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CompletedNCT03276078Updated Jul 22, 2019Results posted

Pharmacokinetics, Safety and Tolerability of Twice-Daily Aclidinium Bromide/Formoterol Fumarate Fixed Dose Combination in Chinese Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease

A Phase 2 interventional study of Aclidinium Bromide/Formoterol Fumarate 400/12μg BID in Pulmonary Disease, Chronic Obstructive, sponsored by AstraZeneca. Completed at 1 site in China. Open to participants aged 40 Years to 130 Years. Per ClinicalTrials.gov, last updated 2019-07-22.

Sponsored by AstraZeneca · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
40 Years to 130 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca — 14 open to participants now, 15 under way, 4 of them phase 3. Pulmonary Disease, Chronic Obstructive · AstraZeneca.

Enrollment
179th of 194
20 · median 137
Started
2017
with 13 others
Phase 2
54 of 284
1 open now
Registered
209th of 284
by date

Among the 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca, this one is the 179th largest by enrollment of the 194 interventional ones that give a count, is one of 14 that started in 2017, is one of 54 in phase 2, and was the 209th registered.

Pulmonary Disease, Chronic Obstructive

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

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Open to participants now

14 of the 284 studies in Pulmonary Disease, Chronic Obstructive by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

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By country, each count listing its studies:

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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; 89 take healthy volunteers.

This study: 40 Years to 130 Years · all sexes · no healthy volunteers.

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02

Study summary

A Phase IIa, open-label, repeat-dose trial to investigate the pharmacokinetics (PK), safety and tolerability of single and multiple twice daily doses of inhaled Aclidinium Bromide/Formoterol Fumarate 400/12 μg in 20 Chinese male and female patients with stable moderate to severe COPD.

Read the detailed description

Screening will be performed within 21 days of dosing on Day 1 at visit 2. Eligible participants will be admitted to the trial center the day preceding the first dosing (day -1).

Participants will receive Aclidinium Bromide/Formoterol Fumarate 400/12 μg twice-daily (morning and evening) on Days 1 to 4. On Day 5 patients will receive the morning dose only. PK and safety assessments will be conducted at specific timepoints on Day 1 to Day 7.

Participants will be discharged 48 h after the last administration of investigational product and completion of the 48-h PK sample collection and safety assessments on Day 7.

A follow-up visit will be performed within 5 days of the last PK sample collection on Day 7.

03

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • COPD
04

Who can participate

Ages eligible
40 Years to 130 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

  • Ability to communicate with medical team and staff, willing to participate in the trial, willing to give written , and comply with the trial procedures and restrictions.
  • Chinese men or non-pregnant, non-lactating women, aged ≥40 years old at Visit 1 (Screening).
  • Patients with a diagnosis of (GOLD guidelines) for a period of at least 6 months prior to Visit 1 (screening).
  • Current or former smokers with a smoking history of ≥10 pack-years.
  • Patients with moderate to severe stable COPD (Stage II or Stage III, according to GOLD Guidelines) at Visit 1: post-bronchodilator ≥30% and \<80% and post-bronchodilator FEV1/FVC \<70%.
  • Must be able to perform repeatable pulmonary function testing for FEV1 according to ATS/ERS 2005 criteria at Visit 1 (Screening).

Exclusion criteria

Exclusion Criteria:

