Trial | Phase | Enrollment | Study Type | Start Date | Status |
A Randomized, Double-blind, Placebo Controlled, Parallel Group, Multi-center Study, to Assess the Safety and Tolerability of 28 Days Treatment With NVA237 (100 or 200 µg Once a Day) in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease [NCT00510510] | Phase 2 | 281 participants (Actual) | Interventional | 2007-08-31 | Completed |
Evaluation of the Anti-inflammatory Effects of Glycopyrronium Added to Indacaterol/Mometasone on the Allergen-induced Late Asthmatic Response [NCT04259164] | Phase 3 | 28 participants (Actual) | Interventional | 2020-09-10 | Completed |
The Effect of Sugammadex of EEG-derived Index Values [NCT01142648] | Phase 4 | 30 participants (Anticipated) | Interventional | 2009-04-30 | Completed |
A Randomized, Double-Blind, Chronic Dosing (7-Day), Four-Period, Four-Treatment, Placebo-Controlled, Cross-Over, Multi-Center Study to Assess the Efficacy and Safety of Three Doses of PT001 in Japanese Subjects With Moderate to Severe COPD [NCT03256552] | Phase 2 | 66 participants (Actual) | Interventional | 2015-01-28 | Completed |
A Prospective, Double-blind, Randomized Study to Investigate the Effect of Sugammadex vs. Neostigmine/Glycopyrrolate on Emergence Delirium During Sevoflurane-rocuronium Anesthesia in Pediatric Patients [NCT03229486] | Phase 4 | 40 participants (Actual) | Interventional | 2017-03-01 | Completed |
Pharmacokinetic, Randomized, Open-label, Single-dose, 3-way Cross-over Study of Intravenous and Inhaled Glycopyrrolate With or Without Charcoal Block Ingestion in Healthy Volunteers. [NCT01176851] | Phase 1 | 20 participants (Anticipated) | Interventional | 2010-07-31 | Completed |
A Phase I, Randomised, Two-Period, Single-Dose, Single-Centre, Crossover Gamma Scintigraphy Study to Assess the Pulmonary Deposition of Technetium-99m Radiolabelled Budesonide, Glycopyrronium and Formoterol Fumarate MDI, Following 3 s and 10 s Breath-Hold [NCT03740373] | Phase 1 | 10 participants (Actual) | Interventional | 2018-09-04 | Completed |
A Phase 4 Double-Blinded, Randomized, Active Comparator-Controlled Clinical Trial to Study the Efficacy, Safety, and Pharmacokinetics of Sugammadex (MK-8616) for Reversal of Neuromuscular Blockade in Pediatric Participants [NCT03351608] | Phase 4 | 288 participants (Actual) | Interventional | 2018-02-12 | Completed |
A Phase 4 Randomized, Active-Comparator Controlled Trial to Study the Efficacy and Safety of Sugammadex (MK-8616) for the Reversal of Neuromuscular Blockade Induced by Either Rocuronium Bromide or Vecuronium Bromide in Morbidly Obese Subjects [NCT03346070] | Phase 4 | 207 participants (Actual) | Interventional | 2018-01-01 | Completed |
Randomized, Placebo-Controlled, Double-Blind, Dose Ranging, Single-Dose, 6-Way Crossover Study to Assess Safety, Efficacy and Pharmacokinetics of EP-101 Using eFlow Nebuliser in Patients With COPD [NCT02948582] | Phase 2 | 42 participants (Actual) | Interventional | 2010-07-31 | Completed |
Randomized, Double-blind, Placebo-controlled, Cross-over Study to Investigate the Bronchodilator Efficacy and Safety After Single and Repeated Administrations of Different Doses of Glycopyrrolate Via pMDI in Moderate to Severe COPD Patients. [NCT01176903] | Phase 1/Phase 2 | 65 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Phase 4 Randomized, Active-Comparator Controlled Clinical Trial to Study the Safety of Sugammadex (MK-8616) for the Reversal of Neuromuscular Blockade Induced by Either Rocuronium Bromide or Vecuronium Bromide in American Society of Anesthesiologists (A [NCT03346057] | Phase 4 | 344 participants (Actual) | Interventional | 2017-12-20 | Completed |
A Novel Application of Iontophoresis in the Transcutaneous Delivery of a Prokinetic Agent for the Promotion of Bowel Evacuation [NCT02370862] | Early Phase 1 | 28 participants (Actual) | Interventional | 2013-02-28 | Completed |
A Randomised, Double-Blind, Double-Dummy, Multicentre, Parallel Group Study to Assess the Efficacy and Safety of Glycopyrronium/Formoterol Fumarate Fixed-dose Combination Relative to Umeclidinium/Vilanterol Fixed-dose Combination Over 24 Weeks in Patients [NCT03162055] | Phase 3 | 1,119 participants (Actual) | Interventional | 2017-05-25 | Completed |
A Phase I, Randomized, Double-Blind, Parallel-Group, Study to Assess the Pharmacokinetics and Safety of Two Doses of PT010 and a Single Dose of PT003 in Healthy Chinese Adult Subjects Following A Single Administrations and After Chronic Administration for [NCT03075267] | Phase 1 | 96 participants (Actual) | Interventional | 2017-04-17 | Completed |
Open Label, Prospective Study to Evaluate the Effect of Step-up From Non-extra Fine Inhaled Corticosteroids/Long Acting Beta2 Agonist (ICS/LABA) Dry Powder Inhaler (DPI) to Extra Fine Triple Therapy With CHF5993 DPI on Airway Geometry and Lung Ventilation [NCT04876677] | Phase 3 | 25 participants (Actual) | Interventional | 2021-05-25 | Completed |
Open-label, Randomized, 3-way Cross-over, Placebo Controlled, Single Dose Clinical Pharmacology Study in COPD Patients After Inhalation of CHF 5993 pMDI Using the Standard Actuator With or Without AeroChamber Plus Flow-Vu VHC Spacer [NCT02119234] | Phase 1 | 36 participants (Actual) | Interventional | 2014-03-31 | Completed |
A Phase IV Investigation of Sugammadex in Outpatient Urological Procedures [NCT03138967] | Phase 4 | 54 participants (Actual) | Interventional | 2017-09-18 | Completed |
A MULTICENTRE, RANDOMISED, DOUBLE-BLIND, ACTIVE-CONTROLLED, 3-WAY CROSS-OVER STUDY TO EVALUATE THE EFFICACY AND SAFETY OF A FREE COMBINATION OF 3 DOSES OF CHF 5259 (GLYCOPYRROLATE) PLUS FOSTER® 100/6 µg (FIXED COMBINATION OF BECLOMETHASONE DIPROPIONATE PL [NCT02127866] | Phase 2 | 211 participants (Actual) | Interventional | 2014-04-30 | Completed |
RETHINC: REdefining THerapy In Early COPD for the Pulmonary Trials Cooperative [NCT02867761] | Phase 3 | 780 participants (Actual) | Interventional | 2017-08-29 | Completed |
Glycopyrrolate Prophylaxis for Prevention of Bradyarrhythmia During Laparoscopic Cholecystectomy [NCT05997004] | | 62 participants (Actual) | Interventional | 2018-05-01 | Completed |
A Phase II, Randomized, Double Blind, Double Dummy, Active-controlled, Parallel-group Study to Assess the Efficacy and Safety of HRG2005 Inhalation in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease [NCT06035393] | Phase 2 | 200 participants (Anticipated) | Interventional | 2023-10-27 | Not yet recruiting |
Effectiveness of Sugammadex Versus Neostigmine on Neuromuscular Reversal in Pediatric Patients Undergoing Laparoscopic Appendectomy for Acute Appendicitis: A Randomized Controlled Trial [NCT05256901] | Phase 4 | 120 participants (Anticipated) | Interventional | 2023-07-19 | Recruiting |
A Multinational, Multicentre, Randomised, Double Blind, Placebo-Controlled, 2-way Crossover Study to Evaluate the Efficacy and Safety of Glycopyrrolate Bromide Administered Via pMDI (CHF 5259), for the Treatment of Patients With Chronic Obstructive Pulmon [NCT02189577] | Phase 2 | 100 participants (Actual) | Interventional | 2014-06-30 | Completed |
Open Label, Prospective, Exploratory Study to Investigate the Effect of Inhaled CHF5993 pMDI on Central and Peripheral Airway Dimensions in COPD Patients by Functional Respiratory Imaging [NCT03268226] | Phase 3 | 20 participants (Actual) | Interventional | 2017-11-20 | Completed |
Anticholinergic Premedication Induced Fever in Pediatric Ambulatory Anesthesia With Ketamine [NCT02430272] | | 84 participants (Actual) | Interventional | 2014-05-31 | Completed |
The Use of Propofol/Ketamine Anesthesia With Bispectral Monitoring (PKA-BIS) Versus Inhalational Anesthetics in Rhytidoplasty - A Prospective, Double-blinded, Randomized Comparison Study [NCT02410460] | | 30 participants (Actual) | Interventional | 2013-09-30 | Completed |
Antiperistaltic Effect and Safety of Glycopyrronium for Colonoscopic Polypectomy: a Randomized, Double-blind, Placebo-controlled Study [NCT06041984] | Phase 1/Phase 2 | 150 participants (Anticipated) | Interventional | 2023-10-08 | Enrolling by invitation |
Prevention of Postoperative Events Following Reversal With Sugammadex or Neostigmine [NCT02825576] | Phase 4 | 30 participants (Actual) | Interventional | 2018-12-03 | Terminated(stopped due to Lack of Study Personnel) |
Impact of Fixed TRIple Therapy With Beclometasone/Formoterol/Glycopyrronium DPI (Trimbow® in NEXThaler Device) in Chronic Obstructive PulmoNary Disease in rEal-world Settings: Health-related Quality of Life Patient' eXpectations and characterisTics: the T [NCT05948891] | | 500 participants (Anticipated) | Observational | 2023-07-31 | Not yet recruiting |
A Phase IV, Open Label, Multicentre, Randomised, 2-way Cross-over Exploratory Clinical Trial Comparing TRIMBOW® pMDI and RELVAR® ELLIPTA® DPI on Lung Stiffness Reduction Assessed Through Area Under the Reactance Curve (AX) in COPD. [NCT04671355] | Phase 4 | 0 participants (Actual) | Interventional | 2021-10-04 | Withdrawn(stopped due to Continuing delays due to COVID-19 pandemic) |
Randomized Double Control Study to Assess the Efficacy of Administering 1 ml of Glycopyrrolate With the Spinal Dose in Minimizing Nausea and Vomiting in Patients Undergoing Cesarean Section Under Spinal Anesthesia [NCT02872935] | Phase 4 | 22 participants (Actual) | Interventional | 2015-05-15 | Terminated |
A Phase I, Randomized, Double-Blind, Single-Dose, Three-Period, Three-Treatment, Cross-Over Study Evaluating the Pharmacokinetics and Safety of a Single Dose of PT010, a Single Dose of PT009, and a Single Dose of Open-Label Symbicort® Turbohaler® in Healt [NCT02189304] | Phase 1 | 59 participants (Actual) | Interventional | 2014-06-01 | Completed |
Benefits of Intramuscular Glycopyrrolate Premedication on Intubation With Rigid-videostylet (OptiScope® PM 201, KoMAC Co., Ltd, Seoul, Republic of Korea) [NCT03050242] | | 78 participants (Actual) | Interventional | 2017-03-13 | Completed |
A Pharmacokinetic Feasibility Study on Ultibro Breezhaler, an Indacaterol-glycopyrronium Inhalation Powder Capsule, in Healthy Subjects [NCT04856098] | Phase 1 | 34 participants (Actual) | Interventional | 2021-05-07 | Completed |
Effect of Glycopyrronium in Combination With Tropisetron in Anti-postoperative Nausea and Vomiting [NCT05331651] | Phase 4 | 480 participants (Actual) | Interventional | 2022-04-08 | Completed |
A Study to Assess the Pharmacokinetics and Safety of PT010 in Subjects With Moderate to Severe COPD Following Single and Repeat Dose Administration [NCT03250182] | Phase 1 | 30 participants (Actual) | Interventional | 2017-08-11 | Completed |
Recovery From Optimal Neuromuscular Blockade in the Critically Ill: Randomized Control Trial [NCT03791801] | | 50 participants (Anticipated) | Interventional | 2019-09-01 | Recruiting |
Effect of Atropine or Glycopyrrolate on the Prevention of Bradycardia During Sedation Using Dexmedetomidine in Adult Patients Undergoing Lower Extremity Surgery Under Spinal Anesthesia [NCT03322150] | | 2 participants (Actual) | Interventional | 2017-10-01 | Terminated(stopped due to The research was terminated because the recruitment of the study subjects was not smooth and the overseas training of the investigator was scheduled.) |
Effect of Perioperative Use of Glycopyrrolate on Lung Function in Patients Under General Anesthesia [NCT05693246] | | 90 participants (Anticipated) | Interventional | 2022-11-01 | Recruiting |
A Multicenter, Randomized, Double-blind, Placebo-controlled 3-period Complete Cross-over Study to Assess the Bronchodilator Effects and Safety of Glycopyrronium Bromide (NVA237) (25 ug and 50 ug o.d.) in Asthma Patients. [NCT03137784] | Phase 2/Phase 3 | 148 participants (Actual) | Interventional | 2017-05-04 | Completed |
A 26-week Treatment, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety and Tolerability of NVA237 in Patients With Chronic Obstructive Pulmonary Disease [NCT01005901] | Phase 3 | 1,324 participants (Actual) | Interventional | 2009-10-31 | Completed |
Effects of Long Acting Bronchodilators on CARDiac Autonomic Nervous System Control in Patients With COPD [NCT02872090] | Phase 4 | 42 participants (Actual) | Interventional | 2016-03-31 | Completed |
A Double-Blind, Multicentre, Randomized, Three-Period, Three-Treatment, Cross-Over Study to Evaluate the Effect of BGF MDI, BFF MDI, and Placebo MDI on Exercise Parameters in Participants With COPD (ATHLOS) [NCT06067828] | Phase 3 | 180 participants (Anticipated) | Interventional | 2023-10-24 | Recruiting |
A Prospective Trial to Assess How Glycopyrronium Cloths at the Amputation Site of Limb Amputees Changes the Severity of Hyperhidrosis and the Fit and Function of the Prosthetic Measured by Patient Reported Outcomes [NCT04924036] | Phase 2 | 20 participants (Anticipated) | Interventional | 2021-09-27 | Enrolling by invitation |
Duration of Bronchoprotection of the Long Acting Muscarinic Antagonists Tiotropium and Glycopyrronium Against Methacholine Induced Bronchoconstriction [NCT02622243] | Phase 4 | 13 participants (Actual) | Interventional | 2015-11-30 | Completed |
Intranasal Administration of Neostigmine and Glycopyrrolate for Bowel Evacuation [NCT00855283] | Phase 2 | 20 participants (Anticipated) | Interventional | 2012-09-30 | Completed |
Effect of Glycopyrrolate and Atropine as Adjuncts to Reversal of Non-Depolarizing Neuromuscular Blocking Agents on Postoperative Catheter-Related Bladder Discomfort [NCT02228473] | | 76 participants (Anticipated) | Interventional | 2014-09-30 | Recruiting |
Acute Effect of Aclidinium on Hyperinflation and Lung Volume Distribution in Severe COPD Patients [NCT02181023] | Phase 4 | 37 participants (Actual) | Interventional | 2014-06-30 | Completed |
Comparison of Atropine Versus Glycopyrrolate in Preventing Spinal Anesthesia Induced Hypotension in Adult Patient Undergoing Major Lower Limb Orthopedic Surgeries [NCT03580889] | Phase 4 | 138 participants (Anticipated) | Interventional | 2017-09-15 | Recruiting |
Outcomes in Real-life After Initation Of treatmeNt With Trixeo (Budesonide / Glycopyrronium / Formoterol), a Non-interventional, Multi-centre, Prospective Cohort Study in Italian Routine Care Setting [NCT05862545] | | 250 participants (Anticipated) | Observational | 2023-06-01 | Recruiting |
Combined Dexmedetomidine and Glycopyrrolate Therapy for Prevention of Catheter Related Bladder Discomfort After Transurethral Bladder Surgery [NCT05013320] | | 0 participants (Actual) | Interventional | 2021-09-01 | Withdrawn(stopped due to We could not get the IRB approval) |
A Randomized, Double-blind, Parallel Group, 52-week Study Evaluating the Efficacy, Safety and Tolerability of NVA237 in Patients With Poorly Controlled Asthma [NCT02127697] | Phase 3 | 0 participants (Actual) | Interventional | 2015-03-31 | Withdrawn |
A Randomized, Phase IIIb, Three-period, Three-treatment, Double-blind, Multi-center, Crossover Study to Evaluate the 24-hour Lung Function Profile in Subjects With Moderate to Very Severe COPD After 4 Weeks of Treatment With PT003, Open-Label Spiriva® Res [NCT02347072] | Phase 3 | 80 participants (Actual) | Interventional | 2015-02-01 | Completed |
IKANOS: A Prospective, Open-Label, Minimally Interventional Hybrid Study in the US Comparing Initiation of Breztri Maintenance Versus Any Non-Triple Inhaled Therapy at Discharge After a Hospitalization for a COPD Exacerbation [NCT05970263] | Phase 4 | 1,000 participants (Anticipated) | Interventional | 2024-01-15 | Not yet recruiting |
A Randomized, Double-blind, Positive and Placebo-controlled, Single-dose, Crossover Study of the Effects of CHF5993 pMDI (BDP/FF/GB) at the Proposed Therapeutic and Supratherapeutic Doses, on the Cardiovascular Safety in Healthy Subjects [NCT05830071] | Phase 1 | 95 participants (Actual) | Interventional | 2023-03-29 | Completed |
Comparison of Time to Full Recovery From Muscle Paralysis (TOF>0.9) and Extubation Using Sugammadex Versus Neostigmine/Glycopyrrolate in Patients With Pulmonary Disease in the Outpatient Bronchoscopy Suite [NCT04606901] | Phase 4 | 58 participants (Actual) | Interventional | 2021-04-08 | Completed |
The Impact of Sugammadex on Ileus After Abdominal Wall Reconstruction [NCT05985343] | Phase 4 | 184 participants (Anticipated) | Interventional | 2023-12-01 | Not yet recruiting |
Safety and Efficacy of High Resolution Manometry in Studying Colonic Motility and Iontophoretic Administration of Prokinetic Agents [NCT02574611] | Phase 1 | 0 participants (Actual) | Interventional | 2015-10-13 | Withdrawn(stopped due to No reportable findings are possible. The PI/Co-PI were unable to recruit participants for this study. One participant was consented but did not undergo any study procedure.) |
A Phase 2, Randomized, Double-blind, Vehicle-controlled Efficacy and Safety Study of Glycopyrronium Cloth, 2.4% in Patients With Palmar Hyperhidrosis [NCT03880266] | Phase 2 | 72 participants (Actual) | Interventional | 2019-02-22 | Completed |
The Effectiveness of Single Dose Ultibro Breezhaler (Indacaterol/Glycopyrronium) by Sd-DPI Versus Ipratropium/Salbutamol by Nebulizer in Improving FEV1 and Dyspnea During Stable State of COPD [NCT02576626] | Phase 4 | 40 participants (Actual) | Interventional | 2015-12-31 | Completed |
A Randomized, Double-blind, Placebo-controlled, 4 Period Incomplete Block Cross-over, Multi-center, Multiple Dose (7 Days) Dose-ranging Study to Assess the Efficacy and Safety of 4 Doses of NVA237 in Patients With Stable COPD, Compared to Seven Days Treat [NCT00501852] | Phase 2 | 83 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Six-Month, Multi-Center, Open-Label Study to Assess the Safety and Efficacy of Oral Glycopyrrolate Liquid for the Treatment of Pathologic (Chronic Moderate to Severe) Drooling in Pediatric Patients 3 to 18 Years of Age With Cerebral Palsy or Other Neuro [NCT00491894] | Phase 3 | 137 participants (Actual) | Interventional | 2007-03-31 | Completed |
A Feasibility Study of Glycopyrrolate in Comparison to Hyoscine Hydrobromide and Placebo in the Treatment of Hypersalivation Induced by Clozapine [NCT02613494] | Phase 1/Phase 2 | 29 participants (Actual) | Interventional | 2016-01-25 | Completed |
An Open-label, Uncontrolled, Multicenter Study to Evaluate the Safety, Local Tolerability, Systemic Exposure, and Efficacy of 1% Glycopyrronium Bromide (GPB) Cream in Adolescents With Severe Primary Axillary Hyperhidrosis [NCT05863104] | Phase 2 | 40 participants (Anticipated) | Interventional | 2023-03-07 | Recruiting |
A Randomized, Double-blind, Placebo Controlled, Multicentre Study to Determine the Effect of QVA149 on Lung Function in Patients With Chronic Obstructive Pulmonary Disease (COPD) [NCT00570778] | Phase 2 | 154 participants (Actual) | Interventional | 2007-12-31 | Completed |
Randomized Controlled Assessor Blinded Clinical Trial of Sugammadex Versus Neostigmine /Glycopyrrolate for Reversal of Rocuronium Induced Neuromuscular Blockade: Time to Discharge From Post Anesthesia Care Unit and Patient Satisfaction With Recovery [NCT03116997] | Phase 3 | 201 participants (Actual) | Interventional | 2017-04-07 | Completed |
A Phase 4 Double-blinded, Randomized, Active Comparator-controlled Clinical Trial to Study the Efficacy, Safety, and Pharmacokinetics of Sugammadex (MK-8616) for Reversal of Neuromuscular Blockade in Pediatric Participants Aged Birth to <2 Years [NCT03909165] | Phase 4 | 137 participants (Actual) | Interventional | 2019-07-23 | Completed |
Intraoperative Video Laryngoscopy as Adjunct for Nerve Monitoring [NCT03742141] | | 125 participants (Actual) | Interventional | 2018-10-17 | Completed |
Indacaterol 110µg/ Glycopyrronium 50µg (Ultibro®) Versus Tiotropium (Spiriva®) Alone to Reduce Exertional Dyspnea in Patients With Moderate to Severe COPD [NCT02567214] | Phase 4 | 50 participants (Actual) | Interventional | 2016-06-30 | Completed |
A Randomized, Double-blind, Placebo-controlled, 2-period, Cross-over Study to Assess the Efficacy and Safety of Differing Doses of NVA237 Administered Either Once Daily or Twice Daily, in Patients With Moderate to Severe Chronic Obstructive Pulmonary Dise [NCT01119950] | Phase 2 | 388 participants (Actual) | Interventional | 2010-04-30 | Completed |
Open-label, Randomized, Single-dose, Placebo-controlled, 4-way Crossover Study to Investigate the Pharmacokinetic Interaction of Glycopyrrolate and Formoterol in Healthy Subjects. [NCT01398111] | Phase 1 | 44 participants (Actual) | Interventional | 2011-05-31 | Completed |
A Randomised, Single Blind, Cross-over Study to Compare a Fixed Dose Combination of Fluticasone Propionate / Formoterol Fumarate (Breath Actuated Inhaler (BAI)) With a Fixed Dose Combination of Indacaterol Maleate / Glycopyrronium Bromide (Ultibro® Breezh [NCT02693769] | Phase 2/Phase 3 | 2 participants (Actual) | Interventional | 2016-07-31 | Terminated(stopped due to Recruitment issues) |
Open-label, Non-randomized, Parallel-group Study to Investigate the Pharmacokinetics, Safety and Tolerability of a Single Dose of CHF 5993 pMDI in Subjects With Mild, Moderate and Severe Renal Impairment in Comparison With Matched Healthy Control Subjects [NCT02040597] | Phase 1 | 42 participants (Actual) | Interventional | 2014-01-31 | Completed |
A Multi-Center, Randomized, Double-Blind, Parallel-Group Study to Investigate the Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Multiple Inhaled NVA237 Doses at Four Dose Levels in COPD Patients [NCT00545311] | Phase 1 | 40 participants (Actual) | Interventional | 2007-07-31 | Completed |
A Multi -Center Randomized Parallel Group Comparative Active Controlled Safety Assessor Blinded Phase 3a Pivotal Trial in Adult Subjects Comparing Org 25969 With Neostigmine as Reversal Agents of a Neuromuscular Block Induced by Rocuronium or Vecuronium a [NCT00451217] | Phase 3 | 198 participants (Actual) | Interventional | 2005-11-17 | Completed |
"Low Dose Sugammadex Combined With Neostigmine and Glycopyrrolate Versus Full Dose Sugammadex for Reversal of Rocuronium-induced Neuromuscular Blockade: a Cost Saving Strategy" [NCT02375217] | Phase 4 | 56 participants (Actual) | Interventional | 2014-10-31 | Completed |
A Phase 3 Randomised Double Blind Randomised Parallel Multinational Trial Comparing a Fixed Combination of Beclometasone+Formoterol+Glycopyrrolate to Foster® in Patients With Chronic Obstructive Pulmonary Disease [NCT01917331] | Phase 3 | 1,368 participants (Actual) | Interventional | 2014-03-31 | Completed |
A Randomized, Blinded, Double Dummy, Multi-center, Placebo Controlled, 3 Period, Crossover Study to Assess the Effect of QVA149 (110/50 µg o.d.) on Exercise Endurance in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD), Using [NCT01294787] | Phase 3 | 85 participants (Actual) | Interventional | 2011-02-28 | Completed |
A Multicenter, Randomized, Parallel Group Comparative, Active-Controlled, Safety-assessor Blinded. Phase IIIa, Pivotal Trial in Adult Subjects Comparing Org 25969 With Neostigmine as Reversal Agent of a Neuromuscular Block Induced by Maintenance Dosing of [NCT00473694] | Phase 3 | 182 participants (Actual) | Interventional | 2005-11-28 | Completed |
A 52-week Treatment, Multi-center, Randomized, Open Label, Parallel Group Study to Assess the Long Term Safety and Tolerability of NVA237 (50µg o.d.) Using Tiotropium (18µg o.d.) as an Active Control in Japanese Patients With Moderate to Severe Chronic Ob [NCT01119937] | Phase 3 | 211 participants (Actual) | Interventional | 2010-05-31 | Completed |
A 26-week Treatment Multi-center, Randomized, Double-blind, Parallel-group, Placebo and Active Controlled (Open Label) Study to Assess the Efficacy, Safety and Tolerability of QVA149 (110/50 μg q.d.) in Patients With Moderate to Severe Chronic Obstructive [NCT01202188] | Phase 3 | 2,144 participants (Actual) | Interventional | 2010-09-30 | Completed |
Effect of Glycopyrrolate on Nausea and Vomiting After ERCP Operation [NCT06045364] | Phase 1/Phase 2 | 130 participants (Anticipated) | Interventional | 2023-10-01 | Not yet recruiting |
Pharmacokinetics of Neostigmine and Glycopyrrolate After Intravenous and Transcutaneous Administration by Iontophoresis [NCT04027972] | Early Phase 1 | 13 participants (Actual) | Interventional | 2020-03-09 | Active, not recruiting |
A Randomized, Double-blind, Placebo-controlled, Multi-center, Two-period Crossover Study to Investigate the Bronchodilatory Effect of 50 µg NVA237 Inhaled Once Daily in Patient With Chronic Obstructive Pulmonary Disease (COPD). [NCT00856193] | Phase 2 | 33 participants (Actual) | Interventional | 2009-02-28 | Completed |
A Randomized, Open-Label, Multiple Dose, Two-Period Crossover Study Evaluating Maximum Use 1% GPB Cream Versus Qbrexza® (Glycopyrronium) Cloth 2.4% in Men and Women With Primary Axillary Hyperhidrosis [NCT04159610] | Phase 2 | 12 participants (Anticipated) | Interventional | 2022-07-01 | Not yet recruiting |
A Real-world, Multicenter, 52-week Prospective Cohort Study to Capture the Reasons for Switch to Triple Combination Therapy and to Assess the Clinical and Patient Reported Outcomes in Adults With Moderate to Severe COPD Treated With Trixeo Aerosphere™ in [NCT05915182] | | 200 participants (Anticipated) | Observational | 2023-07-21 | Recruiting |
A 52-week Treatment, Randomized, Double-blind, Placebo-controlled, With Open-label Tiotropium, Parallel-group Study to Assess the Efficacy, Safety, and Tolerability of Glycopyrronium Bromide (NVA237) in Patients With Chronic Obstructive Pulmonary Disease [NCT00929110] | Phase 3 | 1,066 participants (Actual) | Interventional | 2009-06-30 | Completed |
A 64-week Treatment, Multi-center, Randomized, Double-blind, Parallel-group, Active Controlled Study to Evaluate the Effect of QVA149 (110/50 μg o.d.) vs NVA237 (50 μg o.d.) and Open-label Tiotropium (18 μg o.d.) on COPD Exacerbations in Patients With Sev [NCT01120691] | Phase 3 | 2,224 participants (Actual) | Interventional | 2010-04-30 | Completed |
Enhanced Recovery After Surgery in Elderly Patients: Effects of Sugammadex on Recovery After Anterior Cervical Spine Surgery [NCT04161508] | | 100 participants (Anticipated) | Interventional | 2019-12-20 | Not yet recruiting |
Postoperative Urinary Retention in Patients After Noncardiac Surgery and Reversal of Neuromuscular Block by Neostigmine or Sugammadex: A Randomized Controlled Trial [NCT05545280] | Phase 4 | 286 participants (Anticipated) | Interventional | 2023-07-31 | Recruiting |
Effect of Sugammadex Compared With Usual Care for Reversal of Neuromuscular Blockade Induced by Rocuronium on Incidence of Residual Blockade at PACU Entry [NCT01479764] | Phase 3 | 154 participants (Actual) | Interventional | 2011-12-02 | Completed |
A Prospective Non-interventional Study in Patients With Chronic Obstructive Pulmonary Disease That Evolve to Fixed Long-acting Muscarinic Antagonist/Long-acting beta2-agonist/Inhaled Corticosteroid Triple Therapy, Trimbow® [NCT03627858] | | 149 participants (Actual) | Observational | 2018-08-01 | Completed |
Comparison of Anti-nausea and Vomiting Effect After Elective Surgery Undergoing General Anesthesia Between Glycopyrronium and Ondansetron: a Multi-center Study [NCT05265507] | Phase 4 | 480 participants (Anticipated) | Interventional | 2022-03-21 | Recruiting |
An Investigator Initiated, Randomized, Double Blind, Placebo Controlled Study to Assess the Effect of Glycopyrrolate/Formoterol on Exercise Tolerance and Dynamic Hyperinflation in Patients With Chronic Obstructive Pulmonary Disease. [NCT03081156] | Phase 4 | 52 participants (Actual) | Interventional | 2017-03-27 | Completed |
A Randomized, Double Blind, Placebo Controlled, Multicenter Study to Determine the Effect of QVA149 on Mean 24-hours Heart Rate in Patients With Chronic Obstructive Pulmonary Disease (COPD) [NCT00558285] | Phase 2 | 257 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Randomized, Double-blind, Active-controlled, Cross-over Study to Assess Efficacy and Safety of 3 Free Doses of Glycopyrrolate With Beclomethasone/Formoterol pMDI for the Treatment of COPD Patients [NCT01476813] | Phase 2 | 281 participants (Actual) | Interventional | 2012-03-31 | Completed |
[NCT01768780] | | 58 participants (Anticipated) | Interventional | 2012-12-31 | Recruiting |
Role of Sugammadex as Reversal Agent in Patients Extubated Immediately After Isolated Coronary Artery Bypass Grafting Surgery [NCT03939923] | Phase 4 | 84 participants (Actual) | Interventional | 2019-05-01 | Completed |
A Multi-center, Randomized, Double-blind, Placebo-controlled, Two-period Cross-over Study to Assess the Effect of 50µg Inhaled NVA237 on Exercise Endurance in Patients With Moderate to Severe COPD [NCT01154127] | Phase 3 | 108 participants (Actual) | Interventional | 2010-06-30 | Completed |
A 26-week Treatment, Multi-center, Randomized, Doubleblind, Double Dummy, Parallel-group Study to Assess the Efficacy, Safety and Tolerability of QVA149 Compared to Fluticasone/Salmeterol in Patients With Moderate to Severe Chronic Obstructive Pulmonary D [NCT01315249] | Phase 3 | 523 participants (Actual) | Interventional | 2011-03-31 | Completed |
The Effect of Glycopyrronium and Indacaterol, as Monotherapy and in Combination, on the Methacholine Dose-response Curve [NCT02953041] | Phase 4 | 31 participants (Actual) | Interventional | 2016-10-31 | Completed |
A Phase 2, Randomized, Double-Blind, Vehicle Controlled, Dose-Ranging Study of the Effect of Glycopyrrolate in Subjects With Axillary Hyperhidrosis [NCT02016885] | Phase 2 | 198 participants (Actual) | Interventional | 2013-11-30 | Completed |
Decision Support for Intraoperative Low Blood Pressure [NCT02726620] | | 22,435 participants (Actual) | Interventional | 2017-01-05 | Completed |
A 52-week Treatment, Multi-center, Randomized, Open Label, Parallel Group Study to Assess the Efficacy of NVA237 (50 μg o.d.) Using Tiotropium (5 μg o.d.) as an Active Control in Brazilian Patients With Moderate to Severe Chronic Obstructive Pulmonary Dis [NCT01837927] | Phase 3 | 0 participants (Actual) | Interventional | 2014-04-30 | Withdrawn |
A Phase III, 52-week, Multinational, Multicenter, Randomized, Double-blind, 2-arm Parallel Group Study Comparing Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination of Beclomethasone Dipropionate Plus Formoterol Fumarate Plus Glycopyrro [NCT04320342] | Phase 3 | 2,934 participants (Anticipated) | Interventional | 2022-04-28 | Recruiting |
An Open-label Study Assessing Long-term Safety of Glycopyrronium in Subjects With Primary Axillary Hyperhidrosis [NCT02553798] | Phase 3 | 564 participants (Actual) | Interventional | 2015-08-31 | Completed |
The Off Label Use of Glycopyrrolate in the Adults Intensive Care Unit. [NCT04554589] | Phase 1 | 80 participants (Anticipated) | Interventional | 2020-09-14 | Not yet recruiting |
A Pilot Study to Measure and Treat Antidepressant-Induced Excessive Sweating With Glycopyrrolate (AIDES-G) [NCT01588717] | Phase 1 | 5 participants (Actual) | Interventional | 2012-04-30 | Terminated(stopped due to PI left institution) |
A Phase II, Double-blind, Randomized, Multiple Dose, Cross Over, Three-treatment, Three-period, Six Sequence Placebo Controlled Trial to Evaluate Efficacy, Pharmacokinetics (PK), Pharmacodynamics (PD) and Safety and Tolerability of Glycopyrronium (Bromide [NCT05222529] | Phase 2 | 42 participants (Anticipated) | Interventional | 2022-08-29 | Recruiting |
Comparison of Rocuronium and Org25969 With Cisatracurium and Neostigmine When Neuromuscular Block is Reversed at Reappearance of T2 [NCT00451100] | Phase 3 | 84 participants (Actual) | Interventional | 2005-11-10 | Completed |
Echocardiographic Study of the Haemodynamic Effects of Remifentanil With and Without Glycopyrrolate in Healthy Children [NCT00315536] | Phase 2 | 63 participants (Actual) | Interventional | 2006-05-31 | Completed |
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 [NCT01703624] | Phase 2 | 37 participants (Actual) | Interventional | 2013-05-31 | Completed |
A 26-week Multi-center Randomized Double-blind Study to Compare Efficacy and Safety of NVA237 Versus Placebo as an add-on to Maintenance Therapy With Fixed-dose Combination Salmeterol/Fluticasone Propionate in COPD Patients With Moderate to Severe Airflow [NCT01757015] | Phase 3 | 0 participants (Actual) | Interventional | 2013-04-30 | Withdrawn |
Effect of Glycopyrrolate on Vasopressors Requirement for Non-elective Caesarean Section Under Spinal Anaesthesia [NCT04401345] | Phase 4 | 258 participants (Actual) | Interventional | 2020-06-01 | Completed |
Effectiveness of Atropine and Glycopyrrolate to Reduce Hyper Salivation With Ketamine Sedation [NCT01191398] | | 52 participants (Actual) | Interventional | 2010-06-30 | Completed |
A Randomized, Double-Blind, Chronic-Dosing (14 Days), 5-Period, 7-Treatment, Placebo-Controlled, Incomplete Block, Cross-Over, Multicenter, Dose-ranging Study to Assess the Efficacy and Safety of PT001 Relative to Placebo Metered Dose Inhaler and Open-Lab [NCT02433834] | Phase 2 | 248 participants (Actual) | Interventional | 2015-05-27 | Completed |
Pharmacokinetic Formulation Feasibility Study to Compare Relative Bioavailability of 3 Indacaterol/Glycopyrronium Easyhaler Test Products and Reference Product Ultibro Breezhaler [NCT05288075] | Phase 1 | 24 participants (Actual) | Interventional | 2022-02-28 | Completed |
Patient-controlled Sedation With Propofol Versus Combined Sedation During Bronchoscopy - a Randomized Controlled Trial [NCT03357393] | | 150 participants (Actual) | Interventional | 2016-04-04 | Completed |
Impact of Inhaled PT003 on Complexity and Variability of Tidal Breathing and Oscillatory Mechanics in Stable COPD Patient [NCT04087590] | Phase 2 | 35 participants (Anticipated) | Interventional | 2020-01-14 | Recruiting |
Open Label, Uncontrolled, Non-randomized, Single Dose, Scintigraphic Study to Investigate Lung Deposition of Inhaled 99mTc Radiolabelled CHF5993 pMDI in Healthy Volunteers, Asthmatic and COPD Patients [NCT02975843] | Phase 1 | 28 participants (Actual) | Interventional | 2016-11-21 | Completed |
A Multi-center, Randomized, Double-blind, 52-week Study to Assess the Safety of NVA237 Compared to QAB149 in Patients With Chronic Obstructive Pulmonary Disease (COPD) Who Have Moderate to Severe Airflow Limitation [NCT01697696] | Phase 3 | 511 participants (Actual) | Interventional | 2012-10-31 | Completed |
A 26-week Treatment, Multicenter, Randomized, Parallel Group, Blinded Study to Assess the Efficacy and Safety of QVA149 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease Using Tiotropium Plus Formoterol as Control [NCT01574651] | Phase 3 | 934 participants (Actual) | Interventional | 2012-05-31 | Completed |
Sugammadex Versus Neostigmine for Reversal of Rocuronium-induced Neuromuscular Blockade: A Study of Thoracic Surgical Patients [NCT03168308] | Phase 4 | 92 participants (Actual) | Interventional | 2017-09-26 | Completed |
Use of Sugammadex for Reversal of Paralysis in Microlaryngoscopy [NCT03111121] | Phase 4 | 84 participants (Anticipated) | Interventional | 2017-05-04 | Recruiting |
A Randomised, Placebo-Controlled, Double-Blind, Multi-Centre, 4-week, 3-way Crossover Pharmacodynamic Study to Assess the Equivalence of Budesonide, Glycopyrronium, and Formoterol Fumarate (BGF) Delivered by MDI HFO Compared With BGF Delivered by MDI HFA [NCT06075095] | Phase 3 | 240 participants (Anticipated) | Interventional | 2024-01-15 | Not yet recruiting |
Effect of Deep Curarisation and Reversal With Sugammadex on Surgical Conditions and Perioperative Morbidity in Patients Undergoing Laparoscopic Gastric Bypass Surgery [NCT01748643] | Phase 4 | 60 participants (Actual) | Interventional | 2013-04-30 | Completed |
A Multicenter, Randomized, Double-blind, Single-dose Study to Assess the Effect of the QAB149 and NVA237 Combination Versus QAB149 Alone on Inspiratory Capacity in Patients With Moderate or Severe COPD. [NCT01699685] | Phase 3 | 79 participants (Actual) | Interventional | 2012-11-30 | Completed |
A Randomized, Double-blind, Parallel Group, 26-week Study Evaluating the Efficacy, Safety and Tolerability of NVA237 Given Once or Twice Daily, in Patients With Moderate and Severe Chronic Obstructive Pulmonary Disease [NCT02371629] | Phase 4 | 776 participants (Actual) | Interventional | 2015-06-24 | Completed |
An Open Label, Non-randomized, Parallel-group Study to Characterize and Compare the Pharmacokinetics, Safety, and Tolerability of a Single Dose of NVA237 in Subjects With Mild, Moderate, Severe and End-stage Renal Impairment With That in Matched Healthy C [NCT01613690] | Phase 1 | 48 participants (Actual) | Interventional | 2010-06-30 | Completed |
Street Fitness in Surgical Patients Undergoing General Anesthesia After Reversal of Neuromuscular Rest Blockade With Sugammadex [NCT01453530] | Phase 4 | 30 participants (Anticipated) | Interventional | 2011-10-31 | Recruiting |
A Randomized, Parallel-group, Open-label Study to Evaluate the Efficacy and Safety of Umeclidinium (UMEC) 62.5 mcg Compared With Glycopyrronium 44 mcg in Subjects With Chronic Obstructive Pulmonary Disease (COPD) [NCT02236611] | Phase 4 | 1,036 participants (Actual) | Interventional | 2014-09-26 | Completed |
Determinants of Chronotropic Incompetence in Patients With Heart Failure and a Preserved Ejection Fraction (HFpEF) [NCT02524145] | | 40 participants (Actual) | Interventional | 2015-06-30 | Completed |
A Prospective, Multicenter, 12-week, Randomized Open-label Study to Evaluate the Efficacy and Safety of Glycopyrronium (50 Micrograms o.d.) or Indacaterol Maleate and Glycopyrronium Bromide Fixed-dose Combination (110/50 Micrograms o.d.) Regarding Symptom [NCT01985334] | Phase 4 | 4,389 participants (Actual) | Interventional | 2014-02-14 | Completed |
Multicenter, Randomized, Blinded, Two-period Cross-over Study to Assess the Effect of Glycopyrronium (44 Micrograms QD) Versus Tiotropium (18 Micrograms QD) on Morning Symptoms and Pulmonary Function in Patients With Moderate to Severe COPD [NCT01959516] | Phase 4 | 124 participants (Actual) | Interventional | 2014-02-28 | Completed |
A Randomized, Phase IIIb, Two-period, Two-treatment Double-blind, Multi-center, Crossover Study to Evaluate the 24-hour Lung Function Profile in Subjects With Moderate to Very Severe COPD After 4 Weeks of Treatment With PT003 and Placebo MDI [NCT02347085] | Phase 3 | 43 participants (Actual) | Interventional | 2015-02-01 | Completed |
An Open-Label, Multi-Center, Dose Indicator Study of Glycopyrronium and Formoterol Fumarate (GFF) Metered Dose Inhaler (MDI) in Adult Subjects With Moderate to Very Severe Chronic Obstructive Pulmonary Disease (COPD) [NCT02268396] | Phase 3 | 138 participants (Actual) | Interventional | 2014-11-30 | Completed |
Spinal Versus General Anesthesia With Popliteal and Adductor Canal Blocks for Ambulatory Foot and Ankle Surgery: A Double-Blinded Randomized Controlled Trial. [NCT02996591] | Phase 4 | 36 participants (Actual) | Interventional | 2017-01-31 | Completed |
A Phase I, Randomized, Double-Blind, Single-Dose, Four-Period, Four-Treatment, Cross-Over Study Evaluating the Safety and Pharmacokinetics of Two Doses of PT003 and Two Doses of PT001 in Japanese Healthy Subjects [NCT02196714] | Phase 1 | 24 participants (Actual) | Interventional | 2014-07-31 | Completed |
Non-inferiority Evaluation of Trimbow in Critically Ill Patients Admitted in ICU Compared to Standard of Care [NCT04737655] | Phase 4 | 200 participants (Anticipated) | Interventional | 2021-02-15 | Not yet recruiting |
Single-dose, Dose Escalation Study to Assess the Safety, Tolerability, Pharmacokinetics and Bronchodilatory Effects of Glycopyrrolate Inhalation Solution (GIS) Using a High Efficiency Nebulizer in Patients With COPD [NCT02951312] | Phase 2 | 12 participants (Actual) | Interventional | 2009-05-31 | Completed |
