline in FEV1 (L) Within 4 Hours Post-Dose for The Efficacy Estimand

    Time frame: at Week 24

  3. Rate of Moderate or Severe COPD Exacerbations

    Rate of Moderate or Severe COPD Exacerbations for the Efficacy Estimand

    Time frame: over 24 weeks

  4. Percentage of Subjects Achieving a Minimal Clinically Important Difference (MCID) of 4 Units or More in SGRQ Total Score (SGRQ Responders)

    Change from BGF

    Time frame: at Week 24

  5. Change From Baseline in Average Daily Rescue Ventolin HFA Use

    Change from Baseline in Mean Daily Number of Puffs of Rescue Ventolin HFA for The Efficacy Estimand

    Time frame: over 24 Weeks

  6. Time to Onset of Action on Day 1, 5 Minutes Post Dose

    FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

    Time frame: Day 1

  7. Time to Onset of Action on Day 1, 15 Minutes Post Dose

    FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

    Time frame: Day 1

  8. Time to Onset of Action on Day 1, 30 Minutes Post Dose

    FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

    Time frame: Day 1

  9. Time to Onset of Action on Day 1, 1 Hour Post Dose

    FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

    Time frame: Day 1

  10. Time to Onset of Action on Day 1, 2 Hours Post Dose

    FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

    Time frame: Day 1

  11. Time to Onset of Action on Day 1, 4 Hours Post Dose

    FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

    Time frame: Day 1

07

Results

Posted Dec 24, 2020

Participant flow

This study was conducted at 208 sites in four countries, from August 2015 until January 2018. The entire study period could take up to a maximum of 30 weeks.

Participant flow — Overall Study
MilestoneBGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ug
Started640627316319
Completed566524266278
Not completed741035041
Withdrew: Lost to follow-up10202
Withdrew: Adverse event28301111
Withdrew: Withdrawal by subject14371915
Withdrew: Physician decision51151
Withdrew: Subjects that were not treated1221
Withdrew: Major protocol deviation3444
Withdrew: Lack of efficacy101666
Withdrew: Protocol violation3131

Outcome measures

PrimaryFEV1 AUC0-4

FEV1 AUC0-4 (L) for The Efficacy Estimand (Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 4 hours (AUC0-4) AUC was normalized for length of follow up (e.g. typically 4 hours)).

Time frame:
at Week 24
Reported as:
Least squares mean · Liters
FEV1 AUC0-4
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
FEV1 AUC0-40.292 (0.271 to 0.314)0.288 (0.266 to 0.310)0.177 (0.146 to 0.207)0.189 (0.160 to 0.219)
PrimaryChange From Baseline in Morning Pre-dose Trough FEV1

Morning Pre-Dose Trough FEV1 (L) for The Efficacy Estimand

Time frame:
at Week 24
Reported as:
Least squares mean · Liters
Change From Baseline in Morning Pre-dose Trough FEV1
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Change From Baseline in Morning Pre-dose Trough FEV10.124 (0.108 to 0.140)0.111 (0.094 to 0.127)0.050 (0.027 to 0.072)0.062 (0.039 to 0.084)
SecondaryChange From Baseline in Morning Pre-dose Trough FEV1

Morning Pre-Dose Trough FEV1 (L) for The Efficacy Estimand

Time frame:
over 24 Weeks
Reported as:
Least squares mean · Liters
Change From Baseline in Morning Pre-dose Trough FEV1
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Change From Baseline in Morning Pre-dose Trough FEV10.147 (0.134 to 0.159)0.125 (0.112 to 0.137)0.073 (0.055 to 0.091)0.088 (0.070 to 0.105)
SecondaryPeak Change From Baseline in FEV1 Within 4 Hours Post-dosing

Peak Change from Baseline in FEV1 (L) Within 4 Hours Post-Dose for The Efficacy Estimand

Time frame:
at Week 24
Reported as:
Least squares mean · Liters
Peak Change From Baseline in FEV1 Within 4 Hours Post-dosing
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Peak Change From Baseline in FEV1 Within 4 Hours Post-dosing0.370 (0.348 to 0.393)0.361 (0.338 to 0.384)0.253 (0.221 to 0.284)0.264 (0.233 to 0.295)
SecondaryRate of Moderate or Severe COPD Exacerbations