  • Involvement in the planning and/or conduct of the study (applies to AstraZeneca staff and/or site staff) or patients employed by or relatives of the employees of the site or sponsor.
  • Previous enrolment or randomisation in the present study.
  • History or current diagnosis of asthma.
  • Any respiratory tract infection (including the upper respiratory tract) or exacerbation (including the mild COPD exacerbation) within 6 weeks prior to screening or during the run-in period.
  • Patients hospitalized for COPD exacerbation (an emergency room visit for longer than 24 hours will be considered a hospitalization) within 3 months prior to screening and during the run-in period.
  • Use of long-term oxygen therapy ≥15 hours per day.
  • Patient with a history of reaction to inhaled anticholinergics, sympathomimetic amines, inhaled medication, or any component thereof.
  • Patients with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic nonstable prostatic hypertrophy.
  • Patients with Type I or uncontrolled Type II diabetes, uncontrolled hypothyroidism or hyperthyroidism, hypokalaemia, hyperadrenergic state, or uncontrolled or untreated hypertension.
  • cardiovascular conditions.
  • Patient with resting systolic blood pressure ≥160 mmHg, a resting diastolic blood pressure ≥100 mmHg, or a resting heart rate ≤50 bpm or ≥100 bpm at Visit 1 (Screening) or/and at Visit 2 (Day -1 to Day 7).
  • Have a (BMI) ≥40 kg/m2
  • (ECG) at Screening or Day -1 showing interval (QTc) using Fridericia's correction (QTcF) >470 msec.
  • Patients with clinically relevant abnormalities in the results of the laboratory tests, ECG parameters (other than QTcF), or in the physical examination at Visit 1, except those related to COPD.
  • Positive results for drugs of abuse in the urine at Visit 1 (Screening).
  • Positive test for surface antigen (HBsAg), antibody and/or (HIV) I antibodies at Visit 1 (Screening).
  • History of of any organ system (including lung cancer), treated or untreated, within the past 5 years other than basal or squamous cell skin cancer.
  • Any other serious or uncontrolled physical or mental condition/disease.
  • Patient with a history (within 2 years prior to Visit 1 [Screening]) of drug and/or alcohol abuse that may prevent trial compliance based on investigator judgment.
  • Taken any medication within 14 days before the first dose of IP, or hormonal drug products and traditional Chinese medicines within 30 days before the first dose of IP, with the exception of allowed medications listed in the study protocol.
  • Participation in any other clinical investigation using an experimental drug requiring repeated blood or plasma drawn within 60 days of Day 1 at Visit 2.
  • Have participated in a blood/plasma donation or blood loss greater than 400 mL within 90 days or greater than 200 mL within 30 days prior to Visit 1 (Screening).
  • Have any clinical condition that might affect the absorption, distribution, biotransformation, or excretion of Aclidinium Bromide/Formoterol Fumarate.
  • Have consumed caffeine or any grapefruit-containing products within 48 hours or alcohol within 72 hours before Day -1 at Visit 2.
  • Inability to be venipunctured or tolerate venous access as determined by the investigator or designee.
  • Inability to use a multidose DPI.
  • Subjects unable to give their consent, or subjects of consenting age but under guardianship, or vulnerable subjects.
  • In the opinion of the PI, subjects who are unlikely to comply with the protocol requirements, instructions, and trial-related restrictions.
  • Previously taken Aclidinium or previously participated in an study of Aclidinium within 6 months of Day 1
Terms in these criteria, in plain language(13)

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Aclidinium Bromide/Formoterol Fumarate 400/12μg BID

    Aclidinium bromide/Formoterol Fumarate 400/12μg inhalation powder twice-daily. Oral inhalation via Genuair® dry powder inhaler (DPI).

    Drug: Aclidinium Bromide/Formoterol Fumarate 400/12μg BID

Interventions

  • DrugAclidinium Bromide/Formoterol Fumarate 400/12μg BID

    Aclidinium bromide/formoterol fumarate 400/12μg administered by inhalation via the Genuair® multidose dry powder inhaler, twice daily (morning and evening) for 5 days

06

What researchers measure

Primary outcomes

  1. Cmax of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

    Observed maximum concentration, taken directly from the individual concentration-time curve (first dose).

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1

  2. Tmax of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

    Time to maximum concentration (h), taken directly from the individual concentration-time curve (first dose).

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1

  3. Cmin of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

    Minimum plasma drug concentration at the end of the dosing interval (first dose), where possible.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1

  4. AUC(Last) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

    Area under the plasma concentration-curve from time zero to the time of last quantifiable analyte concentration.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1

  5. AUC(Tau) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

    Area under the plasma concentration curve during the first dosing interval, tau (first dose).

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1

  6. Css,Max of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Observed maximum concentration, taken directly from the individual concentration-time curve at steady state.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  7. Css,Min of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Observed minimum concentration, taken directly from the individual concentration-time curve within a dosing interval on Day 5.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  8. Tss,Max of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Time to maximum concentration (h), taken directly from the individual concentration-time curve at steady state.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  9. λz of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Terminal rate constant, estimated by log-linear least square regression of the terminal part of the concentration-time curve.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  10. t½λz of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Terminal half-life (h), estimated as (ln2)/λz.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  11. AUC(ss,Tau) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Area under the plasma concentration curve during the dosing interval, tau at steady state.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  12. CL/F of Aclidinium Bromide and Formoterol Fumarate (Multiple Doses).