A Randomized, Blinded-assessor, Single Center Study to Determine if Administration of Sugammadex, When Used to Reverse Deep Neuromuscular Blockade (NMB) After Open Abdominal Surgery, Impacts Hospital Efficiency [NCT02860507] | Phase 4 | 50 participants (Actual) | Interventional | 2016-08-31 | Completed |
Open Label, Uncontrolled, Non-randomized, Single Dose, Scintigraphic Study to Investigate Lung Deposition of Inhaled 99mTc Radiolabelled TRIMBOW® pMDI in Healthy Volunteers, Asthmatic and COPD Patients [NCT03795350] | Phase 1 | 19 participants (Actual) | Interventional | 2019-01-14 | Terminated(stopped due to In light of the cessation of non-essential clinical activities at CPU due to the COVID-19 pandemic, the sponsor has determined to terminate the study early.) |
Sugammadex Versus Neostigmine for Reversal of Rocuronium Neuromuscular Block in Patients Having Catheter-based Neurointerventional Procedures [NCT03322657] | Phase 4 | 69 participants (Actual) | Interventional | 2017-11-14 | Completed |
An Observer-blinded Randomized Study of Propofol Infusion vs Bolus Dexmedetomidine and Propofol Sedation for Pediatric Magnetic Resonance Imaging [NCT03513757] | Phase 4 | 40 participants (Actual) | Interventional | 2018-03-04 | Completed |
A Randomized, Placebo-controlled, 2-arm Parallel-group Superiority Phase II Study of GLYCOpyrrolate for Moderate-to-severe Sialorrhea in PARkinson's Disease [NCT02382198] | Phase 2 | 28 participants (Anticipated) | Interventional | 2016-07-31 | Recruiting |
A Randomized, Multicenter, Open-label, Parallel-group, 12-week Study to Assess the Efficacy and Safety of Switching From Tiotropium to QVA149 (Indacaterol Maleate/Glycopyrronium Bromide) in Symptomatic Mild to Moderate COPD Patients [NCT02566031] | Phase 4 | 379 participants (Actual) | Interventional | 2013-03-23 | Completed |
[NCT02370433] | Phase 1 | 20 participants (Anticipated) | Interventional | 2012-12-31 | Recruiting |
Intraoperative Lidocaine Infusion vs. Esmolol Infusion for Postoperative Analgesia in Laparoscopic Cholecystectomy: a Randomized Clinical Trial [NCT02327923] | Phase 4 | 90 participants (Actual) | Interventional | 2015-01-31 | Completed |
A Multicenter, Randomized, Blinded, Double-dummy, Placebo-controlled, 3-period Cross-over Study to Evaluate the Effect of QVA149 on Patient Reported Dyspnea in Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD), Using Tiotropium as an Active [NCT01490125] | Phase 3 | 247 participants (Actual) | Interventional | 2011-10-31 | Completed |
A Multicenter, Randomized, Blinded, Active-controlled, Parallel-group Study to Compare the Efficacy, Tolerability and Safety of NVA237 Compared to Tiotropium Added on to Fluticasone/Salmeterol in Patients With Chronic Obstructive Pulmonary Disease [NCT01513460] | Phase 3 | 773 participants (Actual) | Interventional | 2012-04-30 | Completed |
A Multi-center, Randomized, Double-blind, Double-dummy, Active Controlled, Two-period Cross-over Study to Assess the Efficacy, Safety and Tolerability of Indacaterol Maleate/Glycopyrronium Bromide Compared to Umeclidinium Bromide/Vilanterol in COPD Patien [NCT02487498] | Phase 3 | 355 participants (Actual) | Interventional | 2015-07-27 | Completed |
A Phase 3, Randomized, Double-Blind, Vehicle-Controlled Efficacy and Safety Study of Glycopyrronium in Subjects With Axillary Hyperhydrosis [NCT02530281] | Phase 3 | 344 participants (Actual) | Interventional | 2015-07-31 | Completed |
Xenon MRI Probing vEntilation Response to Triple Therapy (QVM149) [NCT04206761] | Phase 3 | 0 participants (Actual) | Interventional | 2021-12-01 | Withdrawn(stopped due to issues related to Covid-19 restrictions/shutdowns) |
Comparison of Reversal of Neuromuscular Blockade With Sugammadex Versus Neostigmine Plus Glycopyrolate in Patients Undergoing Burn Surgery [NCT03513406] | Phase 3 | 7 participants (Actual) | Interventional | 2018-03-15 | Completed |
A Randomized, Open-Label, Active-Controlled, Parallel-Group, Multicenter, Long-Term Safety Trial of Treatment With Nebulized SUN-101 in Patients With COPD: GOLDEN-5 (Glycopyrrolate for Obstructive Lung Disease Via Electronic Nebulizer) [NCT02276222] | Phase 3 | 1,087 participants (Actual) | Interventional | 2014-10-31 | Completed |
A Multi-centre Randomized Double Blind 52-week Study to Assess the Safety of QVA149 Compared to QAB149 in Patients With COPD Who Have Moderate to Severe Airflow Limitation [NCT01682863] | Phase 3 | 614 participants (Actual) | Interventional | 2012-10-31 | Completed |
A Study to Compare the Efficacy and Safety of Once Daily QVA149 Versus the Once Daily Concurrent Administration of QAB149 Plus NVA237 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease [NCT01529632] | Phase 3 | 193 participants (Actual) | Interventional | 2012-05-31 | Completed |
A 12-week Treatment, Multi-center, Randomized, Double-blind, Parallel-group, Placebo and Active Controlled Study to Assess the Efficacy, Safety, and Tolerability of Indacaterol Maleate / Glycopyrronium Bromide in COPD Patients With Moderate to Severe Airf [NCT01712516] | Phase 3 | 1,001 participants (Actual) | Interventional | 2012-12-31 | Completed |
A 12-week Multi-center, Randomized, Double-blind, Placebo Controlled Study to Assess the Efficacy and Safety of NVA237 in Stable COPD Patients [NCT01709864] | Phase 3 | 440 participants (Actual) | Interventional | 2012-11-30 | Completed |
Effect of Atropine or Glycopyrrolate on the Prevention of Bradycardia During Sedation Using Dexmedetomidine in Geriatric Patients Undergoing Total Knee Replacement Under Spinal Anesthesia [NCT03322098] | | 54 participants (Actual) | Interventional | 2017-10-16 | Completed |
An Open-label Study to Evaluate the Efficacy and Safety of Different Methods of Application of Glycopyrronium Cloth, 2.4% in Patients With Palmar Hyperhidrosis [NCT04906655] | Phase 2 | 120 participants (Actual) | Interventional | 2020-10-01 | Completed |
A 12-week Multi-center, Randomized, Double-blind, Placebo Controlled Study to Assess the Efficacy and Safety of NVA237 in Stable COPD Patients [NCT01715298] | Phase 3 | 432 participants (Actual) | Interventional | 2012-11-30 | Completed |
A Phase 2, Randomized, Double-Blind Vehicle-Controlled Comparator Study of the Effect of Glycopyrrolate and Glycopyrronium in Subjects With Axillary Hyperhidrosis [NCT02129660] | Phase 2 | 105 participants (Actual) | Interventional | 2014-04-30 | Completed |
Effect of Anesthetic Choice (Sevoflurane Versus Desflurane) on Speed and Sustained Nature of Airway Reflex Recovery in the Context of Antagonized Neuromuscular Block [NCT01199237] | Phase 4 | 107 participants (Actual) | Interventional | 2010-08-31 | Completed |
A Crossover Clinical Pharmacology Study to Evaluate the Total Systemic Exposure and Lung Bioavailability of SUN-101 and Seebri® Breezhaler® Administered With and Without Activated Charcoal in Subjects With Moderate to Severe Chronic Obstructive Pulmonary [NCT02512302] | Phase 1 | 30 participants (Actual) | Interventional | 2015-10-31 | Completed |
A Randomized, Controlled, Parallel-group, Double-blind Trial of Sugammadex or Usual Care (Neostigmine or Spontaneous Recovery) for Reversal of Rocuronium- or Vecuronium-induced Neuromuscular Blockade in Patients Receiving Thromboprophylaxis and Undergoing [NCT01422304] | Phase 3 | 1,198 participants (Actual) | Interventional | 2011-10-12 | Completed |
Effects of the Addition of a Prokinetic Agent to Thrice Weekly Bowel Care in Individuals With SCI [NCT04671030] | Phase 1 | 6 participants (Actual) | Interventional | 2018-01-15 | Completed |
A Multi-center, Randomized, Double-blind, Double-dummy, Active Controlled, 2-period Cross-over Study to Assess the Efficacy, Safety and Tolerability of Indacaterol Maleate/Glycopyrronium Bromide Compared to Umeclidinium Bromide/Vilanterol in COPD Patients [NCT02487446] | Phase 3 | 357 participants (Actual) | Interventional | 2015-07-28 | Completed |
A 12-week Treatment, Multi-center, Randomized, Double-blind, Parallel-group, Placebo and Active Controlled Study to Assess the Efficacy, Safety, and Tolerability of Indacaterol Maleate / Glycopyrronium Bromide in COPD Patients With Moderate to Severe Airf [NCT01727141] | Phase 3 | 1,042 participants (Actual) | Interventional | 2012-11-30 | Completed |
Sugammadex Reversal VS Neostigmine and Glycopyrrolate Competitive Antagonism of Neuromuscular Blockade for GI-2 Recovery After Bowel Resection: Prospective, Randomized, Triple-blinded Clinical Trial for Quality Improvement [NCT06112353] | Phase 4 | 128 participants (Anticipated) | Interventional | 2023-11-30 | Not yet recruiting |
A Multicentre, Randomised, Double-blind, Placebo-controlled, 2-way Cross-over Study to Evaluate the Efficacy and Safety of CHF 5259 (Glycopyrrolate Bromide) pMDI on Top of QVAR® pMDI for the Treatment of Patients With Uncontrolled Asthma on Low-Medium Dos [NCT02296411] | Phase 2 | 98 participants (Actual) | Interventional | 2014-11-30 | Completed |
Prospective Cohort Study for the Real - Life Effectiveness Evaluation of GlycOpyrronium With IndacatERol Combination in the Management of COPD in Canada (POWER Study) [NCT02202616] | Phase 4 | 401 participants (Actual) | Interventional | 2014-08-27 | Completed |
Randomized, Open-label, Three Arms Study to Evaluate the Efficacy of Inhaled Therapies in the Treatment of Acute Symptoms Associated With COVID-19 and in the Prevention of the Use of Health Resources in Patients With ≥ 18 Years Old (TRIVID Study) [NCT04937543] | Phase 2 | 50 participants (Actual) | Interventional | 2021-06-28 | Active, not recruiting |
A Randomized, Double-Blind, Chronic Dosing (24 Weeks), Placebo-Controlled, Parallel Group, Multi-Center Study to Assess the Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe COPD, Compared With Placebo [NCT02343458] | Phase 3 | 1,756 participants (Actual) | Interventional | 2015-03-30 | Completed |
A Double-blind, Randomized, Parallel Group Study to Compare Rocuronium Reversal With Sugammadex (Bridion®) Versus Neostigmine/Glycopyrrolate and the Incidence of Urinary Retention After Elective Ambulatory Posterior Lumbar Laminectomy [NCT05887375] | Phase 4 | 118 participants (Anticipated) | Interventional | 2023-08-03 | Enrolling by invitation |
A Randomized, Double-Blind (Test Products and Placebo), Chronic Dosing (24 Weeks), Placebo-Controlled, Parallel Group, Multi-Center Study to Assess the Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe COPD, Compared [NCT01854658] | Phase 3 | 1,615 participants (Actual) | Interventional | 2013-07-31 | Completed |
Utilizing Wearable Device to Observe the Clinical Response of COPD Patients Treated With Combined Bronchodilator and Home-based Pulmonary Rehabilitation Program [NCT03364829] | Phase 4 | 50 participants (Anticipated) | Interventional | 2016-01-01 | Recruiting |
A 26-week Treatment Randomized, Double-blind, Double Dummy, Parallel-group Study to Assess the Efficacy and Safety of QVA149 (Indacaterol / Glycopyrronium Bromide) Compared to Fluticasone/Salmeterol in Patients With Moderate to Severe COPD [NCT01709903] | Phase 3 | 744 participants (Actual) | Interventional | 2012-11-30 | Completed |
A Randomized Clinical Study to Compare Low Dose of Sugammadex to Standard Dose of Neostigmine and Glycopyrrolate for the Reversal of Rocuronium Induced Moderate Neuromuscular Block [NCT05718934] | Phase 4 | 144 participants (Anticipated) | Interventional | 2022-11-08 | Recruiting |
A Phase 3, Randomized, Double-blind, Vehicle-controlled Efficacy and Safety Study of Glycopyrronium in Subjects With Axillary Hyperhidrosis [NCT02530294] | Phase 3 | 353 participants (Actual) | Interventional | 2015-08-31 | Completed |
A 12-week Treatment, Randomized, Blinded, Double-dummy, Parallel-group Study to Assess the Efficacy, Safety, and Tolerability of NVA237 (50 µg o.d.) Compared to Tiotropium (18 µg o.d.) in Patients With Chronic Obstructive Pulmonary Disease (COPD) [NCT01613326] | Phase 3 | 657 participants (Actual) | Interventional | 2012-06-30 | Completed |
A Multicenter, 4-week Crossover (Total Duration 12 Weeks), Placebo-controlled, Double-blind Study to Determine the Impact of QVA149 (Indacaterol/Glycopyrronium) 85/43 µg on Nocturnal Oxygen Levels in Chronic Obstructive Pulmonary Disease (COPD) [NCT02233543] | Phase 4 | 38 participants (Actual) | Interventional | 2014-11-30 | Completed |
A 12-week Multi-center, Randomized, Double-blind, Parallel Group Study to Assess the Efficacy, Safety and Tolerability of the Co-administration of NVA237 + Indacaterol Once Daily vs. Indacaterol Once Daily in Patients With Moderate to Severe COPD [NCT01604278] | Phase 3 | 449 participants (Actual) | Interventional | 2012-05-31 | Completed |
A Randomized, Double-blind, Multicenter, 2-period Single-dose Cross-over Study to Assess the Early Bronchodilation of Glycopyrronium Bromide (44 μg o.d.) Compared to Tiotropium (18 µg. o.d.) in Patients With Moderate to Severe COPD (FAST Study) [NCT01922271] | Phase 4 | 152 participants (Actual) | Interventional | 2013-08-31 | Completed |
A 26-week Treatment, Randomised, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Efficacy, Safety and Tolerability of NVA237 (50 µg o.d.) in Patients With Chronic Obstructive Pulmonary Disease [NCT01566604] | Phase 3 | 460 participants (Actual) | Interventional | 2012-03-31 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00451217 (5) [back to overview] | Number of Participants With Clinical Signs of Recovery Assessed by Level of Consciousness, Head Lift and Muscle Weakness, Prior to Transfer to the Recovery Room After Extubation |
NCT00451217 (5) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.8 |
NCT00451217 (5) [back to overview] | Number of Participants With Clinical Signs of Recovery Assessed by Level of Consciousness, Head Lift and Muscle Weakness, Prior to Discharge From the Recovery Room |
NCT00451217 (5) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the Fourth Twitch/First Twitch (T4/T1) Ratio to 0.9. |
NCT00451217 (5) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.7 |
NCT00473694 (11) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.9 After Neuromuscular Block (NMB) Induced by Vecuronium |
NCT00473694 (11) [back to overview] | Number of Participants Able to Perform a 5-second Head Lift |
NCT00473694 (11) [back to overview] | Number of Participants Aroused With Minimal Stimulation After Anesthesia (Clinical Assessment of Level of Consciousness) |
NCT00473694 (11) [back to overview] | Number of Participants Responsive Only to Tactile Stimulation After Anesthesia (Clinical Assessment of Level of Consciousness) |
NCT00473694 (11) [back to overview] | Number of Participants Awake and Oriented After Anesthesia (Clinical Assessment of Level of Consciousness) |
NCT00473694 (11) [back to overview] | Number of Participants Experiencing General Muscle Weakness |
NCT00473694 (11) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.7 After Neuromuscular Block (NMB) Induced by Rocuronium |
NCT00473694 (11) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.7 After Neuromuscular Block (NMB) Induced by Vecuronium |
NCT00473694 (11) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.8 After Neuromuscular Block (NMB) Induced by Rocuronium |
NCT00473694 (11) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.8 After Neuromuscular Block (NMB) Induced by Vecuronium |
NCT00473694 (11) [back to overview] | Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.9 After Neuromuscular Block (NMB) Induced by Rocuronium |
NCT00491894 (5) [back to overview] | Proportion of Responders According to the Modified Teacher's Drooling Scale (mTDS) |
NCT00491894 (5) [back to overview] | Parent/Caregiver's Global Assessment of Treatment |
NCT00491894 (5) [back to overview] | Investigator's Global Assessment of Treatment |
NCT00491894 (5) [back to overview] | Parent/Caregiver's Assessment of the Extent of Drooling Using Visual Analog Scale (VAS) |
NCT00491894 (5) [back to overview] | Parent/Caregiver's Assessment of the Extent of Drooling Using VAS |
NCT00501852 (2) [back to overview] | Least Squares Means of FEV1 (L) at Day 1, by Timepoint |
NCT00501852 (2) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) Following 7 Days of Treatment |
NCT00510510 (2) [back to overview] | Safety of Treatment With NVA237 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) |
NCT00510510 (2) [back to overview] | Least Squares Means of Trough Forced Expiratory Volume in One Second (FEV1), by Day |
NCT00558285 (7) [back to overview] | Change From Baseline in QTc (Fridericia's Formula) at Day 7 |
NCT00558285 (7) [back to overview] | Change From Baseline in QTc (Fridericia's Formula) at Day 14 |
NCT00558285 (7) [back to overview] | Change From Baseline in QTc (Fridericia's Formula) at Day 1 |
NCT00558285 (7) [back to overview] | Change From Baseline in Mean 24 Hour Heart Rate at Day 14 |
NCT00558285 (7) [back to overview] | Change From Baseline in Mean 24 Hour Heart Rate at Day 1 |
NCT00558285 (7) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1 and Day 14 |
NCT00558285 (7) [back to overview] | Trough Forced Vital Capacity (FVC) at Day 1 and Day 14 |
NCT00570778 (3) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 7 |
NCT00570778 (3) [back to overview] | Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve (AUC) 5 Minutes-12 Hours at Day 7 |
NCT00570778 (3) [back to overview] | Number of Participants With Adverse Events, Serious Adverse Events and Discontinuations Due to Adverse Events |
NCT00856193 (4) [back to overview] | Forced Expiratory Volume in One Second (FEV1) Area Under Curve (AUC) 0-24 Hours on Day 14 |
NCT00856193 (4) [back to overview] | Forced Expiratory Volume in One Second (FEV1) AUC 0-12 Hours on Day 14 |
NCT00856193 (4) [back to overview] | Forced Expiratory Volume in One Second (FEV1) AUC 12-24 Hours on Day 14 |
NCT00856193 (4) [back to overview] | Number of Participants Who Experienced Adverse Events (AEs), Serious Adverse Events (SAEs) |
NCT00929110 (20) [back to overview] | Forced Vital Capacity (FVC) 5, 15, and 30 Minutes; and 1, 2, 3, and 4 Hours Post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52 |
NCT00929110 (20) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1, Week 26, and Week 52 |
NCT00929110 (20) [back to overview] | Trough Forced Vital Capacity (FVC) at Day 1, Week 12, Week 26, and Week 52 |
NCT00929110 (20) [back to overview] | Number of Moderate or Severe Exacerbations of Chronic Obstructive Pulmonary Disease (COPD) Per Year During the Study (Baseline to Week 52) |
NCT00929110 (20) [back to overview] | "Percentage of Days Able to Perform Usual Daily Activities During the Study (Baseline to Week 52)" |
NCT00929110 (20) [back to overview] | "Percentage of Days With no Daytime Symptoms During the Study (Baseline to Week 52)" |
NCT00929110 (20) [back to overview] | "Percentage of Nights With no Nighttime Awakenings During the Study (Baseline to Week 52)" |
NCT00929110 (20) [back to overview] | Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Taken During the Study (Baseline to Week 52) |
NCT00929110 (20) [back to overview] | Change From Baseline in the Mean Daily Total Symptom Score During the Study (Baseline to Week 52) |
NCT00929110 (20) [back to overview] | Health-related Quality of Life (QoL) Assessed With the St. George Respiratory Questionnaire (SGRQ) at Week 52 |
NCT00929110 (20) [back to overview] | Percentage of Patients Who Experienced a Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During the Study (Baseline to Week 52) |
NCT00929110 (20) [back to overview] | Time to First Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During the Study (Baseline to Week 52) |
NCT00929110 (20) [back to overview] | Transition Dyspnea Index (TDI) at Week 26 |
NCT00929110 (20) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12 |
NCT00929110 (20) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) 5, 15, and 30 Minutes; 1, 2, 3, 4, 6, 8, 10, and 12 Hours; 23 Hours 15 Minutes; and 23 Hours 45 Minutes Post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52 |
NCT00929110 (20) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) 5, 15, and 30 Minutes; and 1, 2, 3, and 4 Hours Post Dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52 |
NCT00929110 (20) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 12 Hours Post-dose at Day 1 and Weeks 12 and 52 |
NCT00929110 (20) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 23 Hours 45 Minutes and From 12 Hours to 23 Hours 45 Minutes Post-dose at Weeks 12 and 52 |
NCT00929110 (20) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 4 Hours Post-dose at Day 1 and Weeks 12, 26, and 52 |
NCT00929110 (20) [back to overview] | Forced Vital Capacity (FVC) 5, 15, and 30 Minutes; 1, 2, 3, 4, 6, 8, 10, and 12 Hours; 23 Hours 15 Minutes; and 23 Hours 45 Minutes Post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52 |
NCT01005901 (17) [back to overview] | Trough FEV1 and FVC at Day 1 and Week 26 |
NCT01005901 (17) [back to overview] | Percentage of Nights With no Nighttime Awakenings Over the 26 Week Treatment Period |
NCT01005901 (17) [back to overview] | Percentage of Days With no Daytime Symptoms Over the 26 Week Treatment Period |
NCT01005901 (17) [back to overview] | Percentage of Days Able to Perform Usual Daily Activities Over the 26 Week Treatment Period |
NCT01005901 (17) [back to overview] | Change From Baseline in the Mean Number of Puffs Per Day of Rescue Medication Over the Study Duration (Baseline to Week 26) |
NCT01005901 (17) [back to overview] | Mean Daily Total Symptom Score Over the 26 Week Treatment Period |
NCT01005901 (17) [back to overview] | Quality of Life Assessment With St. George's Respiratory Questionnaire (SGRQ) Total Score After 26 Weeks of Treatment |
NCT01005901 (17) [back to overview] | Number of Participants With Adverse Events, Death, and Serious or Clinically Significant Adverse Events or Related Discontinuations |
NCT01005901 (17) [back to overview] | Forced Vital Capacity (FVC) at Each Time-point on Day 1 and Week 26 |
NCT01005901 (17) [back to overview] | FEV1 at Each Time-point on Day 1 and Week 26 |
NCT01005901 (17) [back to overview] | FEV1 Area Under the Curve (AUC) (5 Min - 12 Hour) at Day 1, Week 12 and Week 26 |
NCT01005901 (17) [back to overview] | FEV1 Area Under Curve (AUC) (5 Min - 23 Hour 45 Min) at Week 12 and Week 26 |
NCT01005901 (17) [back to overview] | Change in 24-hourly Mean Heart Rate at Day 1, Week 12 and Week 26 |
NCT01005901 (17) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) at 12 Weeks |
NCT01005901 (17) [back to overview] | Transition Dyspnea Index (TDI) Focal Score After 26 Weeks of Treatment |
NCT01005901 (17) [back to overview] | Time to First Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During 26 Weeks of Treatment |
NCT01005901 (17) [back to overview] | Rate of Moderate or Severe COPD Exacerbations Over the 26 Week Treatment Period |
NCT01119937 (11) [back to overview] | Number of Participants With Adverse Events, Serious Adverse Events or Death |
NCT01119937 (11) [back to overview] | Number of Patients With Newly Occurring or Worsening Clinically Notable Vital Signs Values at Any Timepoint Over the Whole Treatment Period |
NCT01119937 (11) [back to overview] | Change in St. George Respiratory Questionnaire From Baseline |
NCT01119937 (11) [back to overview] | Change in Pre-dose FVC From Baseline |
NCT01119937 (11) [back to overview] | Change in Pre-dose FEV1 From Baseline |
NCT01119937 (11) [back to overview] | Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Over the Whole Treatment Period |
NCT01119937 (11) [back to overview] | Number of Patients With Notable Change From Baseline in Fridericia's QTc Values at Any Timepoint Over the Whole Treatment Period |
NCT01119937 (11) [back to overview] | Number of Patients With Newly Occurring or Worsening Clinically Notable Hematology Values at Any Timepoint Over the Whole Treatment Period |
NCT01119937 (11) [back to overview] | Number of Patients With Newly Occurring or Worsening Clinically Notable Biochemistry Values at Any Timepoint Over the Whole Treatment Period |
NCT01119937 (11) [back to overview] | Number of Patients With Moderate or Severe COPD Exacerbations |
NCT01119937 (11) [back to overview] | Time From Randomization Until the Start of the First Moderate or Severe COPD Exacerbation |
NCT01119950 (33) [back to overview] | Trough Forced Vital Capacity on Days 1, 7 and 14 |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours at Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second at 12 Hours at Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Vital Capacity at Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Peak Forced Expiratory Volume in One Second at Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Trough Forced Expiratory Volume in One Second by Treatment at Day 28 |
NCT01119950 (33) [back to overview] | Trough Forced Vital Capacity After 28 Days of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second Area Under the Curve 0-12 Hours at Day 1 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours on Days 1 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second Area Under the Curve 0-4 Hours on Days 1, 7 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second Area Under the Curve at Different Time Points (0-4 Hours, 0-8 Hours, 0-12 Hours, 12-24 Hours) |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second at 12 Hours on Days 1 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second of Area Under the Curve 0-8 Hours Days 1, 7, and 14 |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second of Area Under the Curve 12-24 Hours Over Days 1, and 14 of Treatment |
NCT01119950 (33) [back to overview] | Mean Daily Use of Rescue Medication by Treatment at Different Time Points |
NCT01119950 (33) [back to overview] | Peak Forced Expiratory Volume in One Second on Days 1, 7 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Effect of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours on Days 1 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-12 Hours at Day 1 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-4 Hours on Days 1, 7 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve at Different Time Points (0-4 Hours, 0-8 Hours, 0-12 Hours, 12-24 Hours) on Day 28 |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second at 12 Hours on Days 1 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second of Area Under the Curve 0-8 Hours Days 1, 7, and 14 |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second of Area Under the Curve 12-24 Hours Over Days 1, and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Peak Forced Expiratory Volume in One Second on Days 1, 7 and 14 of Treatment |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Trough Forced Expiratory Volume in One Second at Days 1, 7 and 14 |
NCT01119950 (33) [back to overview] | Percentage of the Maximal Response of NVA237 Doses on Trough Forced Vital Capacity on Days 1, 7 and 14 |
NCT01119950 (33) [back to overview] | Trough Forced Expiratory Volume in One Second at Days 1, 7 and 14 |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second AUC 0-24 Hours for Once and Twice Daily Regimens of NVA237 for the Same Total Daily Dose of NVA237, After 28 Days of Treatment |
NCT01119950 (33) [back to overview] | Trough Forced Expiratory Volume in One Second for Once and Twice Daily Regimens of NVA237 for the Same Total Daily Dose of NVA237 |
NCT01119950 (33) [back to overview] | Peak Forced Expiratory Volume in One Second at Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours at Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Forced Expiratory Volume in One Second at 12 Hours on Day 28 of Treatment |
NCT01119950 (33) [back to overview] | Maximal Response of Incremental Once Daily and Twice Daily Doses of NVA237 That Each Dose Achieves in Relation to the Maximal Effect of NVA237 on Trough Forced Expiratory Volume in One Second at Day 28 |
NCT01120691 (13) [back to overview] | Rate of Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations in QVA149 and Open-label Tiotropium Treatment Arms During the Treatment Period. |
NCT01120691 (13) [back to overview] | Number of Days With Moderate or Severe Exacerbation That Required Treatment With Systemic Corticosteroids and Antibiotics |
NCT01120691 (13) [back to overview] | Cumulative Rates of Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations for Multiple COPD Exacerbation at Different Time Points |
NCT01120691 (13) [back to overview] | Change in Mean Daily Use (Number of Puffs) of Rescue Therapy Between QVA149, NVA237 and Open Label Tiotropium From Baseling Over the 64 Week Treatment Period |
NCT01120691 (13) [back to overview] | Time to Study Withdrawal or Premature Discontinuation for Any Reason Between QVA149 (110/50 µg q.d.), NVA237 (50 µg q.d.) and Open Label Tiotropium (18 µg q.d.) During the Treatment Period. |
NCT01120691 (13) [back to overview] | Time to First Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation Between QVA149, NVA237 and Open Label Tiotropium During the Treatment Period |
NCT01120691 (13) [back to overview] | Rate of Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations in QVA149 and NVA237 Treatment Arms During the Treatment Period. |
NCT01120691 (13) [back to overview] | Rate of Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations Requiring the Use of Both Systemic Glucocorticosteroids and Antibiotics |
NCT01120691 (13) [back to overview] | Percentage of Patients With Study Withdrawal or Premature Discontinuation for Any Reason Between QVA149 (110/50 µg q.d.), NVA237 (50 µg q.d.) and Open Label Tiotropium (18 µg q.d.)During the Treatment Period |
NCT01120691 (13) [back to overview] | Change From Baseline of Percentage of Days Without Rescue Therapy Use Between QVA149,NVA237 and Open Label Tiotropium Over the 64 Week Treatment Period |
NCT01120691 (13) [back to overview] | Pre-dose Forced Expiratory Volume in 1 Second (FEV-1) After 4, 12, 26, 38, 52 and 64 Weeks of Treatment Between QVA149, NVA237 and Open Label Tiotropium |
NCT01120691 (13) [back to overview] | Pre-dose Forced Vital Capacity (FVC)After 4, 12, 26, 38, 52 and 64 Weeks of Treatment Between QVA149, NVA237 and Open Label Tiotropium |
NCT01120691 (13) [back to overview] | St. George's Respiratory Questionnaire (SGRQ) Scores Between QVA149, NVA237 and Open Label Tiotropium Over 12, 26, 38, 52 and 64 Weeks of Treatment |
NCT01154127 (9) [back to overview] | Exercise Endurance Time During a Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks (Day 21) of Treatment |
NCT01154127 (9) [back to overview] | Specific Airways Conductance (SGaw) |
NCT01154127 (9) [back to overview] | Slow Vital Capacity (SVC) and Total Lung Capacity (TLC) |
NCT01154127 (9) [back to overview] | Peak and Trough (24 h Post Dose) Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) |
NCT01154127 (9) [back to overview] | Inspiratory Capacity (IC) at Rest (1 Hour Post Dose) and at Peak (End of Exercise) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks of Treatment |
NCT01154127 (9) [back to overview] | Leg Discomfort (Borg CR10 Scale) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks Treatment |
NCT01154127 (9) [back to overview] | Exertional Dyspnea (Borg CR10 Scale) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks Treatment |
NCT01154127 (9) [back to overview] | Exercise Endurance Time During a Sub-maximal Constant-load Cycle Ergometry Test (SMETT) on Treatment Day 1 |
NCT01154127 (9) [back to overview] | Isotime Inspiratory Capacity (IC) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks of Treatment |
NCT01191398 (2) [back to overview] | Monitoring of Adverse Events During Study Administration |
NCT01191398 (2) [back to overview] | Difference in Salivary Flow Rate (ml/Min) Between Study Groups |
NCT01199237 (5) [back to overview] | Time From Potent Inhaled Anesthetic Discontinuation to First Response to Command (T1) |
NCT01199237 (5) [back to overview] | Recovery of Ability to Swallow After Neostigmine/Glycopyrrolate Antagonism of Rocuronium Paralysis. |
NCT01199237 (5) [back to overview] | Time From Anesthetic Discontinuation to First Ability to Swallow |
NCT01199237 (5) [back to overview] | Nausea and Vomiting |
NCT01199237 (5) [back to overview] | Nausea and Vomiting |
NCT01202188 (23) [back to overview] | Standardized FEV1 (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 4 Hours at Day 1 and Week 26 |
NCT01202188 (23) [back to overview] | "Percentage of Days Able to Perform Usual Daily Activities Over 26 Weeks" |
NCT01202188 (23) [back to overview] | Transitional Dyspnea Index (TDI) Focal Score at Week 26 |
NCT01202188 (23) [back to overview] | Percentage of Patients With at Least One Moderate or Severe COPD Exacerbation Over the 26 Week Treatment Period |
NCT01202188 (23) [back to overview] | Baseline Transitional Dyspnea Index (BDI/TDI) Focal Score at Week 12 and Week 26 |
NCT01202188 (23) [back to overview] | Change From Baseline (BL) in the Daytime and Night Time Rescue Medication Use (Number of Puffs) Over 26 Weeks |
NCT01202188 (23) [back to overview] | Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication at Week 12 and Week 26 |
NCT01202188 (23) [back to overview] | Trough Forced Expiratory Volume In One Second (FEV1) After 26 Weeks of Treatment |
NCT01202188 (23) [back to overview] | Trough Forced Expiratory Volume In One Second (FEV1) After 26 Weeks of Treatment With QVA149 Compared to Tiotropium |
NCT01202188 (23) [back to overview] | Percentage of Participants With COPD Exacerbations Requiring Hospitalization or Treatment With Systemic Corticosteroids and/or Antibiotics But no Hospitalization |
NCT01202188 (23) [back to overview] | Standardized FEV1 (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 23 Hours 45 Minutes at Week 26 |
NCT01202188 (23) [back to overview] | St. George's Respiratory Questionnaire (SGRQ) Total Score at Week 26 |
NCT01202188 (23) [back to overview] | Rate of Moderate or Severe COPD Exacerbation |
NCT01202188 (23) [back to overview] | Percentage of Patients With a Clinically Important Improvement of at Least 1 Point in TDI Focal Score After 26 Weeks of Treatment |
NCT01202188 (23) [back to overview] | Trough Forced Expiratory Volume In One Second (FEV1) After 26 Weeks of Treatment With QVA149, QAB149 and NVA237 Compared to Placebo |
NCT01202188 (23) [back to overview] | Percentage of Patients With a Clinically Important Improvement From Baseline of at Least 4 Units in the SGRQ Total Score After 26 Weeks of Treatment |
NCT01202188 (23) [back to overview] | 24 Hour Holter Monitoring in a Subset of Patients |
NCT01202188 (23) [back to overview] | Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Over 26 Weeks |
NCT01202188 (23) [back to overview] | "Percentage of Nights With No Night Time Awakenings Over 26 Weeks" |
NCT01202188 (23) [back to overview] | "Percentage of Days With no Rescue Medication Use Over 26 Weeks" |
NCT01202188 (23) [back to overview] | "Percentage of Days With No Daytime Symptoms Over 26 Weeks" |
NCT01202188 (23) [back to overview] | Standardized FEV1 (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 12 Hours at Day 1 and Week 26 |
NCT01202188 (23) [back to overview] | St. George's Respiratory Questionnaire (SGRQ) Total Score After 12 and 26 Weeks of Treatment |
NCT01294787 (13) [back to overview] | Pulmonary Function Test (RV) Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Pulmonary Function Test (SGaw) Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Pulmonary Function Test Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Dynamic Inspiratory Capacity Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Exercise Endurance Comparison Between QVA149 and Tiotropium Groups |
NCT01294787 (13) [back to overview] | Exercise Endurance Time Comparison After a Single Dose of QVA149 Versus Placebo |
NCT01294787 (13) [back to overview] | Exercise Tolerance Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Exertional Dyspnea Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Leg Discomfort During Exercise Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Spirometry After Three Weeks of Treatment on Patients Not Exercising |
NCT01294787 (13) [back to overview] | Trough 24 Hour Post Dose Forced Expiratory Volume in One Second Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Trough 24 Hour Post Dose Inspiratory Capacity Comparison Between QVA149 and Placebo Groups |
NCT01294787 (13) [back to overview] | Pulmonary Function Test (FRC) Comparison Between QVA149 and Placebo Groups |
NCT01315249 (11) [back to overview] | Number of Participants With Adverse Events |
NCT01315249 (11) [back to overview] | Mean Change From Baseline in Daily Number of Puffs of Rescue Medication |
NCT01315249 (11) [back to overview] | Inspiratory Capacity (IC) at All-time Points (26 Weeks) |
NCT01315249 (11) [back to overview] | Inspiratory Capacity (IC) at All-time Points (12 Weeks) |
NCT01315249 (11) [back to overview] | Forced Vital Capacity at All-time Points (Week 26) |
NCT01315249 (11) [back to overview] | Forced Vital Capacity at All-time Points (Week 12) |
NCT01315249 (11) [back to overview] | Change From Baseline in Symptom Scores Reported Using the Ediary |
NCT01315249 (11) [back to overview] | Standardized Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours |
NCT01315249 (11) [back to overview] | Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 |
NCT01315249 (11) [back to overview] | Focal Score of the Transitional Dyspnea Index (TDI) |
NCT01315249 (11) [back to overview] | Total Score of the St. George's Respiratory Questionnaire (SGRQ-C) |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Adjudicated Events of Bleeding (Major or Non-major) With Onset Within 24 Hours After Study Drug Administration |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Adjudicated Events of Bleeding (Major or Non-major) With Onset Within 14 Days After Study Drug Administration |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Postoperative Anemia Adverse Events With Onset Within 72 Hours After Study Drug Administration |
NCT01422304 (13) [back to overview] | Percent Change From Baseline in Prothrombin Time (International Normalized Ratio) (PT[INR]) at 10 and 60 Minutes Post Study Drug Administration |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Adjudicated Major Events of Bleeding With Onset Within 14 Days After Study Drug Administration |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Adjudicated Venous Thromboembolic (VTE) Events With Onset Within 14 Days After Study Drug Administration |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Adjudicated Events of Anaphylaxis With Onset Within 14 Days After Study Drug Administration |
NCT01422304 (13) [back to overview] | Number of Participants Requiring Any Postoperative Transfusion |
NCT01422304 (13) [back to overview] | Number of Participants With One or More Adjudicated Major Events of Bleeding With Onset Within 24 Hours After Study Drug Administration |
NCT01422304 (13) [back to overview] | Percent Change From Baseline in Activated Partial Thromboplastin Time (aPTT) at 10 and 60 Minutes Post Study Drug Administration |
NCT01422304 (13) [back to overview] | Total Transfusion Volume in Participants Who Required Postoperative Transfusion |
NCT01422304 (13) [back to overview] | Postoperative Drainage Volume Within 24 Hours After Study Drug Administration |
NCT01422304 (13) [back to overview] | Postoperative Changes in Hgb Concentrations Using the Bleeding Index |
NCT01479764 (2) [back to overview] | Incidence of Residual Neuromuscular Blockade (NMB) as Defined by a Train-of-Four (TOF) Ratio <0.9 at Post Anesthesia Care Unit (PACU) Entry |