Rate of Moderate or Severe COPD Exacerbations for the Efficacy Estimand

Time frame:
over 24 weeks
Reported as:
Least squares mean · Exacerbations
Rate of Moderate or Severe COPD Exacerbations
ExacerbationsBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Rate of Moderate or Severe COPD Exacerbations0.46 ± 0.050.95 ± 0.090.56 ± 0.080.55 ± 0.08
SecondaryPercentage of Subjects Achieving a Minimal Clinically Important Difference (MCID) of 4 Units or More in SGRQ Total Score (SGRQ Responders)

Change from BGF

Time frame:
at Week 24
Reported as:
Least squares mean · Percentage
Percentage of Subjects Achieving a Minimal Clinically Important Difference (MCID) of 4 Units or More in SGRQ Total Score (SGRQ Responders)
PercentageGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Percentage of Subjects Achieving a Minimal Clinically Important Difference (MCID) of 4 Units or More in SGRQ Total Score (SGRQ Responders)6.06 (0.30 to 11.82)6.43 (-0.62 to 13.47)8.23 (1.23 to 15.22)
SecondaryChange From Baseline in Average Daily Rescue Ventolin HFA Use

Change from Baseline in Mean Daily Number of Puffs of Rescue Ventolin HFA for The Efficacy Estimand

Time frame:
over 24 Weeks
Reported as:
Least squares mean · Puffs
Change From Baseline in Average Daily Rescue Ventolin HFA Use
PuffsBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Change From Baseline in Average Daily Rescue Ventolin HFA Use-1.3 (-1.6 to -1.1)-1.1 (-1.3 to -0.8)-1.1 (-1.5 to -0.8)-1.6 (-1.9 to -1.2)
SecondaryTime to Onset of Action on Day 1, 5 Minutes Post Dose

FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

Time frame:
Day 1
Reported as:
Least squares mean · Liters
Time to Onset of Action on Day 1, 5 Minutes Post Dose
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Time to Onset of Action on Day 1, 5 Minutes Post Dose0.181 (0.169 to 0.192)0.194 (0.182 to 0.205)0.167 (0.152 to 0.182)0.163 (0.148 to 0.178)
SecondaryTime to Onset of Action on Day 1, 15 Minutes Post Dose

FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

Time frame:
Day 1
Reported as:
Least squares mean · Liters
Time to Onset of Action on Day 1, 15 Minutes Post Dose
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Time to Onset of Action on Day 1, 15 Minutes Post Dose0.217 (0.205 to 0.230)0.230 (0.218 to 0.243)0.197 (0.180 to 0.213)0.190 (0.174 to 0.207)
SecondaryTime to Onset of Action on Day 1, 30 Minutes Post Dose

FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

Time frame:
Day 1
Reported as:
Least squares mean · Liters
Time to Onset of Action on Day 1, 30 Minutes Post Dose
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Time to Onset of Action on Day 1, 30 Minutes Post Dose0.236 (0.223 to 0.249)0.255 (0.242 to 0.268)0.213 (0.195 to 0.230)0.208 (0.190 to 0.225)
SecondaryTime to Onset of Action on Day 1, 1 Hour Post Dose

FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

Time frame:
Day 1
Reported as:
Least squares mean · Liters
Time to Onset of Action on Day 1, 1 Hour Post Dose
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Time to Onset of Action on Day 1, 1 Hour Post Dose0.268 (0.254 to 0.282)0.282 (0.268 to 0.296)0.228 (0.208 to 0.247)0.232 (0.213 to 0.251)
SecondaryTime to Onset of Action on Day 1, 2 Hours Post Dose

FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

Time frame:
Day 1
Reported as:
Least squares mean · Liters
Time to Onset of Action on Day 1, 2 Hours Post Dose
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Time to Onset of Action on Day 1, 2 Hours Post Dose0.281 (0.266 to 0.295)0.292 (0.277 to 0.307)0.241 (0.220 to 0.261)0.244 (0.224 to 0.265)
SecondaryTime to Onset of Action on Day 1, 4 Hours Post Dose

FEV1 (L) by Post-Dose Timepoint on Day 1 for The Efficacy Estimand

Time frame:
Day 1
Reported as:
Least squares mean · Liters
Time to Onset of Action on Day 1, 4 Hours Post Dose
LitersBGF MDI 320/14.4/9.6 μgGFF MDI (PT003) 14.4/9.6 μgBFF MDI (PT009) 320/9.6 μgSymbicort®
Time to Onset of Action on Day 1, 4 Hours Post Dose0.276 (0.260 to 0.292)0.278 (0.262 to 0.294)0.234 (0.213 to 0.256)0.247 (0.225 to 0.268)

