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TerminatedNCT03363503COPDUpdated May 20, 2022

Salmeterol/Fluticasone 50/500 mcg Inhalation Powder Via Capsair vs Seretide Diskus 500 mcg Inhalation Powder in Patients With COPD

A Phase 4 interventional study of Salmeterol/Fluticasone Capsair® and Salmeterol/Fluticasone Diskus® in COPD, sponsored by Neutec Ar-Ge San ve Tic A.Ş. Terminated at 2 sites in Turkey. Open to participants aged 40 Years to 100 Years. Per ClinicalTrials.gov, last updated 2022-05-20.

Sponsored by Neutec Ar-Ge San ve Tic A.Ş · Phase 4, Interventional, and Treatment

Why this study was terminated
Adequate number of patients could not be reached in the relevant centers.
Phase
Phase 4
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
40 Years to 100 Years
Sex
All
01

Study summary

The aim of the current study is to compare the efficacy and safety of Salmeterol/Fluticasone 50/500 mcg Inhalation Powder treatment administered via Capsair twice daily and original product Seretide Diskus 500 mcg Inhalation Powder treatment twice daily in patients with moderate-severe COPD.

Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits of 11-weeks study period.

Read the detailed description

The aim of the current study is to compare the efficacy and safety of Salmeterol/Fluticasone 50/500 mcg Inhalation Powder treatment administered via Capsair twice daily and original product Seretide Diskus 500 mcg Inhalation Powder treatment twice daily in patients with moderate-severe COPD.

Patients who met all the inclusion criteria will enter a 1-week run-in period with the length determine by the specific medication, during which their usual treatment will be stopped and they will receive salbutamol as required.

Following run-in period, patients will be randomly assigned to receive Salmeterol/Fluticasone 50/500 mcg as dry powder capsule for inhalation by Capsair or Salmeterol/Fluticasone 50/500 mcg as dry powder for inhalation by Diskus twice daily for 8-weeks treatment period.

Patients will be evaluated at 6 consecutive visits: baseline (enrollment), screening, treatment (treatment initiation, after 4 and 8 weeks of treatment) and after treatment (will carry out by telephone two weeks following the last dose of study medication).

Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits of 11-weeks study period.

Safety will be assessed through vital signs, adverse events, serious adverse events and all cause mortality.

02

Conditions studied

  • COPD

Keywords

  • COPD
  • Salmeterol/Fluticasone
  • Discair
  • Diskus
  • Spirometry
03

Who can participate

Ages eligible
40 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged ≥40 years with moderate-severe COPD diagnosis according to the GOLD (The Global Initiative for Chronic Obstructive Lung Disease) strategy
  • Patients who have symptomatic stable moderate to severe COPD diagnosis with post-bronchodilator FEV1/ Forced Vital Capacity (FVC) \<0.70, and FEV1 ≥30% and \<80% of predicted normal value at screening visit
  • Current smokers or ex-smokers with a smoking history of at least 10 pack-years
  • Patients who have no exacerbation within last 4 weeks
  • Females patients with childbearing potential using effective birth control method
  • Patients whose medication unchanged within least 4 weeks
  • Patients who has a capability of communicate with investigator
  • Patients who accept to comply with the requirements of the protocol
  • Patients who signed written informed consent prior to participation

Exclusion criteria

Exclusion Criteria:

  • History of hypersensitivity to long acting beta-2 agonists or corticosteroids
  • History of asthma or significant chronic respiratory diseases (e.g., interstitial lung diseases, significant bronchiectasis, etc.)
  • Patients who had COPD exacerbation or lower respiratory track infections that required antibiotic, oral or parenteral corticosteroid treatment within 4 weeks prior to screening visit or during run-in period
  • Use of immunosupresants or systemic corticosteroids within least 4 weeks
  • History of severe cardiac arrhythmia or myocardial infarction within less than 6 months
  • Significant or uncontrolled disease that may preclude participant from participating in the study
  • Diognosis of cancer
  • History of lung volume reduction operation
  • Patients vaccinated with live attenuated vaccines within 2 weeks prior to screening visit or during run-in period
  • Women patients who are pregnant or nursing
  • History of allergic rhinitis and atopy
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Salmeterol/Fluticasone Capsair®

    Salmeterol/Fluticasone 50/500 mcg Inhalation Powder (1 puff) twice daily (approximately every 12 hr) via Capsair® for 8 weeks