NCT01479764 (2) [back to overview] | Time From Start of Study Drug Administration to Operating Room Discharge-ready |
NCT01490125 (6) [back to overview] | Total Total Transient Dyspnea Index (TDI) Score After 6 Weeks of Treatment QVA149 Compared to Tiotropium |
NCT01490125 (6) [back to overview] | Total Total Transient Dyspnea Index (TDI) Score After 6 Weeks of Treatment QVA149 Compared to Placebo |
NCT01490125 (6) [back to overview] | Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Used Over the 6 Weeks of Treatment |
NCT01490125 (6) [back to overview] | Standardized Forced Vital Capacity (FVC) Area Under the Curve (AUC) 5min-4 Hrs After First Dose and 6 Weeks of Treatment With QVA149 Compared to Placebo and Tiotropium |
NCT01490125 (6) [back to overview] | Change From Baseline in The Capacity of Daily Living During the Morning (CDLM) Score Averaged Over 6 Weeks of Treatment |
NCT01490125 (6) [back to overview] | Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 5min-4h After First Dose and 6 Weeks of Treatment With QVA149 Compared to Placebo and Tiotropium |
NCT01513460 (7) [back to overview] | Mean Percentage of Nights With 'no Nighttime Awakenings' |
NCT01513460 (7) [back to overview] | Mean Percentage of Days With Performance of Usual Activities |
NCT01513460 (7) [back to overview] | Change From Baseline in Total Score of the St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) After 12 Weeks of Treatment |
NCT01513460 (7) [back to overview] | Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Use |
NCT01513460 (7) [back to overview] | Change From Baseline in Mean Trough Forced Expiratory Volume in 1 Second (FEV1) (NVA237 Versus Tiotropium) |
NCT01513460 (7) [back to overview] | Change From Baseline in Mean Trough FEV1 |
NCT01513460 (7) [back to overview] | Change From Baseline in Mean Trough FEV1 (Flu/Sal Versus NVA237/Tiotropium+Flu/Sal) |
NCT01529632 (7) [back to overview] | Time Course of Forced Expiratory Volume in One Second (FEV1) (Pre-dose to 4 Hours Post Dose) on Day 28 |
NCT01529632 (7) [back to overview] | Peak Forced Expiratory Volume in 1 Second (FEV1) on Days 1 and 28 Post-dose |
NCT01529632 (7) [back to overview] | Change From Baseline in the Mean Daily, (Daytime and Nighttime Combined) Number of Puffs of Rescue Medication Used Over 28 Days of Treatment |
NCT01529632 (7) [back to overview] | Change From Baseline in Percentage of Days With 'no Daytime Symptoms' Over 28 Days of Treatment |
NCT01529632 (7) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4 Hours at Day 28 |
NCT01529632 (7) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4 Hours at Day 1 |
NCT01529632 (7) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) After 28 Days of Blinded Treatment |
NCT01566604 (11) [back to overview] | Change From Baseline in Daily Rescue Medication Use (Number of Puffs) |
NCT01566604 (11) [back to overview] | Number of Moderate and Severe COPD Exacerbations |
NCT01566604 (11) [back to overview] | Time to First Moderate or Severe COPD Exacerbation |
NCT01566604 (11) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1) |
NCT01566604 (11) [back to overview] | 24h Trough FEV1 |
NCT01566604 (11) [back to overview] | Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Symptoms (Cough, Wheezing, Shortness of Breath, Sputum Volume, Sputum Color and Night Time Awakenings) |
NCT01566604 (11) [back to overview] | FEV1 and Forced Vital Capacity (FVC) |
NCT01566604 (11) [back to overview] | Peak FEV1 |
NCT01566604 (11) [back to overview] | Standardized FEV1 Area Under the Curve (AUC(5 Min-4 h)) Post-dose |
NCT01566604 (11) [back to overview] | The Total Score of the St George's Respiratory Questionnaire (SGRQ) |
NCT01566604 (11) [back to overview] | Transition Dyspnea Index (TDI) Score |
NCT01574651 (9) [back to overview] | Trough FEV1 at Baseline and Week 26 |
NCT01574651 (9) [back to overview] | Percent of Participants With at Least One Exacerbation Requiring Hospitalization |
NCT01574651 (9) [back to overview] | Percent of Participants With at Least One Exacerbation Requiring Systemic Corticosteroids and/or Antibiotics Over 26 Weeks |
NCT01574651 (9) [back to overview] | Time- Event Analysis, Number of Participants With at Least One COPD Exacerbation (Moderate or Severe) During the Treatment Period |
NCT01574651 (9) [back to overview] | "Symptoms Score Reported by the Patients Using Part I Symptoms of SGRO-C" |
NCT01574651 (9) [back to overview] | FEV1 30 Min After the Morning Dose at Baseline and Week 26 |
NCT01574651 (9) [back to overview] | St. George's Respiratory Questionnaire (SGRQ-C) Total Score After 26 Weeks of Treatment (Non-inferiority Analysis). |
NCT01574651 (9) [back to overview] | Transition Dyspnea Index (TDI) Focal Score After 26 Weeks of Treatment. |
NCT01574651 (9) [back to overview] | St. George's Respiratory Questionnaire (SGRQ-C) Total Score After 26 Weeks of Treatment (Superiority Analysis). |
NCT01604278 (10) [back to overview] | Change From Baseline in Mean Daily Total and Individual Symptom Scores |
NCT01604278 (10) [back to overview] | Change From Baseline in Mean Daily Number of Puffs of Rescue Medication |
NCT01604278 (10) [back to overview] | FEV(1) Area Under the Curve (AUC) During 30 Minutes to 4 Hours Post Dose |
NCT01604278 (10) [back to overview] | Peak FEV1 During 30 Minutes to 4 Hours Post-dose at 12 Weeks |
NCT01604278 (10) [back to overview] | Transitional Dyspnea Index (TDI) Focal Score |
NCT01604278 (10) [back to overview] | Trough Forced Expiratory Volume at 1 Second (FEV1) |
NCT01604278 (10) [back to overview] | Number of Participants With Adverse Events and Serious Adverse Events |
NCT01604278 (10) [back to overview] | Inspiratory Capacity (IC) at Individual Time-points |
NCT01604278 (10) [back to overview] | Forced Vital Capacity (FVC) at Individual Time-points |
NCT01604278 (10) [back to overview] | FEV1 at Individual Time-points |
NCT01613326 (13) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) After 12 Weeks of Treatment (Analysis of Superiority) |
NCT01613326 (13) [back to overview] | Transition Dyspnea Index (TDI) Focal Score After 4 Weeks and 12 Weeks of Treatment |
NCT01613326 (13) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1 and Week 4 |
NCT01613326 (13) [back to overview] | Peak Forced Expiratory Volume in 1 Second (FEV1) During 5 Min to 4 Hours Post-dose, at Day 1 and Week 12 |
NCT01613326 (13) [back to overview] | St. George's Respiratory Questionnaire Total Score After 12 Weeks of Treatment |
NCT01613326 (13) [back to overview] | Trough Forced Expiratory Volume in 1 Second (FEV1) After 12 Weeks of Treatment (Non-inferiority Analysis) |
NCT01613326 (13) [back to overview] | Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 12 Week Treatment |
NCT01613326 (13) [back to overview] | Event Free Rate at Weeks 4, 8 and 12 After Treatment |
NCT01613326 (13) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) at Each Time-point by Visit |
NCT01613326 (13) [back to overview] | Forced Vital Capacity (FVC) at Each Time-point by Visit |
NCT01613326 (13) [back to overview] | Inspiratory Capacity (IC) at Each Time-point, by Visit |
NCT01613326 (13) [back to overview] | Mean Daily, Daytime and Nighttime (Combined) Symptom Scores Over the 12 Week Treatment Period |
NCT01613326 (13) [back to overview] | Standardized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) (5 Min-4 h) Post-dose |
NCT01682863 (8) [back to overview] | Time to Premature Discontinuation of Treatment |
NCT01682863 (8) [back to overview] | Change From Baseline in 1 Hour Post-dose FEV1 Measurements |
NCT01682863 (8) [back to overview] | Change From Baseline in FVC Measurement at All Post-baseline Time Points |
NCT01682863 (8) [back to overview] | Change From Baseline in Pre-dose Trough FEV1 |
NCT01682863 (8) [back to overview] | Number of Patients With Adverse Events, Serious Adverse Events, and Death |
NCT01682863 (8) [back to overview] | Change From Baseline in Mean Total Daily Symptom Scores |
NCT01682863 (8) [back to overview] | Change From Baseline in the Daily Number of Puffs of Rescue Medication Over the 52 Week Period |
NCT01682863 (8) [back to overview] | Percentage of Participants Experiencing Moderate or Severe COPD Exacerbation |
NCT01697696 (9) [back to overview] | Change From Baseline in Pre-dose Forced Vital Capacity (FVC) at All Post-baseline Timepoints |
NCT01697696 (9) [back to overview] | Change From Baseline in Pre-dose Forced Expiratory Volume (FEV1) in One Second at All Post Baseline Timepoints |
NCT01697696 (9) [back to overview] | Change From Baseline in Mean Forced Expiratory Volume (Average of the Two FEV1 Measurements 45 and 15 Minutes Pre-dose) in One Second at Week 52 |
NCT01697696 (9) [back to overview] | Percentage of Participants Reporting Safety and Tolerability in Terms of Adverse Event (AE) Reporting Rate |
NCT01697696 (9) [back to overview] | Time to First COPD Exacerbation (Moderate or Severe). |
NCT01697696 (9) [back to overview] | Time to Treatment Discontinuation |
NCT01697696 (9) [back to overview] | Change From Baseline in Mean Daily Number of Puffs of Rescue Medication |
NCT01697696 (9) [back to overview] | Change From Baseline in COPD Symptoms |
NCT01697696 (9) [back to overview] | Change From Baseline in COPD Symptoms |
NCT01699685 (6) [back to overview] | Inspiratory Capacity (IC) |
NCT01699685 (6) [back to overview] | Inspiratory Capacity (IC) Peak Value |
NCT01699685 (6) [back to overview] | Total Lung Capacity (TLC) |
NCT01699685 (6) [back to overview] | Airway Resistance (Raw) |
NCT01699685 (6) [back to overview] | Forced Expiratory Volume in One Second (FEV1) |
NCT01699685 (6) [back to overview] | Forced Volume Capacity (FVC) |
NCT01709864 (15) [back to overview] | Change From Baseline of Morning and Nighttime Symptom Scores at Week 12 |
NCT01709864 (15) [back to overview] | "Percentage of Days Able to Perform Usual Daily Activities" |
NCT01709864 (15) [back to overview] | Change From Baseline of Daily Symptom Scores |
NCT01709864 (15) [back to overview] | "Percentage of Nights With no Nighttime Awakenings" |
NCT01709864 (15) [back to overview] | "Percentage of Days With no Daytime Symptoms" |
NCT01709864 (15) [back to overview] | Breathlessness Assessed by Transition Dyspnea Index (TDI) Focal Score at Week 12 |
NCT01709864 (15) [back to overview] | Change From Baseline in the Health Status Assessed by St. George's Respiratory Questionnaire |
NCT01709864 (15) [back to overview] | Change From Baseline of Forced Vital Capacity (FVC) at All Individual Timepoints at Day 1 and at Week 12 (Day 85) |
NCT01709864 (15) [back to overview] | Change From Baseline of Forced Expiratory Volume in One Second (FEV1) at All Individual Timepoints at Day 1 and at Week 12 (Day 85) |
NCT01709864 (15) [back to overview] | Change From Baseline in Trough FEV1 and Pre-dose Trough FEV1 by Visit |
NCT01709864 (15) [back to overview] | Change From Baseline in FEV1 AUC (0-12H) at Day 1 and FEV1 AUC (0-4h), AUC (4-8h), AUC (8-12h) at Day 1 and Week 12 (Day 85) |
NCT01709864 (15) [back to overview] | The Average Number of Puffs of Rescue Medication Per Day |
NCT01709864 (15) [back to overview] | Percentage of Participants With a Clinically Important Improvement of >=4units in the SGRQ Total Score at Week 12 |
NCT01709864 (15) [back to overview] | Percentage of Days Without Rescue Medication Use |
NCT01709864 (15) [back to overview] | Change From Baseline of Standardized Area Under the Curve (AUC) for Forced Expiratory Volume in One Second (FEV1) Post Dosing |
NCT01709903 (9) [back to overview] | Analysis of FEV1 (L) Trough Response (Pre-dose) Over the Whole Treatment Period |
NCT01709903 (9) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Superiority of QVA 110/50μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d |
NCT01709903 (9) [back to overview] | Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Non-inferiority of QVA149 110/50 μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d |
NCT01709903 (9) [back to overview] | Analysis of the TDI Focal Score Over the Whole Treatment Period |
NCT01709903 (9) [back to overview] | Symptoms Reported Using E-diary Over 12 and 26 Weeks of Treatment |
NCT01709903 (9) [back to overview] | Rescue Medication Use: Summary of the Mean Daily, Daytime and Nighttime Number of Puffs of Rescue Medication, by 4 Weekly Intervals |
NCT01709903 (9) [back to overview] | Health Related Quality of Life Analysis of SGRQ Total Score After 26 Weeks of Treatment |
NCT01709903 (9) [back to overview] | Analysis of Trough FVC (L) Over the Whole Treatment Period |
NCT01709903 (9) [back to overview] | Standardized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) 0-4 Hours |
NCT01712516 (11) [back to overview] | Percentage of Participants With a Clinically Important Improvement of at Least 4 Units in the SGRQ Total Score |
NCT01712516 (11) [back to overview] | Secondary: Change From Baseline in Standardized FEV1 AUC (0-4 h), FEV1 AUC (4-8h), FEV1 AUC (8-12h) and FEV1 AUC (0-12 h) |
NCT01712516 (11) [back to overview] | Secondary: Change From Baseline in Mean Total Daily Symptom Score, Mean Daytime Total Symptom Score and Mean Nighttime Total Symptom Score |
NCT01712516 (11) [back to overview] | Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score |
NCT01712516 (11) [back to overview] | Change From Baseline in Pre-dose Trough FEV1 |
NCT01712516 (11) [back to overview] | Secondary: Change From Baseline in Mean Daily Number of Puffs of Rescue Medication |
NCT01712516 (11) [back to overview] | Change From Baseline in FEV1 |
NCT01712516 (11) [back to overview] | Change From Baseline in FVC |
NCT01712516 (11) [back to overview] | Transitional Dyspnea Index (TDI) Focal Score |
NCT01712516 (11) [back to overview] | Change From Baseline in Trough FEV1 |
NCT01712516 (11) [back to overview] | Primary: Change From Baseline in Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) (0-12 Hours (h)) |
NCT01715298 (16) [back to overview] | Change From Baseline in Standardized Area Under The Curve for Forced Expiratory Volume in One Second for Different Time Spans Post Dosing |
NCT01715298 (16) [back to overview] | Change From Baseline in Morning and Nighttime Symptom Scores |
NCT01715298 (16) [back to overview] | Change From Baseline in Mean Trough Forced Vital Capacity |
NCT01715298 (16) [back to overview] | Change From Baseline in Forced Vital Capacity at All Individual Timepoints |
NCT01715298 (16) [back to overview] | Change From Baseline in Forced Expiratory Volume in One Second at All Individual Timepoints |
NCT01715298 (16) [back to overview] | Change From Baseline in the Percentage of Days Without Rescue Medication Use |
NCT01715298 (16) [back to overview] | Change From Baseline in the Health Status Assessed by St. George's Respiratory Questionnaire |
NCT01715298 (16) [back to overview] | Change From Baseline in Standardized Area Under the Curve for Forced Expiratory Volume in One Second Post Dosing |
NCT01715298 (16) [back to overview] | Change From Baseline in Standardized Area Under the Curve (AUC(0-12h)) for Forced Expiratory Volume in One Second Post Dosing |
NCT01715298 (16) [back to overview] | Change From Baseline in Mean Number of Puffs of Rescue Medication Per Day |
NCT01715298 (16) [back to overview] | Change From Baseline in Daily Symptom Scores |
NCT01715298 (16) [back to overview] | Breathlessness Assessed by Transition Dyspnea Index |
NCT01715298 (16) [back to overview] | "Change From Baseline in the Percentage of Nights With no Nighttime Awakenings" |
NCT01715298 (16) [back to overview] | "Change From Baseline in the Percentage of Days With no Daytime Symptoms" |
NCT01715298 (16) [back to overview] | "Change From Baseline in Percentage of Days Able to Perform Usual Daily Activities" |
NCT01715298 (16) [back to overview] | Mean Trough Forced Expiratory Volume in One Second |
NCT01727141 (11) [back to overview] | Change From Baseline in Pre-dose Trough FEV1 |
NCT01727141 (11) [back to overview] | Change From Baseline in Mean Daily Number of Puffs of Rescue Medication |
NCT01727141 (11) [back to overview] | Change From Baseline in Trough FEV1 |
NCT01727141 (11) [back to overview] | Change From Baseline in Standardized FEV1 AUC (0-4 h), FEV1 AUC (4-8h), FEV1 AUC (8-12h) and FEV1 AUC (0-12 h) |
NCT01727141 (11) [back to overview] | Change From Baseline in Mean Total Daily Symptom Score, Mean Daytime Total Symptom Score and Mean Nighttime Total Symptom Score |
NCT01727141 (11) [back to overview] | Change From Baseline in FVC |
NCT01727141 (11) [back to overview] | Change From Baseline in FEV1 |
NCT01727141 (11) [back to overview] | Transitional Dyspnea Index (TDI) Focal Score |
NCT01727141 (11) [back to overview] | Percentage of Participants With a Clinically Important Improvement of at Least 4 Units in the SGRQ Total Score |
NCT01727141 (11) [back to overview] | Change From Baseline in Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) (0-12 Hours (h)) |
NCT01727141 (11) [back to overview] | Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score |
NCT01748643 (6) [back to overview] | Subjective Evaluation of the View on the Operating Field by the Surgeon |
NCT01748643 (6) [back to overview] | Peak Expiratory Flow |
NCT01748643 (6) [back to overview] | Forced Vital Capacity |
NCT01748643 (6) [back to overview] | Number of Intra-abdominal Pressure Rises > 18cmH2O |
NCT01748643 (6) [back to overview] | Forced Expiratory Volume in 1 Second |
NCT01748643 (6) [back to overview] | Duration of Surgery |
NCT01854658 (6) [back to overview] | Change From Baseline in Morning Pre-dose Trough FEV1 |
NCT01854658 (6) [back to overview] | Rescue Ventolin HFA Use |
NCT01854658 (6) [back to overview] | Peak FEV1 |
NCT01854658 (6) [back to overview] | Onset of Action as Assessed by FEV1 |
NCT01854658 (6) [back to overview] | St. George Respiratory Questionnaire (SGRQ) Score |
NCT01854658 (6) [back to overview] | Change From Baseline in Morning Pre-dose Trough FEV1 Over 24 Weeks |
NCT01922271 (7) [back to overview] | Residual Volume (RV) |
NCT01922271 (7) [back to overview] | Inspiratory Capacity (IC) |
NCT01922271 (7) [back to overview] | Functional Resistance Capacity (FRCpleth) |
NCT01922271 (7) [back to overview] | Forced Expiratory Volume in One Second (FEV1) Area Under Curve (AUC) 0-2 |
NCT01922271 (7) [back to overview] | Forced Expiratory Volume in One Second (FEV1) 15 Min Post Dose |
NCT01922271 (7) [back to overview] | Specific Airway Resistance (sRAW) |
NCT01922271 (7) [back to overview] | Total Lung Capacity (TLC) |
NCT01959516 (2) [back to overview] | Comparison of Glycopyrronium QD Versus Tiotropium QD on Symptoms Outcome |
NCT01959516 (2) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) AUC0-4h After First Dose of Treatment. |
NCT01985334 (16) [back to overview] | Trough FEV1 at Week 12 for Group: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy) |
NCT01985334 (16) [back to overview] | Trough FEV1 at Week 12 for Group: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA or LAMA Monotherapy or LABA and ICS in Free or FDC on Trough FEV1 at Week 12. |
NCT01985334 (16) [back to overview] | Trough FEV1 at Week 12 for Group: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA and ICS in Free or FDC |
NCT01985334 (16) [back to overview] | Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA or LAMA Monotherapy or LABA and ICS in Free or FDC |
NCT01985334 (16) [back to overview] | Trough FEV1 at Week 12 for Group: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC) or vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy) |
NCT01985334 (16) [back to overview] | Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy) |
NCT01985334 (16) [back to overview] | Mean Change From Baseline Reported Symptoms of COPD for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC |
NCT01985334 (16) [back to overview] | Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA and ICS in Free or FDC |
NCT01985334 (16) [back to overview] | Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC) |
NCT01985334 (16) [back to overview] | Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Glycopyrronium vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy) |
NCT01985334 (16) [back to overview] | Change From Baseline on Total Score of COPD Assessment Test (CAT) for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC |
NCT01985334 (16) [back to overview] | Change From Baseline on Total Score of Clinical COPD Questionnaire (CCQ) for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC |
NCT01985334 (16) [back to overview] | Change From Baseline on on Transition Dyspnea Index (TDI) for Groups: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC) or Long-acting Bronchodilators (LABA or LAMA Monotherapy) |
NCT01985334 (16) [back to overview] | Mean Number of Puffs of Rescue Medication Use for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC |
NCT01985334 (16) [back to overview] | Trough FEV1 at Week 12 for Group: Glycopyrronium vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy) |
NCT01985334 (16) [back to overview] | Trough FEV1 at Week 12 for Group: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC) |
NCT02016885 (6) [back to overview] | Percentage of Subjects Who Have a Minimum 2-grade Improvement in HDSS From Baseline at Week 4 |
NCT02016885 (6) [back to overview] | Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 6 |
NCT02016885 (6) [back to overview] | Change in Dermatology Life Quality Index (DLQI) From Baseline at Week 4 |
NCT02016885 (6) [back to overview] | Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 6 |
NCT02016885 (6) [back to overview] | Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 4 |
NCT02016885 (6) [back to overview] | Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 4 |
NCT02129660 (7) [back to overview] | Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 4 |
NCT02129660 (7) [back to overview] | Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 6 |
NCT02129660 (7) [back to overview] | Percentage of Subjects Who Have a Minimum 2-grade Improvement in HDSS From Baseline at Week 4 |
NCT02129660 (7) [back to overview] | Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 4 |
NCT02129660 (7) [back to overview] | Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 6 |
NCT02129660 (7) [back to overview] | Percentage of Subjects Who Had at Least 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4 |
NCT02129660 (7) [back to overview] | Percentage of Subjects Who Had at Least 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 6 |
NCT02196714 (38) [back to overview] | T 1/2 |
NCT02196714 (38) [back to overview] | Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Vd/F |
NCT02196714 (38) [back to overview] | Vd/F |
NCT02196714 (38) [back to overview] | Tmax |
NCT02196714 (38) [back to overview] | Tmax |
NCT02196714 (38) [back to overview] | T 1/2 |
NCT02196714 (38) [back to overview] | Lambda z |
NCT02196714 (38) [back to overview] | Lambda z |
NCT02196714 (38) [back to overview] | Cmax |
NCT02196714 (38) [back to overview] | Cmax |
NCT02196714 (38) [back to overview] | CL/F |
NCT02196714 (38) [back to overview] | CL/F |
NCT02196714 (38) [back to overview] | Change in QTc Fridericia's Interval From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | Change in QTc Bazett Interval From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | AUC 0-∞ |
NCT02196714 (38) [back to overview] | Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Glucose and Potassium Results (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in QT Interval From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | AUC 0-∞ |
NCT02196714 (38) [back to overview] | AUC 0-12 |
NCT02196714 (38) [back to overview] | AUC 0-12 |
NCT02196714 (38) [back to overview] | AUC 0-t |
NCT02196714 (38) [back to overview] | Change in QRS Duration From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | AUC 0-t |
NCT02196714 (38) [back to overview] | Change in Heart Rate From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02196714 (38) [back to overview] | Change in PR Interval From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | Change in QRS Axis From Pre-dose to 12 Hours Post Dose |
NCT02196714 (38) [back to overview] | Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose |
NCT02202616 (4) [back to overview] | Change From Baseline in Trough FEV1 (Forced Expiratory Volume) to Week 4 |
NCT02202616 (4) [back to overview] | Single Point and Change in Baseline Dyspnea Index and Transitional Dyspnea Index (BDI/TDI) |
NCT02202616 (4) [back to overview] | Change From Baseline in Trough (Forced Expiratory Volume (FEV1) (Pre-dose FEV1) |
NCT02202616 (4) [back to overview] | Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Questionnaire (CAT) |
NCT02233543 (2) [back to overview] | Percent of Time Spent During the Night Below 90 % in Blood Oxygen Saturation |
NCT02233543 (2) [back to overview] | Mean Night-time Blood Oxygenation |
NCT02236611 (1) [back to overview] | Change From Baseline in Trough FEV1 on Day 85 |
NCT02268396 (6) [back to overview] | Percentage of Devices in Agreement Between Laboratory-advanced Does Indicator Actuation and Weight-based Actuation Count at Last Available Visit. |
NCT02268396 (6) [back to overview] | Percentage of Devices in Agreement Between Laboratory-Advanced Dose Indicator Actuation Count and Subject-Reported Actuation Count at the Last Available Visit |
NCT02268396 (6) [back to overview] | Percentage of Devices Where the Dose Indicator Actuation Count is >20 Less Than the Subject-reported Actuation Count (Undercount) |
NCT02268396 (6) [back to overview] | Percentage of Correct Advances (±2 or ±4 Actuations) of the Dose Indicator Based on Subject-reported Actuation Count |
NCT02268396 (6) [back to overview] | Percentage of Devices in Agreement Between eCRF-Based Dose Indicator Actuation Count and Weight-Based Actuation Count at the Last Available Visit |
NCT02268396 (6) [back to overview] | Dose Indicator Actuation Consistency: Percentage of Devices in Agreement Between CRF-Based Dose Indicator Actuation Count |
NCT02276222 (10) [back to overview] | Percentage of Subjects With Treatment-emergent Serious Adverse |
NCT02276222 (10) [back to overview] | Percentage of Subjects Who Discontinue the Study Due to TEAE |
NCT02276222 (10) [back to overview] | Number of Subjects With Treatment-emergent Serious Adverse Events (SAE) |
NCT02276222 (10) [back to overview] | Number of Subjects With Treatment-emergent Adverse Events (TEAE) |
NCT02276222 (10) [back to overview] | Percentage of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke |
NCT02276222 (10) [back to overview] | Number of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke |
NCT02276222 (10) [back to overview] | Incidence Rate Per 1000 Person Years of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke |
NCT02276222 (10) [back to overview] | Number of Subjects Who Discontinue the Study Due to TEAE |
NCT02276222 (10) [back to overview] | Mean Change From Baseline Over 48 Weeks in Trough FEV1 for All Subjects |
NCT02276222 (10) [back to overview] | Percentage of Subjects With Treatment-emergent Adverse Events |
NCT02343458 (17) [back to overview] | Change From Baseline in SGRQ Total Score Over Weeks 12-24 , Japan & EU/SK/TW Approach |
NCT02343458 (17) [back to overview] | Change From Baseline in Morning Pre-dose Trough FEV1 Over Weeks 12-24, Japan Approach |
NCT02343458 (17) [back to overview] | Change From Baseline in SGRQ Total Score at Week 24, US/China Approach |
NCT02343458 (17) [back to overview] | Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks EU/SK/TW Approach |
NCT02343458 (17) [back to overview] | Change From Baseline in SGRQ Total Score at Week 24 in Symptomatic Population, US/China Approach |
NCT02343458 (17) [back to overview] | Change From Baseline in Morning Pre-dose Trough FEV1 Over 24 Weeks. Primary Endpoint, EU/SK/TW Approach, Secondary Endpoint US/China Approach. |
NCT02343458 (17) [back to overview] | Change From Baseline in Morning Pre-dose Trough FEV1 at Week 24 of Treatment (US/China Approach) |
NCT02343458 (17) [back to overview] | TDI Focal Score Over 24 Weeks - US/China and EU/SK/TW Approaches -Symptomatic Population |
NCT02343458 (17) [back to overview] | TDI Focal Score Over 24 Weeks, US/China and EU/SK/TW Approach |
NCT02343458 (17) [back to overview] | TDI Focal Score Over Weeks 12-24 - Japan Approach - Symptomatic Population |
NCT02343458 (17) [back to overview] | TDI Focal Score Over Weeks 12-24 Japan Approach |
NCT02343458 (17) [back to overview] | FEV1 Measured at 5 Minutes Post-dose on Day 1 |
NCT02343458 (17) [back to overview] | Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing at Week 24 US/China Approach |
NCT02343458 (17) [back to overview] | Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over Weeks 12-24 Japan Approach |
NCT02343458 (17) [back to overview] | FEV1 Measured at 15 Minutes Post-dose on Day 1 |
NCT02343458 (17) [back to overview] | Change From Baseline in SGRQ Total Score Over Weeks 12-24, in Symptomatic Population, Japan & EU/SK/TW Approach |
NCT02343458 (17) [back to overview] | Change From Baseline in Average Daily Rescue Ventolin Use Over 24 Weeks in RVU Population, All Approaches |
NCT02347072 (9) [back to overview] | Morning Pre-Dose Trough FEV1 on Day 30 |
NCT02347072 (9) [back to overview] | Morning Pre-Dose Trough FEV1 on Day 29 |
NCT02347072 (9) [back to overview] | Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-24 |
NCT02347072 (9) [back to overview] | FEV1 AUC0-12 |
NCT02347072 (9) [back to overview] | Peak Change From Baseline in FEV1 Morning |
NCT02347072 (9) [back to overview] | Peak Change From Baseline in IC (Inspiratory Capacity) Evening |
NCT02347072 (9) [back to overview] | Peak Change From Baseline in IC Morning |
NCT02347072 (9) [back to overview] | FEV1 AUC12-24 |
NCT02347072 (9) [back to overview] | Peak Change From Baseline in FEV1 Evening |
NCT02347085 (9) [back to overview] | Morning Pre-Dose Trough FEV1 on Day 29 |
NCT02347085 (9) [back to overview] | FEV1 AUC12-24 on Day 29 |
NCT02347085 (9) [back to overview] | FEV1 AUC0-24 on Day 29 |
NCT02347085 (9) [back to overview] | Peak Change From Baseline in Inspiratory Capacity (IC) Following the Evening Dose on Day 29 |
NCT02347085 (9) [back to overview] | Peak Change From Baseline in IC Following the Morning Dose on Day 29 |
NCT02347085 (9) [back to overview] | Peak Change From Baseline in FEV1 on Day 29 |
NCT02347085 (9) [back to overview] | Peak Change From Baseline in FEV1 on Day 29 |
NCT02347085 (9) [back to overview] | Morning Pre-Dose Trough FEV1 on Day 30 |
NCT02347085 (9) [back to overview] | FEV1 AUC0-12 on Day 29 |
NCT02371629 (15) [back to overview] | Change From Baseline in Area Under The Curve (AUC 0-12 Hour) for Forced Expiratory Volume in One Second (FEV1) Post Dosing at Day 1 |
NCT02371629 (15) [back to overview] | Change From Baseline in the Percentage of Days With no Rescue Medication Use Over the 26 Weeks |
NCT02371629 (15) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12 |
NCT02371629 (15) [back to overview] | Change From Baseline in Area Under The Curve (AUC) for Forced Expiratory Volume in One Second (FEV1) for Different Time Spans Post Dosing at Week 12 |
NCT02371629 (15) [back to overview] | Change From Baseline in Area Under The Curve (AUC) for Forced Expiratory Volume in One Second (FEV1) for Different Time Spans Post Dosing at Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Forced Vital Capacity (FVC) at Individual Timepoints at Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Inspiratory Capacity (IC) at Individual Timepoints at Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Mean Daily COPD Symptom Score at Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Total St. George's Respiratory Questionnaire (SGRQ) Score at Week 12 and Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Transitional Dyspnea Index (TDI) Focal Score at Week 12 and Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1 and Week 26 |
NCT02371629 (15) [back to overview] | Number of Patients With Adverse Events, Serious Adverse Events and Death |
NCT02371629 (15) [back to overview] | Percentage of Patients With a Clinically Important Improvement on Transitional Dyspnea Index (TDI) Focal Score at Week 12 and Week 26 |
NCT02371629 (15) [back to overview] | Percentage of Patients With a Clinically Significant Improvement in St George Respiratory Questionnaire at Week 12 and Week 26 |
NCT02371629 (15) [back to overview] | Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Individual Timepoints at Week 26 |
NCT02433834 (7) [back to overview] | Peak Change From Baseline in FEV1 Within 3 Hours Post-dosing on Day 15 |
NCT02433834 (7) [back to overview] | Change From Baseline in Asthma Control Questionnaire (ACQ-5) on Day 15 |
NCT02433834 (7) [back to overview] | FEV1 AUC0-3 on Day 15 |
NCT02433834 (7) [back to overview] | Change From Baseline in Average Daily Post-dose PEFR Over 14 Days |
NCT02433834 (7) [back to overview] | Change From Baseline in Average Daily Pre-dose PEFR Over 14 Days |
NCT02433834 (7) [back to overview] | Change From Baseline in Average Daily Rescue Medication Use Over 14 Days |
NCT02433834 (7) [back to overview] | Change From Baseline in Morning Pre-dose Trough FEV1 on Day 15 |
NCT02487446 (8) [back to overview] | Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h |
NCT02487446 (8) [back to overview] | Change From Baseline in FEV1 AUC 0-12h |
NCT02487446 (8) [back to overview] | Change From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose) |
NCT02487446 (8) [back to overview] | Change From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose) |
NCT02487446 (8) [back to overview] | Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h |
NCT02487446 (8) [back to overview] | Change From Baseline in FEV1 AUC 12-24h |
NCT02487446 (8) [back to overview] | QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time Point |
NCT02487446 (8) [back to overview] | QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time Point |
NCT02487498 (8) [back to overview] | Change From Baseline in FEV1 AUC 0-12h |
NCT02487498 (8) [back to overview] | Change From Baseline in FEV1 AUC 12-24h |
NCT02487498 (8) [back to overview] | Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h |
NCT02487498 (8) [back to overview] | QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose) |
NCT02487498 (8) [back to overview] | Superiority of QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose) |
NCT02487498 (8) [back to overview] | Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h |
NCT02487498 (8) [back to overview] | QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time Point |
NCT02487498 (8) [back to overview] | QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time Point |
NCT02512302 (18) [back to overview] | Apparent Volume of Distribution (Vz/F) After Extravascular Dose Administration of Seebri Breezhaler and SUN-101 |
NCT02512302 (18) [back to overview] | Area Under the Curve From Time Zero to 24 Hours (AUC0_24) |
NCT02512302 (18) [back to overview] | Area Under the Curve Zero to 48 Hours (AUC0_48) for Seebri Breezhaler and Sun-101 AUC0-48, CL/F, Vz/F, Tmax, t½, and Dose Normalized Cmax, AUC0-24, AUC0-48, AUC0-∞ - AUC0-∞ - |
NCT02512302 (18) [back to overview] | Clearance (CL) for IV Infusion of 50 mcg of Glycopyrrolate |
NCT02512302 (18) [back to overview] | Cmax |
NCT02512302 (18) [back to overview] | Time of Occurrence of Cmax (Tmax) for IV Infusion of 50 mcg of Glycopyrrolate |
NCT02512302 (18) [back to overview] | Dose Normalized Area Under the Curve Zero From Zero to Infinity (AUC0_inf) for Seebri and SUN-101 |
NCT02512302 (18) [back to overview] | Dose Normalized Area Under the Curve Zero to 48 Hours (AUC0_48) for Seebri and SUN-101 |
NCT02512302 (18) [back to overview] | Dose Normalized Cmax for Seebri and SUN-101. |
NCT02512302 (18) [back to overview] | Area Under the Curve From Time Zero to Infinity (AUC0_infinity) |
NCT02512302 (18) [back to overview] | Dose Normalized Area Under the Curve Zero to 24 Hours (AUC0_24) for Seebri and SUN-101 |
NCT02512302 (18) [back to overview] | The Percentage of Subjects With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs Leading to Discontinuation |
NCT02512302 (18) [back to overview] | The Number of Subjects With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs Leading to Discontinuation |
NCT02512302 (18) [back to overview] | Time of Occurrence of Cmax (Tmax) for Seebri Breezhaler and SUN-101 |
NCT02512302 (18) [back to overview] | Volume of Distribution During the Elimination Phase (Vz) for IV Infusion of 50 mcg of Glycopyrrolate |
NCT02512302 (18) [back to overview] | Terminal Half Life (t1/2) for for Seebri Breezhaler and SUN-101 |
NCT02512302 (18) [back to overview] | Terminal Half Life (t1/2) for IV Infusion of 50 mcg of Glycopyrrolate |
NCT02512302 (18) [back to overview] | Apparent Clearance Calculated as Dose/AUC0-INF After Extravascular Dose Administration of Seebri Breezhaler and SUN-101 |
NCT02524145 (2) [back to overview] | Central Command Regulation of Heart Rate |
NCT02524145 (2) [back to overview] | Cardiac Beta-receptor Sensitivity |
NCT02530281 (6) [back to overview] | Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4 |
NCT02530281 (6) [back to overview] | Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4 |
NCT02530281 (6) [back to overview] | Median Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4 |
NCT02530281 (6) [back to overview] | Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4, Excluding Centers With Outlier Data |
NCT02530281 (6) [back to overview] | Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4 |
NCT02530281 (6) [back to overview] | Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of ASDD Item #2 From Baseline at Week 4 |
NCT02530294 (5) [back to overview] | Median Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4 |
NCT02530294 (5) [back to overview] | Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4 |
NCT02530294 (5) [back to overview] | Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of Axillary Sweating Daily Diary (ASDD) Item #2 From Baseline at Week 4 |
NCT02530294 (5) [back to overview] | Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4 |
NCT02530294 (5) [back to overview] | Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4 |
NCT02553798 (4) [back to overview] | Change From Baseline in Dermatology Life Quality Index (DLQI) at Week 44/ET |
NCT02553798 (4) [back to overview] | Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4 |
NCT02553798 (4) [back to overview] | Long-term Safety Assessed Through Adverse Events and Local Skin Reactions |
NCT02553798 (4) [back to overview] | Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) |
NCT02566031 (5) [back to overview] | Baseline Transitional Dyspnea Index (TDI) Focal Score |
NCT02566031 (5) [back to overview] | Daily Rescue Medication Use (Number of Puffs) |
NCT02566031 (5) [back to overview] | Trough Forced Expiratory Volume In One Second (FEV1) After 12 Weeks of Treatment |
NCT02566031 (5) [back to overview] | Number of Participants With Change From Baseline on Total Score of COPD Assessment Test (CAT) |
NCT02566031 (5) [back to overview] | Trough Forced Expiratory Volume In One Second (FEV1) After 4 Weeks of Treatment |
NCT02726620 (43) [back to overview] | Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg |
NCT02726620 (43) [back to overview] | Usage Frequency of Cardiovascular Drugs: Ephinephrine |
NCT02726620 (43) [back to overview] | Usage Frequency of Cardiovascular Drugs: Ephedrine |
NCT02726620 (43) [back to overview] | Timing of Cardiovascular Drugs for MAP < 65 mmHg |
NCT02726620 (43) [back to overview] | Postoperative Rise in Creatinine Levels |
