ClinicalTrials.gg
TerminatedNCT05569005Updated Sep 26, 2024

Effect of Switching From Cigarette Smoking to THS on Disease Progression in Mild to Moderate COPD Subjects With Chronic Bronchitis Symptoms.

An interventional study of THS use and Cigarette in COPD, Smoking and Tobacco Use, sponsored by Philip Morris Products S.A.. Terminated at 170 sites in 8 countries. Open to participants aged 35 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-09-26.

Sponsored by Philip Morris Products S.A. (part of Philip Morris International) · Not applicable, Interventional, and Other

Why this study was terminated
The study team decided to terminate the study due to operational infeasibility caused by challenges with recruiting the necessary number of participants.
Phase
Not applicable
Study type
Interventional
Enrollment
715
Allocation
Non-randomized
Ages
35 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to demonstrate the slowing of the disease progression including the improvement of Chronic Obstructive Pulmonary Disease (COPD) symptoms in smoking subjects with mild to moderate COPD and a history of chronic bronchitis symptoms (sputum and cough) who switch to the Tobacco Heating System (THS) as compared to those who continue to smoke cigarettes.

Read the detailed description

This study will be a multiregional (Europe, U.S., and Asia) multi-center, open-label study with 3-group, parallel preference design (Cigarette, THS use, and Smoking Abstinence).

Subjects will self-select their group allocation according to their preference. Subjects who would like to quit cigarettes or THS during the study will be encouraged to do so and will be referred to appropriate services.

The study will be declared successful if a slowing of the disease progression is demonstrated with the primary objective endpoint of forced expiratory volume in the first second (FEV1) post-bronchodilator at Month 36 or if an improvement of COPD symptoms (COPD Assessment Test total score at interim analysis at Month 12) is demonstrated.

02

Conditions studied

03

In context

Pulmonary Disease, Chronic Obstructive

4,252 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 707 are open to participants now.

This study's enrollment of 715 is above the median of 70 across 3,008 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

Philip Morris Products S.A. is the lead sponsor of 49 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria:

  • Subjects have read, understood, and signed the written informed consent form (ICF)
  • Diagnosis of COPD GOLD Stage 1 or 2 (FEV1/FVC \<0.70 \& FEV1 ≥60% predicted [post-BD])
  • Current symptoms of chronic bronchitis (sputum and cough) based on CAT questionnaire scores for CAT1 (cough) item ≥ 3 and CAT2 (sputum) item ≥ 3
  • Body mass index (BMI) 17.6-40.0 kg/m2 and body weight > 50 kg (male) or 40 kg (female).
  • Subject has a smoking history of at least 10 years.
  • Subject has been smoking ≥ 10 commercially available cigarettes/day on average (no brand restriction) for at least 1 year prior to V1 (based on self-reporting).
  • Subject has not used other tobacco and nicotine products apart from cigarettes on a daily basis over the past year prior to V1.
  • For subjects not willing to quit smoking only: have been advised to quit smoking, informed of smoking risks and of cessation programs and is still not willing to quit during the study duration.
  • Subjects willing to quit smoking only: willing to set a target quit date (TQD) within the next 28 days at V1 as assessed by self-reported questions.

Main Exclusion Criteria:

  • Subjects with any (mild, moderate or severe) COPD exacerbation that has not resolved at least four weeks prior to V1
  • Subjects with active cancer or history of any cancer
  • Subjects with pneumonia or other lower respiratory tract infections that have not resolved at least four weeks prior to V1
  • Subjects with other active systemic infections that have not resolved at least 4 weeks prior to V1
  • Subjects with other active respiratory disorders such as, but not limited to, tuberculosis, bronchiectasis, sarcoidosis, asthma2, pulmonary hypertension, interstitial lung diseases (e.g., idiopathic pulmonary fibrosis [IPF]). No new examination is required if the subject can present at V1, at a minimum, a Chest XRay (CXR) (or Computed Tomography (CT) of the chest, if available) not older than 6 months with anterior-posterior and left lateral views
  • The subject is confirmed or suspected with active SARS-CoV-2 infection (as per site and per country recommendation)
  • Clinically significant ECG alterations that will not allow subject to participate in the study, per Investigator's discretion
  • Any concomitant disease that in the opinion of the investigator would interfere with the study procedures
  • Subjects with diagnosed alpha-1 antitrypsin deficiency (AATD)
  • History of alcohol and/or drug abuse which as per judgment of the Investigator would jeopardize either the participation in an investigational study or safety of the subject
  • Positive serology test (HIV 1/2, hepatitis B or C).
  • Inability to cooperate with the study procedures
  • Previous participation in this study, or participation in an investigational study (drug or medical device) within 4 weeks before V1 (participation in observational studies/registries allowed)
  • Close affiliation with the investigational site: a close relative of the investigator, a person dependent on the investigational site (e.g., employee or student of the investigational site)
  • Subject is a current or former employee of the tobacco industry or their first-degree relatives (parent, child, spouse)
  • Subjects have re-initiated smoking in the six months prior to V1
  • Subjects have used in the past 3 months, or are currently daily using THS
  • Any oral/injectable corticosteroids (acute or chronic treatments) or oxygen therapy in the last 2 months excluding short term use for a COPD exacerbation
  • Female subject is pregnant or breastfeeding, (a urine pregnancy test will be performed at V1 and V2)
  • For women of childbearing potential, female subject who does not agree to using an acceptable method of effective contraception during the entire study.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
715 participants (actual)

Study arms

  • Active comparator
    THS

    Subjects who are not willing to quit smoking.

    Other: THS use

  • Active comparator
    Cigarette

    Subjects who are not willing to quit smoking.

    Other: Cigarette

  • Active comparator
    Smoking Abstinence

    Subjects who are willing to quit smoking.

    Other: Smoking Abstinence

Interventions

  • OtherTHS use

    Subjects who are not willing to quit smoking during the study duration will switch from cigarettes to using THS

    Also known as: Tobacco Heating System 3.0

  • OtherCigarette

    Subjects who are not willing to quit smoking during the study duration will continue smoking their own preferred brand of commercially available cigarettes.

  • OtherSmoking Abstinence

    Subjects who are willing to quit smoking may be prescribed an NRT to support them in remaining abstinent from use of any tobacco and nicotine containing products during the study. (Behavioral support will be provided to subjects to aid with abstinence.)

06

What researchers measure

Primary outcomes

  1. Disease Progression

    Disease progression will be assessed by measuring Forced Expiratory Volume in 1 second (FEV1), post-bronchodilator

    Time frame: At month 36

  2. COPD symptoms

    COPD symptoms will be assessed from the total score of the COPD Assessment Test (CAT).