    Apparent plasma clearance for parent drug estimated as dose divided by AUCss

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  13. Vz/F of Aclidinium Bromide and Formoterol Fumarate (Multiple Doses).

    Apparent volume of distribution for parent drug at terminal phase, estimated by dividing the apparent clearance (CL/F) by λz.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  14. Cav of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Average plasma concentration during a dosing interval, estimated as AUC(ss,tau)/12

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  15. %Fluctuation of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Fluctuation index during a dosing interval estimated as 100\*(Cmax-Cmin)/Cav (%).

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  16. Rac(Cmax) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Accumulation ratio for Cmax estimated as Css,max on Day 5/Cmax on Day 1

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  17. Rac[AUC(Tau)] of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Accumulation ratio for AUC(tau) estimated as AUC(ss,tau) on Day 5/AUC(tau) on Day 1

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

  18. Rac(Cmin) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

    Accumulation ratio for Cmin estimated as Css,min on Day 5/Cmin on Day 1. Additional parameters may be determined where appropriate.

    Time frame: Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5

Secondary outcomes

  1. Adverse Events (AEs)/Serious AEs (SAEs)

    Assessment of the safety in terms of the incidences of AEs/SAEs after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

    Time frame: Screening (Day -21) to Follow-up visit (Days 8-12)

  2. Treatment-emergent AEs Related to Blood Pressure

    Assessment of the safety in terms of notable changes from baseline in blood pressure after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

    Time frame: Screening (Day -21) to Follow-up visit (Days 8-12)

  3. Treatment-emergent AEs Related to Clinical Laboratory Parameters (Haematology)

    Assessment of the safety in terms of haematology parameters after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

    Time frame: Screening (Day -21) to Follow-up visit (Days 8-12)

  4. Treatment-emergent AEs Related to Clinical Laboratory Parameters (Urinalysis)

    Assessment of the safety in terms of urinalysis parameters after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

    Time frame: Screening (Day -21) to Follow-up visit (Days 8-12)

  5. Treatment-emergent AEs Related to Clinical Laboratory Parameters (Serum Biochemistry)

    Assessment of the safety in terms of serum biochemistry parameters (Alanine aminotransferase \[ALT\], Aspartate aminotransferase \[AST\], alkaline phosphatase \[ALP\], Gamma-glutamyl transferase \[GGT\], bilirubin, creatine kinase, lactate dehydrogenase, urea nitrogen, creatinine, urate, cholesterol, glucose, sodium, potassium, calcium, chloride, phosphate, protein, and albumin) after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

    Time frame: Screening (Day -21) to Follow-up visit (Days 8-12)

  6. Treatment-emergent AEs Related to 12-lead ECG Parameters

    Assessment of the safety in terms of the 12-lead ECG parameters after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

    Time frame: Screening (Day -21) to Follow-up visit (Days 8-12)

07

Results

Posted Jul 22, 2019
Limitations and caveats
A possible limitation of the study is the high between-participant variability, which was likely related to suboptimal inhalation technique in many participants.

Participant flow

This study was conducted at a single centre in China. The first participant was enrolled in December 2017 and the last participant visit was in June 2018.

Participant flow — Overall Study
MilestoneAB/FF 400/12 BID
Started20
Completed19
Not completed1
Withdrew: Adverse event1

Outcome measures

PrimaryCmax of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

Observed maximum concentration, taken directly from the individual concentration-time curve (first dose).

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1
Reported as:
Geometric mean · pg/mL
Cmax of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).
pg/mLAB/FF 400/12 BID
Aclidinium Bromide45.82 ± 84.54
LAS348503149 ± 55.56
LAS3482338.82 ± 86.60
Formoterol Fumarate4.786 ± 62.78
PrimaryTmax of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

Time to maximum concentration (h), taken directly from the individual concentration-time curve (first dose).