NCT02726620 (43) [back to overview] | Time to Discharge Readiness at the Postanesthesia Care Unit (PACU) |
NCT02726620 (43) [back to overview] | Timing of Cardiovascular Drugs for MAP < 50 mmHg |
NCT02726620 (43) [back to overview] | Timing of Cardiovascular Drugs for MAP < 55 mmHg |
NCT02726620 (43) [back to overview] | Timing of Cardiovascular Drugs for MAP < 60 mmHg |
NCT02726620 (43) [back to overview] | Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 50 mmHg for > 20 Minutes |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 55 mmHg |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 50 mmHg for > 10 Minutes |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 55 mmHg for > 10 Minutes |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 55 mmHg for > 20 Minutes |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 60 mmHg |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 60 mmHg for > 10 Minutes |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 60 mmHg for > 20 Minutes |
NCT02726620 (43) [back to overview] | Intraoperative Administration of Intravenous Fluids |
NCT02726620 (43) [back to overview] | Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg |
NCT02726620 (43) [back to overview] | Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg |
NCT02726620 (43) [back to overview] | Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg |
NCT02726620 (43) [back to overview] | Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg |
NCT02726620 (43) [back to overview] | Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg |
NCT02726620 (43) [back to overview] | Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg |
NCT02726620 (43) [back to overview] | Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg |
NCT02726620 (43) [back to overview] | Incidence of a MAP < 50 mmHg |
NCT02726620 (43) [back to overview] | In-hospital Mortality |
NCT02726620 (43) [back to overview] | Estimated Intraoperative Blood Loss |
NCT02726620 (43) [back to overview] | Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg |
NCT02726620 (43) [back to overview] | Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg |
NCT02726620 (43) [back to overview] | Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg |
NCT02726620 (43) [back to overview] | Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg |
NCT02726620 (43) [back to overview] | Average Use of Cardiovascular Drugs: Phenylephrine |
NCT02726620 (43) [back to overview] | Average Use of Cardiovascular Drugs: Norepinephrine |
NCT02726620 (43) [back to overview] | Average Use of Cardiovascular Drugs: Glycopyrrolate |
NCT02726620 (43) [back to overview] | Average Use of Cardiovascular Drugs: Epinephrine |
NCT02726620 (43) [back to overview] | Average Use of Cardiovascular Drugs: Ephedrine |
NCT02726620 (43) [back to overview] | 30-day Mortality |
NCT02726620 (43) [back to overview] | Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg |
NCT02726620 (43) [back to overview] | Usage Frequency of Cardiovascular Drugs: Phenylephrine |
NCT02726620 (43) [back to overview] | Usage Frequency of Cardiovascular Drugs: Norepinephrine |
NCT02726620 (43) [back to overview] | Usage Frequency of Cardiovascular Drugs: Glycopyrrolate |
NCT02860507 (2) [back to overview] | Operating Room (OR) Turnover Time When Using Sugammadex Instead of Combination of Neostigmine and Glycopyrrolate. |
NCT02860507 (2) [back to overview] | Number of Patients Who Experience Postoperative Nausea and Vomiting, Post-operative Pain, and Post-operative Complications |
NCT02867761 (14) [back to overview] | Treatment Failure Defined by Increase in Lower Respiratory Symptoms Necessitating Treatment With Active, Long-acting Inhaled Bronchodilator, Corticosteroids or Antibiotics |
NCT02867761 (14) [back to overview] | Proportion of Individuals With Both a 4 Unit Improvement in SGRQ and a 1 Unit Improvement in BDI/TDI Without Treatment Failure |
NCT02867761 (14) [back to overview] | Proportion of Individuals With a 2 Unit Improvement in CAT Without Treatment Failure |
NCT02867761 (14) [back to overview] | Proportion of Individuals With a 1 Unit Improvement in the BDI/TDI Without Treatment Failure |
NCT02867761 (14) [back to overview] | Proportion (Percentage) of Individuals Who Experience a 4 Unit Improvement in St. George's Respiratory Questionnaire (SGRQ) at 12 Weeks and do Not Meet Criteria for Treatment Failure During the 12 Week Treatment Period |
NCT02867761 (14) [back to overview] | Mean Change in COPD Assessment Test (CAT) |
NCT02867761 (14) [back to overview] | Mean Change in St. George's Respiratory Questionnaire (SGRQ) |
NCT02867761 (14) [back to overview] | Symptoms and Rescue Medication Use Based on Daily Diary |
NCT02867761 (14) [back to overview] | Area Under the Curve (AUC) 0-3 Hours for FEV1 |
NCT02867761 (14) [back to overview] | Change in FEF25-75% |
NCT02867761 (14) [back to overview] | Change From Baseline in 12 Hour Trough Inspiratory Capacity - Absolute Value |
NCT02867761 (14) [back to overview] | Change From Baseline in Trough FEV1 - % Predicted |
NCT02867761 (14) [back to overview] | Change From Baseline in Trough Forced Expiratory Volume Per 1 Second (FEV1) - Absolute Value |
NCT02867761 (14) [back to overview] | Mean Change in Baseline Dyspnea Index (BDI)/Transition Dyspnea Index (TDI) |
NCT02872935 (2) [back to overview] | Number of Participants Who Reported Nausea |
NCT02872935 (2) [back to overview] | Number of Participants Who Experienced Vomiting. |
NCT02948582 (15) [back to overview] | Number of Subjects With Clinically Significant ECG Parameters Reported During the Study |
NCT02948582 (15) [back to overview] | Percentage of Subjects With Treatment Emergent AEs |
NCT02948582 (15) [back to overview] | t1/2; Plasma Half-life |
NCT02948582 (15) [back to overview] | Tmax; Time to Maximum Observed Plasma Concentration |
NCT02948582 (15) [back to overview] | Trough FEV1 (Change From Baseline) |
NCT02948582 (15) [back to overview] | Number of Subjects Who Died, Number of Subjects With Treatment Emergent SAEs, Number of Subjects Who Discontinued Due to AE |
NCT02948582 (15) [back to overview] | Peak FEV1 (Change From Baseline and Percent Change) |
NCT02948582 (15) [back to overview] | Standardized FEV1 AUC0-24 Area Under the FEV1 Curve From 0 to 24 Hours Post-dose (Actual and Change Baseline) |
NCT02948582 (15) [back to overview] | AUC0-inf Area Under the Plasma Concentration-time Curve From Time Zero to Infinity |
NCT02948582 (15) [back to overview] | Standardized FEV1AUC12-24 Area Under the FEV1 Curve From 12 to 24 Hours Post- Dose (Actual and Change From Baseline). |
NCT02948582 (15) [back to overview] | Standardized FEV1AUC0-12 Area Under the FEV1 Curve From 0 to 12 Hours Post-dose ( Actual and Change From Baseline). |
NCT02948582 (15) [back to overview] | Number of Subjects With Clinically Significant Abnormal Vital Signs Reported During the Study |
NCT02948582 (15) [back to overview] | Number of Clinically Significant Abnormal Laboratory Results Reported During the Study |
NCT02948582 (15) [back to overview] | Cmax; Maximum Observed Plasma Concentration |
NCT02948582 (15) [back to overview] | AUC0-t; Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Measurable Drug Concentration. |
NCT02951312 (18) [back to overview] | Number of Subjects With Treatment Emergent AEs |
NCT02951312 (18) [back to overview] | Number of Subjects Who Discontinued Due to AE |
NCT02951312 (18) [back to overview] | Number of Subjects With Clinically Significant Abnormal Laboratory Results Reported During the Study |
NCT02951312 (18) [back to overview] | Number of Subjects With Clinically Significant Abnormal Laboratory Results Reported During the Study |
NCT02951312 (18) [back to overview] | Number of Subjects With Clinically Significant Abnormal Vital Signs Reported During the Study |
NCT02951312 (18) [back to overview] | Number of Subjects With Clinically Significant ECG Parameters Reported During the Study |
NCT02951312 (18) [back to overview] | Number of Subjects Who Died |
NCT02951312 (18) [back to overview] | Peak FEV1 (Change From Baseline ) |
NCT02951312 (18) [back to overview] | Number of Subjects With Treatment Emergent SAEs |
NCT02951312 (18) [back to overview] | Peak FEV1 (Percent Change) |
NCT02951312 (18) [back to overview] | Percentage of Subjects With Treatment Emergent AEs |
NCT02951312 (18) [back to overview] | t1/2 Plasma Half-life |
NCT02951312 (18) [back to overview] | Tmax Time to Maximum Observed Plasma Concentration |
NCT02951312 (18) [back to overview] | Trough FEV1 (Change From Baseline) |
NCT02951312 (18) [back to overview] | FEV1 AUC0-24 Area Under the FEV1 Over Time Curve (Change From Baseline) |
NCT02951312 (18) [back to overview] | Cmax Maximum Observed Plasma Concentration |
NCT02951312 (18) [back to overview] | AUC0-t Area Under the Plasma Concentration-time Curve From Time Zero to the Last Quantifiable Concentration |
NCT02951312 (18) [back to overview] | AUC0-inf Area Under the Plasma Concentration-time Curve From Time Zero to Infinity |
NCT02996591 (16) [back to overview] | Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop |
NCT02996591 (16) [back to overview] | Numerical Rating Scale Pain Scores at 2 Hours Postop |
NCT02996591 (16) [back to overview] | Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1 |
NCT02996591 (16) [back to overview] | Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst) |
NCT02996591 (16) [back to overview] | Opioid-Related Symptom Distress Scale (ORSDS) Score |
NCT02996591 (16) [back to overview] | Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home. |
NCT02996591 (16) [back to overview] | Back Pain on POD1 |
NCT02996591 (16) [back to overview] | Opioid Consumption |
NCT02996591 (16) [back to overview] | Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst) |
NCT02996591 (16) [back to overview] | Cognitive Recovery at 2 Hours Post-operative |
NCT02996591 (16) [back to overview] | Cognitive Recovery on POD1 |
NCT02996591 (16) [back to overview] | Incidence of Transient Neurologic Symptoms |
NCT02996591 (16) [back to overview] | Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst) |
NCT02996591 (16) [back to overview] | Assessment of Patient Blinding to Group Assignment |
NCT02996591 (16) [back to overview] | Opioid Consumption Through First Postoperative Day. Measured in mg OME |
NCT02996591 (16) [back to overview] | Nausea Intensity |
NCT03075267 (42) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Budesonide |
NCT03075267 (42) [back to overview] | Terminal Elimination Rate Constant (λz) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Terminal Elimination Rate Constant (λz) - Formoterol |
NCT03075267 (42) [back to overview] | Terminal Elimination Rate Constant (λz) - Budesonide |
NCT03075267 (42) [back to overview] | Maximum Plasma Concentration (Cmax) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Maximum Plasma Concentration (Cmax) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Maximum Plasma Concentration (Cmax) - Formoterol |
NCT03075267 (42) [back to overview] | Maximum Plasma Concentration (Cmax) - Formoterol |
NCT03075267 (42) [back to overview] | Maximum Plasma Concentration (Cmax) - Budesonide |
NCT03075267 (42) [back to overview] | Maximum Plasma Concentration (Cmax) - Budesonide |
NCT03075267 (42) [back to overview] | Elimination Half-life (t½) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Elimination Half-life (t½) - Formoterol |
NCT03075267 (42) [back to overview] | Elimination Half-life (t½) - Budesonide |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Formoterol |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Formoterol |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Budesonide |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Budesonide |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 to the Time of the Last Measurable Plasma Concentration (AUC 0-t) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 to the Time of the Last Measurable Plasma Concentration (AUC 0-t) - Formoterol |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 to the Time of the Last Measurable Plasma Concentration (AUC 0-t) - Budesonide |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC 0-∞) - Formoterol |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC 0-∞) - Budesonide |
NCT03075267 (42) [back to overview] | Apparent Volume of Distribution (Vd/F) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Apparent Volume of Distribution (Vd/F) - Formoterol |
NCT03075267 (42) [back to overview] | Apparent Volume of Distribution (Vd/F) - Budesonide |
NCT03075267 (42) [back to overview] | Apparent Total Body Clearance (CL/F) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Apparent Total Body Clearance (CL/F) - Formoterol |
NCT03075267 (42) [back to overview] | Apparent Total Body Clearance (CL/F) - Budesonide |
NCT03075267 (42) [back to overview] | Accumulation Ratio for Cmax (RAC [Cmax]) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Accumulation Ratio for Cmax (RAC [Cmax]) - Formoterol |
NCT03075267 (42) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Accumulation Ratio for AUC 0-12 (RAC [AUC 0-12]) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Accumulation Ratio for AUC 0-12 (RAC [AUC 0-12]) - Formoterol |
NCT03075267 (42) [back to overview] | Accumulation Ratio for AUC 0-12 (RAC [AUC 0-12]) - Budesonide |
NCT03075267 (42) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC 0-∞) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium |
NCT03075267 (42) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Formoterol |
NCT03075267 (42) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Formoterol |
NCT03075267 (42) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Budesonide |
NCT03075267 (42) [back to overview] | Accumulation Ratio for Cmax (RAC [Cmax]) - Budesonide |
NCT03116997 (1) [back to overview] | Measure Participants' Recovery Time Post-Surgery |
NCT03137784 (10) [back to overview] | Peak FEV1 During 4 Hours Post-dose After 1 Week of Treatment |
NCT03137784 (10) [back to overview] | FEV1 AUC (5 Min - 23 h 45 Min) After One Week of Treatment |
NCT03137784 (10) [back to overview] | FEV1 AUC (5 Min-1 h) After One Week of Treatment |
NCT03137784 (10) [back to overview] | FEV1 AUC (5 Min-4 h) After One Week of Treatment |
NCT03137784 (10) [back to overview] | Percent Change From Baseline in FEV1/FVC Ratio |
NCT03137784 (10) [back to overview] | Trough FEV1 After One Week of Treatment, Point Estimate |
NCT03137784 (10) [back to overview] | Mean Morning Peak Expiratory Flow (PEF) Following the 1-week Treatment Period |
NCT03137784 (10) [back to overview] | Mean Evening Peak Expiratory Flow Rate (PEF) Following 1-week Treatment |
NCT03137784 (10) [back to overview] | Trough Forced Vital Capacity (FVC) After 1 Week of Treatment |
NCT03137784 (10) [back to overview] | Mean Daily Number of Puffs of Rescue Medication During 1 Week of Treatment |
NCT03138967 (3) [back to overview] | Overall Recovery Time |
NCT03138967 (3) [back to overview] | PostOperative Complications |
NCT03138967 (3) [back to overview] | Muscle Recovery Time |
NCT03162055 (10) [back to overview] | Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in FAS Population |
NCT03162055 (10) [back to overview] | Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in PP Analysis Set Population |
NCT03162055 (10) [back to overview] | Mean Peak Change From Baseline in Inspiratory Capacity (IC) Within 2 Hours Post-dosing Over 24 Weeks |
NCT03162055 (10) [back to overview] | Mean Transition Dyspnea Index (TDI) Focal Score Over 24 Weeks |
NCT03162055 (10) [back to overview] | Percentage of Participants With Increase of FEV1 of >=100 mL From Baseline at 5 Minutes Post-dosing on Day 1 |
NCT03162055 (10) [back to overview] | Mean Change From Baseline in COPD Assessment Test (CAT) Score Over 24 Weeks |
NCT03162055 (10) [back to overview] | Mean Change From Baseline in Daily Rescue (Albuterol/Salbutamol MDI) Use Over 24 Weeks |
NCT03162055 (10) [back to overview] | Mean Change From Baseline in Early Morning Symptoms of COPD Instrument (EMSCI) Over 24 Weeks |
NCT03162055 (10) [back to overview] | Mean Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) Over 24 Weeks |
NCT03162055 (10) [back to overview] | Mean Change From Baseline in Night-Time Symptoms of COPD Instrument (NiSCI) Over 24 Weeks |
NCT03168308 (3) [back to overview] | Number of Hypoxic Episodes |
NCT03168308 (3) [back to overview] | Number of Participants Who Needed Rescue Sugammadex After Initial Reversal of Neuromuscular Blockade |
NCT03168308 (3) [back to overview] | Time to Complete Reversal of Neuromuscular Blockade |
NCT03229486 (7) [back to overview] | Time to Regular Breathing |
NCT03229486 (7) [back to overview] | Pediatric Anesthesia Emergence Delirium Score |
NCT03229486 (7) [back to overview] | Time Recovery of TOF Ratio to 0.7 |
NCT03229486 (7) [back to overview] | Time Recovery of TOF Ratio to 0.8 |
NCT03229486 (7) [back to overview] | Time Recovery of TOF Ratio to 0.9 |
NCT03229486 (7) [back to overview] | Time to Awakening |
NCT03229486 (7) [back to overview] | Time to Extubation |
NCT03250182 (21) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Formoterol |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide |
NCT03250182 (21) [back to overview] | Time to Maximum Plasma Concentration (Tmax) - Budesonide |
NCT03250182 (21) [back to overview] | Maximum Plasma Concentration (Cmax) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Maximum Plasma Concentration (Cmax) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Maximum Plasma Concentration (Cmax) - Formoterol |
NCT03250182 (21) [back to overview] | Maximum Plasma Concentration (Cmax) - Formoterol |
NCT03250182 (21) [back to overview] | Maximum Plasma Concentration (Cmax) - Budesonide |
NCT03250182 (21) [back to overview] | Maximum Plasma Concentration (Cmax) - Budesonide |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Formoterol |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Budesonide |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Formoterol |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Budesonide |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-12) - Formoterol |
NCT03250182 (21) [back to overview] | Area Under the Plasma Concentration-time Curve (AUC 0-12) - Formoterol |
NCT03256552 (4) [back to overview] | Morning Pre-dose Trough FEV1 |
NCT03256552 (4) [back to overview] | Peak Change in FEV1 |
NCT03256552 (4) [back to overview] | FVC AUC0-2 |
NCT03256552 (4) [back to overview] | FEV1 AUC0-2 |
NCT03322657 (5) [back to overview] | Change of Diaphragmatic Contractility Speed- Sniff (Breathing From the Nose), cm/s |
NCT03322657 (5) [back to overview] | Change of Diaphragmatic Contractility Speed, Deep Breathing From Mouth, cm/s |
NCT03322657 (5) [back to overview] | TOF Ratio at 90 Min |
NCT03322657 (5) [back to overview] | Time in Minutes to Reach Train of Four (TOF) Ratio ≥ 0.9 After the Administration of Reversal Agent |
NCT03322657 (5) [back to overview] | The Time for Extubation After Administration of Reversal Agents |
NCT03346057 (6) [back to overview] | Percentage of Participants Experiencing an Event of Clinical Interest (ECI) Up To 7 Days After Administration of Study Intervention |
NCT03346057 (6) [back to overview] | Percentage of Participants Experiencing a Serious Adverse Event (SAE) Up To 7 Days After Administration of Study Intervention |
NCT03346057 (6) [back to overview] | Percentage of Participants Experiencing an Adverse Event (AE) Up To 7 Days After Administration of Study Intervention |
NCT03346057 (6) [back to overview] | Percentage of Participants With Other Treatment-Emergent Cardiac Arrhythmia Events |
NCT03346057 (6) [back to overview] | Percentage of Participants With Treatment-Emergent Sinus Bradycardia Events |
NCT03346057 (6) [back to overview] | Percentage of Participants With Treatment-Emergent Sinus Tachycardia Events |
NCT03346070 (11) [back to overview] | Percentage of Participants With Other Treatment-Emergent Cardiac Arrhythmia Events |
NCT03346070 (11) [back to overview] | Percentage of Participants With Treatment-Emergent Sinus Bradycardia Events |
NCT03346070 (11) [back to overview] | Time to Recovery (TTR) of Participant Train of Four (TOF) Ratio to ≥0.9: Secondary Geometric Mean Analysis |
NCT03346070 (11) [back to overview] | Percentage of Participants Experiencing a Serious Adverse Event (SAE) After Administration of Study Intervention |
NCT03346070 (11) [back to overview] | Percentage of Participants With Prolonged (>10 Minutes) Time to Recovery (TTR) of the Train Of Four (TOF) Ratio to ≥0.9 |
NCT03346070 (11) [back to overview] | Percentage of Participants Experiencing an Adverse Event (AE) After Administration of Study Intervention |
NCT03346070 (11) [back to overview] | Percentage of Participants With Treatment-Emergent Sinus Tachycardia Events |
NCT03346070 (11) [back to overview] | Time to Recovery (TTR) of Participant Train of Four (TOF) Ratio to ≥0.7: Geometric Mean Analysis |
NCT03346070 (11) [back to overview] | Time to Recovery (TTR) of Participant Train of Four (TOF) Ratio to ≥0.8: Geometric Mean Analysis |
NCT03346070 (11) [back to overview] | Time to Recovery (TTR) of Participant Train Of Four (TOF) Ratio to ≥0.9: Primary Kaplan-Meier Analysis |
NCT03346070 (11) [back to overview] | Percentage of Participants Experiencing an Event of Clinical Interest (ECI) After Administration of Study Intervention |
NCT03351608 (9) [back to overview] | Plasma Half-Life (t½) of Sugammadex [Part A] |
NCT03351608 (9) [back to overview] | Time to Recovery of Participant Train-of-Four (TOF) Ratio to ≥0.9 [Part B] |
NCT03351608 (9) [back to overview] | Time to Recovery of Participant TOF Ratio to ≥0.7 [Part B] |
NCT03351608 (9) [back to overview] | Time to Recovery of Participant TOF Ratio to ≥0.8 [Part B] |
NCT03351608 (9) [back to overview] | Plasma Clearance (CL) of Sugammadex [Part A] |
NCT03351608 (9) [back to overview] | Percentage of Participants With ≥1 Adverse Event (AE) [Parts A and B] |
NCT03351608 (9) [back to overview] | Maximum Plasma Concentration (Cmax) of Sugammadex [Part A] |
NCT03351608 (9) [back to overview] | Area Under the Plasma Concentration-Time Curve (AUC) From Dosing to Infinity (AUC0-∞) of Sugammadex [Part A] |
NCT03351608 (9) [back to overview] | Apparent Volume of Distribution (Vz) of Sugammadex [Part A] |
NCT03357393 (7) [back to overview] | Assessment of Self-rated Patient Questionaries' Using S-PSR |
NCT03357393 (7) [back to overview] | Bronchoscopist Evaluation Using a Likert-type Scale |
NCT03357393 (7) [back to overview] | Discharge Assessment Using PADSS After 2 Hours Number of Patients Reaching PADSS Score 10 After 2 Hours |
NCT03357393 (7) [back to overview] | Level of Sedation Using the Observer's Assessment of Alertness/Sedation (OAA/S) Scale |
NCT03357393 (7) [back to overview] | Number of Participants With Interventions Performed |
NCT03357393 (7) [back to overview] | Patients' Satisfaction Using a Likert-type Scale |
NCT03357393 (7) [back to overview] | Quality of Recovery (QoR-23) |
NCT03513757 (13) [back to overview] | Oral/Enteral Intake |
NCT03513757 (13) [back to overview] | Nitrous Oxide |
NCT03513757 (13) [back to overview] | Lidocaine Dose |
NCT03513757 (13) [back to overview] | Irritability |
NCT03513757 (13) [back to overview] | Delirium |
NCT03513757 (13) [back to overview] | Dexmedetomidine Dose |
NCT03513757 (13) [back to overview] | Discharge Ready |
NCT03513757 (13) [back to overview] | Efficiency of Propofol Dexmedetomidine Sedation Compared With Propofol Infusion |
NCT03513757 (13) [back to overview] | Eye Opening |
NCT03513757 (13) [back to overview] | Glycopyrrolate Dose |
NCT03513757 (13) [back to overview] | Total Propofol Administered |
NCT03513757 (13) [back to overview] | Sevoflurane |
NCT03513757 (13) [back to overview] | Sleep Pattern |
NCT03742141 (1) [back to overview] | Frequency of Congruence of Nerve Integrity and Vocal Cord Functions |
NCT03880266 (5) [back to overview] | Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically-measured Sweat Production From Baseline at Week 2 |
NCT03880266 (5) [back to overview] | Percentage of Subjects Who Have a ≥2 Grade Improvement in HDSS (Hyperhidrosis Disease Severity Scale) From Baseline at Week 2 |
NCT03880266 (5) [back to overview] | Mean Percent Change From Baseline in Gravimetrically-measured Sweat Production at Week 2 |
NCT03880266 (5) [back to overview] | Mean Change From Baseline to Week 2 in Hand Sweating Severity Score |
NCT03880266 (5) [back to overview] | Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 2 |
NCT03939923 (5) [back to overview] | Heart Rate |
NCT03939923 (5) [back to overview] | Blood Pressure (First Measurement of Systolic Blood Pressure Post Reversal) |
NCT03939923 (5) [back to overview] | Peak Flow Rate |
NCT03939923 (5) [back to overview] | Tidal Volume |
NCT03939923 (5) [back to overview] | Time to Extubation |
Number of Participants With Clinical Signs of Recovery Assessed by Level of Consciousness, Head Lift and Muscle Weakness, Prior to Transfer to the Recovery Room After Extubation
After anesthesia and prior to transfer to the recovery room after extubation, neuromuscular recovery was assessed by monitoring every 15 minutes the following clinical signs of recovery: level of consciousness (i.e., awake and oriented, arousable with minimal stimulation, responsive only to tactile stimulation); 5-second head lift test (ability to lift the head for 5 seconds); and general muscle weakness (NCT00451217)
Timeframe: Day 1
Intervention | Participants (Count of Participants) |
---|
| Consciousness: Awake and oriented | Consciousness: Arousable with minimal stimulation | Consciousness: Responsive only to tactile stimuli | Able to perform the 5 second head lift | Has general muscle weakness |
---|
Rocuronium + Neostigmine | 35 | 13 | 0 | 37 | 9 |
,Rocuronium + Sugammadex | 30 | 16 | 2 | 38 | 3 |
,Vecuronium + Neostigmine | 26 | 14 | 5 | 32 | 6 |
,Vecuronium + Sugammadex | 29 | 17 | 2 | 40 | 4 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.8
Neuromuscular functioning was monitored by applying repetitive TOF electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the amplitudes (heights) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster time to recovery of the T4/T1 Ratio to 0.8 indicates a faster recovery from NMB. (NCT00451217)
Timeframe: Day 1: From start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.8
Intervention | Minutes (Mean) |
---|
Rocuronium + Sugammadex | 1.32 |
Rocuronium + Neostigmine | 15.32 |
Vecuronium + Sugammadex | 2.12 |
Vecuronium + Neostigmine | 15.33 |
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Number of Participants With Clinical Signs of Recovery Assessed by Level of Consciousness, Head Lift and Muscle Weakness, Prior to Discharge From the Recovery Room
Just prior to discharge from the recovery room, neuromuscular recovery was assessed by monitoring every 15 minutes the following clinical signs of recovery: level of consciousness (i.e., awake and oriented, arousable with minimal stimulation, responsive only to tactile stimulation); 5-second head lift test (ability to lift the head for 5 seconds); and general muscle weakness (NCT00451217)
Timeframe: Day 1
Intervention | Participants (Count of Participants) |
---|
| Consciousness: Awake and oriented | Consciousness: Arousable with minimal stimulation | Consciousness: Responsive only to tactile stimuli | Able to perform the 5 second head lift | Has general muscle weakness |
---|
Rocuronium + Neostigmine | 48 | 0 | 0 | 48 | 0 |
,Rocuronium + Sugammadex | 46 | 1 | 0 | 47 | 0 |
,Vecuronium + Neostigmine | 43 | 1 | 0 | 44 | 0 |
,Vecuronium + Sugammadex | 48 | 0 | 0 | 48 | 0 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the Fourth Twitch/First Twitch (T4/T1) Ratio to 0.9.
Neuromuscular functioning was monitored by applying repetitive Train-Of-Four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the amplitudes (heights) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from neuromuscular blockade (NMB). In this study, twitch responses were recorded until the T4/T1 Ratio reached >= 0.9, the minimum acceptable ratio that indicated recovery from NMB. A faster time to recovery of the T4/T1 Ratio to 0.9 indicates a faster recovery from NMB. (NCT00451217)
Timeframe: Day 1: From start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.9
Intervention | Minutes (Mean) |
---|
Rocuronium + Sugammadex | 1.62 |
Rocuronium + Neostigmine | 26.78 |
Vecuronium + Sugammadex | 4.47 |
Vecuronium + Neostigmine | 23.43 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.7
Neuromuscular functioning was monitored by applying repetitive TOF electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the amplitudes (heights) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster time to recovery of the T4/T1 Ratio to 0.7 indicates a faster recovery from NMB. (NCT00451217)
Timeframe: Day 1: From start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.7
Intervention | Minutes (Mean) |
---|
Rocuronium + Sugammadex | 1.17 |
Rocuronium + Neostigmine | 9.60 |
Vecuronium + Sugammadex | 1.68 |
Vecuronium + Neostigmine | 9.52 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.9 After Neuromuscular Block (NMB) Induced by Vecuronium
Mean time from start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.9 was assessed by applying repetitive train of four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. Nerve stimulation continued until the ratio of the magnitude of the fourth twitch (T4) to first twitch (T1) reached at least 0.9. The greater the T4/T1 ratio represented the greater the recovery from NMB; with a value of 0.0 representing no recovery and 1.0 representing full recovery. Reduced recovery time of the T4/T1 ratio to 0.9 indicated faster recovery from NMB. Mean time was collected in minutes and seconds but converted to and presented in minutes only. The analysis included a procedure for the imputation of missing recovery times. (NCT00473694)
Timeframe: Up to approximately 6 hours after administration of study drug
Intervention | Minutes (Mean) |
---|
Vecuronium+Sugammadex | 8.73 |
Vecuronium+Neostigmine | 77.80 |
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Number of Participants Aroused With Minimal Stimulation After Anesthesia (Clinical Assessment of Level of Consciousness)
The number of participants aroused with minimal stimulation was assessed as part of an overall assessment of the clinical level of consciousness by the investigator. The clinical level of consciousness was used as a measure of recovery from NMB at 2 timepoints: prior to transfer to the recovery room after extubation and prior to discharge from the recovery room. Attempts were made to arouse participants every 15 minutes with mild prodding, mild shaking, and asking questions regarding name, location, and day of the week. The assessment ended once the participant was awake and fully orientated, 24 hours, or discharged from the hospital if discharge occurs before 24 hours; whichever occurred first. Participants were given a level of consciousness based on what type of stimulation they responded to. Participants who were not cooperative with the examination were not included in the assessment. (NCT00473694)
Timeframe: Up to 24 hours
Intervention | Participants (Count of Participants) |
---|
| Prior to transfer to recovery room | Prior to discharge from recovery room |
---|
Rocuronium+Neostigmine | 11 | 1 |
,Rocuronium+Sugammadex | 9 | 0 |
,Vecuronium+Neostigmine | 8 | 1 |
,Vecuronium+Sugammadex | 12 | 2 |
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Number of Participants Responsive Only to Tactile Stimulation After Anesthesia (Clinical Assessment of Level of Consciousness)
The number of participants responsive only to tactile stimulation was assessed as part of an overall assessment of the clinical level of consciousness by the investigator. The clinical level of consciousness was used as a measure of recovery from NMB at 2 timepoints: prior to transfer to the recovery room after extubation and prior to discharge from the recovery room. Attempts were made to arouse participants every 15 minutes with mild prodding, mild shaking, and asking questions regarding name, location, and day of the week. The assessment ended once the participant was awake and fully orientated, 24 hours, or discharged from the hospital if discharge occurs before 24 hours; whichever occurred first. Participants were given a level of consciousness based on what type of stimulation they responded to. Participants who were not cooperative with the examination were not included in the assessment. (NCT00473694)
Timeframe: Up to 24 hours
Intervention | Participants (Count of Participants) |
---|
| Prior to transfer to recovery room | Prior to discharge from recovery room |
---|
Rocuronium+Neostigmine | 3 | 0 |
,Rocuronium+Sugammadex | 2 | 0 |
,Vecuronium+Neostigmine | 7 | 0 |
,Vecuronium+Sugammadex | 7 | 0 |
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Number of Participants Awake and Oriented After Anesthesia (Clinical Assessment of Level of Consciousness)
The number of participants who were awake and oriented was assessed as part of an overall assessment of the clinical level of consciousness by the investigator. The clinical level of consciousness was used as a measure of recovery from NMB at 2 timepoints: prior to transfer to the recovery room after extubation and prior to discharge from the recovery room. Attempts were made to arouse participants every 15 minutes with mild prodding, mild shaking, and asking questions regarding name, location, and day of the week. The assessment ended once the participant was awake and fully orientated, 24 hours, or discharged from the hospital if discharge occurs before 24 hours; whichever occurred first. Participants were given a level of consciousness based on what type of stimulation they responded to. Participants who were not cooperative with the examination were not included in the assessment. (NCT00473694)
Timeframe: Up to 24 hours
Intervention | Participants (Count of Participants) |
---|
| Prior to transfer to recovery room | Prior to discharge from recovery room |
---|
Rocuronium+Neostigmine | 20 | 32 |
,Rocuronium+Sugammadex | 26 | 34 |
,Vecuronium+Neostigmine | 20 | 33 |
,Vecuronium+Sugammadex | 27 | 39 |
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Number of Participants Experiencing General Muscle Weakness
The number of participants experiencing general muscle weakness was assessed by the investigator as a measure of recovery from NMB at 2 timepoints: prior to transfer to the recovery room after extubation and prior to discharge from the recovery room. The assessments were performed every 15 minutes until the absence of general muscle weakness. A standardized examination form was used to determine the presence or absence of muscle weakness in various muscle groups. Participants who were not cooperative with the examination were not included in the assessment. (NCT00473694)
Timeframe: Up to 24 hours
Intervention | Participants (Count of Participants) |
---|
| Prior to transfer to recovery room | Prior to discharge from recovery room |
---|
Rocuronium+Neostigmine | 5 | 3 |
,Rocuronium+Sugammadex | 3 | 2 |
,Vecuronium+Neostigmine | 2 | 3 |
,Vecuronium+Sugammadex | 4 | 1 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.7 After Neuromuscular Block (NMB) Induced by Rocuronium
Mean time from start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.7 was assessed by applying repetitive train of four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. Nerve stimulation continued until the ratio of the magnitude of the fourth twitch (T4) to first twitch (T1) reached at least 0.7. The greater the T4/T1 ratio represented the greater the recovery from NMB; with a value of 0.0 representing no recovery and 1.0 representing full recovery. Reduced recovery time of the T4/T1 ratio to 0.7 indicated faster recovery from NMB. Mean time was collected in minutes and seconds but converted to and presented in minutes only. The analysis included a procedure for the imputation of missing recovery times. (NCT00473694)
Timeframe: Up to approximately 2 hours after administration of study drug
Intervention | Minutes (Mean) |
---|
Rocuronium+Sugammadex | 2.27 |
Rocuronium+Neostigmine | 37.68 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.7 After Neuromuscular Block (NMB) Induced by Vecuronium
Mean time from start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.7 was assessed by applying repetitive train of four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. Nerve stimulation continued until the ratio of the magnitude of the fourth twitch (T4) to first twitch (T1) reached at least 0.7. The greater the T4/T1 ratio represented the greater the recovery from NMB; with a value of 0.0 representing no recovery and 1.0 representing full recovery. Reduced recovery time of the T4/T1 ratio to 0.7 indicated faster recovery from NMB. Mean time was collected in minutes and seconds but converted to and presented in minutes only. The analysis included a procedure for the imputation of missing recovery times. (NCT00473694)
Timeframe: Up to approximately 4 hours after administration of study drug
Intervention | Minutes (Mean) |
---|
Vecuronium+Sugammadex | 4.10 |
Vecuronium+Neostigmine | 56.17 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.8 After Neuromuscular Block (NMB) Induced by Rocuronium
Mean time from start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.8 was assessed by applying repetitive train of four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. Nerve stimulation continued until the ratio of the magnitude of the fourth twitch (T4) to first twitch (T1) reached at least 0.8. The greater the T4/T1 ratio represented the greater the recovery from NMB; with a value of 0.0 representing no recovery and 1.0 representing full recovery. Reduced recovery time of the T4/T1 ratio to 0.8 indicated faster recovery from NMB. Mean time was collected in minutes and seconds but converted to and presented in minutes only. The analysis included a procedure for the imputation of missing recovery times. (NCT00473694)
Timeframe: Up to approximately 3 hours after administration of study drug
Intervention | Minutes (Mean) |
---|
Rocuronium+Sugammadex | 2.65 |
Rocuronium+Neostigmine | 45.82 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.8 After Neuromuscular Block (NMB) Induced by Vecuronium
Mean time from start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.8 was assessed by applying repetitive train of four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. Nerve stimulation continued until the ratio of the magnitude of the fourth twitch (T4) to first twitch (T1) reached at least 0.8. The greater the T4/T1 ratio represented the greater the recovery from NMB; with a value of 0.0 representing no recovery and 1.0 representing full recovery. Reduced recovery time of the T4/T1 ratio to 0.8 indicated faster recovery from NMB. Mean time was collected in minutes and seconds but converted to and presented in minutes only. The analysis included a procedure for the imputation of missing recovery times. (NCT00473694)
Timeframe: Up to approximately 5 hours after administration of study drug
Intervention | Minutes (Mean) |
---|
Vecuronium+Sugammadex | 5.55 |
Vecuronium+Neostigmine | 67.42 |
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Time From Start of Administration of Sugammadex or Neostigmine to Recovery of the T4/T1 Ratio to 0.9 After Neuromuscular Block (NMB) Induced by Rocuronium