Adverse events

Collected over Serious Adverse events were collected from the time subject signed Informed Consent to the time of the final follow-up telephone call. Adverse Events were collected from the time subject was randomized.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BGF MDI 320/14.4/9.6 ug6/639 (0.9%)55/639 (8.6%)126/639 (19.7%)
GFF MDI 14.4/9.6 ug3/625 (0.5%)68/625 (10.9%)84/625 (13.4%)
BFF MDI 320/9.6 ug2/314 (0.6%)21/314 (6.7%)59/314 (18.8%)
Symbicort TBH 400/12 ug1/318 (0.3%)29/318 (9.1%)55/318 (17.3%)
Most frequent serious events
Showing 10 of 108
Most frequent serious events
EventBGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ug
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders17/63932/6258/31413/318
PneumoniaInfections and infestations8/6396/6251/3140/318
Acute respiratory failureRespiratory, thoracic and mediastinal disorders4/6391/6250/3141/318
Acute myocardial infarctionCardiac disorders1/6392/6251/3141/318
Inguinal herniaGastrointestinal disorders0/6392/6250/3140/318
PneumothoraxRespiratory, thoracic and mediastinal disorders2/6391/6251/3141/318
Pulmonary massRespiratory, thoracic and mediastinal disorders0/6390/6251/3140/318
SepsisInfections and infestations1/6391/6251/3141/318
InfluenzaInfections and infestations0/6391/6251/3140/318
Pyelonephritis acuteInfections and infestations0/6390/6251/3140/318
Most frequent other events
Most frequent other events
EventBGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ug
Upper Respiratory InfectionInfections and infestations65/63937/62518/31422/318
NasopharyngititsInfections and infestations49/63941/62526/31430/318
Muscle SpasmsMusculoskeletal and connective tissue disorders21/6398/62517/3146/318

Baseline characteristics

mITT - Modified Intent to Treat

Age, Continuous
Age, Continuous(Years)BGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ugTotal
Mean64.9 ± 7.865.1 ± 7.765.2 ± 7.265.9 ± 7.765.2 ± 7.7
Sex: Female, Male
Sex: Female, Male(Participants)BGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ugTotal
Female1791959082546
Male4604302242361350
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)BGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ugTotal
Hispanic or Latino16147441
Not Hispanic or Latino6236113053121851
Unknown or Not Reported00224
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BGF MDI 320/14.4/9.6 ugGFF MDI 14.4/9.6 ugBFF MDI 320/9.6 ugSymbicort TBH 400/12 ugTotal
American Indian or Alaska Native10001
Asian284285142141852
Native Hawaiian or Other Pacific Islander01001
Black or African American2338151490
White329301157163950
More than one race00000
Unknown or Not Reported20002
08

