Title

Dose Ranging Study of Glycopyrronium Bromide in Patients With Moderate or Severe Chronic Obstructive Pulmonary Disease
An Investigation of the Efficacy, Tolerability and Safety of a Range of Doses of Orally Inhaled Glycopyrronium Bromide (PSX1002-GB pMDI) in Male and Female Patients With Moderate or Severe Chronic Obstructive Pulmonary Disease
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Study Participants

    37
This is an investigation of the beneficial effects, tolerability and safety of a range of single doses of orally inhaled glycopyrronium bromide (PSX1002GB pMDI) in male and female patients with moderate or severe chronic obstructive pulmonary disease (COPD). COPD is a long term and progressive disease of the lungs, generally caused by cigarette smoking, but other factors may be involved. Glycopyrronium bromide (GB) appears to be particularly useful in dilating the constricted airways of such patients, with a duration of action variously described as being between 12 and 24 hours.

This study will investigate how well tolerated and safe this medication is at a range of doses. It will also help in the selection of a suitable dose for larger and repeat dose studies, based on measures of lung response. It will also help to determine how often the medication should be given; twice daily, or once daily.

Up to 40 patients will be enrolled into the study, ranging in age from 40 to 75 years of age. Patients will be medically assessed before participation to ensure their suitability. The study will take place in one centre in the UK over five sessions; at each session one dose (2 puffs) of GB or one dose (2 puffs) of placebo will be administered from a simple inhaler device. Neither staff nor patients will know which dose, or if placebo, is being taken. Lung function will be measured for up to 26 hours after the administration of each dose using standard spirometry equipment. Blood samples will be taken over a 24-hour period to check the blood levels of GB. There will be a period of about a week between each dosing session. Patients will be medically reviewed after the study to confirm that no untoward effects are present.
Study Started
May 31
2013
Primary Completion
Aug 31
2013
Study Completion
Sep 30
2013
Last Update
Mar 30
2016
Estimate

Drug glycopyrronium bromide

glycopyrronium bromide suspension in HFA

  • Other names: PSX1002-GB

glycopyrronium bromide 12.5mcg Experimental

glycopyrronium bromide 12.5mcg single dose via pressurised metered dose inhaler (pMDI)

glycopyrronium bromide 25mcg Experimental

glycopyrronium bromide 25mcg single dose via pressurised metered dose inhaler (pMDI)

glycopyrronium bromide 50mcg Experimental

glycopyrronium bromide 50mcg single dose via pressurised metered dose inhaler (pMDI)

glycopyrronium bromide 100mcg Experimental

glycopyrronium bromide 100mcg single dose via pressurised metered dose inhaler (pMDI)

placebo Placebo Comparator

placebo single dose via pressurised metered dose inhaler (pMDI)

Criteria

Inclusion Criteria:

Male or female age 40-75 years, inclusive
A clinical diagnosis of moderate to severe COPD (GOLD guidelines)
Current smokers or ex-smokers with at least 10-pack year smoking history
Post-bronchodilator FEV1/FVC ratio < 70 % at Screen
Post-bronchodilator FEV1 ≥ 40 % to < 80 % of predicted at Screen
Demonstrated to be responsive to ipratropium (defined as at least an 100ml increase in FEV1 following ipratropium 80 µg)
Ability to perform acceptable spirometry (ATS/ERS guidelines)
Willing and able to provide written informed consent

Exclusion Criteria:

Females who are pregnant or lactating at the Screening Visit, or if of childbearing potential not using an acceptable means of birth control throughout the study (defined in protocol)
Current evidence or recent history of any clinically significant disease (other than COPD) or abnormality in the opinion of the Investigator that would put the subject at risk or which would compromise the quality of the study data (defined in protocol)
Recent history of hospitalisation due to an exacerbation of airway disease within three months prior to the Screening Visit or randomisation
Need for increased treatments of COPD within six weeks prior to the Screening Visit or randomisation
Primary diagnosis of asthma
Prior lung volume reductions surgery or history of chest/lung irradiation
Regular use of daily oxygen therapy
Use of systemic steroids within three months prior to the Screening Visit or during the run-in period
Respiratory tract infection within six weeks prior to the Screening Visit.
History of tuberculosis, bronchiectasis or other non-specific pulmonary disease
History of urinary retention or bladder neck obstructive type symptoms
History of narrow-angle glaucoma
Clinically significant abnormal ECG
Positive Hepatitis B antigen or positive Hepatitis C antibody
Positive screening test for HIV antibodies
Current evidence or history of excessive use or abuse of alcohol in the opinion of the Investigator
Current evidence or history of abusing legal drugs or use of illegal drugs or substances in the opinion of the Investigator
Donation of 450 ml or more of blood within eight weeks of the Screening Visit
History of hypersensitivity or intolerance to aerosol medications
Participation in another investigational drug study where drug was received within 30 days prior to the Screening Visit.
Inability to comply with study procedures or with study treatment intake, including inability to be trained and/or inability to demonstrate good inhaler technique with Vitalograph AIM
No Results Posted