Mean time from start of sugammadex or neostigmine administration to recovery of T4/T1 ratio to 0.9 was assessed by applying repetitive train of four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. Nerve stimulation continued until the ratio of the magnitude of the fourth twitch (T4) to first twitch (T1) reached at least 0.9. The greater the T4/T1 ratio represented the greater the recovery from NMB; with a value of 0.0 representing no recovery and 1.0 representing full recovery. Reduced recovery time of the T4/T1 ratio to 0.9 indicated faster recovery from NMB. Mean time was collected in minutes and seconds but converted to and presented in minutes only. The analysis included a procedure for the imputation of missing recovery times. (NCT00473694)
Timeframe: Up to approximately 3 hours after administration of study drug
Intervention | Minutes (Mean) |
---|
Rocuronium+Sugammadex | 3.28 |
Rocuronium+Neostigmine | 55.50 |
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Proportion of Responders According to the Modified Teacher's Drooling Scale (mTDS)
The primary efficacy variable was patient's response status using the change from baseline to Week 24 evaluations of the mTDS assessment. Each patient was classified as a responder or non-responder according to the change in their mean mTDS rating from baseline to Week 24. Responders were patients who had at least a 3-point decrease in mTDS rating from baseline (NCT00491894)
Timeframe: 6 months
Intervention | Participants (Number) |
---|
| Responders | Non-Responders | Missing |
---|
Patients With Chronic Drooling | 68 | 62 | 7 |
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Parent/Caregiver's Global Assessment of Treatment
The parent/caregiver performed an overall evaluation of glycopyrrolate liquid for the treatment of drooling, benefits, and side effects over the duration of the study. The parent/caregiver selected one of the following choices to assess if 'This is a worthwhile treatment': 1 = strongly agree, 2 = agree, 3 = neutral, 4 = disagree, 5 = strongly disagree. A dichotomous global assessment was also performed and summarized with the categories 'responder' (strongly agree and agree responses aggregated) and 'non-responder'(neutral, disagree, and strongly disagree responses aggregated) (NCT00491894)
Timeframe: Week 24
Intervention | Participants (Number) |
---|
| Responders | Non-Responders | Missing |
---|
Patients With Chronic Drooling | 101 | 20 | 16 |
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Investigator's Global Assessment of Treatment
The investigator performed an overall evaluation of glycopyrrolate liquid for the treatment of drooling, benefits, and side effects over the duration of the study. The investigator selected one of the following choices to assess if 'This is a worthwhile treatment': 1 = strongly agree, 2 = agree, 3 = neutral, 4 = disagree, 5 = strongly disagree. A dichotomous global assessment was also performed and summarized with the categories 'responder' (strongly agree and agree responses aggregated) and 'non-responder' (neutral, disagree, and strongly disagree responses aggregated) (NCT00491894)
Timeframe: Week 24
Intervention | Participants (Number) |
---|
| Responders | Non-Responders | Missing |
---|
Patients With Chronic Drooling | 109 | 18 | 10 |
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Parent/Caregiver's Assessment of the Extent of Drooling Using Visual Analog Scale (VAS)
"Parents/caregivers were to complete a 10 cm Parent/Caregiver's Assessment of Extent of Drooling for the Day VAS assessment (0 = normal; 10 = extremely wet) to provide an overall assessment of the extent of drooling for that day." (NCT00491894)
Timeframe: Baseline
Intervention | VAS score (Mean) |
---|
Patients With Chronic Drooling | 6.56 |
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Parent/Caregiver's Assessment of the Extent of Drooling Using VAS
"Parents/caregivers were to complete a 10 cm Parent/Caregiver's Assessment of Extent of Drooling for the Day VAS assessment (0 = normal; 10 = extremely wet) to provide an overall assessment of the extent of drooling for that day." (NCT00491894)
Timeframe: Week 24
Intervention | VAS score (Mean) |
---|
Patients With Chronic Drooling | 3.21 |
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Least Squares Means of FEV1 (L) at Day 1, by Timepoint
FEV1 was measured at 5, 15, 30 minutes, 1, 2, 3, 4, 5, 23 hours and 15 minutes, and 23 hours and 45 minutes post dose. (NCT00501852)
Timeframe: Day 1
Intervention | Liters (Least Squares Mean) |
---|
| Day 1: -45 minutes | Day 1: -15 minutes | Day 1: 5 minutes | Day 1: 15 minutes | Day 1: 30 minutes | Day 1: 1 hour | Day 1: 2 hours | Day 1: 3 hours | Day 1: 4 hours | Day 1: 5 hours | Day 1: 23 hours 15 minutes | Day 1: 23 hours 45 minutes | Trough |
---|
NVA237 100 ug | 1.24 | 1.26 | 1.35 | 1.41 | 1.45 | 1.48 | 1.52 | 1.53 | 1.52 | 1.49 | 1.37 | 1.39 | 1.38 |
,NVA237 12.5 ug | 1.25 | 1.25 | 1.30 | 1.36 | 1.41 | 1.42 | 1.44 | 1.43 | 1.41 | 1.39 | 1.27 | 1.29 | 1.28 |
,NVA237 25 ug | 1.24 | 1.26 | 1.34 | 1.41 | 1.44 | 1.46 | 1.48 | 1.48 | 1.45 | 1.43 | 1.29 | 1.31 | 1.30 |
,NVA237 50 ug | 1.24 | 1.25 | 1.34 | 1.41 | 1.44 | 1.46 | 1.50 | 1.49 | 1.49 | 1.44 | 1.36 | 1.37 | 1.36 |
,Placebo | 1.24 | 1.26 | 1.26 | 1.27 | 1.28 | 1.28 | 1.31 | 1.30 | 1.30 | 1.28 | 1.24 | 1.25 | 1.24 |
,Tiotropium Bromide | 1.25 | 1.25 | 1.31 | 1.35 | 1.40 | 1.41 | 1.45 | 1.46 | 1.46 | 1.45 | 1.35 | 1.37 | 1.36 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) Following 7 Days of Treatment
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. The trough in FEV1 was defined as the mean of two measurements at 23h 15min and 23h 45min post dosing. (NCT00501852)
Timeframe: Day 7
Intervention | Liters (Least Squares Mean) |
---|
NVA237 12.5 ug | 1.317 |
NVA237 25 ug | 1.333 |
NVA237 50 ug | 1.374 |
NVA237 100 ug | 1.385 |
Placebo | 1.243 |
Tiotropium Bromide | 1.370 |
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Safety of Treatment With NVA237 in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
The assessment of safety was based on adverse events, particularly those adverse events known to be associated to treatment with muscarinic antagonists. A summary of adverse events is presented with this outcome, additional details are provided in Adverse Events Sections. (NCT00510510)
Timeframe: 28 days
Intervention | Participants (Number) |
---|
| Total number of patients with any AE | Total number with any significant AE |
---|
NVA237 100 µg | 26 | 3 |
,NVA237 200 µg | 26 | 4 |
,Placebo | 24 | 6 |
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Least Squares Means of Trough Forced Expiratory Volume in One Second (FEV1), by Day
Forced expiratory volume maneuvers recorded using a calibrated spirometer. Trough forced expiratory volume in one second (FEV1) on Days 1 & 28 defined as the mean of the FEV1 values measured at 23 hours 15 minutes and 23 hours 45 minutes post-dose. (NCT00510510)
Timeframe: 28 Days
Intervention | Liters (Least Squares Mean) |
---|
| Trough FEV1 Day 1 | Trough FEV1 Day 28 |
---|
NVA237 100 µg | 1.465 | 1.502 |
,NVA237 200 µg | 1.480 | 1.492 |
,Placebo | 1.334 | 1.341 |
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Change From Baseline in Mean 24 Hour Heart Rate at Day 14
Heart rate was assessed by Holter monitoring and was measured over a 24 hour period at day 14. Heart rate was defined as the average value over the 24 hour monitoring period. The baseline measurement was the average heart rate taken from the 24 hour Holter monitoring period performed at screening or the last 24-hour period before taking the first dose of study drug. Least square means are based on the analysis of covariance: 24 hours mean heart rate = center + treatment + baseline value + Forced Expiratory Volume in one second (FEV1) before inhalation of salbutamol/albuterol + FEV1 30 min post salbutamol/albuterol + error. (NCT00558285)
Timeframe: Baseline, Day 14
Intervention | beats per minute (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate 600/100 μg | -0.113 |
Indacaterol/Glycopyrrolate 300/100 μg | 0.787 |
Indacaterol/Glycopyrrolate 150/100 μg | -0.230 |
Indacaterol 300 μg | 0.240 |
Placebo | 0.170 |
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Change From Baseline in Mean 24 Hour Heart Rate at Day 1
Heart rate was assessed by Holter monitoring and was measured over a 24 hour period at day 1. Heart rate was defined as the average value over the 24 hour monitoring period. The baseline measurement was the average heart rate taken from the 24 hour Holter monitoring period performed at screening or the last 24-hour period before taking the first dose of study drug. Least squares means are based on the analysis of covariance: 24 hours mean heart rate = center + treatment + baseline value + Forced Expiratory Volume in one second (FEV1) before inhalation of salbutamol/albuterol + FEV1 30 min after inhalation of salbutamol/albuterol + error. (NCT00558285)
Timeframe: Baseline, Day 1
Intervention | beats per minute (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate 600/100 μg | -2.877 |
Indacaterol/Glycopyrrolate 300/100 μg | -2.770 |
Indacaterol/Glycopyrrolate 150/100 μg | -0.547 |
Indacaterol 300 μg | -1.849 |
Placebo | -0.329 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1 and Day 14
Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FEV1 was defined as the mean of two measurements at 23 hours 15 minutes and 23 hour 45 minutes post dosing. Baseline is defined as the mean of the two values taken at 45 minutes and 15 minutes prior to dosing at day 1. Least square means are based on the analysis of covariance: response variable=center + treatment + baseline value + Forced Expiratory Volume in one second (FEV1) before inhalation of salbutamol/albuterol + FEV1 30 minutes post inhalation of salbutamol/albuterol. (NCT00558285)
Timeframe: Day 1, Day 14
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Day 14 |
---|
Indacaterol 300 μg | 1.44 | 1.46 |
,Indacaterol/Glycopyrrolate 150/100 μg | 1.50 | 1.50 |
,Indacaterol/Glycopyrrolate 300/100 μg | 1.51 | 1.52 |
,Indacaterol/Glycopyrrolate 600/100 μg | 1.59 | 1.61 |
,Placebo | 1.27 | 1.31 |
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Trough Forced Vital Capacity (FVC) at Day 1 and Day 14
Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FVC was defined as the mean of two measurements at 23 hours 15 minutes and the 23 hours 45 minutes post dosing. Baseline was defined as the mean of the two values taken at 45 minutes and 15 minutes prior to dosing at day 1. Analysis of covariance: FVC parameter = center + treatment + baseline FVC + FEV1 before inhalation of salbutamol/albuterol + FEV1 30 min after inhalation of salbutamol/albuterol + error. (NCT00558285)
Timeframe: Day 1 and Day 14
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Day 14 (n=42, 45, 44, 48, 47) |
---|
Indacaterol 300 μg | 2.924 | 2.901 |
,Indacaterol/Glycopyrrolate 150/100 μg | 3.000 | 2.952 |
,Indacaterol/Glycopyrrolate 300/100 μg | 3.029 | 3.042 |
,Indacaterol/Glycopyrrolate 600/100 μg | 3.151 | 3.134 |
,Placebo | 2.634 | 2.726 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 7
Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute measurements post dosing. Baseline FEV1 is the mean of the 45 minute and 15 minute pre-dose FEV1 values at day 1 of each period. Least square means are based on the Analysis of Covariance Trough FEV1 at day 7 = sequence effect + patient(sequence) + period effect + treatment effect + (period) baseline FEV1 + error. (NCT00570778)
Timeframe: Baseline, Day 7
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate 300/50 μg | 1.512 |
Indacaterol 300 μg | 1.389 |
Indacaterol 600 μg | 1.395 |
Placebo | 1.286 |
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Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve (AUC) 5 Minutes-12 Hours at Day 7
Spirometry testing was performed in accordance with American Thoracic Society standards. FEV1 was assessed at 5, 15, 30 minutes, 1, 2, 3, 4, 5, 6, 8, 10 and 12 hours post dose on Day 7. Standardized (with respect to time) AUC (5 minutes-12 hours) for FEV1 on day 7 was calculated using the trapezoidal rule. Least square means are based on the Analysis of Covariance: FEV1 AUC = sequence effect + patient (sequence) + period + treatment + baseline FEV1 (period) + error. (NCT00570778)
Timeframe: Day 7
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate 300/50 μg | 1.610 |
Indacaterol 300 μg | 1.473 |
Indacaterol 600 μg | 1.457 |
Placebo | 1.317 |
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Number of Participants With Adverse Events, Serious Adverse Events and Discontinuations Due to Adverse Events
Additional information about adverse events can be found in the Adverse Event Section. (NCT00570778)
Timeframe: 47 days
Intervention | Participants (Number) |
---|
| Serious Adverse Events | Adverse Events | Discontinuations Due to Adverse Events |
---|
Indacaterol 300 μg | 0 | 31 | 0 |
,Indacaterol 600 μg | 0 | 37 | 2 |
,Indacaterol/Glycopyrrolate 300/50 μg | 2 | 39 | 3 |
,Placebo | 0 | 31 | 0 |
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Forced Expiratory Volume in One Second (FEV1) Area Under Curve (AUC) 0-24 Hours on Day 14
Forced Expiratory Volume in one second (FEV1) was calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. This outcome measures the change is FEV1 from predose (day 1) to the readings taken 0-24 hours post dose on day 14. The variable was analyzed with an analysis-of-covariance model which included baseline FEV1 value as a covariate. (NCT00856193)
Timeframe: From Day 1 to 0-24 hours after drug administration on Day 14
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50μg | 1.827 |
Placebo | 1.664 |
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Forced Expiratory Volume in One Second (FEV1) AUC 0-12 Hours on Day 14
Forced Expiratory Volume in one second (FEV1) was calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. This outcome measures the change is FEV1 from pre-dose (day 1) to the readings taken 0-12 hours post dose on day 14. The variable was analyzed with an analysis-of-covariance model which included baseline FEV1 value as a covariate. (NCT00856193)
Timeframe: From day 1 to 0 -12 hours after drug administration on Day 14
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50μg | 1.879 |
Placebo | 1.714 |
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Forced Expiratory Volume in One Second (FEV1) AUC 12-24 Hours on Day 14
Forced Expiratory Volume in one second (FEV1) was calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. This outcome measures the change is FEV1 from pre-dose (day 1) to the readings taken 12-24 hours post dose on day 14. The variable was analyzed with an analysis-of-covariance model which included baseline FEV1 value as a covariate. (NCT00856193)
Timeframe: From Day 1 to 12 hours-24 hours after drug administration on Day 14
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50μg | 1.776 |
Placebo | 1.615 |
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Number of Participants Who Experienced Adverse Events (AEs), Serious Adverse Events (SAEs)
According to FDA 21CFR 314.80, a serious adverse event (SAE) is described as any adverse event that leads to death, is life threatening , causes or prolongs hospitalization, results in a congenital anomaly, or any other important medical event not described above. See Adverse Events module for details. (NCT00856193)
Timeframe: Day 14
Intervention | Participants (Number) |
---|
| Overall Adverse Events | Serious Adverse Events (SAEs) |
---|
NVA237 50μg | 2 | 0 |
,Placebo | 4 | 0 |
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Forced Vital Capacity (FVC) 5, 15, and 30 Minutes; and 1, 2, 3, and 4 Hours Post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
"Just prior to FVC measurement, patients performed normal tidal breathing. The patient was given a few breaths warning before being told At the end of the next normal breath out, take a deep breath all the way in; they were then verbally encouraged to make a maximal effort before relaxing. The analysis included the same covariates as the primary Outcome Measure. Data was not collected at all time points for all Days and Weeks." (NCT00929110)
Timeframe: 5, 15, and 30 minutes; and 1, 2, 3, 4 hours post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, minute 5 (n=495, 255, 253) | Day 1, minute 15 (n=502, 255, 254) | Day 1, minute 30 (n=507, 252, 254) | Day 1, hour 1 (n=511, 256, 254) | Day 1, hour 2 (n=513, 253, 252) | Day 1, hour 3 (n=510, 248, 252) | Day 1, hour 4 (n=504, 239, 250) | Day 1, hour 23, minute 15 (n=481, 243, 239) | Day 1, hour 23, minute 45 (n=474, 239, 232) | Day 15, minute 5 (n=498, 223, 243) | Day 15, minute 15 (n=487, 229, 239) | Day 15, minute 30 (n=503, 233, 242) | Day 15, hour 1 (n=501, 229, 240) | Week 5, minute 5 (n=476, 221, 231) | Week 5, minute 15 (n=479, 222, 234) | Week 5, minute 30 (n=480, 223, 234) | Week 9, minute 5 (n=454, 217, 227) | Week 9, minute 15 (n=459, 220, 225) | Week 9, minute 30 (n=460, 220, 226) | Week 12, minute 5 (n=453, 212, 230) | Week 12, minute 15 (n=448, 205, 222) | Week 12, minute 30 (n=455, 212, 226) | Week 12, hour 1 (n=455, 210, 227) | Week 12, hour 2 (n=446, 207, 225) | Week 12, hour 3 (n=444, 204, 225) | Week 12, hour 4 (n=437, 202, 224) | Week 12, hour 23, minute 15 (n=430, 200, 214) | Week 12, hour 23, minute 45 (n=426, 195, 205) | Week 16, minute 5 (n=429, 207, 218) | Week 16, minute 15 (n=428, 209, 219) | Week 16, minute 30 (n=433, 209, 220) | Week 20, minute 5 (n=430, 206, 218) | Week 20, minute 15 (n=430, 207, 220) | Week 20, minute 30 (n=431, 207, 221) | Week 26, minute 5 (421, 202, 213) | Week 26, minute 15 (n=414, 200, 207) | Week 26, minute 30 (n=424, 206, 213) | Week 26, hour 1 (n=425, 206, 212) | Week 26, hour 2 (n=420, 203, 208) | Week 26, hour 3 (n=416, 204, 213) | Week 26, hour 4 (n=416, 203, 208) | Week 26, hour 23, minute 15 (n=405, 187, 202) | Week 26, hour 23, minute 45 (n=401, 185, 198) | Week 34, minute 5 (n=408, 194, 212) | Week 34, minute 15 (n=407, 191, 214) | Week 34, minute 30 (n=410, 196, 215) | Week 34, hour 1 (n=412, 195, 215) | Week 42, minute 5 (n=398, 189, 199) | Week 42, minute 15 (n=405, 188, 201) | Week 42, minute 30 (n=405, 189, 201) | Week 50, minute 5 (n=386, 185, 199) | Week 50, minute 15 (n=391, 187, 203) | Week 50, minute 30 (n=392, 186, 204) | Week 52, minute 5 (n=401, 188, 197) | Week 52, minute 15 (n=394, 183, 200) | Week 52, minute 30 (n=402, 189, 202) | Week 52, hour 1 (n=404, 190, 201) | Week 52, hour 2 (n=402, 186, 202) | Week 52, hour 3 (n=400, 186, 199) | Week 52, hour 4 (n=397, 184, 199) | Week 52, hour 23, minute 15 (n=388, 183, 198) | Week 52, hour 23, minute 45 (n=395, 185, 199) |
---|
Glycopyrronium Bromide 50 μg | 2.915 | 2.982 | 3.004 | 3.074 | 3.119 | 3.129 | 3.076 | 2.926 | 2.930 | 2.984 | 3.016 | 3.028 | 3.068 | 3.004 | 3.024 | 3.085 | 3.047 | 3.050 | 3.079 | 2.991 | 3.003 | 2.985 | 3.062 | 3.093 | 3.129 | 3.050 | 2.991 | 2.977 | 3.016 | 3.029 | 3.063 | 2.985 | 3.020 | 3.058 | 2.956 | 2.980 | 2.983 | 3.034 | 3.049 | 3.097 | 3.022 | 2.971 | 2.952 | 2.967 | 2.983 | 3.002 | 3.014 | 2.982 | 3.001 | 3.016 | 2.925 | 2.971 | 2.999 | 2.899 | 2.942 | 2.923 | 2.992 | 2.997 | 3.029 | 2.984 | 2.866 | 2.869 |
,Placebo to Glycopyrronium Bromide | 2.731 | 2.719 | 2.692 | 2.732 | 2.762 | 2.811 | 2.767 | 2.745 | 2.749 | 2.760 | 2.748 | 2.756 | 2.757 | 2.768 | 2.771 | 2.804 | 2.767 | 2.764 | 2.768 | 2.726 | 2.735 | 2.707 | 2.741 | 2.801 | 2.839 | 2.793 | 2.799 | 2.799 | 2.753 | 2.737 | 2.747 | 2.744 | 2.749 | 2.774 | 2.733 | 2.713 | 2.715 | 2.721 | 2.777 | 2.831 | 2.776 | 2.758 | 2.759 | 2.713 | 2.718 | 2.690 | 2.711 | 2.727 | 2.713 | 2.734 | 2.729 | 2.729 | 2.731 | 2.673 | 2.701 | 2.666 | 2.696 | 2.727 | 2.742 | 2.725 | 2.675 | 2.694 |
,Tiotropium 18 μg | 2.856 | 2.903 | 2.937 | 2.975 | 3.033 | 3.073 | 3.031 | 2.923 | 2.923 | 2.980 | 3.030 | 3.018 | 3.023 | 3.011 | 3.024 | 3.063 | 3.029 | 3.046 | 3.079 | 2.978 | 3.004 | 2.987 | 3.048 | 3.065 | 3.096 | 3.054 | 2.985 | 2.946 | 3.009 | 3.002 | 3.036 | 2.966 | 2.994 | 3.028 | 2.945 | 2.959 | 2.949 | 2.997 | 3.036 | 3.065 | 3.021 | 2.901 | 2.883 | 2.919 | 2.948 | 2.947 | 2.959 | 2.983 | 3.001 | 3.021 | 2.942 | 2.962 | 2.998 | 2.916 | 2.969 | 2.962 | 3.011 | 3.005 | 3.020 | 2.991 | 2.865 | 2.868 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1, Week 26, and Week 52
FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 15 minutes and 23 hours 45 minutes post-dose. The analysis included the same covariates as the primary Outcome Measure. (NCT00929110)
Timeframe: Day 1, Week 26, and Week 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 26 (n=451, 219, 233) | Week 52 (n=416, 196, 210) |
---|
Glycopyrronium Bromide 50 μg | 1.478 | 1.458 | 1.412 |
,Placebo to Glycopyrronium Bromide | 1.388 | 1.324 | 1.303 |
,Tiotropium 18 μg | 1.471 | 1.408 | 1.392 |
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Trough Forced Vital Capacity (FVC) at Day 1, Week 12, Week 26, and Week 52
"Trough FVC is defined as the average of the post-dose 23 h 15 min and the 23 h 45 min FVC values. Just prior to FVC measurement, patients performed normal tidal breathing. The patient was given a few breaths warning before being told At the end of the next normal breath out, take a deep breath all the way in; they were then verbally encouraged to make a maximal effort before relaxing. The analysis included the same covariates as the primary Outcome Measure." (NCT00929110)
Timeframe: Day 1, Week 12, Week 26, and Week 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 12 (n=442, 204, 217) | Week 26 (n=418, 196, 208) | Week 52 (n=395, 186, 201) |
---|
Glycopyrronium Bromide 50 μg | 2.936 | 2.985 | 2.962 | 2.866 |
,Placebo to Glycopyrronium Bromide | 2.757 | 2.802 | 2.758 | 2.687 |
,Tiotropium 18 μg | 2.930 | 2.970 | 2.892 | 2.866 |
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Number of Moderate or Severe Exacerbations of Chronic Obstructive Pulmonary Disease (COPD) Per Year During the Study (Baseline to Week 52)
The number of moderate or severe exacerbations of COPD per year during the study was calculated by dividing the total number of exacerbations during the study by the total number of years of treatment. A COPD exacerbation was considered to be moderate if treatment with systemic corticosteroids and/or antibiotic was required. A COPD exacerbation was considered to be severe if treatment for moderate severity and hospitalization was required. (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Exacerbations per treatment year (Number) |
---|
Glycopyrronium Bromide 50 μg | 0.54 |
Placebo to Glycopyrronium Bromide | 0.80 |
Tiotropium 18 μg | 0.62 |
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"Percentage of Days Able to Perform Usual Daily Activities During the Study (Baseline to Week 52)"
"A day able to perform usual daily activities was defined as any day where the patient recorded in their electronic diary in the evening that they were not prevented from performing their usual daily activities due to respiratory symptoms during the previous 12 hours. The percentage of days able to perform usual daily activities was calculated as the total number of days able to perform usual daily activities over the 52 week treatment period divided by the total number of days where diary recordings were made." (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Percentage of days (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | 38.02 |
Placebo to Glycopyrronium Bromide | 36.18 |
Tiotropium 18 μg | 38.09 |
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"Percentage of Days With no Daytime Symptoms During the Study (Baseline to Week 52)"
"A day with no daytime symptoms was defined as any day where the patient recorded no cough, no wheeze, no production of sputum, no feeling of breathlessness (other than when running), and no puffs of rescue medication during the previous 12 hours in evening entry in the electronic patient diary. The percentage of days with no daytime symptoms was calculated as the total number of days with no daytime symptoms over the 52 week treatment period divided by the total number of days where diary recordings were made." (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Percentage of days (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | 6.54 |
Placebo to Glycopyrronium Bromide | 3.81 |
Tiotropium 18 μg | 7.14 |
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"Percentage of Nights With no Nighttime Awakenings During the Study (Baseline to Week 52)"
"A night with no nighttime awakenings was defined as any night where the patient did not wake up due to 1 or more of 6 symptoms (respiratory symptoms, cough, wheeze, amount of sputum, color of sputum, and breathlessness). Symptoms occurring during the previous 12 hours were recorded each morning and evening by the patient in an electronic diary. The percentage of nights with 'no nighttime awakenings' was calculated as the total number of nights with no nighttime awakenings over the 52 week treatment period divided by the total number of nights where diary recordings were made." (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Percentage of nights (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | 57.36 |
Placebo to Glycopyrronium Bromide | 52.15 |
Tiotropium 18 μg | 55.47 |
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Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Taken During the Study (Baseline to Week 52)
The number of puffs of rescue medication taken in the previous 12 hours was recorded in the Patient Diary in the morning and evening. The mean daily number of puffs of rescue medication taken was calculated by dividing the number of puffs of rescue medication per day over the 52 weeks of the study by the number of days with non-missing rescue medication data. Rescue medication data recorded during the 14 day run-in period was used to calculate the baseline. The analysis included the same covariates as the primary Outcome Measure. A positive change score indicates more puffs taken. (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Puffs (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | -1.58 |
Placebo to Glycopyrronium Bromide | -1.20 |
Tiotropium 18 μg | -1.83 |
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Change From Baseline in the Mean Daily Total Symptom Score During the Study (Baseline to Week 52)
The daily total symptom score was defined as the sum of the morning and evening patient self-reported diary assessments of 6 symptoms (respiratory symptoms/impact on daily activities, cough, wheeze, amount of sputum, color of sputum, and breathlessness). Means for baseline (14 day maximum run-in period) and the 52 week treatment period were calculated. Mean scores ranged from 0-18, with a higher score indicating worse symptoms. A negative change score indicated improvement. (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | -1.85 |
Placebo to Glycopyrronium Bromide | -1.42 |
Tiotropium 18 μg | -1.87 |
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Percentage of Patients Who Experienced a Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During the Study (Baseline to Week 52)
A COPD exacerbation was considered to be moderate if treatment with systemic corticosteroids and/or antibiotic was required. A COPD exacerbation was considered to be severe if treatment for moderate severity and hospitalization was required. (NCT00929110)
Timeframe: Baseline to Week 52
Intervention | Percentage of participants (Number) |
---|
Glycopyrronium Bromide 50 μg | 32.8 |
Placebo to Glycopyrronium Bromide | 40.2 |
Tiotropium 18 μg | 30.1 |
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Time to First Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During the Study (Baseline to Week 52)
Time to first moderate or severe COPD exacerbation was calculated as the number of days from baseline to the day on which the patient experienced the first moderate or severe COPD exacerbation. A COPD exacerbation was considered to be moderate if treatment with systemic corticosteroids and/or antibiotic was required. A COPD exacerbation was considered to be severe if treatment for moderate severity and hospitalization was required. (NCT00929110)
Timeframe: Baseline to Week 52 (patients with no moderate or severe exacerbations who completed the study were censored at the final visit date, which may have exceeded 52 weeks)
Intervention | Days (Median) |
---|
Glycopyrronium Bromide 50 μg | 363.0 |
Placebo to Glycopyrronium Bromide | 231.0 |
Tiotropium 18 μg | 364.0 |
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Transition Dyspnea Index (TDI) at Week 26
The TDI measured changes in dyspnea from baseline during treatment and included 3 domains: Functional impairment (activities of daily living), magnitude of task (intensity of activity), and magnitude of effort (difficulty breathing). Each domain was rated from -3 to 3 (major deterioration-major improvement). The total score ranged from -9 to 9; minus scores indicate deterioration. The analysis included the same covariates as the primary Outcome Measure. (NCT00929110)
Timeframe: Week 26
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | 2.13 |
Placebo to Glycopyrronium Bromide | 1.32 |
Tiotropium 18 μg | 2.26 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12
FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 15 minutes and 23 hours 45 minutes post-dose. The analysis included baseline FEV1 measurement, baseline inhaled corticosteroid use (Yes/No), FEV1 prior to inhalation of short-acting β2 agonist (SABA), and FEV1 45 min post-inhalation of SABA as covariates. (NCT00929110)
Timeframe: Week 12
Intervention | Liters (Least Squares Mean) |
---|
Glycopyrronium Bromide 50 μg | 1.469 |
Placebo to Glycopyrronium Bromide | 1.372 |
Tiotropium 18 μg | 1.455 |
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Forced Expiratory Volume in 1 Second (FEV1) 5, 15, and 30 Minutes; 1, 2, 3, 4, 6, 8, 10, and 12 Hours; 23 Hours 15 Minutes; and 23 Hours 45 Minutes Post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
FEV1 was measured with spirometry conducted according to internationally accepted standards. The analysis included the same covariates as the primary Outcome Measure. Data was not collected at all time points for all Days and Weeks. (NCT00929110)
Timeframe: 5, 15, and 30 minutes; 1, 2, 3, 4, 6, 8, 10, and 12 hours; 23 hours 15 minutes; and 23 hours 45 minutes post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, minute 5 (n=135, 74, 74) | Day 1, minute 15 (n=139, 75, 74) | Day 1, minute 30 (n=143, 77, 74) | Day 1, hour 1 (n=144, 76, 75) | Day 1, hour 2 (n=144, 75, 75) | Day 1, hour 3 (n=143, 74, 73) | Day 1, hour 4 (n=144, 70, 74) | Day 1, hour 6 (n=142, 71, 74) | Day 1, hour 8 (n=137, 70, 75) | Day1, hour 10 (n=134, 72, 75) | Day 1, hour 12 (n=130, 69, 70) | Day 1, hour 23, minute 15 (n=129, 71, 72) | Day 1, hour 23, minute 45 (n=128, 74, 75) | Day 15, minute 5 (n=135, 65, 73) | Day 15, minute 15 (n=133, 70, 72) | Day 15, minute 30 (n= 139, 70, 74) | Day 15, hour 1 (n=140, 68, 74) | Week 5, minute 5 (n=134, 66, 68) | Week 5, minute 15 (n=136, 67, 70) | Week 5, minute 30 (n=135, 67, 70) | Week 9, minute 5 (n=128, 66, 70) | Week 9, minute 15 (n=130, 66, 71) | Week 9, minute 30 (n=130, 67, 71) | Week 12, minute 5 (n=130, 69, 70) | Week 12, minute 15 (n=129, 67, 66) | Week 12, minute 30 (n=133, 69, 67) | Week 12, hour 1 (n=132, 67, 69) | Week 12, hour 2 (n=129, 65, 68) | Week 12, hour 3 (n=126, 64, 69) | Week 12, hour 4 (n=124, 64, 68) | Week 12, hour 6 (n=123, 63, 69) | Week 12, hour 8 (n=121, 64, 69) | Week 12, hour 10 (n=124, 61, 69) | Week 12, hour 12 (n=122, 58, 68) | Week 12, hour 16 (n=109, 56, 57) | Week 12, hour 22 (n=117, 60, 63) | Week 12, hour 23, minute 15 (n=126, 66, 67) | Week 12, hour 23, minute 45 (n=124, 65, 63) | Week 16, minute 5 (n=123, 65, 64) | Week 16, minute 15 (n=124, 65, 65) | Week 16, minute 30 (n=125, 65, 65) | Week 20, minute 5 (n=125, 66, 63) | Week 20, minute 15 (n=124, 65, 63) | Week 20, minute 30 (n=125, 65, 63) | Week 26, minute 5 (n=123, 62, 64) | Week 26, minute 15 (n=121, 61, 61) | Week 26, minute 30 (n=125, 64, 64) | Week 26, hour 1 (n=127, 64, 64) | Week 26, hour 2 (n=124, 64, 63) | Week 26, hour 3 (n=124, 64, 64) | Week 26, hour 4 (n=124, 64, 62) | Week 26, hour 23, minute 15 (n=120, 55, 61) | Week 26, hour 23, minute 45 (n=117, 56, 61) | Week 34, minute 5 (n=125, 62, 63) | Week 34, minute 15 (n=123, 62, 63) | Week 34, minute 30 (n=125, 62, 62) | Week 34, hour 1 (n=125, 62, 63) | Week 42, minute 5 (n=119, 61, 58) | Week 42, minute 15 (n=123, 61, 58) | Week 42, minute 30 (n=123, 61, 58) | Week 50, minute 5 (n=120, 60, 57) | Week 50, minute 15 (n=123, 60, 57) | Week 50, minute 30 (n=123, 60, 58) | Week 52, minute 5 (n=124, 60, 57) | Week 52, minute 15 (n=122, 59, 58) | Week 52, minute 30 (n=125, 62, 58) | Week 52, hour 1 (n=125, 62, 57) | Week 52, hour 2 (n=124, 61, 58) | Week 52, hour 3 (n=123, 62, 56) | Week 52, hour 4 (n=121, 60, 55) | Week 52, hour 6 (n=118, 59, 54) | Week 52, hour 8 (n=119, 59, 54) | Week 52, hour 10 (n=119, 59, 55) | Week 52, hour 12 (n=120, 58, 52) | Week 52, hour 16 (n=117, 53, 46) | Week 52, hour 22 (n=118, 60, 52) | Week 52, hour 23, 15 minutes (n=121, 62, 57) | Week 52, hour 23, 45 minutes (n=122, 61, 57) |
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Glycopyrronium Bromide 50 μg | 1.494 | 1.548 | 1.561 | 1.583 | 1.639 | 1.629 | 1.599 | 1.578 | 1.544 | 1.546 | 1.522 | 1.471 | 1.518 | 1.494 | 1.530 | 1.551 | 1.575 | 1.550 | 1.575 | 1.630 | 1.562 | 1.583 | 1.603 | 1.497 | 1.523 | 1.517 | 1.557 | 1.596 | 1.600 | 1.584 | 1.558 | 1.535 | 1.541 | 1.522 | 1.431 | 1.420 | 1.518 | 1.513 | 1.538 | 1.557 | 1.570 | 1.518 | 1.535 | 1.576 | 1.483 | 1.521 | 1.529 | 1.546 | 1.590 | 1.614 | 1.577 | 1.477 | 1.483 | 1.515 | 1.529 | 1.567 | 1.557 | 1.512 | 1.520 | 1.537 | 1.490 | 1.529 | 1.545 | 1.456 | 1.502 | 1.483 | 1.525 | 1.554 | 1.558 | 1.535 | 1.494 | 1.473 | 1.478 | 1.451 | 1.377 | 1.391 | 1.447 | 1.434 |
,Placebo to Glycopyrronium Bromide | 1.416 | 1.428 | 1.409 | 1.404 | 1.445 | 1.435 | 1.415 | 1.426 | 1.431 | 1.415 | 1.369 | 1.396 | 1.446 | 1.421 | 1.411 | 1.417 | 1.409 | 1.448 | 1.452 | 1.481 | 1.417 | 1.441 | 1.427 | 1.385 | 1.373 | 1.362 | 1.369 | 1.434 | 1.443 | 1.442 | 1.443 | 1.408 | 1.435 | 1.422 | 1.360 | 1.349 | 1.456 | 1.470 | 1.430 | 1.422 | 1.409 | 1.393 | 1.380 | 1.391 | 1.361 | 1.377 | 1.353 | 1.364 | 1.422 | 1.442 | 1.416 | 1.374 | 1.401 | 1.359 | 1.360 | 1.353 | 1.352 | 1.394 | 1.412 | 1.391 | 1.357 | 1.375 | 1.368 | 1.337 | 1.380 | 1.366 | 1.356 | 1.418 | 1.384 | 1.381 | 1.370 | 1.358 | 1.349 | 1.369 | 1.277 | 1.314 | 1.362 | 1.337 |
,Tiotropium 18 μg | 1.447 | 1.485 | 1.483 | 1.514 | 1.569 | 1.587 | 1.560 | 1.575 | 1.545 | 1.537 | 1.480 | 1.481 | 1.499 | 1.490 | 1.537 | 1.516 | 1.540 | 1.525 | 1.543 | 1.584 | 1.520 | 1.534 | 1.549 | 1.474 | 1.481 | 1.488 | 1.519 | 1.565 | 1.566 | 1.535 | 1.520 | 1.479 | 1.532 | 1.487 | 1.378 | 1.371 | 1.520 | 1.488 | 1.515 | 1.530 | 1.535 | 1.453 | 1.479 | 1.502 | 1.415 | 1.464 | 1.439 | 1.462 | 1.520 | 1.555 | 1.519 | 1.416 | 1.405 | 1.407 | 1.425 | 1.452 | 1.472 | 1.490 | 1.491 | 1.517 | 1.422 | 1.452 | 1.470 | 1.377 | 1.428 | 1.407 | 1.439 | 1.479 | 1.487 | 1.468 | 1.461 | 1.418 | 1.419 | 1.347 | 1.329 | 1.282 | 1.387 | 1.359 |
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Forced Expiratory Volume in 1 Second (FEV1) 5, 15, and 30 Minutes; and 1, 2, 3, and 4 Hours Post Dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
FEV1 was measured with spirometry conducted according to internationally accepted standards. The analysis included the same covariates as the primary Outcome Measure. Data was not collected at all time points for all Days and Weeks. (NCT00929110)
Timeframe: 5, 15, and 30 minutes; and 1, 2, 3, 4 hours post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, minute 5 (n=495, 255, 253) | Day 1, minute 15 (n=502, 255, 254) | Day 1, minute 30 (n=507, 252, 254) | Day 1, hour 1 (n=511, 256, 254) | Day 1, hour 2 (n=513, 253, 252) | Day 1, hour 3 (n=510, 248, 252) | Day 1, hour 4 (n=504, 239, 250) | Day 1, hour 23, minute 15 (n=481, 243, 239) | Day 1, hour 23, minute 45 (n=474, 239, 232) | Day 15, minute 5 (n=498, 223, 243) | Day 15, minute 15 (n=487, 229, 239) | Day 15, minute 30 (n=503, 233, 242) | Day 15, hour 1 (n=501, 229, 240) | Week 5, minute 5 (n=476, 221, 231) | Week 5, minute 15 (n=479, 222, 234) | Week 5, minute 30 (n=480, 223, 234) | Week 9, minute 5 (n=454, 217, 227) | Week 9, minute 15 (n=459, 220, 225) | Week 9, minute 30 (n=460, 220, 226) | Week 12, minute 5 (n=453, 212, 230) | Week 12, minute 15 (n=448, 205, 222) | Week 12, minute 30 (n=455, 212, 226) | Week 12, hour 1 (n=455, 210, 227) | Week 12, hour 2 (n=446, 207, 225) | Week 12, hour 3 (n=444, 204, 225) | Week 12, hour 4 (n=437, 202, 224) | Week 12, hour 23, minute 15 (n=430, 200, 214) | Week 12, hour 23, minute 45 (n=426, 195, 205) | Week 16, minute 5 (n=429, 207, 218) | Week 16, minute 15 (n=428, 209, 219) | Week 16, minute 30 (n=433, 209, 220) | Week 20, minute 5 (n=430, 206, 218) | Week 20, minute 15 (n=430, 207, 220) | Week 20, minute 30 (n=431, 207, 221) | Week 26, minute 5 (421, 202, 213) | Week 26, minute 15 (n=414, 200, 207) | Week 26, minute 30 (n=424, 206, 213) | Week 26, hour 1 (n=425, 206, 212) | Week 26, hour 2 (n=420, 203, 208) | Week 26, hour 3 (n=416, 204, 213) | Week 26, hour 4 (n=416, 203, 208) | Week 26, hour 23, minute 15 (n=405, 187, 202) | Week 26, hour 23, minute 45 (n=401, 185, 198) | Week 34, minute 5 (n=408, 194, 212) | Week 34, minute 15 (n=407, 191, 214) | Week 34, minute 30 (n=410, 196, 215) | Week 34, hour 1 (n=412, 195, 215) | Week 42, minute 5 (n=398, 189, 199) | Week 42, minute 15 (n=405, 188, 201) | Week 42, minute 30 (n=405, 189, 201) | Week 50, minute 5 (n=386, 185, 199) | Week 50, minute 15 (n=391, 187, 203) | Week 50, minute 30 (n=392, 186, 204) | Week 52, minute 5 (n=401, 188, 197) | Week 52, minute 15 (n=394, 183, 200) | Week 52, minute 30 (n=402, 189, 202) | Week 52, hour 1 (n=404, 190, 201) | Week 52, hour 2 (n=402, 186, 202) | Week 52, hour 3 (n=400, 186, 199) | Week 52, hour 4 (n=397, 184, 199) | Week 52, hour 23, minute 15 (n=388, 183, 198) | Week 52, hour 23, minute 45 (n=395, 185, 199) |
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Glycopyrronium Bromide 50 μg | 1.443 | 1.501 | 1.524 | 1.552 | 1.612 | 1.590 | 1.590 | 1.459 | 1.482 | 1.491 | 1.527 | 1.538 | 1.561 | 1.509 | 1.538 | 1.564 | 1.529 | 1.550 | 1.569 | 1.502 | 1.527 | 1.522 | 1.556 | 1.595 | 1.592 | 1.558 | 1.481 | 1.493 | 1.514 | 1.530 | 1.546 | 1.495 | 1.525 | 1.544 | 1.479 | 1.504 | 1.513 | 1.541 | 1.570 | 1.570 | 1.547 | 1.464 | 1.474 | 1.481 | 1.508 | 1.518 | 1.534 | 1.489 | 1.511 | 1.518 | 1.454 | 1.496 | 1.504 | 1.436 | 1.471 | 1.471 | 1.499 | 1.526 | 1.525 | 1.504 | 1.419 | 1.424 |
,Placebo to Glycopyrronium Bromide | 1.357 | 1.359 | 1.357 | 1.353 | 1.397 | 1.389 | 1.396 | 1.364 | 1.390 | 1.368 | 1.371 | 1.368 | 1.379 | 1.371 | 1.389 | 1.396 | 1.366 | 1.376 | 1.378 | 1.349 | 1.352 | 1.352 | 1.364 | 1.423 | 1.414 | 1.416 | 1.381 | 1.413 | 1.373 | 1.372 | 1.372 | 1.351 | 1.362 | 1.362 | 1.339 | 1.340 | 1.341 | 1.345 | 1.388 | 1.398 | 1.384 | 1.326 | 1.354 | 1.338 | 1.333 | 1.331 | 1.331 | 1.342 | 1.344 | 1.350 | 1.336 | 1.341 | 1.341 | 1.305 | 1.323 | 1.319 | 1.325 | 1.363 | 1.344 | 1.346 | 1.303 | 1.320 |
,Tiotropium 18 μg | 1.402 | 1.437 | 1.468 | 1.484 | 1.549 | 1.560 | 1.549 | 1.457 | 1.473 | 1.472 | 1.514 | 1.504 | 1.525 | 1.488 | 1.508 | 1.525 | 1.499 | 1.515 | 1.531 | 1.477 | 1.501 | 1.491 | 1.528 | 1.558 | 1.561 | 1.534 | 1.457 | 1.472 | 1.487 | 1.491 | 1.505 | 1.464 | 1.495 | 1.498 | 1.429 | 1.458 | 1.451 | 1.487 | 1.524 | 1.526 | 1.504 | 1.415 | 1.426 | 1.422 | 1.443 | 1.444 | 1.464 | 1.459 | 1.477 | 1.496 | 1.429 | 1.462 | 1.475 | 1.419 | 1.451 | 1.451 | 1.482 | 1.511 | 1.509 | 1.501 | 1.397 | 1.411 |
