ClinicalTrials.gg
RecruitingNCT05890638Updated Sep 5, 2023

Comparison of Ipratropium / Levosalbutamol Fixed Dose Combination and Ipratropium and Levosalbutamol Free Dose Combination Nebuliser Solutions in Stable Chronic Obstructive Pulmonary Disease (COPD) Patients

A Phase 3 interventional study of Ipratropium / Levosalbutamol Fixed Dose Combination and Ipratropium + Levosalbutamol Free Dose Combination in COPD, sponsored by Neutec Ar-Ge San ve Tic A.Ş. Recruiting at 1 site in Turkey. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2023-09-05.

Sponsored by Neutec Ar-Ge San ve Tic A.Ş · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Feb 2024, 2 years 9 months ago, but the record still lists the study as recruiting.
  • Started Aug 2023; still recruiting 3 years 2 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
74
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to compare the acute bronchodilator effect of the Ipratropium / Levosalbutamol 1.25 mg \& 0.5 mg / 2.5 mL fixed dose combination nebuliser solution or Levosalbutamol 1.25 mg / 3 mL nebuliser solution and Ipratropium 500 mcg nebuliser solution in stable moderate-severe-very severe COPD patients.

02

Conditions studied

03

In context

Pulmonary Disease, Chronic Obstructive

5,520 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 856 are open to participants now.

This study's planned enrollment of 74 is above the median of 62 across 3,839 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

Neutec Ar-Ge San ve Tic A.Ş is the lead sponsor of 20 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Male or female patients aged 40 years and older who have been newly diagnosed or followed up with a diagnosis of .
  • Stable moderate-severe-very severe COPD patients with a post-bronchodilator /FVC ratio \<70% and a postbronchodilator FEV1 value \<80% at the screening visit will be included in the study.
  • Symptom status such as chronic cough, sputum production, and progressive dyspnea with the BCSS (Breathlessness, Cough and Sputum Scale) Index will be evaluated, and the COPD staging of the patient with CAT (COPD Assessment Test) and the severity of dyspnea with mMRC (Modified Medical Research Council) will be determined.
  • Patients with at least 10 pack/year smoking status or smoking history (patients who have quit smoking for at least 6 months or more are defined as ex-smokers).
  • Patients who have not experienced an exacerbation in the previous 4 weeks.
  • If the study participant is female; women using appropriate (pregnancy test will be performed at screening visit).
  • Patients with the ability to communicate with the investigator.
  • Patients who accept to comply with the protocol.
  • Patients who sign written form.

Exclusion criteria

Exclusion Criteria:

  • History of to anticholinergics or SABAs (short acting beta agonist).
  • History of exacerbation or lower respiratory track infection that required treatment with antibiotic, oral or parenteral within the last 3 days prior the screening visit or during the run-in/ or history of respiratory tract infection that required treatment with antibiotic within the last 14 days prior the screening visit.
  • Hospitalization due to COPD or pneumonia within the last 3 mounts prior the screening visit.
  • (serum glutamic-oxaloacetic transaminase) >80 IU/L, SGPT (serum glutamic-pyruvic transaminase) >80 IU/L, >2.0 mg/dL or creatinine >2.0 mg/dL.
  • History of asthma, significant chronic respiratory diseases (i.e., significant bronchiectasis, interstitial lung diseases, etc.) other than COPD or presence of disease that may be serious and/or potentially affect results of the study.
  • Use of beta-blocker, monoamine oxidase (MAO) inhibitor or tricyclic antidepressant within the last 30 days prior the screening visit
  • Recent (within ≤3 months prior the screening visit) history of heart attack, heart failure, acute ischemic heart disease or presence of serious cardiac arrhythmia requiring drug treatment.
  • Regularly use of daytime CPAP (continuous positive airway pressure) oxygen therapy for longer than 1 hour per day.
  • Initiation of pulmonary rehabilitation within the 3 months prior the screening visit.
  • History of lung volume reduction surgery
  • Drug or alcohol abuse
  • Presence of active tuberculosis
  • History of atopy or allergic rhinitis
  • Presence of active cancer
  • Attenuated within the last 2 weeks prior the screening visit or during the run-in/wash-out period
  • Pregnancy or lactation
  • Presence of known symptomatic prostatic hypertrophy requiring treatment
  • Presence of known narrow-angle glaucoma requiring treatment
  • Currently participating in another clinical trial or treatment with another study drug within the last month or 6-half-lives, whichever is longer.
Terms in these criteria, in plain language(11)

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.

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.

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.

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.

