Title

Evaluation of Efficacy and Safety of Formoterol in Patients With COPD Compared With Placebo in Patients in Japan, EU
A 12-week, Randomised, Double-blind, Placebo-controlled, Parallel-group, Multi-national, Phase III, Efficacy and Safety Study of Inhaled Formoterol 4.5 μg and 9 μg Twice Daily in Japanese and European Patients With Chronic Obstructive Pulmonary Disease (COPD)
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Intervention/Treatment

    formoterol ...
  • Study Participants

    613
The purpose of this study is to show the efficacy and safety of formoterol for the maintenance treatment of patients with COPD compared with placebo in patients in Japan and in European countries during 12 weeks.
Study Started
Dec 31
2007
Primary Completion
Apr 30
2009
Study Completion
Apr 30
2009
Results Posted
Oct 25
2012
Estimate
Last Update
Oct 25
2012
Estimate

Drug Formoterol Turbuhaler® 4.5mg

4.5 mg inhaled twice daily

  • Other names: Oxis

Drug Formoterol Turbuhaler® 9 mg

9 mg inhaled twice daily

  • Other names: Oxis

Drug Turbuhaler® placebo

placebo inhaled twice daily

F 4.5 bid Experimental

Formoterol 4.5 ug twice daily (bid)

F 9.0 bid Experimental

Formoterol 9.0 ug bid

PBO Placebo Comparator

Placebo

Criteria

Inclusion Criteria:

Males or females aged above 40 with a clinical diagnosis of COPD and current COPD symptoms
Current or previous smoker with a smoking history of 10 or more pack years
Lung function parameters: FEV1/FVC < 70%, post-bronchodilator and post-bronchodilator FEV1 < 80% of predicted normal value

Exclusion Criteria:

History and/or current clinical diagnosis of asthma or atopic diseases such as allergic rhinitis
Use of inhaled glucocorticosteroids within 4 weeks prior to Visit 2
Any relevant cardiovascular disorder as judged by the investigator or any current respiratory tract disorder other than COPD.

Summary

Formoterol 4.5 Bid

Formoterol 9.0 Bid

Placebo

All Events

Event Type Organ System Event Term Formoterol 4.5 Bid Formoterol 9.0 Bid Placebo

Forced Expiratory Volume in 1 Second (FEV1; L) 60 Minutes Post-dose

FEV1 (expressed as litres [L]) is a spirometric measure of lung function. FEV1 was measured 60 minutes after administration of study drug. The results are expressed as a percentage in relation to the baseline value.

Formoterol 4.5 Bid

112.9
percent of baseline (Geometric Mean)
Full Range: 75.1 to 177.0

Formoterol 9.0 Bid

113.36
percent of baseline (Geometric Mean)
Full Range: 66.2 to 184.0

Placebo

101.28
percent of baseline (Geometric Mean)
Full Range: 58.3 to 189.1

Use of Reliever Medication

Patients were asked to record reliever medication use. Period averages over the last 10 days of the run-in period and the whole treatment period were calculated. The results are expressed as the change from the run-in period average value

Formoterol 4.5 Bid

-0.6
medication doses per day (Mean)
Standard Deviation: 1.47

Formoterol 9.0 Bid

-0.97
medication doses per day (Mean)
Standard Deviation: 1.88

Placebo

-0.23
medication doses per day (Mean)
Standard Deviation: 1.25

St George's Respiratory Questionnaire (SGRQ)

Patients were asked to complete the St George's Respiratory Questionnaire (SGRQ). Subscale symptom score ranges from 0 to 100% and measures the effect of respiratory symptoms, frequency, and severity on quality of life. A score of 0 indicates the best possible status. Results are expressed as the change from baseline score with a decrease in score indicating improvement.

Formoterol 4.5 Bid

-5.46
Scores on a scale (Mean)
Standard Deviation: 12.12

Formoterol 9.0 Bid

-6.38
Scores on a scale (Mean)
Standard Deviation: 10.77

Placebo

-2.02
Scores on a scale (Mean)
Standard Deviation: 12.98

Forced Vital Capacity (FVC) 60 Minutes Post-dose

Forced Vital Capacity (FVC) is a spirometric measure of lung function. FVC was measured 60 minutes after administration of study drug. The results are expressed as a percentage in relation to the baseline value

Formoterol 4.5 Bid

109.73
percent of baseline (Geometric Mean)
Full Range: 81.2 to 162.0

Formoterol 9.0 Bid

109.92
percent of baseline (Geometric Mean)
Full Range: 83.2 to 200.9

Placebo

102.11
percent of baseline (Geometric Mean)
Full Range: 71.2 to 212.7

FEV1 Pre-dose

Lung function (FEV1) was measured before administrations of the study drug (pre-dose). The results are expressed as a percentage of mean FEV1 over visists 4-6 in relation to the baseline (visit 3) value