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Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 12 Hours Post-dose at Day 1 and Weeks 12 and 52
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5, 15, and 30 minutes; and 1, 2, 3, 4, 6, 8 10, and 12 hours post-dose. Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included the same covariates as the primary Outcome Measure. (NCT00929110)
Timeframe: From 5 minutes to 12 hours post-dose at Day 1 and Weeks 12 and 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 12 (n=133, 69, 70) | Week 52 (n=125, 62, 58) |
---|
Glycopyrronium Bromide 50 μg | 1.566 | 1.539 | 1.492 |
,Placebo to Glycopyrronium Bromide | 1.407 | 1.398 | 1.364 |
,Tiotropium 18 μg | 1.534 | 1.505 | 1.424 |
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Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 23 Hours 45 Minutes and From 12 Hours to 23 Hours 45 Minutes Post-dose at Weeks 12 and 52
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5, 15, and 30 minutes; 1, 2, 3, 4, 6, 8, 10, and 12 hours; 23 hours 15 minutes; and 23 hours 45 minutes post-dose. Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included the same covariates as the primary Outcome Measure. (NCT00929110)
Timeframe: From 5 minutes to 23 hours 45 minutes post-dose at Weeks 12 and 52
Intervention | Liters (Least Squares Mean) |
---|
| Week 12 | Week 52 (n=125, 62, 58) |
---|
Glycopyrronium Bromide 50 μg | 1.486 | 1.445 |
,Placebo to Glycopyrronium Bromide | 1.380 | 1.339 |
,Tiotropium 18 μg | 1.459 | 1.379 |
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Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 4 Hours Post-dose at Day 1 and Weeks 12, 26, and 52
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5, 15, and 30 minutes; and 1, 2, 3, and 4 hours post-dose. Standardized FEV1 AUC was calculated by the trapezoidal rule. The analysis included the same covariates as the primary Outcome Measure. (NCT00929110)
Timeframe: From 5 minutes to 4 hours post-dose at Day 1 and Weeks 12, 26, and 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 12 (n=460, 214, 232) | Week 26 (n=430, 206, 216) | Week 52 (n=405, 192, 203) |
---|
Glycopyrronium Bromide 50 μg | 1.570 | 1.560 | 1.546 | 1.502 |
,Placebo to Glycopyrronium Bromide | 1.373 | 1.384 | 1.369 | 1.336 |
,Tiotropium 18 μg | 1.514 | 1.531 | 1.495 | 1.487 |
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Forced Vital Capacity (FVC) 5, 15, and 30 Minutes; 1, 2, 3, 4, 6, 8, 10, and 12 Hours; 23 Hours 15 Minutes; and 23 Hours 45 Minutes Post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
"Just prior to FVC measurement, patients performed normal tidal breathing. The patient was given a few breaths warning before being told At the end of the next normal breath out, take a deep breath all the way in; they were then verbally encouraged to make a maximal effort before relaxing. The analysis included the same covariates as the primary Outcome Measure. Data was not collected at all time points for all Days and Weeks." (NCT00929110)
Timeframe: 5, 15, and 30 minutes; 1, 2, 3, 4, 6, 8, 10, and 12 hours; 23 hours 15 minutes; and 23 hours 45 minutes post-dose at Days 1 and 15; and Weeks 5, 9, 12, 16, 20, 26, 34, 42, 50, and 52
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, minute 5 (n=135, 74, 74) | Day 1, minute 15 (n=139, 75, 74) | Day 1, minute 30 (n=143, 77, 74) | Day 1, hour 1 (n=144, 76, 75) | Day 1, hour 2 (n=144, 75, 75) | Day 1, hour 3 (n=143, 74, 73) | Day 1, hour 4 (n=144, 70, 74) | Day 1, hour 6 (n=142, 71, 74) | Day 1, hour 8 (n=137, 70, 75) | Day1, hour 10 (n=134, 72, 75) | Day 1, hour 12 (n=130, 69, 70) | Day 1, hour 23, minute 15 (n=129, 71, 72) | Day 1, hour 23, minute 45 (n=128, 74, 75) | Day 15, minute 5 (n=135, 65, 73) | Day 15, minute 15 (n=133, 70, 72) | Day 15, minute 30 (n= 139, 70, 74) | Day 15, hour 1 (n=140, 68, 74) | Week 5, minute 5 (n=134, 66, 68) | Week 5, minute 15 (n=136, 67, 70) | Week 5, minute 30 (n=135, 67, 70) | Week 9, minute 5 (n=128, 66, 70) | Week 9, minute 15 (n=130, 66, 71) | Week 9, minute 30 (n=130, 67, 71) | Week 12, minute 5 (n=130, 69, 70) | Week 12, minute 15 (n=129, 67, 66) | Week 12, minute 30 (n=133, 69, 67) | Week 12, hour 1 (n=132, 67, 69) | Week 12, hour 2 (n=129, 65, 68) | Week 12, hour 3 (n=126, 64, 69) | Week 12, hour 4 (n=124, 64, 68) | Week 12, hour 6 (n=123, 63, 69) | Week 12, hour 8 (n=121, 64, 69) | Week 12, hour 10 (n=124, 61, 69) | Week 12, hour 12 (n=122, 58, 68) | Week 12, hour 16 (n=109, 56, 57) | Week 12, hour 22 (n=117, 60, 63) | Week 12, hour 23, minute 15 (n=126, 66, 67) | Week 12, hour 23, minute 45 (n=124, 65, 63) | Week 16, minute 5 (n=123, 65, 64) | Week 16, minute 15 (n=124, 65, 65) | Week 16, minute 30 (n=125, 65, 65) | Week 20, minute 5 (n=125, 66, 63) | Week 20, minute 15 (n=124, 65, 63) | Week 20, minute 30 (n=125, 65, 63) | Week 26, minute 5 (n=123, 62, 64) | Week 26, minute 15 (n=121, 61, 61) | Week 26, minute 30 (n=125, 64, 64) | Week 26, hour 1 (n=127, 64, 64) | Week 26, hour 2 (n=124, 64, 63) | Week 26, hour 3 (n=124, 64, 64) | Week 26, hour 4 (n=124, 64, 62) | Week 26, hour 23, minute 15 (n=120, 55, 61) | Week 26, hour 23, minute 45 (n=117, 56, 61) | Week 34, minute 5 (n=125, 62, 63) | Week 34, minute 15 (n=123, 62, 63) | Week 34, minute 30 (n=125, 62, 62) | Week 34, hour 1 (n=125, 62, 63) | Week 42, minute 5 (n=119, 61, 58) | Week 42, minute 15 (n=123, 61, 58) | Week 42, minute 30 (n=123, 61, 58) | Week 50, minute 5 (n=120, 60, 57) | Week 50, minute 15 (n=123, 60, 57) | Week 50, minute 30 (n=123, 60, 58) | Week 52, minute 5 (n=124, 60, 57) | Week 52, minute 15 (n=122, 59, 58) | Week 52, minute 30 (n=125, 62, 58) | Week 52, hour 1 (n=125, 62, 57) | Week 52, hour 2 (n=124, 61, 58) | Week 52, hour 3 (n=123, 62, 56) | Week 52, hour 4 (n=121, 60, 55) | Week 52, hour 6 (n=118, 59, 54) | Week 52, hour 8 (n=119, 59, 54) | Week 52, hour 10 (n=119, 59, 55) | Week 52, hour 12 (n=120, 58, 52) | Week 52, hour 16 (n=117, 53, 46) | Week 52, hour 22 (n=118, 60, 52) | Week 52, hour 23, 15 minutes (n=121, 62, 57) | Week 52, hour 23, 45 minutes (n=122, 61, 57) |
---|
Glycopyrronium Bromide 50 μg | 3.027 | 3.050 | 3.055 | 3.148 | 3.179 | 3.190 | 3.138 | 3.173 | 3.071 | 3.134 | 3.030 | 2.991 | 3.014 | 3.051 | 3.103 | 3.134 | 3.152 | 3.139 | 3.165 | 3.248 | 3.195 | 3.167 | 3.231 | 3.060 | 3.081 | 3.058 | 3.164 | 3.190 | 3.240 | 3.119 | 3.158 | 3.083 | 3.130 | 3.072 | 2.933 | 2.924 | 3.091 | 3.055 | 3.156 | 3.156 | 3.198 | 3.093 | 3.112 | 3.157 | 2.994 | 3.041 | 3.054 | 3.077 | 3.110 | 3.210 | 3.111 | 3.056 | 2.998 | 3.023 | 3.016 | 3.081 | 3.072 | 3.033 | 3.022 | 3.057 | 3.022 | 3.042 | 3.094 | 2.940 | 2.960 | 2.939 | 3.031 | 3.062 | 3.108 | 3.021 | 2.986 | 2.961 | 3.000 | 2.881 | 2.857 | 2.812 | 2.888 | 2.855 |
,Placebo to Glycopyrronium Bromide | 2.826 | 2.802 | 2.752 | 2.791 | 2.802 | 2.826 | 2.783 | 2.846 | 2.804 | 2.865 | 2.709 | 2.800 | 2.817 | 2.793 | 2.790 | 2.825 | 2.770 | 2.866 | 2.850 | 2.884 | 2.826 | 2.823 | 2.821 | 2.728 | 2.740 | 2.696 | 2.737 | 2.784 | 2.864 | 2.745 | 2.852 | 2.760 | 2.860 | 2.771 | 2.701 | 2.673 | 2.862 | 2.826 | 2.864 | 2.801 | 2.815 | 2.781 | 2.770 | 2.778 | 2.700 | 2.692 | 2.700 | 2.678 | 2.771 | 2.871 | 2.791 | 2.803 | 2.752 | 2.731 | 2.731 | 2.687 | 2.703 | 2.716 | 2.695 | 2.723 | 2.731 | 2.702 | 2.731 | 2.645 | 2.640 | 2.625 | 2.617 | 2.714 | 2.716 | 2.694 | 2.690 | 2.637 | 2.687 | 2.636 | 2.542 | 2.604 | 2.678 | 2.607 |
,Tiotropium 18 μg | 2.956 | 2.991 | 2.979 | 3.041 | 3.049 | 3.119 | 3.102 | 3.148 | 3.074 | 3.119 | 3.012 | 2.988 | 2.994 | 3.014 | 3.103 | 3.078 | 3.060 | 3.071 | 3.092 | 3.180 | 3.097 | 3.101 | 3.149 | 3.023 | 3.018 | 3.027 | 3.098 | 3.155 | 3.146 | 3.084 | 3.120 | 3.011 | 3.117 | 3.020 | 2.880 | 2.870 | 3.110 | 3.004 | 3.104 | 3.082 | 3.112 | 2.993 | 3.029 | 3.050 | 2.954 | 2.976 | 2.994 | 3.016 | 3.080 | 3.176 | 3.086 | 2.932 | 2.895 | 2.881 | 2.898 | 2.971 | 2.963 | 3.069 | 3.065 | 3.098 | 2.963 | 2.937 | 2.985 | 2.860 | 2.935 | 2.929 | 2.980 | 3.021 | 3.053 | 2.978 | 2.982 | 2.942 | 3.012 | 2.849 | 2.772 | 2.716 | 2.852 | 2.797 |
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Trough FEV1 and FVC at Day 1 and Week 26
"Spirometry was conducted according to internationally accepted standards. Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute post-dose FEV1 readings. Mixed model used baseline FEV1, baseline ICS use, FEV1 prior to inhalation of SABA, and FEV1 45 minutes post-inhalation of SABA as covariates.~Trough FVC was defined as the average of the 23 hour 15 minute and 23 hour 45 minute post-dose FVC readings. Mixed model used baseline FVC, baseline ICS use, FEV1 prior to inhalation of SABA, and FEV1 45 minutes post-inhalation of SABA as covariates." (NCT01005901)
Timeframe: Day 1 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1: FEV1 (n = 508, 248) | Week 26: FEV1 (n = 461, 217) | Day 1: FVC (n = 508, 248) | Week 26: FVC (n = 438, 208) |
---|
Glycopyrronium Bromide | 1.414 | 1.387 | 2.901 | 2.867 |
,Placebo | 1.309 | 1.275 | 2.705 | 2.668 |
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Percentage of Nights With no Nighttime Awakenings Over the 26 Week Treatment Period
"The percentage of nights with no nighttime awakenings is defined as the total number of nights with no nighttime awakenings over the 26 week treatment period divided by the total number of night where diary recordings have been made.~Mixed model used baseline nighttime awakenings, baseline ICS use, FEV1 prior to inhalation of SABA, and FEV1 45 minutes post-inhalation of SABA as covariates." (NCT01005901)
Timeframe: 26 Weeks
Intervention | percentage of nights with no awakenings (Least Squares Mean) |
---|
Glycopyrronium Bromide | 55.96 |
Placebo | 54.37 |
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Percentage of Days With no Daytime Symptoms Over the 26 Week Treatment Period
"The percentage of days with no daytime symptoms is defined as the total number of days with no daytime symptoms over the 26 week treatment period divided by the total number of days where diary recordings have been made.~Mixed model used baseline daytime symptoms, baseline ICS use, FEV1 prior to inhalation of SABA, and FEV1 45 minutes post-inhalation of SABA as covariates." (NCT01005901)
Timeframe: 26 Weeks
Intervention | percentage of days with no symptoms (Least Squares Mean) |
---|
Glycopyrronium Bromide | 5.70 |
Placebo | 5.78 |
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Change From Baseline in the Mean Number of Puffs Per Day of Rescue Medication Over the Study Duration (Baseline to Week 26)
Participants recorded the number of puffs of rescue medication taken in the previous 12 hours in the morning and evening. The total number of puffs of rescue medication per day over the full 26 weeks was calculated and divided by the total number of days with non-missing rescue medication data to derive the mean daily number of puffs of rescue medication taken for the patient. (NCT01005901)
Timeframe: 26 weeks
Intervention | Puffs per day (Least Squares Mean) |
---|
Glycopyrronium Bromide | -1.21 |
Placebo | -0.75 |
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Mean Daily Total Symptom Score Over the 26 Week Treatment Period
"The daily symptom score was calculated as the sum of the worst of the morning and evening assessments for each symptom (symptoms, cough, wheeze, sputum color/production, and breathlessness). The score can range from 0 to 18 with 0 indicating no symptoms. The higher the score, the worse the symptomatic status. A negative change (lower number) indicates improvement.~Mixed model used baseline symptom variables, baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates." (NCT01005901)
Timeframe: 26 Weeks
Intervention | units on a scale (Least Squares Mean) |
---|
Glycopyrronium Bromide | -1.54 |
Placebo | -1.18 |
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Quality of Life Assessment With St. George's Respiratory Questionnaire (SGRQ) Total Score After 26 Weeks of Treatment
SGRQ is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life. Mixed model used baseline SGRQ, baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: 26 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium Bromide | 39.50 |
Placebo | 42.31 |
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Forced Vital Capacity (FVC) at Each Time-point on Day 1 and Week 26
Spirometry was conducted according to internationally accepted standards. FVC was calculated at each time point up to 4 hours post-dose and at 23 hours 15 min and 23 hours 45 min, by visit. Mixed model used baseline FVC, baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: Day 1 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1: 5 min (n = 497, 240) | Day 1: 15 min (n = 503, 249) | Day 1: 30 min (n = 511, 252) | Day 1: 1hour (n = 513, 253) | Day 1: 2 hours (n = 514, 251) | Day 1: 3 hours (n = 519, 248) | Day 1: 4 hours (n = 514, 247) | Day 1: 23 hours 15 min (n = 499, 244) | Day 1: 23 hours 45 min (n = 498, 244) | Week 26: Pre-dose trough (n = 447, 208) | Week 26: -45 min (n = 447, 208) | Week 26: -15 min (n = 443, 205) | Week 26: 5 min (n = 439, 208) | Week 26: 15 min (n = 435, 205) | Week 26: 30 min (n = 440, 207) | Week 26: 1 hour (n = 438, 206) | Week 26: 2 hours (n = 438, 203) | Week 26: 3 hours (n = 439, 204) | Week 26: 4 hours (n = 438, 205) | Week 26: 23 hours 15 min (n = 434, 206) | Week 26: 23 hours 45 min (n = 434, 206) |
---|
Glycopyrronium Bromide | 2.887 | 2.943 | 2.948 | 3.019 | 3.086 | 3.096 | 3.064 | 2.895 | 2.907 | 2.827 | 2.859 | 2.798 | 2.891 | 2.895 | 2.885 | 2.938 | 2.977 | 3.016 | 2.962 | 2.884 | 2.859 |
,Placebo | 2.675 | 2.660 | 2.637 | 2.669 | 2.754 | 2.783 | 2.760 | 2.693 | 2.718 | 2.623 | 2.658 | 2.589 | 2.639 | 2.660 | 2.603 | 2.625 | 2.687 | 2.742 | 2.709 | 2.673 | 2.669 |
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FEV1 at Each Time-point on Day 1 and Week 26
Spirometry was conducted according to internationally accepted standards. FEV1 was measured at all time points up to 4 hours post-dose, and at 23 hours 15 min and 23 hours 45 min, by visit. Mixed model used baseline FEV1,baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: Day 1 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1: 5 min (n = 497, 240) | Day 1: 15 min (n = 503, 249) | Day 1: 30 min (n = 511, 252) | Day 1: 1 hour (n = 513, 253) | Day 1: 2 hours (n = 514, 251) | Day 1: 3 hours (n = 519, 248) | Day 1: 4 hours (n = 514, 247) | Day 1: 23 hours 15 min (n = 499, 244) | Day 1: 23 hours 45 min (n = 498, 244) | Week 26: pre-dose trough (n = 447, 208) | Week 26: -45 min (n = 447, 208) | Week 26: -15 min (n = 443, 205) | Week 26: 5 min (n = 439, 208) | Week 26: 15 min (n = 435, 205) | Week 26: 30 min (n = 440, 207) | Week 26: 1 hour (n = 438, 206) | Week 26: 2 hours (n = 438, 203) | Week 26: 3 hours (n = 439, 204) | Week 26: 4 hours (n = 438, 205) | Week 26: 23 hours 15 min (n = 434, 206) | Week 26: 23 hours 45 min (n = 434, 206) |
---|
Glycopyrronium Bromide | 1.388 | 1.435 | 1.472 | 1.493 | 1.562 | 1.544 | 1.548 | 1.400 | 1.428 | 1.371 | 1.373 | 1.368 | 1.409 | 1.427 | 1.433 | 1.459 | 1.508 | 1.504 | 1.489 | 1.386 | 1.396 |
,Placebo | 1.295 | 1.292 | 1.299 | 1.296 | 1.355 | 1.349 | 1.365 | 1.289 | 1.328 | 1.256 | 1.256 | 1.252 | 1.255 | 1.269 | 1.259 | 1.251 | 1.299 | 1.299 | 1.312 | 1.267 | 1.282 |
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FEV1 Area Under the Curve (AUC) (5 Min - 12 Hour) at Day 1, Week 12 and Week 26
The standardized (with respect to the length of time) area under the curve (AUC) for FEV1 was calculated using trapezoidal rule between 5 min and 12 h post dose at Week 1 Day 1, Week 12 and Week 26 for every patient in the serial spirometry subgroup. Mixed model used baseline FEV1,baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: Day 1, Week 12 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n = 169, 83) | Week 12 (n = 153, 75) | Week 26 (n = 149, 70) |
---|
Glycopyrronium Bromide | 1.475 | 1.433 | 1.445 |
,Placebo | 1.320 | 1.284 | 1.238 |
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FEV1 Area Under Curve (AUC) (5 Min - 23 Hour 45 Min) at Week 12 and Week 26
The standardized (with respect to the length of time) area under the curve (AUC) for FEV1 was calculated using trapezoidal rule between 5 min and 23 h 45 min post dose at week12/week 13and week 26/week 27 where available for every patient in the serial spirometry subgroup. Mixed model used baseline FEV1,baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: Week 12 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Week 12 (n = 153, 75) | Week 26 (n = 149, 70) |
---|
Glycopyrronium Bromide | 1.401 | 1.412 |
,Placebo | 1.268 | 1.213 |
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Change in 24-hourly Mean Heart Rate at Day 1, Week 12 and Week 26
The mean heart rate was collected with a 24 hour Holter monitor in a sub-set of the safety population. The change between baseline and day 1, week 12 and week 26 was calculated. The analysis of the Holter recordings was performed by a central facility. Data on heart rate, heart rate variability, supraventricular and ventricular ectopy were collected and assessed. (NCT01005901)
Timeframe: Baseline, Day 1, Week 12 and Week 26
Intervention | beats per minute (Mean) |
---|
| Day 1: (n = 42, 23) | Week 12: (n = 42, 20) | Week 26: (n = 37, 22) |
---|
Glycopyrronium Bromide | -1.77 | -1.99 | -4.40 |
,Placebo | -1.28 | -1.70 | -2.60 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) at 12 Weeks
Spirometry was conducted according to internationally accepted standards. Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute post-dose FEV1 readings. Mixed model used baseline FEV1,baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
Glycopyrronium Bromide | 1.408 |
Placebo | 1.301 |
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Transition Dyspnea Index (TDI) Focal Score After 26 Weeks of Treatment
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. Mixed model used baseline TDI, baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. (NCT01005901)
Timeframe: 26 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium Bromide | 1.84 |
Placebo | 0.80 |
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Time to First Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During 26 Weeks of Treatment
The time to the first moderate or severe COPD exacerbation was the study day on which the patient experienced first moderate or severe COPD exacerbation. COPD exacerbations are considered to be moderate if treatment with systemic corticosteroids and/or antibiotics was required. COPD exacerbations are considered to be severe if treatment for moderate severity and hospitalization were required. (NCT01005901)
Timeframe: 26 weeks
Intervention | Days (Median) |
---|
Glycopyrronium Bromide | NA |
Placebo | NA |
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Rate of Moderate or Severe COPD Exacerbations Over the 26 Week Treatment Period
One overall rate is calculated for the entire study population. Rate is the number of moderate or severe exacerbations per year = total number of moderate or severe exacerbations for all participants/total number of treatment years for all participants. COPD exacerbations were considered to be moderate if treatment with systemic corticosteroids and/or antibiotics was required. COPD exacerbations were considered to be severe if treatment for moderate severity and hospitalization were required. (NCT01005901)
Timeframe: 26 weeks
Intervention | exacerbations per year (Number) |
---|
Glycopyrronium Bromide | 0.43 |
Placebo | 0.59 |
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Number of Participants With Adverse Events, Serious Adverse Events or Death
Adverse events are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal lab finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgments of the investigators represent significant hazards. (NCT01119937)
Timeframe: 52 weeks
Intervention | participants (Number) |
---|
| Adverse events | Serious adverse events | Death |
---|
NVA237 | 102 | 16 | 0 |
,Tiotropium | 33 | 6 | 0 |
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Number of Patients With Newly Occurring or Worsening Clinically Notable Vital Signs Values at Any Timepoint Over the Whole Treatment Period
Clinically notable vital sign values were: pulse rate - low, <40 bpm or <=50 bpm and decrease from baseline >=15bpm; pulse rate high, >130 bpm or >=120bpm and increase from baseline >=15 bpm. Systolic blood pressure - low, <75 mmHg or <=90 mmHg and decrease from baseline >=20 mmHg; high, >200 mmHg or >=180 mmHg and increase from baseline >=20 mmHg. Diastolic blood pressure - low, <40 mmHg or <=50 mmHg and decrease from baseline >=15 mmHg; high, >115 mmHg or >=105 mmHg and increase from baseline >=15 mmHg. (NCT01119937)
Timeframe: 52 weeks
Intervention | participants (Number) |
---|
| Pulse rate - low | Pulse rate - high | Pulse rate - low or high | Systolic blood pressure - low | Systolic blood pressure - high | Systolic blood pressure - low or high | Diastolic blood pressure - low | Diastolic blood pressure - high | Diastolic blood pressure - low or high |
---|
NVA237 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 2 | 3 |
,Tiotropium | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
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Change in St. George Respiratory Questionnaire From Baseline
SGRQ is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life. (NCT01119937)
Timeframe: Weeks 12, 24, 36, 52
Intervention | score on a scale (Mean) |
---|
| Week 12 | Week 24 | Week 36 | Week 52 |
---|
NVA237 | -2.57 | -1.77 | -2.54 | -2.68 |
,Tiotropium | -2.31 | -3.24 | -0.93 | 0.36 |
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Change in Pre-dose FVC From Baseline
Pre-dose FVC is defined as the average of the measurements at 45 and 15 minutes pre-dose. (NCT01119937)
Timeframe: Weeks 12, 24, 36 and 52
Intervention | liters (Mean) |
---|
| Week 12 | Week 24 | Week 36 (n = 106, 36) | Week 52 (n = 103, 33) |
---|
NVA237 | 0.221 | 0.218 | 0.208 | 0.195 |
,Tiotropium | 0.220 | 0.179 | 0.146 | 0.126 |
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Change in Pre-dose FEV1 From Baseline
Pre-dose FEV1 is defined as the average of the measurements at 45 and 15 minutes pre-dose. (NCT01119937)
Timeframe: Weeks 12, 24, 36 and 52
Intervention | liters (Mean) |
---|
| Week 12 | Week 24 | Week 36 (n = 106, 36) | Week 52 (n = 103, 33) |
---|
NVA237 | 0.101 | 0.094 | 0.084 | 0.068 |
,Tiotropium | 0.173 | 0.144 | 0.112 | 0.127 |
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Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Over the Whole Treatment Period
Patients recorded rescue medication use in a paper patient diary. If a patient required the use of salbutamol as rescue medication due to an increase in COPD symptoms, the number of inhalations (puffs) taken was recorded in the patient diary. (NCT01119937)
Timeframe: 52 weeks
Intervention | change in puffs (Mean) |
---|
NVA237 | -0.16 |
Tiotropium | -0.27 |
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Number of Patients With Notable Change From Baseline in Fridericia's QTc Values at Any Timepoint Over the Whole Treatment Period
Clinically notable change from baseline was and increase from baseline of 30 or greater milliseconds (ms). (NCT01119937)
Timeframe: 52 weeks
Intervention | participants (Number) |
---|
| Increase from baseline 30 to 60 ms | Increase from baseline >60 ms |
---|
NVA237 | 6 | 2 |
,Tiotropium | 1 | 0 |
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Number of Patients With Newly Occurring or Worsening Clinically Notable Hematology Values at Any Timepoint Over the Whole Treatment Period
Clinically notable hematology values were: hemoglobin - male <11.5g/dL, female <9.5 g/dL; hematocrit - male <37%, female <32%; white cell count - <2800µL or >16000µL; platelets - <7.5 10*4/µL or >70.0 10*4/µL (NCT01119937)
Timeframe: 52 weeks
Intervention | participants (Number) |
---|
| Hemoglobin - male (n = 121, 38) | Hemoglobin - female (n = 121, 38) | Hematocrit - male (n = 121, 38) | Hematocrit - female (n = 121, 38) | White cell count - <2800/µL | White cell count - >16000/µL | Platelets - <7.5 10*4/µL | Platelets - >70.0 10*4/µL |
---|
NVA237 | 3 | 0 | 3 | 0 | 0 | 0 | 1 | 0 |
,Tiotropium | 2 | 0 | 4 | 0 | 1 | 0 | 0 | 0 |
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Number of Patients With Newly Occurring or Worsening Clinically Notable Biochemistry Values at Any Timepoint Over the Whole Treatment Period
Clinically notable biochemistry values were: total protein - <4.0 g/dL or >9.5 g/dL; albumin <2.5 g/dL; bilirubin (total) >1.9 mg/dL; BUN >27 mg/dL; creatinine >1.99 mg/dL; AST >3 x ULN U/L; ALT >3 x ULN U/L; ALP >3 x ULN U/L; y-GTP >3 x ULN U/L; sodium <125 mEq/L or >160 mEq/L; potassium <3.0 mEq/L or >6.0 mEq/L; glucose <51.0 mg/dL or >180.0 mg/dL (NCT01119937)
Timeframe: 52 weeks
Intervention | participants (Number) |
---|
| Total protein - <4.0 g/dL | Total protein - >9.5 g/dL | Albumin - <2.5 g/dL | Bilirubin (total) - >1.9 mg/dL | BUN - >27 mg/dL | Creatinine - >1.99 mg/dL | AST - >3 x ULN U/L | ALT - >3 x ULN U/L | ALP - >3 x ULN U/L | Y-GTP - >3 x ULN U/L | Sodium - <125 mEq/L | Sodium - >160 mEq/L | Potassium - <3.0 mEq/L | Potassium - >6.0 mEq/L | Glucose - <51.0 mg/dL | Glucose - >180.0 mg/dL |
---|
NVA237 | 0 | 0 | 0 | 2 | 3 | 0 | 1 | 0 | 0 | 5 | 0 | 0 | 1 | 0 | 0 | 11 |
,Tiotropium | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 4 | 0 | 0 | 0 | 0 | 0 | 3 |
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Number of Patients With Moderate or Severe COPD Exacerbations
Moderate COPD exacerbations were defined as: worsening of 2 or more of the following major symptoms for at least 2 consecutive days - dyspnea, sputum volume and sputum purulence; OR a worsening of any 1 major symptom with any 1 of the following minor symptoms for at least 2 consecutive days - sore throat, colds, fever without other cause, increased cough or increased wheeze, requiring treatment with systemic glucocorticosteroids or antibiotics or both. Severe COPD exacerbations were defined as: conditions for Moderate COPD exacerbation and hospitalization was required. (NCT01119937)
Timeframe: 52 weeks
Intervention | participants (Number) |
---|
| 0 exacerbations | 1 exacerbation | 2 exacerbations | 3 exacerbations | > = 4 exacerbations |
---|
NVA237 | 99 | 17 | 5 | 1 | 1 |
,Tiotropium | 31 | 5 | 3 | 0 | 1 |
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Time From Randomization Until the Start of the First Moderate or Severe COPD Exacerbation
Moderate COPD exacerbations were defined as: worsening of 2 or more of the following major symptoms for at least 2 consecutive days - dyspnea, sputum volume and sputum purulence; OR a worsening of any 1 major symptom with any 1 of the following minor symptoms for at least 2 consecutive days - sore throat, colds, fever without other cause, increased cough or increased wheeze, requiring treatment with systemic glucocorticosteroids or antibiotics or both. Severe COPD exacerbations were defined as: conditions for Moderate COPD exacerbation and hospitalization was required. Participants who withdraw from the study and do not experience a moderate or severe exacerbation are censored at the date of withdrawal. Participants who complete the study and do not experience a moderate or severe exacerbation are censored at the completion visit date. (NCT01119937)
Timeframe: 52 weeks
Intervention | days (Number) |
---|
NVA237 | 362 |
Tiotropium | 359 |
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Trough Forced Vital Capacity on Days 1, 7 and 14
"Trough Forced Vital Capacity (FVC) on Days 1, 7 and 14. FVC is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. (see Outcome Measure #23).~Trough FVC was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values." (NCT01119950)
Timeframe: Days 1, 7 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=88, 92, 91, 90, 94, 94, 87, 86) | Day 7 (n=87, 92, 90, 91, 95, 93, 85, 87) | Day 14 (n= 85, 90, 91, 88, 94, 93, 81, 84) |
---|
NVA237 100.0 µg q.d. | 2.944 | 2.977 | 2.941 |
,NVA237 12.5 µg b.i.d. | 2.997 | 2.991 | 2.965 |
,NVA237 12.5 µg q.d. | 2.895 | 2.982 | 2.958 |
,NVA237 25.0 µg b.i.d. | 2.956 | 2.993 | 2.960 |
,NVA237 25.0 µg q.d. | 3.063 | 3.135 | 3.000 |
,NVA237 50.0 µg b.i.d. | 3.088 | 3.114 | 3.113 |
,NVA237 50.0 µg q.d. | 3.017 | 3.072 | 3.003 |
,Placebo | 2.779 | 2.759 | 2.744 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours at Day 28 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer.~Percentage of the maximal response of NVA237 doses on FEV1 Area Under the Curve (AUC) 0-24 hours at day 28 of treatment was calculated from measurements taken at 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28.~AUC FEV1 was measured in response to all doses administered (see Outcome Measure #20). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
Intervention | Percentage of maximal response * hours (Mean) |
---|
NVA237 12.5 µg q.d. | 28.9 |
NVA237 25.0 µg q.d. | 44.8 |
NVA237 12.5 µg b.i.d. | 49.0 |
NVA237 50.0 µg q.d. | 61.9 |
NVA237 25.0 µg b.i.d. | 65.7 |
NVA237 100.0 µg q.d. | 76.4 |
NVA237 50.0 µg b.i.d. | 79.3 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second at 12 Hours at Day 28 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response within different doses/regimens of NVA237 was measured using FEV1 at 12 hours on day 28 of treatment.~FEV1 was measured in response to all doses administered (see Outcome Measure #22). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 12 hours on day 28
Intervention | Percentage of maximal response (Mean) |
---|
NVA237 12.5 µg q.d. | 27.1 |
NVA237 25.0 µg q.d. | 42.7 |
NVA237 12.5 µg b.i.d. | 35.5 |
NVA237 50.0 µg q.d. | 59.8 |
NVA237 25.0 µg b.i.d. | 52.4 |
NVA237 100.0 µg q.d. | 74.9 |
NVA237 50.0 µg b.i.d. | 68.7 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Vital Capacity at Day 28 of Treatment
"Percentage of the maximal response of NVA237 within different doses/regimens of NVA237 on Forced Vital Capacity (FVC) was measured at day 28 of treatment. FVC is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible.~FVC at day 28 of treatment was measured via spirometry (see Outcome Measure #24). All FVC responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FVC data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: day 28
Intervention | Percentage of maximal response (Mean) |
---|
NVA237 12.5 µg q.d. | 23.3 |
NVA237 25.0 µg q.d. | 37.4 |
NVA237 12.5 µg b.i.d. | 53.6 |
NVA237 50.0 µg q.d. | 54.0 |
NVA237 25.0 µg b.i.d. | 69.3 |
NVA237 100.0 µg q.d. | 69.7 |
NVA237 50.0 µg b.i.d. | 81.4 |
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Percentage of the Maximal Response of NVA237 Doses on Peak Forced Expiratory Volume in One Second at Day 28 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Peak FEV1 is the maximum FEV1 recorded in a pre-determined period of time.~Percentage of the maximal response of NVA237 within different doses/regimens of NVA237 on Peak FEV1 was measured at day 28 of treatment.~Peak FEV1 was measured in response to all doses administered (see Outcome Measure #23). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: day 28
Intervention | Percentage of maximal response (Mean) |
---|
NVA237 12.5 µg q.d. | 53.3 |
NVA237 25.0 µg q.d. | 69.2 |
NVA237 12.5 µg b.i.d. | 61.1 |
NVA237 50.0 µg q.d. | 81.5 |
NVA237 25.0 µg b.i.d. | 75.6 |
NVA237 100.0 µg q.d. | 89.6 |
NVA237 50.0 µg b.i.d. | 85.8 |
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Trough Forced Expiratory Volume in One Second by Treatment at Day 28
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values." (NCT01119950)
Timeframe: Day 28
Intervention | Liters (Mean) |
---|
NVA237 12.5 ug q.d. | 1.319 |
NVA237 25 ug q.d. | 1.368 |
NVA237 12.5 ug b.i.d. | 1.354 |
NVA237 50 ug q.d. | 1.340 |
NVA237 25 ug b.i.d. | 1.384 |
NVA237 100 ug q.d. | 1.410 |
NVA237 50 ug b.i.d. | 1.493 |
Placebo | 1.268 |
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Trough Forced Vital Capacity After 28 Days of Treatment
Forced Vital Capacity (FVC) after 28 days of treatment. FVC is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. Trough FVC was defined as the mean of the FVC values measured at 23 hours 15 mins and 23 hours 45 mins post-dose. (NCT01119950)
Timeframe: 23 hours 15 mins and 23 hours 45 mins post-dose on Day 28
Intervention | Liters (Mean) |
---|
NVA237 12.5 µg q.d. | 2.939 |
NVA237 25.0 µg q.d. | 3.007 |
NVA237 12.5 µg b.i.d. | 2.954 |
NVA237 50.0 µg q.d. | 2.973 |
NVA237 25.0 µg b.i.d. | 3.041 |
NVA237 100.0 µg q.d. | 2.974 |
NVA237 50.0 µg b.i.d. | 3.080 |
Placebo | 2.703 |
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Forced Expiratory Volume in One Second Area Under the Curve 0-12 Hours at Day 1 and 14 of Treatment
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses was calculated on FEV1 Area Under the Curve (AUC) 0-12 hours from measurements taken at at 5 min,15 min, 1,2,3,4,6,8,10 hours, 11h 55 min (postdose) on days 1 and 14. FEV1 AUC was calculated as the sum of trapezoids divided by the length of time. (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4,6,8,10 hours, 11h 55 min (postdose) on days 1 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=89, 94, 93, 91, 96, 96, 87, 90) | Day 14 (n=86, 92, 91, 91, 95, 93, 84, 86) |
---|
NVA237 100.0 µg q.d. | 1.431 | 1.427 |
,NVA237 12.5 µg b.i.d. | 1.379 | 1.357 |
,NVA237 12.5 µg q.d. | 1.382 | 1.360 |
,NVA237 25.0 µg b.i.d. | 1.364 | 1.378 |
,NVA237 25.0 µg q.d. | 1.425 | 1.416 |
,NVA237 50.0 µg b.i.d. | 1.498 | 1.494 |
,NVA237 50.0 µg q.d. | 1.430 | 1.406 |
,Placebo | 1.289 | 1.281 |
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Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours on Days 1 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~FEV1 Area Under the Curve (AUC) measurements were taken at 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on days 1 and 14 of treatment. FEV1 AUC was calculated as the sum of trapezoids divided by the length of time." (NCT01119950)
Timeframe: 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on days 1 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n= 89,94,93,92,96,96,87,90) | Day 14 (n= 86,92,91,91,95,93,84,86) |
---|
NVA237 100.0 µg q.d. | 1.376 | 1.386 |
,NVA237 12.5 µg b.i.d. | 1.354 | 1.324 |
,NVA237 12.5 µg q.d. | 1.318 | 1.306 |
,NVA237 25.0 µg b.i.d. | 1.336 | 1.335 |
,NVA237 25.0 µg q.d. | 1.370 | 1.353 |
,NVA237 50.0 µg b.i.d. | 1.466 | 1.449 |
,NVA237 50.0 µg q.d. | 1.361 | 1.348 |
,Placebo | 1.256 | 1.253 |
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Forced Expiratory Volume in One Second Area Under the Curve 0-4 Hours on Days 1, 7 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~FEV1 Area Under the Curve (AUC) measurements were taken at 5 min, 15 min, 1,2,3,4 hours (postdose) on days 1, 7 and 14 of treatment. FEV1 AUC was calculated as the sum of trapezoids divided by the length of time." (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4 hours (postdose) on Days 1, 7 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=89,94,93,91,96,96,86,89) | Day 7 (n=87,93,90,92,95,94,85,89) | Day 14 (n=86,92,91,91,95,93,84,86) |
---|
NVA237 100.0 µg q.d. | 1.453 | 1.453 | 1.460 |
,NVA237 12.5 µg b.i.d. | 1.421 | 1.397 | 1.390 |
,NVA237 12.5 µg q.d. | 1.428 | 1.403 | 1.451 |
,NVA237 25.0 µg b.i.d. | 1.411 | 1.390 | 1.429 |
,NVA237 25.0 µg q.d. | 1.483 | 1.483 | 1.473 |
,NVA237 50.0 µg b.i.d. | 1.533 | 1.537 | 1.545 |
,NVA237 50.0 µg q.d. | 1.469 | 1.432 | 1.468 |
,Placebo | 1.312 | 1.310 | 1.314 |
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Forced Expiratory Volume in One Second Area Under the Curve at Different Time Points (0-4 Hours, 0-8 Hours, 0-12 Hours, 12-24 Hours)
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~FEV1 Area Under the Curve (AUC) measurements were taken at: 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose). FEV1 AUC was calculated as the sum of trapezoids divided by the length of time." (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
Intervention | Liters (Mean) |
---|
| AUC 0-4h (n=82,90,91,89,92,91,82,82) | AUC 0-8h (n=82,90,91,90,92,91,82,82) | AUC 0-12h (n=82,90,91,90,92,91,82,82) | AUC 12-24h (n=82,90,91,89,92,91,81,82) |
---|
NVA237 100.0 µg q.d. | 1.490 | 1.461 | 1.442 | 1.350 |
,NVA237 12.5 µg b.i.d. | 1.414 | 1.392 | 1.362 | 1.280 |
,NVA237 12.5 µg q.d. | 1.415 | 1.386 | 1.364 | 1.251 |
,NVA237 25.0 µg b.i.d. | 1.417 | 1.397 | 1.375 | 1.299 |
,NVA237 25.0 µg q.d. | 1.478 | 1.447 | 1.416 | 1.287 |
,NVA237 50.0 µg b.i.d. | 1.553 | 1.527 | 1.505 | 1.421 |
,NVA237 50.0 µg q.d. | 1.431 | 1.397 | 1.377 | 1.264 |
,Placebo | 1.315 | 1.305 | 1.285 | 1.208 |
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Forced Expiratory Volume in One Second at 12 Hours on Days 1 and 14 of Treatment
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses on FEV1 at 12 hours was measured on days 1 and 14. (NCT01119950)
Timeframe: Days 1 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=83, 90, 91, 85, 89, 90, 83, 81) | Day 14 (n=84, 91, 88, 90, 90, 92, 78, 83) |
---|
NVA237 100.0 µg q.d. | 1.374 | 1.389 |
,NVA237 12.5 µg b.i.d. | 1.327 | 1.303 |
,NVA237 12.5 µg q.d. | 1.319 | 1.290 |
,NVA237 25.0 µg b.i.d. | 1.299 | 1.329 |
,NVA237 25.0 µg q.d. | 1.364 | 1.356 |
,NVA237 50.0 µg b.i.d. | 1.439 | 1.469 |
,NVA237 50.0 µg q.d. | 1.345 | 1.329 |
,Placebo | 1.244 | 1.268 |
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Forced Expiratory Volume in One Second of Area Under the Curve 0-8 Hours Days 1, 7, and 14
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses on FEV1 Area Under the Curve (AUC) 0-8 was calculated from measurements taken at 5 min,15 min, 1,2,3,4,6,8 hours (postdose) on days 1, 7, and 14. FEV1 AUC was calculated as the sum of trapezoids divided by the length of time. (NCT01119950)
Timeframe: at 5 min,15 min, 1,2,3,4,6,8 hours (postdose) on days 1, 7 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=89, 94, 93, 91, 96, 96, 87, 90) | Day 7 (n= 87, 93, 91, 92, 95, 94, 85, 89) | Day 14 (n=86, 92, 91, 91, 95, 93, 84, 86) |
---|
NVA237 100.0 µg q.d. | 1.446 | 1.433 | 1.442 |
,NVA237 12.5 µg b.i.d. | 1.401 | 1.375 | 1.375 |
,NVA237 12.5 µg q.d. | 1.400 | 1.386 | 1.381 |
,NVA237 25.0 µg b.i.d. | 1.390 | 1.373 | 1.400 |
,NVA237 25.0 µg q.d. | 1.450 | 1.462 | 1.441 |
,NVA237 50.0 µg b.i.d. | 1.519 | 1.516 | 1.514 |
,NVA237 50.0 µg q.d. | 1.451 | 1.409 | 1.435 |
,Placebo | 1.301 | 1.293 | 1.293 |
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Forced Expiratory Volume in One Second of Area Under the Curve 12-24 Hours Over Days 1, and 14 of Treatment
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 on FEV1 Area under the curve (AUC) 12-24 hours was calculated from measurements taken at 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on Days 1 and 14. FEV1 AUC was calculated as the sum of trapezoids divided by the length of time. (NCT01119950)
Timeframe: 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on Days 1 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=89, 94, 93, 92, 96, 96, 87, 90) | Day 14 (n= 86, 92, 91, 91, 95, 93, 84, 86) |
---|
NVA237 100.0 µg q.d. | 1.322 | 1.344 |
,NVA237 12.5 µg b.i.d. | 1.329 | 1.290 |
,NVA237 12.5 µg q.d. | 1.257 | 1.251 |
,NVA237 25.0 µg b.i.d. | 1.306 | 1.291 |
,NVA237 25.0 µg q.d. | 1.315 | 1.289 |
,NVA237 50.0 µg b.i.d. | 1.437 | 1.406 |
,NVA237 50.0 µg q.d. | 1.295 | 1.291 |
,Placebo | 1.224 | 1.225 |
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Mean Daily Use of Rescue Medication by Treatment at Different Time Points