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.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
74 participants (estimated)

Study arms

  • Experimental
    Ipratropium / Levosalbutamol Fixed Dose Combination

    In this one-day study, patients will be administered "Ipratropium / Levosalbutamol 1.25 mg \& 0.5 mg / 2.5 mL Nebuliser Solution" at 6 hours intervals.

    Drug: Ipratropium / Levosalbutamol Fixed Dose Combination

  • Active comparator
    Ipratropium + Levosalbutamol Free Dose Combination

    In this one-day study, patients will be administered "Levosalbutamol 1.25 mg/3 mL Inhalation Solution" and "Ipratropium Nebulization Solution 500 mcg/2 mL" at 6 hours intervals.

    Drug: Ipratropium + Levosalbutamol Free Dose Combination

Interventions

  • DrugIpratropium / Levosalbutamol Fixed Dose Combination

    Drug pages: Ipratropium · Levalbuterol

    New combination test treatment

  • DrugIpratropium + Levosalbutamol Free Dose Combination

    Free combination control treatment

06

What researchers measure

Primary outcomes

  1. FEV1 area under the curve from 0-8 h (FEV1 AUC0-8 h)

    Change From Baseline in Forced Expiratory Volume in one second (FEV1) Area Under the Curve (AUC) 0-8h.

    Time frame: 8 hours

Secondary outcomes

  1. FEV1 area under the curve from 0-4 h (FEV1 AUC0-4 h)

    Change From Baseline in FEV1 AUC (0-4h).

    Time frame: 4 hours

  2. FEV1 AUC4-6 h

    Change From Baseline in FEV1 AUC (4-6h).

    Time frame: 4 to 6 hours

  3. FEV1 AUC6-8 h

    Change From Baseline in FEV1 AUC (6-8h).

    Time frame: 6 to 8 hours

  4. FVC AUC0-4 h

    Change From Baseline in Forced Vital Capacity (FVC) AUC (0-4h).

    Time frame: 4 hours

  5. FVC AUC4-6 h

    Change From Baseline in FVC AUC (4-6h).

    Time frame: 4 to 6 hours

  6. FVC AUC6-8 sa

    Change From Baseline in FVC AUC (6-8h).

    Time frame: 6 to 8 hours

  7. FVC AUC0-8 sa

    Change From Baseline in FVC AUC (0-8h).

    Time frame: 8 hours

  8. Change From Baseline in FEV1 and FVC within the first 15 minutes after dosing

    Spirometric measurements will be performed pre-treatment and 5 min, 15 min, 30 min, 45 min and 1 h, 2 h, 3 h, 4 h, 5 h, 6h, 7h, 8h after drug administration. The measurements at the time points related to the outcome will be evaluated.

    Time frame: Baseline, 15 minutes post-dose at treatment day.

  9. Mean Maximum Change From Baseline in FEV1 and FVC within the first 2 hours after dosing

    Spirometric measurements will be performed pre-treatment and 5 min, 15 min, 30 min, 45 min and 1 h, 2 h, 3 h, 4 h, 5 h, 6h, 7h, 8h after drug administration. The measurements at the time points related to the outcome will be evaluated.

    Time frame: Baseline, 2 hours post-dose at treatment day

  10. Mean Maximum Change From Baseline in FEV1 and FVC over a period of 8 hours

    Spirometric measurements will be performed pre-treatment and 5 min, 15 min, 30 min, 45 min and 1 h, 2 h, 3 h, 4 h, 5 h, 6h, 7h, 8h after drug administration.

    Time frame: Baseline, 0 to 8 hours post-dose at treatment day

  11. The Time to Onset of Bronchodilator Response

    Bronchodilator response is defined as 100 mL improvement in FEV1.

    Time frame: Baseline, 0 to 8 hours post-dose at treatment day

  12. Evaluation of Safety

    Number of participants with Adverse Events, with abnormal physical examinations, abnormal laboratory test results and abnormal ECGs

    Time frame: Baseline, 0 to 24 hours post-dose

07

Study locations

1 of 1 sites recruiting
  • Yedikule Chest Diseases And Thoracic Surgery Training And Reseaerch Hospital
    Istanbul, Turkey
    Recruiting
    • Didem Görgün Hattatoğlu · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05890638
Lead sponsor
Neutec Ar-Ge San ve Tic A.Ş
Responsible party
Sponsor
First posted
Jun 6, 2023
Start date
Aug 25, 2023
Primary completion
Feb 6, 2024 (estimated)
Completion
Mar 6, 2024 (estimated)
Last update
Sep 5, 2023

Study contacts

Oversight

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

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Studies of the drugs tested here: Ipratropium · Levalbuterol

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