Study locations

190 sites
  • Research Site
    Andalusia, Alabama 36420, United States
  • Research Site
    Jasper, Alabama 35501, United States
  • Research Site
    Peoria, Arizona 85381, United States
  • Research Site
    Phoenix, Arizona 85018, United States
  • Research Site
    Fullerton, California 92835, United States
  • Research Site
    Gold River, California 95670, United States
  • Research Site
    Poway, California 92064, United States
  • Research Site
    Rolling Hills Estates, California 90274, United States
  • Research Site
    Sacramento, California 95821, United States
  • Research Site
    Clearwater, Florida 33756, United States
  • Research Site
    Miami, Florida 33175, United States
  • Research Site
    Miami, Florida 33186, United States
  • Research Site
    Ormond Beach, Florida 32174, United States
  • Research Site
    Pensacola, Florida 32503, United States
  • Research Site
    Tamarac, Florida 33321, United States
  • Research Site
    Tampa, Florida 33603, United States
  • Research Site
    Winter Park, Florida 32789, United States
  • Research Site
    Dacula, Georgia 30019, United States
  • Research Site
    Norcross, Georgia 30071, United States
  • Research Site
    Rincon, Georgia 31326, United States
  • Research Site
    Edina, Minnesota 55435, United States
  • Research Site
    Minneapolis, Minnesota 55402, United States
  • Research Site
    Minneapolis, Minnesota 55407, United States
  • Research Site
    Woodbury, Minnesota 55125, United States
  • Research Site
    Saint Charles, Missouri 63301, United States
  • Research Site
    Saint Louis, Missouri 63141, United States
  • Research Site
    Reno, Nevada 89503, United States
  • Research Site
    Albuquerque, New Mexico 87108, United States
  • Research Site
    Charlotte, North Carolina 28207, United States
  • Research Site
    Gastonia, North Carolina 28054, United States
  • Research Site
    Greensboro, North Carolina 27408, United States
  • Research Site
    Hendersonville, North Carolina 28739, United States
  • Research Site
    Mooresville, North Carolina 28117, United States
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    Wilmington, North Carolina 28401, United States
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    Winston-Salem, North Carolina 27103, United States
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    Cincinnati, Ohio 45231, United States
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    Cincinnati, Ohio 45242, United States
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    Cincinnati, Ohio 45245, United States
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    Columbus, Ohio 43213, United States
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    Columbus, Ohio 43235, United States
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    Dayton, Ohio 45459, United States
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    Dublin, Ohio 43016, United States
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    Medford, Oregon 97504, United States
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    Anderson, South Carolina 29621, United States
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    Charleston, South Carolina 29406, United States
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    Easley, South Carolina 29640, United States
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    Greenville, South Carolina 29615, United States
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    Indian Land, South Carolina 29707, United States
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    Mount Pleasant, South Carolina 29464, United States
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    Rock Hill, South Carolina 29732, United States
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    Seneca, South Carolina 29678, United States
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    Spartanburg, South Carolina 29303, United States
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    Union, South Carolina 29379, United States
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    Johnson City, Tennessee 37601, United States
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    Kingwood, Texas 77339, United States
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    Longview, Texas 75605, United States
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    San Antonio, Texas 78229, United States
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    Abingdon, Virginia 24210, United States
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    Newport News, Virginia 23606, United States
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    Richmond, Virginia 23225, United States
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    Richmond, Virginia 23229, United States
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    Tacoma, Washington 98405, United States
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    Morgantown, West Virginia 26505, United States
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    Truro, Nova Scotia B2N 1L2, Canada
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    Mississauga, Ontario L4V 1P1, Canada
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    Sudbury, Ontario P3A 1W8, Canada
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    Toronto, Ontario M3J 2C5, Canada
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    Mirabel, Quebec J7J 2K8, Canada
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    Montreal, Quebec H1M 1B1, Canada
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    Trois-Rivières, Quebec G8T 7A1, Canada
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    Quebec, G1V 4G5, Canada
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    Quebec, G1W 4R4, Canada
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    Anqing, 246003, China
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    Baotou, 14010, China
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    Beijing, 100048, China
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    Beijing, 100730, China
  • Research Site
    Beijing, 100853, China
  • Research Site
    Beijing, CN-100029, China
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    Changchun, 130021, China
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    Changsha, 410002, China
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    Changsha, 410011, China
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    Guangzhou, 510000, China
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    Guangzhou, 510120, China
  • Research Site
    Guangzhou, 510150, China
  • Research Site
    Guangzhou, 510180, China
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    Haikou, 570311, China
  • Research Site
    Hangzhou, 310014, China
  • Research Site
    Hohhot, 010017, China
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    Huhehaote, 010050, China
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    Jinan, 250013, China
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    Lianyungang, 222 002, China
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    Linhai, 317000, China
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    Nanchang, 330006, China
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    Pingxiang, 337055, China
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    Shanghai, 200092, China
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    Shanghai, 200120, China
  • Research Site
    Shanghai, 200240, China
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    Shanghai, 200433, China
  • Research Site
    Shengyang, 110004, China
  • Research Site
    Shenyang, 110001, China