Formoterol 4.5 Bid

104.54
percent of baseline (Geometric Mean)
Full Range: 73.3 to 175.0

Formoterol 9.0 Bid

104.65
percent of baseline (Geometric Mean)
Full Range: 71.0 to 172.6

Placebo

99.77
percent of baseline (Geometric Mean)
Full Range: 56.5 to 183.6

FVC Pre-dose

Lung function (FVC) was measured before administrations of the study drug (pre-dose). The results are expressed as a percentage of mean FEV1 over visists 4-6 in relation to the baseline (visit 3) value

Formoterol 4.5 Bid

103.62
percent of baseline (Geometric Mean)
Full Range: 77.7 to 149.8

Formoterol 9.0 Bid

103.36
percent of baseline (Geometric Mean)
Full Range: 68.9 to 162.7

Placebo

100.73
percent of baseline (Geometric Mean)
Full Range: 70.8 to 211.9

FEV1 5 Minutes Post-dose

Lung function (FEV1) was measured 5 minutes after the first dose of study drug. The results are expressed as a percentage in relation to the baseline value

Formoterol 4.5 Bid

110.16
percent of baseline (Geometric Mean)
Full Range: 65.6 to 156.5

Formoterol 9.0 Bid

110.24
percent of baseline (Geometric Mean)
Full Range: 80.6 to 155.1

Placebo

101.25
percent of baseline (Geometric Mean)
Full Range: 79.4 to 121.6

FVC 5 Minutes Post-dose

Lung function (FVC) was measured 5 minutes after the first dose of study drug, The results are expressed as a percentage in relation to the baseline value

Formoterol 4.5 Bid

108.5
percent of baseline (Geometric Mean)
Full Range: 89.9 to 143.2

Formoterol 9.0 Bid

108.88
percent of baseline (Geometric Mean)
Full Range: 81.5 to 153.4

Placebo

101.59
percent of baseline (Geometric Mean)
Full Range: 84.3 to 124.7

Change in Peak Expiratory Flow (PEF), Morning

Patients were asked to measure and record lung function (peak expiratory flow [PEF] measured in the morning). Average values over the last 10 days of the run-in period and the whole treatment period were calculated. The results are expressed as the change from the run-in period average value

Formoterol 4.5 Bid

16.27
L/min (Mean)
Standard Deviation: 27.90

Formoterol 9.0 Bid

18.34
L/min (Mean)
Standard Deviation: 26.19

Placebo

3.6
L/min (Mean)
Standard Deviation: 27.08

Change in Peak Expiratory Flow (PEF), Evening

Patients were asked to measure and record lung function (peak expiratory flow [PEF] measured in the evening). Average values over the last 10 days of the run-in period and the whole treatment period were calculated. The results are expressed as the change from the run-in period average value

Formoterol 4.5 Bid

13.15
L/min (Mean)
Standard Deviation: 27.52

Formoterol 9.0 Bid

15.76
L/min (Mean)
Standard Deviation: 25.22

Placebo

2.36
L/min (Mean)
Standard Deviation: 26.43

Change in Night-time Awakenings Due to Symptoms

Patients were asked to record the night-time awakenings due to symptoms (scored from 0-4 with 4 being the most severe). Period averages over the last 10 days of the run-in period and the whole treatment period were calculated. The results are expressed as the change from the run-in period average value

Formoterol 4.5 Bid

-0.1318
scores on a scale per day (Mean)
Standard Deviation: 0.4791

Formoterol 9.0 Bid

-0.1748
scores on a scale per day (Mean)
Standard Deviation: 0.5517

Placebo

-0.0466
scores on a scale per day (Mean)
Standard Deviation: 0.4900

Cough

Patients were asked to record cough (scored from 0-4 with 4 being the most severe). Period averages over the last 10 days of the run-in period and the whole treatment period were calculated. The results are expressed as the change from the run-in period average value

Formoterol 4.5 Bid

-0.325
scores on a scale per day (Mean)
Standard Deviation: 0.6424

Formoterol 9.0 Bid

-0.4088
scores on a scale per day (Mean)
Standard Deviation: 0.6374

Placebo

-0.2016
scores on a scale per day (Mean)
Standard Deviation: 0.6233

Breathlessness

Patients were asked to record breathlessness (scored from 0-4 with 4 being the most severe). Period averages over the last 10 days of the run-in period and the whole treatment period were calculated. The results are expressed as the change from the run-in period average value

Formoterol 4.5 Bid

-0.4068
scores on a scale per day (Mean)
Standard Deviation: 0.6193

Formoterol 9.0 Bid

-0.4531
scores on a scale per day (Mean)
Standard Deviation: 0.5511

Placebo

-0.2626
scores on a scale per day (Mean)
Standard Deviation: 0.5899

Total

613
Participants

Age Continuous

66.75
Years (Mean)
Standard Deviation: 9.4

Sex: Female, Male

Overall Study

Formoterol 4.5 Bid

Formoterol 9.0 Bid

Placebo

Drop/Withdrawal Reasons

Formoterol 4.5 Bid

Formoterol 9.0 Bid

Placebo