Mean daily use of rescue medication by treatment and time points. Baseline was defined as the average of the total number of puffs of rescue medication during the week prior to treatment start, divided by the total number of days with non-missing rescue data during that week, then puffs were counted during weeks 1, 2, 3 and 4 postdose. (NCT01119950)
Timeframe: Baseline, Weeks 1, 2, 3 and 4
Intervention | Number of Puffs (Mean) |
---|
| Baseline (n=89, 95, 95, 92, 96, 96, 86, 91) | Week 1 (n=89, 95, 95, 91, 96, 96, 86, 90) | Week 2 (n=86, 94, 94, 91, 95, 93, 84, 89) | Week 3 (n= 86, 93, 94, 89, 93, 93, 83, 87) | Week 4 (n=86, 92, 94, 88, 93, 93, 82, 85) |
---|
NVA237 100.0 µg q.d. | 4.81 | 2.53 | 2.59 | 2.75 | 2.65 |
,NVA237 12.5 µg b.i.d. | 3.83 | 2.10 | 2.22 | 2.29 | 2.42 |
,NVA237 12.5 µg q.d. | 4.16 | 2.41 | 2.74 | 2.75 | 2.91 |
,NVA237 25.0 µg b.i.d. | 3.47 | 2.13 | 2.08 | 2.23 | 2.32 |
,NVA237 25.0 µg q.d. | 4.16 | 2.23 | 2.20 | 2.40 | 2.52 |
,NVA237 50.0 µg b.i.d. | 4.25 | 2.54 | 2.82 | 2.69 | 2.78 |
,NVA237 50.0 µg q.d. | 4.45 | 2.36 | 2.38 | 2.37 | 2.46 |
,Placebo | 4.62 | 2.94 | 3.32 | 3.34 | 3.41 |
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Peak Forced Expiratory Volume in One Second on Days 1, 7 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Peak FEV1 is the maximum FEV1 recorded in a pre-determined period of time.~Percentage of the maximal response of NVA237 doses on Peak FEV1 was measured on days 1, 7 and 14 of treatment." (NCT01119950)
Timeframe: Days 1, 7, and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n=89, 94, 93, 91, 96, 96, 86, 89) | Day 7 (n=87, 93, 90, 92, 95, 94, 85, 89) | Day 14 (n=86, 92, 91, 91, 95, 93, 84, 86) |
---|
NVA237 100.0 µg q.d. | 1.521 | 1.513 | 1.528 |
,NVA237 12.5 µg b.i.d. | 1.494 | 1.455 | 1.465 |
,NVA237 12.5 µg q.d. | 1.503 | 1.459 | 1.487 |
,NVA237 25.0 µg b.i.d. | 1.483 | 1.448 | 1.506 |
,NVA237 25.0 µg q.d. | 1.558 | 1.540 | 1.547 |
,NVA237 50.0 µg b.i.d. | 1.597 | 1.598 | 1.615 |
,NVA237 50.0 µg q.d. | 1.541 | 1.501 | 1.537 |
,Placebo | 1.378 | 1.364 | 1.380 |
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Percentage of the Maximal Effect of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours on Days 1 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer.~Percentage of the maximal response of NVA237 doses on FEV1 Area Under the Curve (AUC) 0-24 hours, was calculated from measurements taken at 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on days 1 and 14.~FEV1 AUC 0-24 hours was measured on days 1 and 14 of treatment in response to all doses administered (see Outcome Measure #26). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on days 1 and 14
Intervention | Percentage of maximal response* hours (Mean) |
---|
| Day 1 (n= 89,94,93,92,96,96,87) | Day 14 (n= 86,92,91,91,95,93,84) |
---|
NVA237 100.0 µg q.d. | 83.2 | 76.4 |
,NVA237 12.5 µg b.i.d. | 59.5 | 49.0 |
,NVA237 12.5 µg q.d. | 38.3 | 28.9 |
,NVA237 25.0 µg b.i.d. | 74.6 | 65.7 |
,NVA237 25.0 µg q.d. | 55.4 | 44.8 |
,NVA237 50.0 µg b.i.d. | 85.4 | 79.3 |
,NVA237 50.0 µg q.d. | 71.3 | 61.9 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-12 Hours at Day 1 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses was calculated on FEV1 Area Under the Curve (AUC) 0-12 hours from measurements taken at at 5 min,15 min, 1,2,3,4,6,8,10 hours, 11h 55 min (postdose) on days 1 and 14 in response to all doses administered (see Outcome Measure #29).~All AUC FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4,6,8,10 hours, 11h 55 min (postdose) on days 1 and 14
Intervention | Percentage of maximal response* hours (Mean) |
---|
| Day 1 (n=89, 94, 93, 91, 96, 96, 87) | Day 14 (n=86, 92, 91, 91, 95, 93, 84) |
---|
NVA237 100.0 µg q.d. | 88.7 | 84.8 |
,NVA237 12.5 µg b.i.d. | 58.8 | 50.5 |
,NVA237 12.5 µg q.d. | 49.5 | 41.1 |
,NVA237 25.0 µg b.i.d. | 74.1 | 67.1 |
,NVA237 25.0 µg q.d. | 66.2 | 58.3 |
,NVA237 50.0 µg b.i.d. | 85.1 | 80.3 |
,NVA237 50.0 µg q.d. | 79.6 | 73.6 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-4 Hours on Days 1, 7 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer.~Percentage of the maximal response of NVA237 doses on FEV1 Area Under the Curve (AUC) 0-4 hours was calculated from measurements taken at 5 min,15 min, 1,2,3,4 hours (postdose) on Days 1, 7 and 14, in response to all doses administered (see Outcome Measure #27).~All AUC FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4 hours (postdose) on Days 1, 7 and 14
Intervention | Percentage of maximal response* hours (Mean) |
---|
| Day 1 (n=89,94,93,91,96,96,86) | Day 7 (n=87,93,90,92,95,94,85) | Day 14 (n=86,92,91,91,95,93,84) |
---|
NVA237 100.0 µg q.d. | 91.1 | 88.3 | 88.3 |
,NVA237 12.5 µg b.i.d. | 66.1 | 58.9 | 58.9 |
,NVA237 12.5 µg q.d. | 58.4 | 50.8 | 50.8 |
,NVA237 25.0 µg b.i.d. | 79.1 | 73.7 | 73.7 |
,NVA237 25.0 µg q.d. | 73.2 | 66.9 | 66.9 |
,NVA237 50.0 µg b.i.d. | 88.0 | 84.4 | 84.4 |
,NVA237 50.0 µg q.d. | 84.1 | 79.7 | 79.7 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve at Different Time Points (0-4 Hours, 0-8 Hours, 0-12 Hours, 12-24 Hours) on Day 28
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer.~Percentage of the maximal response of NVA237 doses on FEV1 Area Under the Curve (AUC) 0-4 Hours, 0-8 Hours, 0-12 Hours, 12-24 Hours were calculated from measurements taken at: 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28.~AUC FEV1 was measured in response to all doses administered (see Outcome Measure #21). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
Intervention | Percentage of maximal response* hours (Mean) |
---|
| AUC 0-4h (n=82,90,91,89,92,91,82) | AUC 0-8h (n=82,90,91,90,92,91,82) | AUC 0-12h (n=82,90,91,90,92,91,82) | AUC 12-24h (n=82,90,91,89,92,91,81) |
---|
NVA237 100.0 µg q.d. | 88.3 | 87.1 | 84.8 | 71.2 |
,NVA237 12.5 µg b.i.d. | 58.9 | 55.5 | 50.5 | 56.6 |
,NVA237 12.5 µg q.d. | 50.8 | 45.8 | 41.1 | 25.6 |
,NVA237 25.0 µg b.i.d. | 73.7 | 71.4 | 67.1 | 71.4 |
,NVA237 25.0 µg q.d. | 66.9 | 62.8 | 58.3 | 40.1 |
,NVA237 50.0 µg b.i.d. | 84.4 | 83.3 | 80.3 | 82.4 |
,NVA237 50.0 µg q.d. | 79.7 | 77.1 | 73.6 | 56.4 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second at 12 Hours on Days 1 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses on FEV1 at 12 hours was measured on days 1 and 14.~FEV1 was measured in response to all doses administered (see Outcome Measure #31). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: Days 1 and 14
Intervention | Percentage of maximal response (Mean) |
---|
| Day 1 (n=83, 90, 91, 85, 89, 90, 83) | Day 14 (n=84, 91, 88, 90, 90, 92, 78) |
---|
NVA237 100.0 µg q.d. | 81.2 | 74.9 |
,NVA237 12.5 µg b.i.d. | 44.4 | 35.5 |
,NVA237 12.5 µg q.d. | 35.1 | 27.1 |
,NVA237 25.0 µg b.i.d. | 61.5 | 52.4 |
,NVA237 25.0 µg q.d. | 52.0 | 42.7 |
,NVA237 50.0 µg b.i.d. | 76.1 | 66.7 |
,NVA237 50.0 µg q.d. | 68.4 | 59.8 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second of Area Under the Curve 0-8 Hours Days 1, 7, and 14
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses on FEV1 Area Under the Curve (AUC) 0-8 was calculated from measurements taken at 5 min,15 min, 1,2,3,4,6,8 hours (postdose) on days 1, 7, and 14.~AUC FEV1 was measured in response to all doses administered (see Outcome Measure #28). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: at 5 min,15 min, 1,2,3,4,6,8 hours (postdose) on days 1, 7 and 14
Intervention | Percentage of maximal response* hours (Mean) |
---|
| Day 1 (n=89, 94, 93, 91, 96, 96, 87) | Day 7 (n= 87, 93, 91, 92, 95, 94, 85) | Day 14 (n=86, 92, 91, 91, 95, 93, 84) |
---|
NVA237 100.0 µg q.d. | 90.5 | 87.1 | 87.1 |
,NVA237 12.5 µg b.i.d. | 63.6 | 55.5 | 55.5 |
,NVA237 12.5 µg q.d. | 54.2 | 45.8 | 45.8 |
,NVA237 25.0 µg b.i.d. | 77.8 | 71.4 | 71.4 |
,NVA237 25.0 µg q.d. | 70.3 | 62.8 | 62.8 |
,NVA237 50.0 µg b.i.d. | 87.5 | 83.3 | 83.3 |
,NVA237 50.0 µg q.d. | 82.6 | 77.1 | 77.1 |
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Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second of Area Under the Curve 12-24 Hours Over Days 1, and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 on FEV1 Area under the curve (AUC) 12-24 hours was calculated from measurements taken at 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on Days 1 and 14.~AUC FEV1 was measured in response to all doses administered (see Outcome Measure #30). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on Days 1 and 14
Intervention | Percentage of maximal response* hours (Mean) |
---|
| Day 1 (n=89, 94, 93, 92, 96, 96, 87) | Day 14 (n= 86, 92, 91, 91, 95, 93, 84) |
---|
NVA237 100.0 µg q.d. | 69.3 | 71.2 |
,NVA237 12.5 µg b.i.d. | 54.4 | 56.6 |
,NVA237 12.5 µg q.d. | 23.9 | 25.6 |
,NVA237 25.0 µg b.i.d. | 69.5 | 71.4 |
,NVA237 25.0 µg q.d. | 37.9 | 40.1 |
,NVA237 50.0 µg b.i.d. | 81.1 | 82.4 |
,NVA237 50.0 µg q.d. | 54.1 | 56.4 |
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Percentage of the Maximal Response of NVA237 Doses on Peak Forced Expiratory Volume in One Second on Days 1, 7 and 14 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Peak FEV1 is the maximum FEV1 recorded in a pre-determined period of time.~Percentage of the maximal response of NVA237 doses on Peak FEV1 was measured on days 1, 7 and 14 of treatment.~Peak FEV1 was measured in response to all doses administered (see Outcome Measure #32). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response." (NCT01119950)
Timeframe: Days 1, 7, and 14
Intervention | Percentage of maximal response (Mean) |
---|
| Day 1 (n=89, 94, 93, 91, 96, 96, 86) | Day 7 (n=87, 93, 90, 92, 95, 94, 85) | Day 14 (n=86, 92, 91, 91, 95, 93, 84) |
---|
NVA237 100.0 µg q.d. | 92.3 | 89.6 | 89.6 |
,NVA237 12.5 µg b.i.d. | 68.9 | 61.1 | 61.1 |
,NVA237 12.5 µg q.d. | 61.7 | 53.3 | 53.3 |
,NVA237 25.0 µg b.i.d. | 81.3 | 75.6 | 75.6 |
,NVA237 25.0 µg q.d. | 76.0 | 69.2 | 69.2 |
,NVA237 50.0 µg b.i.d. | 89.5 | 85.8 | 85.8 |
,NVA237 50.0 µg q.d. | 86.1 | 81.5 | 81.5 |
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Percentage of the Maximal Response of NVA237 Doses on Trough Forced Expiratory Volume in One Second at Days 1, 7 and 14
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Percentage of the maximal response of NVA237 doses on Trough FEV1 was measured on Days 1, 7 and 14.~Through FEV1 was measured in response to all doses administered (see Outcome Measure #25). All FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All FEV1 data are reported as a percentage of the theoretical maximal response.~Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values." (NCT01119950)
Timeframe: Days 1, 7 and 14
Intervention | Percentage of maximal response (Mean) |
---|
| Day 1 (n= 88,92,91, 90, 94, 94, 87) | Day 7 (n= 87,92,90, 91, 95, 93, 85) | Day 14 (n= 85,90,91, 88, 94, 93, 81) |
---|
NVA237 100.0 µg q.d. | 74.3 | 73.0 | 73.0 |
,NVA237 12.5 µg b.i.d. | 63.3 | 61.6 | 61.6 |
,NVA237 12.5 µg q.d. | 28.5 | 27.1 | 27.1 |
,NVA237 25.0 µg b.i.d. | 76.7 | 75.5 | 75.5 |
,NVA237 25.0 µg q.d. | 43.8 | 42.0 | 42.0 |
,NVA237 50.0 µg b.i.d. | 86.2 | 85.4 | 85.4 |
,NVA237 50.0 µg q.d. | 60.1 | 58.5 | 58.5 |
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Percentage of the Maximal Response of NVA237 Doses on Trough Forced Vital Capacity on Days 1, 7 and 14
"Percentage of the maximal response of NVA237 Doses on Trough Forced Vital Capacity (FVC) on Days 1, 7 and 14. FVC is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. Trough FVC was assessed via spirometry. (see Outcome Measure #33).~Trough FVC is defined as the mean of the FVC values measured at 23 hours 15 mins and 23 hours 45 mins post-dose." (NCT01119950)
Timeframe: Days 1, 7 and 14
Intervention | Percentage of maximal response (Mean) |
---|
| Day 1 (n=88, 92, 91, 90, 94, 94, 87) | Day 7 (n=87, 92, 90, 91, 95, 93, 85, 87) | Day 14 (n= 85, 90, 91, 88, 94, 93, 81, 84) |
---|
NVA237 100.0 µg q.d. | 69.1 | 69.7 | 69.7 |
,NVA237 12.5 µg b.i.d. | 52.9 | 53.6 | 53.6 |
,NVA237 12.5 µg q.d. | 22.8 | 23.3 | 23.3 |
,NVA237 25.0 µg b.i.d. | 68.7 | 69.3 | 69.3 |
,NVA237 25.0 µg q.d. | 36.8 | 37.4 | 37.4 |
,NVA237 50.0 µg b.i.d. | 81.0 | 81.4 | 81.4 |
,NVA237 50.0 µg q.d. | 53.4 | 54.0 | 54.0 |
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Trough Forced Expiratory Volume in One Second at Days 1, 7 and 14
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~Trough FEV1 was measured on Days 1, 7 and 14 of treatment. Trough FEV1 was defined as the mean of the FEV1 values measured at 23 hours 15 mins and 23 hours 45 mins post-dose." (NCT01119950)
Timeframe: 23 hours 15 mins and 23 hours 45 mins post-dose on Days 1, 7 and 14
Intervention | Liters (Mean) |
---|
| Day 1 (n= 88,92,91, 90, 94, 94, 87, 86) | Day 7 (n= 87,92,90, 91, 95, 93, 85, 87) | Day 14 (n= 85,90,91, 88, 94, 93, 81, 84) |
---|
NVA237 100.0 µg q.d. | 1.367 | 1.372 | 1.375 |
,NVA237 12.5 µg b.i.d. | 1.375 | 1.349 | 1.335 |
,NVA237 12.5 µg q.d. | 1.299 | 1.332 | 1.336 |
,NVA237 25.0 µg b.i.d. | 1.355 | 1.375 | 1.359 |
,NVA237 25.0 µg q.d. | 1.387 | 1.422 | 1.349 |
,NVA237 50.0 µg b.i.d. | 1.492 | 1.480 | 1.500 |
,NVA237 50.0 µg q.d. | 1.371 | 1.391 | 1.356 |
,Placebo | 1.290 | 1.294 | 1.284 |
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Forced Expiratory Volume in One Second AUC 0-24 Hours for Once and Twice Daily Regimens of NVA237 for the Same Total Daily Dose of NVA237, After 28 Days of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer.~The Area Under the Curve (AUC) 0-24 hours FEV1 between dosing regimens over the range 20 micrograms to 55 micrograms total daily dose at -25 min,-15 min (predose); 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28.~AUC 0-24 hours FEV1 was measured in response to all doses administered (12.5 µg q.d., 25.0 µg q.d., 12.5 µg b.i.d., 50 µg q.d., 25 µg b.i.d., 100 µg q.d., 50.0 µg b.i.d., and Placebo; see Outcome Measure # 20), and was used to compute modeled dose-response curves for once-daily and twice-daily regimens separately. The difference between those curves was computed at pre-specified theoretical doses (20 µg, 25 µg, 30 µg, 35 µg, 40 µg, 45 µg, 50 µg, and 55 µg) chosen at points likely to show the largest differences between the once-daily and twice-daily regimens." (NCT01119950)
Timeframe: -25 min,-15 min (predose); 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
Intervention | Liters (Mean) |
---|
| Total daily dose 20 ug | Total daily dose 25 ug | Total daily dose 30 ug | Total daily dose 35 ug | Total daily dose 40 ug | Total daily dose 45 ug | Total daily dose 50 ug | Total daily dose 55 ug |
---|
Overall Study | 0.008 | 0.008 | 0.008 | 0.008 | 0.008 | 0.008 | 0.008 | 0.007 |
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Trough Forced Expiratory Volume in One Second for Once and Twice Daily Regimens of NVA237 for the Same Total Daily Dose of NVA237
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer.~FEV1 was measured between dosing regimens (over the range 20 micrograms to 55 micrograms total daily dose) after 28 days of treatment.~Mean trough FEV1 was measured in response to all doses administered (12.5 µg q.d., 25.0 µg q.d., 12.5 µg b.i.d., 50 µg q.d., 25 µg b.i.d., 100 µg q.d., 50.0 µg b.i.d., and Placebo; see Outcome Measure # 19), and was used to compute modeled dose-response curves for once-daily and twice-daily regimens separately. The difference between those curves was computed at pre-specified theoretical doses (20 µg, 25 µg, 30 µg, 35 µg, 40 µg, 45 µg, 50 µg, and 55 µg) chosen at points likely to show the largest differences between the once-daily and twice-daily regimens. The theoretical responses to each dosing schedule separately and the difference between the once-daily and twice-daily regimens are represented below." (NCT01119950)
Timeframe: day 28
Intervention | Liters (Mean) |
---|
| Total daily dose 20 ug | Total daily dose 25 ug | Total daily dose 30 ug | Total daily dose 35 ug | Total daily dose 40 ug | Total daily dose 45 ug | Total daily dose 50 ug | Total daily dose 55 ug |
---|
Overall Study | 0.037 | 0.037 | 0.036 | 0.035 | 0.034 | 0.033 | 0.032 | 0.031 |
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Peak Forced Expiratory Volume in One Second at Day 28 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~Peak FEV1 is the maximum FEV1 recorded in a pre-determined period of time. Measurements were taken at 25 min , 15 min pre-dose, 5 min, 15 min, 1 , 2 ,3 , 4 , 6 , 8 , 10 hours , 11 hour 55 min and 14 hour post-dose on day 28." (NCT01119950)
Timeframe: 25 min , 15 min pre-dose, 5 min, 15 min, 1 , 2 ,3 , 4 , 6 , 8 , 10 hours , 11 hour 55 min and 14 hour post-dose on day 28
Intervention | Liters (Mean) |
---|
NVA237 12.5 µg q.d. | 1.500 |
NVA237 25.0 µg q.d. | 1.563 |
NVA237 12.5 µg b.i.d. | 1.494 |
NVA237 50.0 µg q.d. | 1.514 |
NVA237 25.0 µg b.i.d. | 1.504 |
NVA237 100.0 µg q.d. | 1.570 |
NVA237 50.0 µg b.i.d. | 1.630 |
Placebo | 1.397 |
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Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours at Day 28 of Treatment
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards.~FEV1 Area Under the Curve (AUC) measurements were taken at 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28. FEV1 AUC was calculated as the sum of trapezoids divided by the length of time." (NCT01119950)
Timeframe: 5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
Intervention | Liters (Mean) |
---|
NVA237 12.5 µg q.d. | 1.307 |
NVA237 25.0 µg q.d. | 1.351 |
NVA237 12.5 µg b.i.d. | 1.321 |
NVA237 50.0 µg q.d. | 1.317 |
NVA237 25.0 µg b.i.d. | 1.339 |
NVA237 100.0 µg q.d. | 1.395 |
NVA237 50.0 µg b.i.d. | 1.457 |
Placebo | 1.247 |
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Forced Expiratory Volume in One Second at 12 Hours on Day 28 of Treatment
Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Spirometry was performed according to internationally accepted standards. (NCT01119950)
Timeframe: 12 hours on day 28
Intervention | Liters (Mean) |
---|
NVA237 12.5 µg q.d. | 1.272 |
NVA237 25.0 µg q.d. | 1.330 |
NVA237 12.5 µg b.i.d. | 1.279 |
NVA237 50.0 µg q.d. | 1.330 |
NVA237 25.0 µg b.i.d. | 1.320 |
NVA237 100.0 µg q.d. | 1.391 |
NVA237 50.0 µg b.i.d. | 1.429 |
Placebo | 1.256 |
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Maximal Response of Incremental Once Daily and Twice Daily Doses of NVA237 That Each Dose Achieves in Relation to the Maximal Effect of NVA237 on Trough Forced Expiratory Volume in One Second at Day 28
"Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. The maximal response of incremental once daily and twice daily doses of NVA237 that each dose achieves in relation to the maximal effect of NVA237 on Trough FEV1 was measured at Day 28. FEV1 was measured in response to all doses administered (see Outcome Measure #19).~All trough FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All trough FEV1 data are reported as a percentage of the theoretical maximal response.~Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values." (NCT01119950)
Timeframe: Day 28
Intervention | Percentage of maximal response (Mean) |
---|
NVA237 12.5 µg q.d. | 27.1 |
NVA237 25.0 µg q.d. | 42.0 |
NVA237 12.5 µg b.i.d. | 61.6 |
NVA237 50.0 µg q.d. | 58.5 |
NVA237 25.0 µg b.i.d. | 75.5 |
NVA237 100.0 µg q.d. | 73.0 |
NVA237 50.0 µg b.i.d. | 85.4 |
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Rate of Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations in QVA149 and Open-label Tiotropium Treatment Arms During the Treatment Period.
"A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as a worsening of two or more of the following major symptoms for at least 2 consecutive days: dyspnea, sputum volume or sputum purulence OR a worsening of any 1 major symptom together with an increase in any 1 of the following minor symptoms for at least 2 consecutive days: sore throat, colds (nasal discharge and/or nasal congestion), fever without other cause, cough or wheezing. A COPD exacerbation was considered of moderate severity if treatment with systemic glucocorticosteroids or antibiotics or both was required and severe if hospitalization was required. An emergency room (ER) visit of longer than 24 hours was considered a hospitalization.~Rate of moderate or severe exacerbations per year = total number of moderate or severe exacerbations / total number of treatment years" (NCT01120691)
Timeframe: 76 weeks
Intervention | Exacerbations per year (Number) |
---|
QVA149 | 0.94 |
Open-label Tiotropium | 1.06 |
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Number of Days With Moderate or Severe Exacerbation That Required Treatment With Systemic Corticosteroids and Antibiotics
The number of exacerbation days is defined as the sum of the duration of days recorded as an exacerbation for all exacerbations recorded per patient. (NCT01120691)
Timeframe: 64 weeks
Intervention | Days (Mean) |
---|
| systemic corticosteroids [n= 97, 108, 109] | antibiotics [n= 195, 177, 177] | corticosteroids and antibiotic [n= 266, 290, 270] |
---|
NVA237 | 25.22 | 18.10 | 26.18 |
,Open-label Tiotropium | 17.57 | 25.94 | 22.03 |
,QVA149 | 20.49 | 25.08 | 22.10 |
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Cumulative Rates of Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations for Multiple COPD Exacerbation at Different Time Points
Cumulative rates were estimated using Anderson and Gill method. Chronic Obstructive Pulmonary Disease (COPD) exacerbations are considered to be moderate if treatment with systemic corticosteroids and/or antibiotics was required. COPD exacerbations are considered to be severe if treatment for moderate severity and hospitalization were required. Rate of moderate or severe exacerbations per year = total number of moderate or severe exacerbations / total number of treatment years (NCT01120691)
Timeframe: 26, 52, 64, 76 weeks
Intervention | exacerbations per year (Number) |
---|
| 26 weeks | 52 weeks | 64 weeks | 76 weeks |
---|
NVA237 | 0.65 | 1.13 | 1.36 | 1.59 |
,Open-label Tiotropium | 0.63 | 1.11 | 1.31 | 1.55 |
,QVA149 | 0.57 | 0.99 | 1.19 | 1.39 |
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Change in Mean Daily Use (Number of Puffs) of Rescue Therapy Between QVA149, NVA237 and Open Label Tiotropium From Baseling Over the 64 Week Treatment Period
The severe or less FEV1 % predicted (post bronchodilator)>=30%; very severe=> FEV1 % predicted(the post bronchodilator)<30%.Number of puffs of rescue medication taken in the previous 12 hours was recorded in patient diary in the morning and in the evening for 26 weeks.The total number of puffs per day was calculated and divided by the number of days with data to determine the mean daily number of puffs of rescue medication for each patient.Rescue medication data recorded during the 14 day run-in was used to calculate the baseline.A negative change from baseline indicates improvement. A mixed model was used with treatment as a fixed effect with baseline number of puffs and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. (NCT01120691)
Timeframe: Baseline (14 day run-in), 64 weeks
Intervention | # puffs (Least Squares Mean) |
---|
| Mean Daily # puffs Severe or Less(n=565,575,561) | Mean Daily # puffs Very Severe (n=143,149,148) |
---|
NVA237 | -1.5 | -1.1 |
,Open-label Tiotropium | -1.6 | -1.0 |
,QVA149 | -2.3 | -2.1 |
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Time to Study Withdrawal or Premature Discontinuation for Any Reason Between QVA149 (110/50 µg q.d.), NVA237 (50 µg q.d.) and Open Label Tiotropium (18 µg q.d.) During the Treatment Period.
Time to Study Withdrawal or Premature Discontinuation for Any Reason was analyzed for each treatment group using a Kaplan-Meier estimation for the modified safety set. Patients who did not discontinue early were censored at the final visit of the treatment phase. (NCT01120691)
Timeframe: 64 weeks
Intervention | days (Median) |
---|
QVA149 | NA |
NVA237 | NA |
Open-label Tiotropium | NA |
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Time to First Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation Between QVA149, NVA237 and Open Label Tiotropium During the Treatment Period
"A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as a worsening of two or more of the following major symptoms for at least 2 consecutive days: dyspnea, sputum volume or sputum purulence OR a worsening of any 1 major symptom together with an increase in any 1 of the following minor symptoms for at least 2 consecutive days: sore throat, colds (nasal discharge and/or nasal congestion), fever without other cause, cough or wheezing. A COPD exacerbation was considered of moderate severity if treatment with systemic glucocorticosteroids or antibiotics or both was required and severe if hospitalization was required. An emergency room (ER) visit of longer than 24 hours was considered a hospitalization.~Rate of moderate or severe exacerbations per year = total number of moderate or severe exacerbations / total number of treatment years" (NCT01120691)
Timeframe: 64 weeks
Intervention | days (Median) |
---|
QVA149 | 296 |
NVA237 | 287 |
Open-label Tiotropium | 331 |
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Rate of Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations in QVA149 and NVA237 Treatment Arms During the Treatment Period.
"A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as a worsening of two or more of the following major symptoms for at least 2 consecutive days: dyspnea, sputum volume or sputum purulence OR a worsening of any 1 major symptom together with an increase in any 1 of the following minor symptoms for at least 2 consecutive days: sore throat, colds (nasal discharge and/or nasal congestion), fever without other cause, cough or wheezing. A COPD exacerbation was considered of moderate severity if treatment with systemic glucocorticosteroids or antibiotics or both was required and severe if hospitalization was required. An emergency room (ER) visit of longer than 24 hours was considered a hospitalization.~Rate of moderate or severe exacerbations per year = total number of moderate or severe exacerbations / total number of treatment years" (NCT01120691)
Timeframe: 64 weeks
Intervention | Exacerbations per year (Number) |
---|
QVA149 | 0.94 |
NVA237 | 1.07 |
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Rate of Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbations Requiring the Use of Both Systemic Glucocorticosteroids and Antibiotics
Rate of moderate or severe exacerbations per year = total number of moderate or severe exacerbations / total number of treatment years (NCT01120691)
Timeframe: 64 weeks
Intervention | exacerbations per year (Number) |
---|
QVA149 | 0.46 |
NVA237 | 0.58 |
Open-label Tiotropium | 0.54 |
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Percentage of Patients With Study Withdrawal or Premature Discontinuation for Any Reason Between QVA149 (110/50 µg q.d.), NVA237 (50 µg q.d.) and Open Label Tiotropium (18 µg q.d.)During the Treatment Period
Percentage of Patients With Study Withdrawal or Premature Discontinuation for Any Reason was analyzed for each treatment group using a Kaplan-Meier estimation for the modified safety set. Patients who did not discontinue early were censored at the final visit of the treatment phase. (NCT01120691)
Timeframe: 64 weeks
Intervention | percentage of participants (Number) |
---|
QVA149 | 21.8 |
NVA237 | 27.3 |
Open-label Tiotropium | 24.2 |
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Change From Baseline of Percentage of Days Without Rescue Therapy Use Between QVA149,NVA237 and Open Label Tiotropium Over the 64 Week Treatment Period
A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours. The percentage of days is calculated by the number of days with no rescue medicine use/total number of days with evaluable data X 100. A mixed model was used with treatment as a fixed effect with baseline number of puffs and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01120691)
Timeframe: Baseline (14 day run-in), 64 weeks
Intervention | percentage of days (Least Squares Mean) |
---|
QVA149 | 29.36 |
NVA237 | 21.65 |
Open-label Tiotropium | 23.86 |
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Pre-dose Forced Expiratory Volume in 1 Second (FEV-1) After 4, 12, 26, 38, 52 and 64 Weeks of Treatment Between QVA149, NVA237 and Open Label Tiotropium
"Pulmonary function assessments were performed using centralized spirometry. The spirometer was customized and programmed according to the requirements of the study protocol in accordance with American Thoracic Society (ATS) standards.~Spirometry measurements taken were FEV1 at -45 minutes and -15 minutes pre-dose. Three acceptable maneuvers had to be performed for each time point. The FEV1 values recorded had to be the highest values measured irrespective of whether or not they occurred on the same curve.~The mixed model for analysis contained treatment as a fixed effect with average of the 45 minutes and 15 minutes pre dose FEV1 measurements at day 1 as the baseline measurement, FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at -14 Day) as covariates." (NCT01120691)
Timeframe: 4, 12, 26, 38, 52 and 64 weeks
Intervention | L (liters) (Least Squares Mean) |
---|
| predose FEV1 Week 4 (n= 656,654,630) | predose FEV1 Week 12 (n= 666,663,653) | predose FEV1 Week 26 (n= 604,577,599) | predose FEV1 Week 38 (n= 593,549,583) | predose FEV1 Week 52 (n= 557,538,548) | predose FEV1 Week 64 (n= 549,504,530) |
---|
NVA237 | 0.99 | 1.01 | 0.99 | 1.00 | 0.98 | 0.98 |
,Open-label Tiotropium | 1.00 | 1.01 | 1.00 | 1.00 | 0.99 | 0.99 |
,QVA149 | 1.08 | 1.08 | 1.07 | 1.08 | 1.05 | 1.05 |
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Pre-dose Forced Vital Capacity (FVC)After 4, 12, 26, 38, 52 and 64 Weeks of Treatment Between QVA149, NVA237 and Open Label Tiotropium
"Pulmonary function assessments were performed using centralized spirometry. The spirometer was customized and programmed according to the requirements of the study protocol in accordance with American Thoracic Society (ATS) standards.~Pre-dose Forced Vital Capacity (FVC) is defined as the average of the -15 minutes and the -45 minutes FVC values. Baseline is defined as the average of the -45 minutes and -15 minutes FVC values taken on day 1 prior to first dose. FVC data taken within 6h of rescue medication or within 7 days of systemic corticosteroid is excluded from this analysis" (NCT01120691)
Timeframe: 4, 12, 26, 38, 52 and 64 weeks
Intervention | L (liters) (Least Squares Mean) |
---|
| predose FVC Week 4 (n= 656,654,630) | predose FVC Week 12 (n= 623,621,619) | predose FVC Week 26 (n= 604,577,599) | predose FVC Week 38 (n= 592,548,580) | predose FVC Week 52 (n= 557,538,547) | predose FVC Week 64 (n= 549,502,526) |
---|
NVA237 | 2.59 | 2.63 | 2.60 | 2.65 | 2.58 | 2.57 |
,Open-label Tiotropium | 2.60 | 2.65 | 2.61 | 2.63 | 2.58 | 2.59 |
,QVA149 | 2.74 | 2.77 | 2.73 | 2.76 | 2.68 | 2.67 |
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St. George's Respiratory Questionnaire (SGRQ) Scores Between QVA149, NVA237 and Open Label Tiotropium Over 12, 26, 38, 52 and 64 Weeks of Treatment
St. George's Respiratory Questionnaire (SGRQ) is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life. Mixed model used baseline SGRQ, baseline inhaled corticosteroid (ICS) use, Forced Expiratory Volume in 1 Second (FEV1) prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates. SGRQ total score is the sum of the scores from the three components; symptoms, activity and impacts. (NCT01120691)
Timeframe: 12, 26, 38, 52 and 64 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| Week 12 (n= 694,694,676) | Week 26 (n= 684,677,658) | Week 38 (n= 648,626,635) | Week 52 (n= 625,593,613) | Week 64 (n= 600,564,579) |
---|
NVA237 | 47.13 | 45.93 | 45.53 | 45.96 | 45.46 |
,Open-label Tiotropium | 47.62 | 45.77 | 45.86 | 46.21 | 46.08 |
,QVA149 | 44.69 | 44.06 | 42.72 | 43.38 | 43.39 |
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Exercise Endurance Time During a Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks (Day 21) of Treatment
SMETT is an exercise procedure where the patient cycles at 80% of the maximum workload (Wmax )value achieved at the Incremental exercise test. During this test, the patient will cycle at a constant load. Exercise endurance time was from commencement of loaded pedaling to stopping exercise. The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect. (NCT01154127)
Timeframe: Day 21
Intervention | seconds (Least Squares Mean) |
---|
NVA237 | 505.63 |
Placebo | 416.70 |
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Specific Airways Conductance (SGaw)
"SGaw is a measure of how hard it is to get air into the lungs, measured by (Sec(-1)*kP). Whole body plethysmography (Bodybox) was used to measure SGaw.~The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect." (NCT01154127)
Timeframe: Day 21
Intervention | litres/(Second*kpa); kpa = kilopascal (Least Squares Mean) |
---|
| SGaw at trough, Day 21 (n= 98, 96) | SGaw at peak, Day 21 (n= 97, 96) |
---|
NVA237 | 0.48 | 0.66 |
,Placebo | 0.40 | 0.42 |
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Slow Vital Capacity (SVC) and Total Lung Capacity (TLC)
"Vital Capacity is the amount of air that can be forcibly exhaled from the lungs after a full inhalation. Slow Vital Capacity (SVC) test is performed by having the patient slowly and completely blow out all of the air from their lungs.~Total Lung Capacity (TLC) is the best vital capacity plus residual volume. Whole body plethysmography (Bodybox) was used to measure SVC and TLC. The trough effects of Day 1 treatment are derived from values prior to morning dosing on the next treatment day (Day 2 of the corresponding period)." (NCT01154127)
Timeframe: Day 21
Intervention | Litres (Least Squares Mean) |
---|
| SVC at trough, Day 21 (n= 98, 96) | SVC at peak, Day 21 (n= 97, 96) | TLC at trough, Day 21 (n= 98, 96) | TLC at peak, Day 21 (n= 97, 96) |
---|
NVA237 | 3.21 | 3.40 | 6.99 | 6.86 |
,Placebo | 3.14 | 3.14 | 7.17 | 7.10 |
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Peak and Trough (24 h Post Dose) Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC)
"FEV1 is the amount of air that can be exhaled in one second. FEV1 was measured with spirometry conducted according to internationally accepted standards.~FVC is the volume of air that can forcibly be blown out after full inspiration and is used in spirometry tests.~The trough effects of Day 1 treatment are derived from values prior to morning dosing on the next treatment day (Day 2 of the corresponding period).~The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect." (NCT01154127)
Timeframe: Day 21
Intervention | Litres (Least Squares Mean) |
---|
| FEV1 at peak, Day 21 | FEV1 at trough, Day 21 | FVC at peak, Day 21 | FVC at trough, Day 21 |
---|
NVA237 | 1.60 | 1.44 | 3.37 | 3.17 |
,Placebo | 1.35 | 1.33 | 3.00 | 2.96 |
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Inspiratory Capacity (IC) at Rest (1 Hour Post Dose) and at Peak (End of Exercise) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks of Treatment
"IC at peak was observed using spirometry. However, two different methodologies (whole body plethysmography (Bodybox) and spirometry) were used to observe IC at rest.~The analysis of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect." (NCT01154127)
Timeframe: Day 21
Intervention | Litres (Least Squares Mean) |
---|
| IC at peak (Spirometry), Day 21 (n = 93, 90) | IC at rest (Bodybox) Day 21 (n= 97, 96) | IC at rest (Spirometry), Day 21 (n= 98, 96) |
---|
NVA237 | 2.22 | 2.49 | 2.39 |
,Placebo | 2.03 | 2.26 | 2.17 |
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Leg Discomfort (Borg CR10 Scale) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks Treatment
"The modified Borg CR10 Scale consists of 12-point score that the patients pointed to so as to indicate their level of leg discomfort before and during exercise testing (where 0 indicates no breathlessness at all and 12 indicates maximum breathlessness).~A reduction in this score indicates an improvement. The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect." (NCT01154127)
Timeframe: Day 21
Intervention | units on a scale (Least Squares Mean) |
---|
NVA237 | 6.21 |
Placebo | 7.05 |
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Exertional Dyspnea (Borg CR10 Scale) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks Treatment
"The Borg CR10 Scale consists of 12-point score that the patients pointed to so as to indicate their level of dyspnea before and during exercise testing (where 0 indicates no breathlessness at all and 12 indicates maximum breathlessness).~A reduction in this score indicates an improvement. The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect." (NCT01154127)
Timeframe: Day 21
Intervention | units on a scale (Least Squares Mean) |
---|
NVA237 | 5.64 |
Placebo | 6.80 |
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Exercise Endurance Time During a Sub-maximal Constant-load Cycle Ergometry Test (SMETT) on Treatment Day 1
"SMETT is an exercise procedure where the patient cycles at 80% of the maximum workload (Wmax )value achieved at the Incremental exercise test. During this test, the patient will cycle at a constant load. Exercise endurance time was from commencement of loaded pedaling to stopping exercise.~The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect." (NCT01154127)
Timeframe: Day 1
Intervention | Seconds (Least Squares Mean) |
---|
NVA237 | 490.92 |
Placebo | 447.78 |
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Isotime Inspiratory Capacity (IC) During Sub-maximal Constant-load Cycle Ergometry Test (SMETT) After 3 Weeks of Treatment
Isotime is the last matching timepoint in the submaximal exercise tolerance test (SMETT) at which for both periods the patient has a test result. The analysis-of covariance model included the sequence, period, and treatment as fixed factors, the baseline value as covariate and the patient as a random effect. (NCT01154127)
Timeframe: Day 21
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 2.22 |
Placebo | 2.02 |
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Monitoring of Adverse Events During Study Administration
Subjects will be monitored for episodes of apnea, laryngospasm, vomiting, oxygen desaturation(<92%), and changes in heart rate and blood pressure. The time frame will include the time the study medication is administered until at least 30 minutes post Ketamine administration. (NCT01191398)
Timeframe: 1 hour
Intervention | adverse events (Number) |
---|
Placebo | 1 |
Atropine | 0 |
Glycopyrrolate | 0 |
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Difference in Salivary Flow Rate (ml/Min) Between Study Groups
Oral Secretions will be collected by oral suctioning starting at the time Ketamine is administed until 30 minutes post Ketamine administration. Suctionings will be done by trained personnel every 5 minutes starting with the Ketamine administration. Flow rate will be calculated by dividing the total volume of saliva suctioned by the total time suctioned (30 minutes) (NCT01191398)
Timeframe: 30 minutes
Intervention | ml/min (Mean) |
---|
Placebo | .072 |
Atropine | .003 |
Glycopyrrolate | NA |
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Time From Potent Inhaled Anesthetic Discontinuation to First Response to Command (T1)
"At the conclusion of surgery, after the patient's potent inhaled anesthetic was discontinued, the commands open your eyes and squeeze my hand were given at 30-second intervals. The time at which patient first appropriately response to both commands was noted as T1." (NCT01199237)
Timeframe: Up to 1 hour post-operative
Intervention | seconds (Mean) |
---|
Sevoflurane | 623 |
Desflurane | 343 |
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Recovery of Ability to Swallow After Neostigmine/Glycopyrrolate Antagonism of Rocuronium Paralysis.