    Time frame: At month 12

07

Study locations

170 sites
  • US49; Clinical Research of Brandon LLC
    Brandon, Florida 33511, United States
  • US97; Riverside Research Group
    Cape Coral, Florida 33909, United States
  • US38; Innovative Research Of West Florida, Inc.
    Clearwater, Florida 33756, United States
  • US47; Hope Clinical Trials, Inc
    Coral Gables, Florida 33134, United States
  • UX24; Alfa Medical Research
    Davie, Florida 33024, United States
  • US94; D & H Doral Research Center, LLC
    Doral, Florida 33122, United States
  • UX10; Unique Clinical Trials, LLC
    Doral, Florida 33172, United States
  • UX12; Solution Clinical Research
    Doral, Florida 33178, United States
  • US83; Proactive Clinical Research LLC
    Fort Lauderdale, Florida 33308, United States
  • UX01; 3Sync
    Fort Lauderdale, Florida 33309, United States
  • US93; Finlay Medical Research
    Greenacres City, Florida 33467, United States
  • US70; Harmony Medical Research Institute, Inc.
    Hialeah, Florida 33016, United States
  • US68; Global Research Associates
    Homestead, Florida 33030, United States
  • US01; Accel Research Sites-LKD CRU
    Lakeland, Florida 33803, United States
  • US25; Accel Research Sites
    Largo, Florida 33777, United States
  • US12; Leesburg Medical Research Institute, LLC
    Leesburg, Florida 34748, United States
  • US20; Accel Clinical Research
    Maitland, Florida 32751, United States
  • UX15; Med-Care Research Corp.
    Miami, Florida 33125, United States
  • US13; LCC Medical Research Institute, LLC
    Miami, Florida 33126, United States
  • US48; Ocean Clinical Research, LLC
    Miami, Florida 33126, United States
  • US80; Enmanuel Advance Research Center
    Miami, Florida 33126, United States
  • UX02; Finlay Medical Research
    Miami, Florida 33126, United States
  • US84; Global Health Clinical Trials
    Miami, Florida 33135, United States
  • US86; South Florida Research Center, Inc.
    Miami, Florida 33135, United States
  • US21; Bioclinical Research Alliance, Inc.
    Miami, Florida 33155, United States
  • US36; Allied Biomedical Research Institute
    Miami, Florida 33155, United States
  • US79; Cordova Research Institute, LLC
    Miami, Florida 33155, United States
  • US82; Florida International Medical Research
    Miami, Florida 33155, United States
  • UX25; D&H National Research Centers (Bird)
    Miami, Florida 33155, United States
  • US72; BioMed Research and Medical Center. LLC
    Miami, Florida 33156, United States
  • US55; American Research Institute
    Miami, Florida 33157, United States
  • US56; Medical Research of Westchester, Inc
    Miami, Florida 33165, United States
  • US95; Premier Research Associate, Inc
    Miami, Florida 33165, United States
  • UX06; Wellness Research Center Inc
    Miami, Florida 33165, United States
  • US37; Research Institute Of South Florida, Inc.
    Miami, Florida 33173, United States
  • US76; Reed Medical Research
    Miami, Florida 33176, United States
  • US91; Ambert Medical Research
    Miami, Florida 33176, United States
  • US90; Felicidad Medical Research
    Miami, Florida 33184, United States
  • US40; Clinical Trials of Florida, LLC
    Miami, Florida 33186, United States
  • UX07; Innovations Biotech
    Miami, Florida 33186, United States
  • UX11; United Research Group
    Miami, Florida 33186, United States
  • US43; San Marcus Research Clinic Inc
    Miami Lakes, Florida 33014, United States
  • US89; 3Sync Research - Hialeah
    Miami Lakes, Florida 33014, United States
  • US98; MedQuest Translational Sciences
    Miami Lakes, Florida 33016, United States
  • UX26; Harmony Clinical Research, Inc
    North Miami Beach, Florida 33162, United States
  • UX17; AES Orlando
    Orlando, Florida 32806, United States
  • US04; Omega Research Consultants
    Orlando, Florida 32808, United States
  • US10; Florida Institute for Clinical Research
    Orlando, Florida 32825, United States
  • US57; Innovation Medical Group LLC
    Palmetto Bay, Florida 33157, United States
  • US58; Bioresearch Institute LLC
    Pembroke Pines, Florida 33026, United States
  • US41; Clinovation International Corp
    Sebring, Florida 33870, United States
  • UX08; TBC Research Corp.
    Tamarac, Florida 33321, United States
  • US50; Precision Research Center
    Tampa, Florida 33614, United States
  • UX04; Clinical Trials of Tampa
    Tampa, Florida 33614, United States
  • US46; Palm Beach Research Center