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1
Reported as:
Median · hours
Tmax of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).
hoursAB/FF 400/12 BID
Aclidinium Bromide0.08 (0.08 to 0.50)
LAS348503.00 (1.50 to 6.00)
LAS348231.75 (0.08 to 4.00)
Formoterol Fumarate1.00 (0.08 to 3.00)
PrimaryCmin of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

Minimum plasma drug concentration at the end of the dosing interval (first dose), where possible.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1
Reported as:
Geometric mean · pg/mL
Cmin of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).
pg/mLAB/FF 400/12 BID
Aclidinium Bromide Not calculable0 ± 0
LAS34850627.7 ± 52.02
LAS34823 Not calculable0 ± 0
Formoterol Fumarate Not calculable0 ± 0
PrimaryAUC(Last) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

Area under the plasma concentration-curve from time zero to the time of last quantifiable analyte concentration.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1
Reported as:
Geometric mean · pg*hour/mL
AUC(Last) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).
pg*hour/mLAB/FF 400/12 BID
Aclidinium Bromide78.61 ± 90.69
LAS3485020280 ± 54.28
LAS34823201.1 ± 106.3
Formoterol Fumarate20.04 ± 64.22
PrimaryAUC(Tau) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).

Area under the plasma concentration curve during the first dosing interval, tau (first dose).

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post the morning dose on Day 1
Reported as:
Geometric mean · pg*hour/mL
AUC(Tau) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Single Dose).
pg*hour/mLAB/FF 400/12 BID
Aclidinium Bromide85.45 ± 79.02
LAS3485020330 ± 54.24
LAS34823252.9 ± 60.63
Formoterol Fumarate22.78 ± 43.64
PrimaryCss,Max of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Observed maximum concentration, taken directly from the individual concentration-time curve at steady state.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · pg/mL
Css,Max of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
pg/mLAB/FF 400/12 BID
Aclidinium Bromide60.86 ± 150.0
LAS348503691 ± 56.03
LAS3482381.02 ± 69.52
Formoterol Fumarate6.465 ± 84.34
PrimaryCss,Min of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Observed minimum concentration, taken directly from the individual concentration-time curve within a dosing interval on Day 5.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · pg/mL
Css,Min of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
pg/mLAB/FF 400/12 BID
Aclidinium Bromide4.528 ± 47.34
LAS348501032 ± 43.05
LAS3482322.88 ± 47.22
Formoterol Fumarate1.281 ± 36.63
PrimaryTss,Max of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Time to maximum concentration (h), taken directly from the individual concentration-time curve at steady state.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Median · hours
Tss,Max of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
hoursAB/FF 400/12 BID
Aclidinium Bromide0.08 (0.08 to 0.50)
LAS348503.00 (0.08 to 4.00)
LAS348230.50 (0.08 to 3.00)
Formoterol Fumarate0.08 (0.08 to 1.50)
Primaryλz of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Terminal rate constant, estimated by log-linear least square regression of the terminal part of the concentration-time curve.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Mean · 1/hours
λz of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
1/hoursAB/FF 400/12 BID
Aclidinium Bromide0.053 ± 0.040
LAS348500.045 ± 0.018
LAS348230.048 ± 0.021
Formoterol Fumarate0.057 ± 0.029
Primaryt½λz of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Terminal half-life (h), estimated as (ln2)/λz.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Mean · hours
t½λz of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
hoursAB/FF 400/12 BID
Aclidinium Bromide19.42 ± 11.10
LAS3485020.95 ± 18.78
LAS3482317.34 ± 8.096
Formoterol Fumarate14.06 ± 4.796
PrimaryAUC(ss,Tau) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Area under the plasma concentration curve during the dosing interval, tau at steady state.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · pg*hour/mL
AUC(ss,Tau) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
pg*hour/mLAB/FF 400/12 BID
Aclidinium Bromide168.8 ± 82.15
LAS3485027300 ± 52.29
LAS34823540.9 ± 54.97
Formoterol Fumarate31.98 ± 51.60
PrimaryCL/F of Aclidinium Bromide and Formoterol Fumarate (Multiple Doses).

Apparent plasma clearance for parent drug estimated as dose divided by AUCss

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Mean · L/hour
CL/F of Aclidinium Bromide and Formoterol Fumarate (Multiple Doses).
L/hourAB/FF 400/12 BID
Aclidinium Bromide3140 ± 2868
Formoterol Fumarate422.2 ± 222.7
PrimaryVz/F of Aclidinium Bromide and Formoterol Fumarate (Multiple Doses).