    Drug: Salmeterol/Fluticasone Capsair®

  • Active comparator
    Salmeterol/Fluticasone Diskus®

    Salmeterol/Fluticasone 50/500 mcg Inhalation Powder (1 puff) twice daily (approximately every 12 hr) via Diskus® for 8 weeks

    Drug: Salmeterol/Fluticasone Diskus®

Interventions

  • DrugSalmeterol/Fluticasone Capsair®

    Salmeterol/Fluticasone 50/500 mcg Inhalation Powder (1 puff) twice daily (approximately every 12 hr) via Capsair® for 8 weeks

    Also known as: Serair 50/500 mcg Capsair® Inhalation Powder

  • DrugSalmeterol/Fluticasone Diskus®

    Salmeterol/Fluticasone 50/500 mcg Inhalation Powder (1 puff) twice daily (approximately every 12 hr) via Diskus® for 8 weeks

    Also known as: Seretide Diskus® 500 mcg Inhalation Powder

05

What researchers measure

Primary outcomes

  1. Mean maximum change (ml) from baseline in Forced Expiratory Volume in One Second (FEV1)

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  2. Mean percentage (%) change from baseline in

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  3. Comparison of FEV1 values at pre-dose and 2 hours post-dose

    Spirometric measurement will be performed at pre-dose and 2 hours post-dose

    Time frame: 8-weeks treatment period after randomization

  4. FEV1 (AUC0-12) response [AUC: area under the curve; response defined as change from baseline]

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  5. FVC (AUC0-12) response

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  6. FEV1 (AUC12-24) response

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  7. FVC (AUC12-24) response

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  8. FEV1 (AUC0-24) response

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  9. FVC (AUC0-24) response

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

Secondary outcomes

  1. Mean change from baseline in transition dyspnea index (TDI) after 8-weeks treatment

    Transition Dyspnea Index (TDI), a measure of the degree of breathlessness, captures changes from baseline. Baseline Dyspnea Index (BDI) score is based on three domains: functional impairment, magnitude of task and magnitude of effort. BDI will be measured at day 1 prior to the first dose with domain scores ranging from 0=very severe to 4=no impairment and a total score ranging from 0 to 12(best).

    Time frame: 8-weeks treatment period after randomization

  2. Mean change from baseline in St. George's Respiratory Questionnaire (SGRQ) after 8-weeks treatment

    SGRQ is a 51-item health related quality of life questionnaire and it consists of three sections; Symptoms-measuring the frequency and severity of respiratory symptoms, Activity-measuring limitation of activities by breathlessness and activities that cause breathlessness and Impacts-measuring disturbances in social and psychological functioning due to airway disease. It will be performed to evaluate quality of life of the patients by comparing pre-treatment and post-treatment values. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life.

    Time frame: 8-weeks treatment period after randomization

  3. Mean change from baseline in symptom severity and frequency (mean change from baseline in CAT score)

    The COPD Assessment Test (CAT) is a questionnaire for people with COPD. It is designed to measure the impact of COPD on a person's life, and how this changes over time. It contains 8 questions regarding symptoms with scoring rage of zero to 40 (It will be completed using a 6 point scale).

    Time frame: 8-weeks treatment period after randomization

  4. Frequency of rescue medicine (salbutamol) used

    Patients will use a diary to record the daily number of puffs of rescue medication used to treat COPD symptoms.

    Time frame: 8-weeks treatment period after randomization

  5. Time to onset of bronchodilator effect and maximum effect

    Spirometric measurements will be performed at 12 different time points at pre-treatment and post-treatment (5. min, 15. min, 30. min, 1. hr, 2. hr, 3.hr, 4.hr, 6.hr, 8.hr, 10.hr and 12.hr) during the treatment visits.

    Time frame: 8-weeks treatment period after randomization

  6. Adverse events, serious adverse events and all cause mortality.

    Safety will be assessed through the vital signs, number of adverse events, serious adverse events and all cause mortality.

    Time frame: 10 weeks after randomization

06

Study locations

2 sites
  • Akdeniz University Faculty of Medicine, Chest Diseases Department
    Antalya, Turkey
  • Republic of Turkey Ministry of Health Antalya Training and Research Hospital
    Antalya, Turkey
07

Registry details

Key details

Study ID
NCT03363503
Lead sponsor
Neutec Ar-Ge San ve Tic A.Ş
Responsible party
Sponsor
First posted
Dec 6, 2017
Start date
Apr 13, 2018
Primary completion
Apr 13, 2022
Completion
Apr 13, 2022
Last update
May 20, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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