    West Palm Beach, Florida 33409, United States
  • US45; Clinical Site Partners, Inc. d/b/a CSP Orlando
    Winter Park, Florida 32789, United States
  • US45; Clinical Site Partners, LLC - Winter Park, Florida Premier Research Institute (FPRI)
    Winter Park, Florida 32789, United States
  • UX99; Accelerated Enrollment Solutions (AES)
    Atlanta, Georgia 30328, United States
  • US81; Oracle Clinical Research
    College Park, Georgia 30349, United States
  • UX22; ClinCept, LLC
    Columbus, Georgia 31904, United States
  • US63; Lifeline Primary Care/CCT Research
    Lilburn, Georgia 30047, United States
  • US31; IACTHealth d/b/a Centricity Research
    Rincon, Georgia 31326, United States
  • US03; Inquest Clinical Research
    Baytown, Texas 77521, United States
  • UX20; Novel Research, LLC
    Bellaire, Texas 77401, United States
  • US42; Houston Pulmonary and Sleep Associates
    Cypress, Texas 77429, United States
  • UX34; Mt.Olympus Medical Research
    Friendswood, Texas 77546, United States
  • US88; HDH Research Inc
    Houston, Texas 77022, United States
  • US73; Victorium Clinical Research
    Houston, Texas 77024, United States
  • US53; Alpha Research Institute, LLC
    Houston, Texas 77036, United States
  • US87; Biopharma Informatic Research Center
    Houston, Texas 77043, United States
  • UX14; Prolato Clinical Research Center
    Houston, Texas 77054, United States
  • UX09; Pioneer Research Solutions, Inc
    Houston, Texas 77099, United States
  • UX18; Accurate Clinical Research, Inc
    Humble, Texas 77338, United States
  • US39; Proactive Clinical Research, LLC (formerly Invesclinic, U.S. LLC)
    McAllen, Texas 78503, United States
  • US62; Metroplex Pulmonary And Sleep Medicine Center
    McKinney, Texas 75069, United States
  • UX16; Pioneer Research Solutions, Inc
    Mesquite, Texas 75149, United States
  • UX13; Synapse Clinical Research Inc.
    Missouri City, Texas 77459, United States
  • US59; Pulmonary and Sleep Institute
    San Antonio, Texas 78258, United States
  • US52; Sherman Clinical Research
    Sherman, Texas 75092, United States
  • UX21; R & H Clinical Research
    Stafford, Texas 77477, United States
  • US74; Renovatio Clinical - The Woodlands Research Center
    The Woodlands, Texas 77380, United States
  • BG30; MHAT Puls AD
    Blagoevgrad, 2700, Bulgaria
  • BG28; MC Dr Staykov
    Burgas, 8000, Bulgaria
  • BG03; Medical Center Asklepii OOD
    Dupnitsa, 2600, Bulgaria
  • BG36; MHAT Sveti Ivan Rilski
    Dupnitsa, 2600, Bulgaria
  • BG05; Medical Center Pulmo-2018 EOOD
    Haskovo, 6300, Bulgaria
  • BG19; MC Zdrave 1
    Kozloduy, 3320, Bulgaria
  • BG17; Diagnostic Consultative Center 1 - Lom EOOD
    Lom, 3600, Bulgaria
  • BG07; Medical Center Leo Clinic
    Lovech, 5500, Bulgaria
  • BG26; Medical Center Hera - Montana branch
    Montana, 3400, Bulgaria
  • BG37; DCC (Diagnostic Consultative Center) 1 Pernik
    Pernik, 2306, Bulgaria
  • BG32; Medconsult Pleven
    Pleven, 5800, Bulgaria
  • BG40; Multiprofile Hospital for Active Treatment Trimontium
    Plovdiv, 4000, Bulgaria
  • BG12; MHAT Sveti Panteleymon EOOD
    Plovdiv, 4004, Bulgaria
  • BG08; Medical center Respiro
    Razgrad, 7200, Bulgaria
  • BG27; Diagnostic Consultative Center 1- Sliven EOOD
    Sliven, 8800, Bulgaria
  • BG29; MHAT Sliven to MMA Sofia
    Sliven, 8800, Bulgaria
  • BG33; Diagnostic Consultative Centre Sliven
    Sliven, 8800, Bulgaria
  • BG06; University First Multiprofile Hospital for Active treatment-Sofia EAD
    Sofia, 1142, Bulgaria
  • BG31; Medical Center Hera EOOD
    Sofia, 1510, Bulgaria

Showing the first 100 of 170 sites across 8 countries.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2022 to primary completion in Sep 2024, 20 months.

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

Registered
Sep 30, 2022
First posted
Oct 6, 2022
StartActual
Dec 16, 2022
Primary completionActual
Sep 13, 2024
CompletionActual
Sep 13, 2024
Last update
Sep 26, 2024
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 Sep 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05569005
Responsible party
Sponsor
First posted
Oct 6, 2022
Start date
Dec 16, 2022
Primary completion
Sep 13, 2024
Completion
Sep 13, 2024
Last update
Sep 26, 2024

Study contacts

Christelle Haziza, PhD
study chair · Philip Morris Products S.A.

Oversight

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

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