Apparent volume of distribution for parent drug at terminal phase, estimated by dividing the apparent clearance (CL/F) by λz.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Mean · L
Vz/F of Aclidinium Bromide and Formoterol Fumarate (Multiple Doses).
LAB/FF 400/12 BID
Aclidinium Bromide81990 ± 87200
Formoterol Fumarate8284 ± 5161
PrimaryCav of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Average plasma concentration during a dosing interval, estimated as AUC(ss,tau)/12

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · pg/mL
Cav of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
pg/mLAB/FF 400/12 BID
Aclidinium Bromide14.07 ± 82.15
LAS348502275 ± 52.29
LAS3482345.07 ± 54.97
Formoterol Fumarate2.665 ± 51.60
Primary%Fluctuation of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Fluctuation index during a dosing interval estimated as 100\*(Cmax-Cmin)/Cav (%).

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Mean · Percentage
%Fluctuation of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
PercentageAB/FF 400/12 BID
Aclidinium Bromide452.5 ± 269.4
LAS34850117.0 ± 24.69
LAS34823132.0 ± 57.81
Formoterol Fumarate205.9 ± 90.94
PrimaryRac(Cmax) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Accumulation ratio for Cmax estimated as Css,max on Day 5/Cmax on Day 1

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · ratio
Rac(Cmax) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
ratioAB/FF 400/12 BID
Aclidinium Bromide1.297 ± 216.6
LAS348501.185 ± 80.29
LAS348232.070 ± 113.5
Formoterol Fumarate1.384 ± 90.21
PrimaryRac[AUC(Tau)] of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Accumulation ratio for AUC(tau) estimated as AUC(ss,tau) on Day 5/AUC(tau) on Day 1

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · ratio
Rac[AUC(Tau)] of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
ratioAB/FF 400/12 BID
Aclidinium Bromide1.966 ± 108.9
LAS348501.355 ± 76.54
LAS348232.157 ± 82.00
Formoterol Fumarate1.436 ± 56.27
PrimaryRac(Cmin) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).

Accumulation ratio for Cmin estimated as Css,min on Day 5/Cmin on Day 1. Additional parameters may be determined where appropriate.

Time frame:
Pre-dose and 5, 15, and 30 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post the morning dose on Day 5
Reported as:
Geometric mean · ratio
Rac(Cmin) of Aclidinium Bromide, Its Metabolites and Formoterol Fumarate (Multiple Doses).
ratioAB/FF 400/12 BID
Aclidinium Bromide1.877 ± 45.19
LAS348501.641 ± 69.91
LAS348232.601 ± 54.86
Formoterol Fumarate1.822 ± 31.43
SecondaryAdverse Events (AEs)/Serious AEs (SAEs)

Assessment of the safety in terms of the incidences of AEs/SAEs after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

Time frame:
Screening (Day -21) to Follow-up visit (Days 8-12)
Reported as:
Count of participants · Participants
Adverse Events (AEs)/Serious AEs (SAEs)
ParticipantsAB/FF 400/12 BID
Any AE5
Any SAE1
SecondaryTreatment-emergent AEs Related to Blood Pressure

Assessment of the safety in terms of notable changes from baseline in blood pressure after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

Time frame:
Screening (Day -21) to Follow-up visit (Days 8-12)
Reported as:
Count of participants · Participants
Treatment-emergent AEs Related to Blood Pressure
ParticipantsAB/FF 400/12 BID
Blood pressure increased1
SecondaryTreatment-emergent AEs Related to Clinical Laboratory Parameters (Haematology)

Assessment of the safety in terms of haematology parameters after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

Time frame:
Screening (Day -21) to Follow-up visit (Days 8-12)
Reported as:
Count of participants · Participants
Treatment-emergent AEs Related to Clinical Laboratory Parameters (Haematology)
ParticipantsAB/FF 400/12 BID
Treatment-emergent AEs Related to Clinical Laboratory Parameters (Haematology)0
SecondaryTreatment-emergent AEs Related to Clinical Laboratory Parameters (Urinalysis)

Assessment of the safety in terms of urinalysis parameters after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

