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慢性閉塞性肺疾患(COPD)患者を対象とした、フルチカゾンフランカルボン酸エステル(FF)/ウメクリジニウム臭化物(UMEC)/ビランテロール(VI)併用療法とFF/VI+UMEC併用療法の比較研究

基本情報

NCT ID
NCT02729051
ステータス
完了
試験のフェーズ
第3相
試験タイプ
介入
目標被験者数
1,055
治験依頼者名
GlaxoSmithKline

概要

This multicenter study will be conducted to compare the effect of FF/UMEC/VI with FF/VI plus UMEC on lung function after 24 weeks of treatment. This is a phase IIIB, 24-week, randomized, double-blind, parallel group multicenter study. This study will test the hypothesis that the difference in trough forced expiratory volume in one second (FEV1) between treatment groups is less than or equal to a pre-specified non-inferiority margin. Alternatively, this study will also test the hypothesis that the difference between treatment groups is greater than the margin. The triple therapy of FF/UMEC/VI in a single inhaler is being developed with the aim of providing a new treatment option for the management of advanced Global Initiative for Chronic Obstructive Lung Disease (GOLD) Group D COPD which will reduce the exacerbation frequency, allow for a reduced burden of polypharmacy, convenience, and improve lung function, health related quality of life (HRQoL) and symptom control over established dual/monotherapies. This study has a 2 week run in period where subjects will continue to have their existing COPD medications. At randomization, subjects will discontinue all existing COPD medications and will be assigned to treatment of FF/UMEC/VI, 100 microgram (mcg)/62.5 mcg/25 mcg and placebo or FF/VI, 100 mcg/25 mcg and UMEC, 62.5 mcg in a 1:1 ratio for 24 weeks. Subjects will have clinical visits at Pre-Screening (Visit 0), Screening (Visit 1), Randomization (Week 0, Visit 2), Week 4 (Visit 3), Week 12 (Visit 4) and Week 24 (Visit 5). A follow-up visit will be conducted at 1 week after the end of treatment period or after early withdrawal visit. Approximately, 1020 subjects will be enrolled in this study. There will be two pharmacokinetic (PK) groups (subset A and subset B). Approximately 120 subjects will be assigned to subset A and approximately 60 subjects will be assigned to subset B. The total duration of subject participation will be approximately 27 weeks, consisting of a 2-week run-in period, 24-week treatment period and a 1-week follow-up period.

対象疾患

Pulmonary Disease, Chronic Obstructive

介入

FF/UMEC/VI(DRUG)
FF/VI(DRUG)
UMEC(DRUG)
Placebo(DRUG)
Albuterol/salbutamol(DRUG)

依頼者(Sponsor)

実施施設 (33)

GSK Investigational Site

Osaka, Japan

GSK Investigational Site

Tokyo, Japan

GSK Investigational Site

Chiba, Japan

GSK Investigational Site

Fukuoka, Japan

GSK Investigational Site

Hyōgo, Japan

GSK Investigational Site

Tokyo, Japan

GSK Investigational Site

Ibaraki, Japan

GSK Investigational Site

Fukuoka, Japan

GSK Investigational Site

Gifu, Japan

GSK Investigational Site

Kagawa, Japan

GSK Investigational Site

Kanagawa, Japan

大同病院

Aichi, Japan

GSK Investigational Site

Kyoto, Japan

GSK Investigational Site

Okayama, Japan

独立行政法人国立病院機構愛媛医療センター

Ehime, Japan

坂出市立病院

Kagawa, Japan

GSK Investigational Site

Mie, Japan

GSK Investigational Site

Fukuoka, Japan

GSK Investigational Site

Gunma, Japan

市立伊丹病院

Hyōgo, Japan

GSK Investigational Site

Kanagawa, Japan

GSK Investigational Site

Hokkaido, Japan

独立行政法人地域医療機能推進機構 北海道病院

Hokkaido, Japan

GSK Investigational Site

Kagawa, Japan

国民健康保険 小松市民病院

Ishikawa, Japan

石川県立中央病院

Ishikawa, Japan

GSK Investigational Site

Gunma, Japan

静岡県立総合病院

Shizuoka, Japan

GSK Investigational Site

Kyoto, Japan

GSK Investigational Site

Hokkaido, Japan

GSK Investigational Site

Ibaraki, Japan

GSK Investigational Site

Kanagawa, Japan

GSK Investigational Site

Niigata, Japan