Showing the first 100 of 190 sites across 4 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Singh D, Hurst JR, Martinez FJ, Rabe KF, Bafadhel M, Jenkins M, Salazar D, Dorinsky P, Darken P. Predictive modeling of COPD exacerbation rates using baseline risk factors. Ther Adv Respir Dis. 2022 Jan-Dec;16:17534666221107314. doi: 10.1177/17534666221107314. PubMed 35815359 ↗
  • Liu J, He X, Wu J. Economic Evaluation of Triple Therapy with Budesonide/Glycopyrrolate/Formoterol Fumarate for the Treatment of Moderate to Very Severe Chronic Obstructive Pulmonary Disease in China Using a Semi-Markov Model. Appl Health Econ Health Policy. 2022 Sep;20(5):743-755. doi: 10.1007/s40258-022-00732-1. Epub 2022 Apr 28. PubMed 35478081 ↗
  • Muro S, Sugiura H, Darken P, Dorinsky P. Efficacy of budesonide/glycopyrronium/formoterol metered dose inhaler in patients with COPD: post-hoc analysis from the KRONOS study excluding patients with airway reversibility and high eosinophil counts. Respir Res. 2021 Jun 28;22(1):187. doi: 10.1186/s12931-021-01773-1. Erratum In: Respir Res. 2021 Aug 9;22(1):223. doi: 10.1186/s12931-021-01803-y. PubMed 34182998 ↗
  • Huang Y, Assam PN, Feng C, Su R, Dorinsky P, Gillen M. Ethnic pharmacokinetic comparison of budesonide/glycopyrrolate/formoterol fumarate metered dose inhaler (BGF MDI) between Asian and Western healthy subjects. Pulm Pharmacol Ther. 2020 Oct;64:101976. doi: 10.1016/j.pupt.2020.101976. Epub 2020 Nov 2. PubMed 33152467 ↗
  • Wang C, Yang T, Kang J, Chen R, Zhao L, He H, Assam PN, Su R, Bourne E, Ballal S, DeAngelis K, Dorinsky P. Efficacy and Safety of Budesonide/Glycopyrrolate/Formoterol Fumarate Metered Dose Inhaler in Chinese Patients with COPD: A Subgroup Analysis of KRONOS. Adv Ther. 2020 Apr;37(4):1591-1607. doi: 10.1007/s12325-020-01266-5. Epub 2020 Mar 6. PubMed 32152869 ↗
  • Ichinose M, Fukushima Y, Inoue Y, Hataji O, Ferguson GT, Rabe KF, Hayashi N, Okada H, Takikawa M, Bourne E, Ballal S, DeAngelis K, Aurivillius M, Reisner C, Dorinsky P. Long-Term Safety and Efficacy of Budesonide/Glycopyrrolate/Formoterol Fumarate Metered Dose Inhaler Formulated Using Co-Suspension Delivery Technology in Japanese Patients with COPD. Int J Chron Obstruct Pulmon Dis. 2019 Dec 23;14:2993-3002. doi: 10.2147/COPD.S220861. eCollection 2019. PubMed 31920296 ↗
  • Dunn LJ, Kerwin EM, DeAngelis K, Darken P, Gillen M, Dorinsky P. Pharmacokinetics of budesonide/glycopyrrolate/formoterol fumarate metered dose inhaler formulated using co-suspension delivery technology after single and chronic dosing in patients with COPD. Pulm Pharmacol Ther. 2020 Feb;60:101873. doi: 10.1016/j.pupt.2019.101873. Epub 2019 Dec 10. PubMed 31841699 ↗
  • Ferguson GT, Rabe KF, Martinez FJ, Fabbri LM, Wang C, Ichinose M, Bourne E, Ballal S, Darken P, DeAngelis K, Aurivillius M, Dorinsky P, Reisner C. Triple therapy with budesonide/glycopyrrolate/formoterol fumarate with co-suspension delivery technology versus dual therapies in chronic obstructive pulmonary disease (KRONOS): a double-blind, parallel-group, multicentre, phase 3 randomised controlled trial. Lancet Respir Med. 2018 Oct;6(10):747-758. doi: 10.1016/S2213-2600(18)30327-8. Epub 2018 Sep 16. Erratum In: Lancet Respir Med. 2018 Nov;6(11):e55. doi: 10.1016/S2213-2600(18)30413-2. Lancet Respir Med. 2019 Feb;7(2):e9. doi: 10.1016/S2213-2600(19)30006-2. PubMed 30232048 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2015 to primary completion in Jan 2018, 28 months.

Results were first posted in Dec 2020, 2 years 11 months after primary completion. A results delay was requested in Feb 2019.

Of 108 industry-sponsored phase 3 interventional studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 36. This study's 28 months is above that.

Counting every sponsor, half of 141 studies reached it within 23 months; a quarter within 14 and three quarters within 44.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 8, 2015
First posted
Jul 14, 2015
StartActual
Aug 10, 2015
Primary completionActual
Jan 5, 2018
CompletionActual
Jan 5, 2018
Results delay requested
Feb 14, 2019
Results first posted
Dec 24, 2020
Last update
Dec 24, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 24, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02497001
Responsible party
Sponsor
First posted
Jul 14, 2015
Start date
Aug 10, 2015
Primary completion
Jan 5, 2018
Completion
Jan 5, 2018
Results posted
Dec 24, 2020
Last update
Dec 24, 2020

Study contacts

Paul Dorinsky, MD
study director · Pearl Therapeutics, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Budesonide · Glycopyrrolate · Formoterol

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