Time frame:
Screening (Day -21) to Follow-up visit (Days 8-12)
Reported as:
Count of participants · Participants
Treatment-emergent AEs Related to Clinical Laboratory Parameters (Urinalysis)
ParticipantsAB/FF 400/12 BID
Urine protein present3
Haematuria1
SecondaryTreatment-emergent AEs Related to Clinical Laboratory Parameters (Serum Biochemistry)

Assessment of the safety in terms of serum biochemistry parameters (Alanine aminotransferase \[ALT\], Aspartate aminotransferase \[AST\], alkaline phosphatase \[ALP\], Gamma-glutamyl transferase \[GGT\], bilirubin, creatine kinase, lactate dehydrogenase, urea nitrogen, creatinine, urate, cholesterol, glucose, sodium, potassium, calcium, chloride, phosphate, protein, and albumin) after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

Time frame:
Screening (Day -21) to Follow-up visit (Days 8-12)
Reported as:
Count of participants · Participants
Treatment-emergent AEs Related to Clinical Laboratory Parameters (Serum Biochemistry)
ParticipantsAB/FF 400/12 BID
Treatment-emergent AEs Related to Clinical Laboratory Parameters (Serum Biochemistry)0
SecondaryTreatment-emergent AEs Related to 12-lead ECG Parameters

Assessment of the safety in terms of the 12-lead ECG parameters after administration of Aclidinium Bromide/Formoterol Fumarate 400/12 μg BID for 5 days.

Time frame:
Screening (Day -21) to Follow-up visit (Days 8-12)
Reported as:
Count of participants · Participants
Treatment-emergent AEs Related to 12-lead ECG Parameters
ParticipantsAB/FF 400/12 BID
Treatment-emergent AEs Related to 12-lead ECG Parameters0

Adverse events

Collected over Screening (Day -21) to Follow-up visit (Days 8-12). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AB/FF 400/12 BID0/20 (0%)1/20 (5%)3/20 (15%)
Most frequent serious events
Most frequent serious events
EventAB/FF 400/12 BID
BronchitisInfections and infestations1/20
Most frequent other events
Most frequent other events
EventAB/FF 400/12 BID
Protein urine presentInvestigations3/20

Baseline characteristics

Safety analysis set: Includes all participants who received at least one dose of investigational product.

Age, Continuous
Age, Continuous(Years)AB/FF 400/12 BID
Mean59.2 ± 6.8
Sex: Female, Male
Sex: Female, Male(Participants)AB/FF 400/12 BID
Female5
Male15
Race (NIH/OMB)
Race (NIH/OMB)(Participants)AB/FF 400/12 BID
American Indian or Alaska Native0
Asian20
Native Hawaiian or Other Pacific Islander0
Black or African American0
White0
More than one race0
Unknown or Not Reported0
08

Study locations

1 site
  • Research Site
    Changchun, 130021, China
09

References and documents

Publications

  • Zhang H, Daoud SZ, Gillen MS, Calderon N, Heijer M, Molins E, Garcia-Gil E, Chen H, Li Q, Liu C, Ding Y. An Evaluation of the Pharmacokinetics, Safety, and Tolerability of Aclidinium/Formoterol Fixed-Dose Combination Administered in Chinese Patients with Moderate-to-Severe Chronic Obstructive Pulmonary Disease. Drugs R D. 2022 Mar;22(1):35-42. doi: 10.1007/s40268-021-00374-z. Epub 2022 Feb 8. PubMed 35133636 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Nov 2017 to primary completion in Jun 2018, 6 months.

Results were first posted in Jul 2019, 1 year 1 month after primary completion.

Of 118 industry-sponsored phase 2 interventional studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 20. This study's 6 months is below that.

Counting every sponsor, half of 165 studies reached it within 17 months; a quarter within 10 and three quarters within 31.

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

Registered
Sep 7, 2017
First posted
Sep 8, 2017
StartActual
Nov 23, 2017
Primary completionActual
Jun 12, 2018
CompletionActual
Jun 12, 2018
Results first posted
Jul 22, 2019
Last update
Jul 22, 2019
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 Jul 22, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03276078
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Sep 8, 2017
Start date
Nov 23, 2017
Primary completion
Jun 12, 2018
Completion
Jun 12, 2018
Results posted
Jul 22, 2019
Last update
Jul 22, 2019

Study contacts

Zhenxiang Yu
principal investigator · Pneumology Department, The First Hospital of Jilin University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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