The patient is judged by the primary anesthetist to be awake at time T1. At 2 minutes after T1, the patient was asked to swallow 20mL of water from a paper cup, and a blinded observer judged the ability to swallow based on transit of water to the posterior pharynx (absence of pooling or drooling) and absence of cough or gag. (NCT01199237)
Timeframe: At 2 minutes after response to command (T1).
Intervention | participants (Number) |
---|
| able to swallow at T1+2 minutes | unable to swallow at T1+2 minutes |
---|
Desflurane | 25 | 6 |
,Sevoflurane | 16 | 10 |
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Time From Anesthetic Discontinuation to First Ability to Swallow
At 2 minutes after first response to command (T1), the patient was asked to swallow 20 mL of water from a paper cup, and an observer blinded to anesthetic assignment assessed the ability to swallow based on transit of water to the posterior pharynx (absence of pooling or drooling) and absence of cough or gag (indicating misdirection of the water bolus into the laryngeal inlet). This test was repeated at 6, 14, 22, 30 and 60 minutes after the time of first response to command. (NCT01199237)
Timeframe: up to 60 minutes after T1
Intervention | Seconds (Mean) |
---|
Sevoflurane | 1275 |
Desflurane | 718 |
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Nausea and Vomiting
Patients were asked to rate their experience of nausea and vomiting on a 0-10 verbal analog scale, with 0 being absence and 10 being the worst imaginable (NCT01199237)
Timeframe: 30 minutes after T1
Intervention | units on a scale (Mean) |
---|
| Nausea | Vomiting |
---|
Desflurane | 1.359 | 0 |
,Sevoflurane | 0.385 | 0 |
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Nausea and Vomiting
Patients were asked to rate their experience of nausea and vomiting on a 0-10 verbal analog scale, with 0 being absence and 10 being the worst imaginable (NCT01199237)
Timeframe: 60 minutes after T1
Intervention | units on a scale (Mean) |
---|
| Nausea | Vomiting |
---|
Desflurane | 1.333 | 0.026 |
,Sevoflurane | 0.263 | 0 |
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Standardized FEV1 (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 4 Hours at Day 1 and Week 26
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5, 15, and 30 minutes; and 1, 2, and 4 hours post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. A mixed model was used with treatment as a fixed effect with baseline FEV1 and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: From 5 minutes to 4 hours post-dose Day 1 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 26 (n=433,418,412,435,186) |
---|
Glycopyrronium (NVA237) | 1.49 | 1.43 |
,Indacaterol (QAB149) | 1.46 | 1.46 |
,Indacaterol and Glycopyrronium (QVA149) | 1.52 | 1.57 |
,Placebo | 1.30 | 1.23 |
,Tiotropium | 1.44 | 1.44 |
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"Percentage of Days Able to Perform Usual Daily Activities Over 26 Weeks"
"Patients answered the question Did your respiratory symptoms stop you performing your usual activities today?-Not at all in their daily diary. The percentage of days is calculated by the number of days patient is able to perform daily activities/total number of days with evaluable data X 100. A mixed model was used with treatment as a fixed effect with baseline Percent of Days and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect." (NCT01202188)
Timeframe: 26 Weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 45.97 |
Indacaterol (QAB149) | 40.94 |
Glycopyrronium (NVA237) | 40.10 |
Tiotropium | 37.52 |
Placebo | 34.49 |
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Transitional Dyspnea Index (TDI) Focal Score at Week 26
A trained assessor interviewed the patient and graded the degree of impairment due to dyspnea (difficulty breathing). TDI focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort. Each domain is scored from -3 (major deterioration) to 3 (major improvement) to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score. A mixed model was used with treatment as a fixed effect with Baseline Dyspnea Index Score and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: Week 26
Intervention | Score on a scale (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 2.72 |
Placebo | 1.63 |
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Percentage of Patients With at Least One Moderate or Severe COPD Exacerbation Over the 26 Week Treatment Period
(NCT01202188)
Timeframe: 26 Weeks
Intervention | Percentage of participants (Number) |
---|
Indacaterol and Glycopyrronium (QVA149) | 17.9 |
Indacaterol (QAB149) | 21.6 |
Glycopyrronium (NVA237) | 18.8 |
Tiotropium | 17.7 |
Placebo | 25.8 |
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Baseline Transitional Dyspnea Index (BDI/TDI) Focal Score at Week 12 and Week 26
"A trained assessor interviewed the patient and graded the degree of impairment due to dyspnea (difficulty breathing). BDI/TDI focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort and captures changes from baseline. BDI was measured at day 1 prior to the first dose with domain scores ranging from 0=very severe to 4=no impairment and a total score ranging from 0 to 12(best). TDI captures changes from baseline. Each domain is scored from -3=major deterioration to 3=major improvement to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score.~A mixed model was used with treatment as a fixed effect with Baseline Dyspnea Index Score and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators as covariates and included baseline smoking status, baseline inhaled corticosteroids and region as fixed effects with center nested within region as a random effect." (NCT01202188)
Timeframe: Baseline, Week 12, Week 26
Intervention | Score on a scale (Least Squares Mean) |
---|
| BDI_ baseline for Week 12 | TDI Week 12 | BDI_baseline for Week 26 (n=439,440,424,441,193) | TDI Week 26 (n=439,440,424,441,193) |
---|
Glycopyrronium (NVA237) | 6.21 | 2.04 | 6.22 | 2.52 |
,Indacaterol (QAB149) | 6.28 | 2.18 | 6.28 | 2.47 |
,Indacaterol and Glycopyrronium (QVA149) | 6.45 | 2.44 | 6.45 | 2.72 |
,Placebo | 6.53 | 1.22 | 6.56 | 1.63 |
,Tiotropium | 6.43 | 1.81 | 6.46 | 2.21 |
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Change From Baseline (BL) in the Daytime and Night Time Rescue Medication Use (Number of Puffs) Over 26 Weeks
The number of puffs of rescue medication taken in the previous 12 hours was record in patient diary in the morning and in the evening for 26 weeks. The total number of puffs in the morning and evening were calculated and divided by the number of days with data to determine the mean daily number of daytime and nighttime puffs. A mixed model was used with treatment as a fixed effect with baseline number of puffs and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline (BL) ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: Baseline, Week 26
Intervention | Puffs (Least Squares Mean) |
---|
| Daytime Change from BL (n=415,410,395,418,195) | Nighttime Change from BL (n=418,413,399,422,198) |
---|
Glycopyrronium (NVA237) | -0.75 | -0.48 |
,Indacaterol (QAB149) | -0.96 | -0.63 |
,Indacaterol and Glycopyrronium (QVA149) | -1.11 | -0.78 |
,Placebo | -0.58 | -0.34 |
,Tiotropium | -0.83 | -0.52 |
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Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication at Week 12 and Week 26
The number of puffs of rescue medication taken in the previous 12 hours was record in patient diary in the morning and in the evening for 26 weeks. The total number of puffs per day was calculated and divided by the number of days with data to determine the mean daily number of puffs of rescue medication for each patient. Rescue medication data recorded during the 14 day run-in was used to calculate the baseline. A negative change from baseline indicates improvement. A mixed model was used with treatment as a fixed effect with baseline number of puffs and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: Baseline, Week 12, Week 26
Intervention | Puffs per day (Least Squares Mean) |
---|
| Change from Baseline (BL) at Week 12 | Change from BL at Week 26 (n=419,416,403,424,199) |
---|
Glycopyrronium (NVA237) | -1.22 | -1.22 |
,Indacaterol (QAB149) | -1.46 | -1.57 |
,Indacaterol and Glycopyrronium (QVA149) | -1.82 | -1.88 |
,Placebo | -0.83 | -0.92 |
,Tiotropium | -1.28 | -1.34 |
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Trough Forced Expiratory Volume In One Second (FEV1) After 26 Weeks of Treatment
Spirometry was performed according to internationally accepted standards. Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values. A mixed model was used with treatment as a fixed effect with baseline FEV1 and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 23 hours 15 minutes and 23 hour 45 minute post-dose Week 26
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 1.45 |
Indacaterol (QAB149) | 1.38 |
Glycopyrronium (NVA237) | 1.36 |
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Trough Forced Expiratory Volume In One Second (FEV1) After 26 Weeks of Treatment With QVA149 Compared to Tiotropium
Spirometry was performed according to internationally accepted standards. Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values. A mixed model was used with treatment as a fixed effect with baseline FEV1 and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 23 hours 15 minutes and 23 hour 45 minute post-dose Week 26
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 1.46 |
Tiotropium | 1.39 |
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Percentage of Participants With COPD Exacerbations Requiring Hospitalization or Treatment With Systemic Corticosteroids and/or Antibiotics But no Hospitalization
(NCT01202188)
Timeframe: 26 Weeks
Intervention | Percentage of participants (Number) |
---|
| Requiring hospitalization | Corticosteroids_Antibiotics-No hospitalization |
---|
Glycopyrronium (NVA237) | 1.9 | 17.8 |
,Indacaterol (QAB149) | 2.5 | 19.7 |
,Indacaterol and Glycopyrronium (QVA149) | 2.1 | 16.7 |
,Placebo | 3.0 | 23.3 |
,Tiotropium | 1.0 | 16.9 |
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Standardized FEV1 (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 23 Hours 45 Minutes at Week 26
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5, 15, and 30 minutes; and 1, 2, 4, 8, 12, 23 hours 15 minutes and 23 hours 45 minutes post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. A mixed model was used with treatment as a fixed effect with baseline FEV1 and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: From 5 minutes to 23 hours 45 minutes post-dose Week 26
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 1.46 |
Indacaterol (QAB149) | 1.35 |
Glycopyrronium (NVA237) | 1.35 |
Tiotropium | 1.36 |
Placebo | 1.15 |
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St. George's Respiratory Questionnaire (SGRQ) Total Score at Week 26
SGRQ is a health related quality of life questionnaire consisting of 51 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. A mixed model was used with treatment as a fixed effect with Baseline SGRQ and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 26 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 37.01 |
Placebo | 40.02 |
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Rate of Moderate or Severe COPD Exacerbation
Rate of moderate or severe exacerbations per year = total number of moderate or severe exacerbations / total number of treatment years (NCT01202188)
Timeframe: 26 Weeks
Intervention | Exacerbations per year (Number) |
---|
Indacaterol and Glycopyrronium (QVA149) | 0.46 |
Indacaterol (QAB149) | 0.59 |
Glycopyrronium (NVA237) | 0.52 |
Tiotropium | 0.45 |
Placebo | 0.75 |
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Percentage of Patients With a Clinically Important Improvement of at Least 1 Point in TDI Focal Score After 26 Weeks of Treatment
A trained assessor interviewed the patient and graded the degree of impairment due to dyspnea (difficulty breathing) at Week 12 and Week 26. TDI focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort. The BDI (baseline) was measured at Day 1. The TDI captures changes from baseline. Each domain is scored from -3 (major deterioration) to 3 (major improvement) to give an overall TDI focal score of -9 to 9. (NCT01202188)
Timeframe: Baseline, Week 26
Intervention | Percentage of participants (Number) |
---|
Indacaterol and Glycopyrronium (QVA149) | 68.1 |
Indacaterol (QAB149) | 64.6 |
Glycopyrronium (NVA237) | 63.7 |
Tiotropium | 59.2 |
Placebo | 57.5 |
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Trough Forced Expiratory Volume In One Second (FEV1) After 26 Weeks of Treatment With QVA149, QAB149 and NVA237 Compared to Placebo
Spirometry was performed according to internationally accepted standards. Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values. A mixed model was used with treatment as a fixed effect with baseline FEV1 and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 23 hours 15 minutes and 23 hour 45 minute post-dose Week 26
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 1.45 |
Indacaterol (QAB149) | 1.38 |
Glycopyrronium (NVA237) | 1.36 |
Placebo | 1.25 |
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Percentage of Patients With a Clinically Important Improvement From Baseline of at Least 4 Units in the SGRQ Total Score After 26 Weeks of Treatment
SGRQ is a health related quality of life questionnaire consisting of 51 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. (NCT01202188)
Timeframe: Baseline, Week 26
Intervention | Percentage of participants (Number) |
---|
Indacaterol and Glycopyrronium (QVA149) | 63.7 |
Indacaterol (QAB149) | 63.0 |
Glycopyrronium (NVA237) | 60.5 |
Tiotropium | 56.4 |
Placebo | 56.6 |
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24 Hour Holter Monitoring in a Subset of Patients
"24-hourly mean heart rate was performed using a Holter Monitor at Weeks 12 and 26 in a subgroup of patients. Mixed model: heart rate = treatment + baseline heart rate + baseline smoking status + baseline ICS use + region + center (region) + error. Center was included as a random effect nested within region.~The 24-hourly mean heart rate is the mean heart rate over the 24 hour period, derived using hourly mean heart rate beats per minute." (NCT01202188)
Timeframe: Week 12, Week 26
Intervention | beats per minute (Least Squares Mean) |
---|
| Week 12 (n=35,38,27,15) | Week 26 (n=36,36,26,16) |
---|
Glycopyrronium (NVA237) | 79.4 | 80.5 |
,Indacaterol (QAB149) | 79.9 | 78.6 |
,Indacaterol and Glycopyrronium (QVA149) | 80.8 | 79.8 |
,Placebo | 78.9 | 77.0 |
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Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Over 26 Weeks
The number of puffs of rescue medication taken in the previous 12 hours was record in patient diary in the morning and in the evening for 26 weeks. The total number of puffs per day was calculated and divided by the number of days with data to determine the mean daily number of puffs of rescue medication for each patient. Rescue medication data recorded during the 14 day run-in was used to calculate the baseline. A negative change from baseline indicates improvement. A mixed model was used with treatment as a fixed effect with baseline number of puffs and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: Baseline, Week 26
Intervention | Puffs per day (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | -1.88 |
Placebo | -0.92 |
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"Percentage of Nights With No Night Time Awakenings Over 26 Weeks"
A day with no night time awakenings is defined from the diary data as any day where the patient did not wake up due to COPD symptoms. The percentage of nights is calculated by the number of days with no nighttime awakenings/total number of days with evaluable data X 100. A mixed model was used with treatment as a fixed effect with baseline Percent days and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 26 Weeks
Intervention | Percentage of nights (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 63.68 |
Indacaterol (QAB149) | 62.48 |
Glycopyrronium (NVA237) | 58.64 |
Tiotropium | 60.00 |
Placebo | 53.67 |
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"Percentage of Days With no Rescue Medication Use Over 26 Weeks"
A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours. The percentage of days is calculated by the number of days with no rescue medicine use/total number of days with evaluable data X 100. A mixed model was used with treatment as a fixed effect with baseline number of puffs and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 26 Weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 47.09 |
Indacaterol (QAB149) | 44.81 |
Glycopyrronium (NVA237) | 37.74 |
Tiotropium | 36.51 |
Placebo | 34.76 |
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"Percentage of Days With No Daytime Symptoms Over 26 Weeks"
A day with no day time symptoms is defined from the diary data as any day where the patient recorded no coughing, no wheezing, no sputum production and no breathlessness during the previous 12 hours (approximately 8AM to 8PM). The percentage of days is calculated by the number of days with no daytime symptoms/total number of days with evaluable data X 100. A mixed model was used with treatment as a fixed effect with baseline Percent of days and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: 26 Weeks
Intervention | Percentage of days (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 7.49 |
Indacaterol (QAB149) | 9.17 |
Glycopyrronium (NVA237) | 6.40 |
Tiotropium | 5.54 |
Placebo | 4.44 |
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Standardized FEV1 (With Respect to Length of Time) Area Under the Curve (AUC) From 5 Minutes to 12 Hours at Day 1 and Week 26
FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made at 5, 15, and 30 minutes; and 1, 2, 4, 8, 12 hours post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. A mixed model was used with treatment as a fixed effect with baseline FEV1 and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: From 5 minutes to 12 hours post-dose Day 1 and Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day1 | Week 26 (n=60,55,58,67,27) |
---|
Glycopyrronium (NVA237) | 1.42 | 1.39 |
,Indacaterol (QAB149) | 1.40 | 1.39 |
,Indacaterol and Glycopyrronium (QVA149) | 1.50 | 1.52 |
,Placebo | 1.24 | 1.18 |
,Tiotropium | 1.38 | 1.39 |
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St. George's Respiratory Questionnaire (SGRQ) Total Score After 12 and 26 Weeks of Treatment
SGRQ is a health related quality of life questionnaire consisting of 51 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. A mixed model was used with treatment as a fixed effect with Baseline SGRQ and FEV1 prior to inhalation and FEV1 60 minutes post inhalation of two short acting bronchodilators (components of reversibility at Day -14) as covariates. The model also included baseline smoking status (current/ex-smoker), baseline ICS use (Yes/No) and region as fixed effects with center nested within region as a random effect. (NCT01202188)
Timeframe: Week 12, Week 26
Intervention | Score on a scale (Least Squares Mean) |
---|
| 12 Weeks | 26 Weeks (n=441,443,430,450,196) |
---|
Glycopyrronium (NVA237) | 39.40 | 38.19 |
,Indacaterol (QAB149) | 38.55 | 38.10 |
,Indacaterol and Glycopyrronium (QVA149) | 37.56 | 37.01 |
,Placebo | 41.55 | 40.02 |
,Tiotropium | 39.94 | 39.14 |
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Pulmonary Function Test (RV) Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using the pulmonary function test for Residual Volume (RV) on day 1 and day 21, at 5 min and 15 min post dose as determined by body plethysmography. (NCT01294787)
Timeframe: day 1 and day 21
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 - 5 min post-dose | Day 1 - 15 min post-dose | Day 21- 5 min post-dose | Day 21- 15 min post-dose |
---|
Placebo | 3.94 | 3.89 | 4.03 | 3.96 |
,QVA149 | 3.66 | 3.63 | 3.58 | 3.54 |
,Tiotropium | 3.89 | 3.66 | 3.69 | 3.59 |
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Pulmonary Function Test (SGaw) Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using the pulmonary function test for Specific Airway Conductance (SGaw) on day 1 and day 21, at 5 min and 15 min post dose as determined by body plethysmography. (NCT01294787)
Timeframe: day 1 and day 21
Intervention | Kilo Pascal per second (Least Squares Mean) |
---|
| Day 1- 5 min post-dose | Day 1- 15 min post-dose | Day 21- 5 min post-dose | Day 21- 15 min post-dose |
---|
Placebo | 0.50 | 0.50 | 0.50 | 0.47 |
,QVA149 | 0.71 | 0.71 | 0.76 | 0.79 |
,Tiotropium | 0.58 | 0.79 | 0.64 | 0.67 |
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Pulmonary Function Test Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using the pulmonary function test for Slow Vital Capacity (SVC) on day 1 and day 21, at 5 min and 15 min post dose as determined by body plethysmography. (NCT01294787)
Timeframe: day 1 and day 21
Intervention | Liters (Least Squares Mean) |
---|
| Day 1- 5 min post-dose | Day 1- 15 min post-dose | Day 21- 5 min post-dose | Day 21- 15 min post-dose |
---|
Placebo | 3.14 | 3.16 | 3.08 | 3.09 |
,QVA149 | 3.37 | 3.43 | 3.37 | 3.38 |
,Tiotropium | 3.22 | 3.32 | 3.26 | 3.29 |
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Dynamic Inspiratory Capacity Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using dynamic inspiratory capacity at isotime during sub-maximal constant load cycle ergometry test ((SMETT)a cycle exercise test), after three weeks of treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 2.42 |
Tiotropium | 2.29 |
Placebo | 2.11 |
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Exercise Endurance Comparison Between QVA149 and Tiotropium Groups
Effect of QVA149 110/50 µg o.d. compared with tiotropium 18 µg o.d. in patients with moderate to severe COPD with respect to exercise endurance was measured by a sub-maximal constant load cycle ergometry test ((SMETT)cycle exercise test) after three weeks of treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | Seconds (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium Bromide (QVA149) | 507.8 |
Tiotropium | 514 |
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Exercise Endurance Time Comparison After a Single Dose of QVA149 Versus Placebo
The effect of a single dose of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured with respect to exercise endurance time during sub-maximal constant load cycle ergometry test ((SMETT)cycle exercise test). (NCT01294787)
Timeframe: Day 1
Intervention | Seconds (Least Squares Mean) |
---|
QVA149 | 492.8 |
Tiotropium | 481.0 |
Placebo | 468.8 |
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Exercise Tolerance Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured by exercise endurance time (in seconds) during a sub-maximal constant load cycle ergometry test ((SMETT)which is a cycle exercise test) after three weeks of treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | Seconds (Least Squares Mean) |
---|
QVA149 | 507.8 |
Placebo | 448.3 |
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Exertional Dyspnea Comparison Between QVA149 and Placebo Groups
"The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using exertional dyspnea Borg CR10 Scale® (After 3 weeks of treatment, before, during and after exercise, patients were asked to rate the intensity of their breathing and leg discomfort using the Borg CR10 Scale®). This scale consists of 12-point score that the participants pointed to so as to indicate their level of dyspnea before and during exercise testing (where 0 indicates no breathlessness at all and 12 indicates maximum breathlessness).~A reduction in this score indicates an improvement." (NCT01294787)
Timeframe: 3 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
QVA149 | 3.77 |
Tiotropium | 3.59 |
Placebo | 3.87 |
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Leg Discomfort During Exercise Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo on leg discomfort was measured using Borg CR10 Scale® during sub-maximal constant load cycle ergometry test after three weeks treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
QVA149 | 4.53 |
Tiotropium | 4.57 |
Placebo | 4.43 |
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Spirometry After Three Weeks of Treatment on Patients Not Exercising
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using dynamic inspiratory capacity post-dose pre-exercise after three weeks of treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol and Glycopyrronium Bromide (QVA149) | 2.34 |
Tiotropium | 2.19 |
Placebo | 2.01 |
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Trough 24 Hour Post Dose Forced Expiratory Volume in One Second Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using trough 24 hour post dose Forced Expiratory Volume in one second (FEV1) after three weeks of treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 1.53 |
Tiotropium | 1.43 |
Placebo | 1.33 |
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Trough 24 Hour Post Dose Inspiratory Capacity Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using trough 24 hour post dose inspiratory capacity after three weeks of treatment. (NCT01294787)
Timeframe: 3 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 2.25 |
Tiotropium | 2.10 |
Placebo | 2.06 |
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Pulmonary Function Test (FRC) Comparison Between QVA149 and Placebo Groups
The effect of indacaterol and glycopyrronium bromide (QVA149) compared to placebo was measured using the pulmonary function test for Functional Residual Capacity (FRC) on day 1 and day 21, at 5 min and 15 min post dose as determined by body plethysmography. (NCT01294787)
Timeframe: day 1 and day 21
Intervention | Liters (Least Squares Mean) |
---|
| Day 1- 5 min post-dose | Day 1- 15 min post-dose | Day 21- 5 min post-dose | Day 21- 15 min post-dose |
---|
Placebo | 4.98 | 4.92 | 5.00 | 4.91 |
,QVA149 | 4.68 | 4.62 | 4.58 | 4.53 |
,Tiotropium | 4.78 | 4.63 | 4.66 | 4.55 |
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Number of Participants With Adverse Events
The assessment of safety was based on Adverse Events. A summary of adverse events is presented with this outcome, additional details are provided in Adverse Events Section. (NCT01315249)
Timeframe: 26 weeks
Intervention | participants (Number) |
---|
| Any Adverse Event | Death | Serious Adverse Events | Discontinued due to Adverse Events | Discontinued due to Serious Adverse Events | Discontinued due to non-Serious Adverse Events |
---|
Fluticasone/Salmeterol | 159 | 1 | 14 | 27 | 9 | 18 |
,QVA149 | 143 | 0 | 13 | 22 | 5 | 17 |
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Mean Change From Baseline in Daily Number of Puffs of Rescue Medication
Participants maintained a diary to record the daily number of puffs of rescue medication used to treat COPD symptoms. (NCT01315249)
Timeframe: Baseline, 12 weeks and 26 weeks
Intervention | puffs (Least Squares Mean) |
---|
| Weeks 1 to12 | Weeks 1 to 26 |
---|
Fluticasone/Salmeterol | -1.90 | -1.93 |
,QVA149 | -2.18 | -2.32 |
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Inspiratory Capacity (IC) at All-time Points (26 Weeks)
After 26 weeks of treatment, Inspiratory Capacity (IC) was measured via spirometry, conducted according to internationally accepted standards. The mean of 3 acceptable measurements was calculated and reported in liters. (NCT01315249)
Timeframe: 26 weeks
Intervention | Liters (Least Squares Mean) |
---|
| -20 minutes (n=53 QVA149; 63 flut/salm) | 25 minutes (n=58 QVA149; 63 flut/salm) | 1 hour (n=53 QVA149; 63 flut/salm) | 3 hours (n=52 QVA149; 60 flut/salm) | 7 hours (n=56 QVA149; 61 flut/salm) | 11 hours (n=57 QVA149; 66 flut/salm) |
---|
Fluticasone/Salmeterol | 2.22 | 2.34 | 2.35 | 2.32 | 2.30 | 2.27 |
,QVA149 | 2.25 | 2.41 | 2.38 | 2.33 | 2.40 | 2.37 |
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Inspiratory Capacity (IC) at All-time Points (12 Weeks)
After 12 weeks of treatment, Inspiratory Capacity (IC) was measured via spirometry, conducted according to internationally accepted standards. The mean of 3 acceptable measurements was calculated and reported in liters. (NCT01315249)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
| -20 minutes (n=51 QVA149; 65 flut/salm) | 25 minutes (n=56 QVA149; 71 flut/salm) | 1 hour (n=59 QVA149; 68 flut/salm) | 3 hours (n=54 QVA149; 67 flut/salm) | 7 hours (n=58 QVA149; 67 flut/salm) | 11 hours (n=49 QVA149; 72 flut/salm) |
---|
Fluticasone/Salmeterol | 2.31 | 2.42 | 2.43 | 2.45 | 2.41 | 2.34 |
,QVA149 | 2.39 | 2.55 | 2.54 | 2.52 | 2.42 | 2.40 |
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Forced Vital Capacity at All-time Points (Week 26)
"Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.~This outcome measures absolute values at -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 26. Results are obtained from linear mixed model." (NCT01315249)
Timeframe: -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 26
Intervention | liters (Least Squares Mean) |
---|
| -45 minutes (n=213 QVA149; 216 flut/salm) | -15 minutes (n=213 QVA149; 215 flut/salm) | 5 minutes (n=212 QVA149; 215 flut/salm) | 30 minutes (n=212 QVA149; 214 flut/salm) | 1 hour (n=212 QVA149; 216 flut/salm) | 2 hours (n=212 QVA149; 216 flut/salm) | 4 hours (n=212 QVA149; 215 flut/salm) | 8 hours (n=212 QVA149; 216 flut/salm) | 12 hours (n=211 QVA149; 213 flut/salm) |
---|
Fluticasone/Salmeterol | 3.13 | 3.12 | 3.17 | 3.23 | 3.23 | 3.29 | 3.28 | 3.21 | 3.18 |
,QVA149 | 3.32 | 3.33 | 3.42 | 3.47 | 3.50 | 3.51 | 3.45 | 3.40 | 3.40 |
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Forced Vital Capacity at All-time Points (Week 12)
"Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. A positive change from baseline in FVC indicates improvement in lung function.~This outcome measures absolute values at -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose week 12. Results are obtained from linear mixed model." (NCT01315249)
Timeframe: -45 min, -15 min predose; 5 min, 30 min, 1 hr, 2hr, 4 hr, 8 hr, 12 hr post-dose on week 12
Intervention | liters (Least Squares Mean) |
---|
| -45 minutes (n=230 QVA149; 237 flut/salm) | -15 minutes (n=228 QVA149; 235 flut/salm) | 5 minutes (n=229 QVA149; 236 flut/salm) | 30 minutes (n=229 QVA149; 235 flut/salm) | 1 hour (n=228 QVA149; 236 flut/salm) | 2 hours (n=229 QVA149; 237 flut/salm) | 4 hours (n=228 QVA149; 237 flut/salm) | 8 hours (n=228 QVA149; 237 flut/salm) | 12 hours (n=228 QVA149; 236 flut/salm) |
---|
Fluticasone/Salmeterol | 3.16 | 3.17 | 3.20 | 3.23 | 3.26 | 3.31 | 3.33 | 3.27 | 3.26 |
,QVA149 | 3.37 | 3.37 | 3.44 | 3.48 | 3.49 | 3.54 | 3.49 | 3.46 | 3.45 |
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Change From Baseline in Symptom Scores Reported Using the Ediary
"Participants maintained an ediary to record daily symptom scores (AM and PM) over 12 weeks and 26 weeks of treatment. This analysis compares the mean symptom scores over 12 weeks and 26 weeks compared to baseline. The diary records morning and evening daily clinical symptoms including cough, wheezing, shortness of breath, sputum volume, sputum purulence, night time awakenings and rescue medication use.~Scale ranges: ranges are 0 to 3 with varying scale descriptions that pertain to the question being asked.~0 is the minimum score = none or No symptoms or never or No~= mild, a little~= moderate~= severe For the scale range provided, high values represent a worse outcome." (NCT01315249)
Timeframe: 12 weeks and 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| Weeks 1-12 | Weeks 1-26 |
---|
Fluticasone/Salmeterol | -1.17 | -1.24 |
,QVA149 | -1.08 | -1.28 |
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Standardized Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours
Standardized Forced Expiratory Volume in 1 Second (FEV1) was measured with spirometry conducted according to internationally accepted standards. Measurements were made between 0 and 12 hours after treatment. FEV1 was normalized by 12 hours (divided by time). This outcome measures absolute values at week 12. Results are obtained from linear mixed model. (NCT01315249)
Timeframe: Week 12
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.71 |
Fluticasone/Salmeterol | 1.59 |
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Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12
Forced Expiratory Volume in one second (FEV1) was calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. FEV1 was normalized by 12 hours (divided by time). This outcome measures absolute values at week 26. Results are obtained from linear mixed model. (NCT01315249)
Timeframe: Week 26
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.69 |
Fluticasone/Salmeterol | 1.56 |
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Focal Score of the Transitional Dyspnea Index (TDI)
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement. (NCT01315249)
Timeframe: 12 weeks and 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 12 weeks (n=224 QVA149; 236 flut/salm) | 26 weeks (n=212 QVA149; 213 flut/salm) |
---|
Fluticasone/Salmeterol | 1.45 | 1.60 |
,QVA149 | 2.03 | 2.36 |
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Total Score of the St. George's Respiratory Questionnaire (SGRQ-C)
The total score of the St. George's Respiratory Questionnaire (SGRQ-C) is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity, and impacts. The lowest possible value is zero and the highest 100. Higher values correspond to greater impairment in quality of life. (NCT01315249)
Timeframe: 12 weeks and 26 weeks
Intervention | units on a scale (Least Squares Mean) |
---|
| 12 weeks (n=230 QVA149; 238 flut/salm) | 26 weeks (n=211 QVA149; 216 flut/salm) |
---|
Fluticasone/Salmeterol | 36.03 | 36.68 |
,QVA149 | 36.74 | 35.45 |
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Number of Participants With One or More Adjudicated Events of Bleeding (Major or Non-major) With Onset Within 24 Hours After Study Drug Administration
"Post-treatment events of bleeding were evaluated by a medically-qualified, blinded member of the surgical team (Blinded Safety Assessor), in consultation with the surgeon, to determine if an event was a suspected, unanticipated adverse event of bleeding (SUAEB). A SUAEB is an event of bleeding outside the usual boundaries of expectations for a participant (e.g., in amount of blood lost, prolonged duration of bleeding, or other factors) considering the type of procedure as well as participant's specific surgical experience and underlying risk of bleeding. In addition, blinded review of clinical and laboratory databases was performed to identify any event potentially consistent with a SUAEB; these were reviewed by the Blinded Safety Assessor, who determined if any was a SUAEB. All SUAEBs were evaluated by a blinded external Adjudication Committee, which classified each as either: 1) a major bleeding event, 2) a non-major bleeding event, or 3) not an unanticipated event of bleeding." (NCT01422304)
Timeframe: Up to 24 hours post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 17 |
Usual Care | 24 |
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Number of Participants With One or More Adjudicated Events of Bleeding (Major or Non-major) With Onset Within 14 Days After Study Drug Administration
"This Measure is identified in study protocol as an Other Secondary Outcome Measure. Post-treatment events of bleeding were evaluated by a medically-qualified, blinded member of the surgical team (Blinded Safety Assessor), in consultation with the surgeon, to determine if an event was a suspected, unanticipated adverse event of bleeding (SUAEB). A SUAEB is an event of bleeding outside the usual boundaries of expectations for a participant considering the type of procedure as well as participant's specific surgical experience and underlying risk of bleeding. In addition, blinded review of clinical and laboratory databases was performed to identify any event potentially consistent with a SUAEB; these were reviewed by the Blinded Safety Assessor, who determined if any was a SUAEB. All SUAEBs were evaluated by a blinded external Adjudication Committee, which classified each as either: 1) a major bleeding event, 2) a non-major bleeding event, or 3) not an unanticipated event of bleeding." (NCT01422304)
Timeframe: Up to 14 days post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 24 |
Usual Care | 27 |
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Number of Participants With One or More Postoperative Anemia Adverse Events With Onset Within 72 Hours After Study Drug Administration
This measure is the incidence of postoperative anaemia with an onset within 72 hours after study drug administration. A participant is included in the count for this measure if an adverse event with any of the following event terms occurred in the participant with onset within the defined time frame: postoperative anaemia, anaemia, haemorrhagic anaemia, haemoglobin decreased or haemoglobin S decreased. (NCT01422304)
Timeframe: Up to 72 hours post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 124 |
Usual Care | 132 |
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Percent Change From Baseline in Prothrombin Time (International Normalized Ratio) (PT[INR]) at 10 and 60 Minutes Post Study Drug Administration
Change from baseline in PT(INR) is identified in study protocol as an Other Secondary Outcome Measure. Blood samples for determination of PT(INR) values were obtained at baseline and at 10 and 60 minutes after study drug administration. PT(INR) is a performance indicator measuring the efficacy of the extrinsic and common blood coagulation (blood clotting) pathways. The INR is the ratio of a participant's prothrombin time to a normal (control) sample, raised to the power of the International Sensitivity Index (ISI) value for the analytical system used (INR = [PT-Test/PT-Normal]^ISI). Higher values of PT(INR) indicate a reduction in the clotting tendency of blood. (NCT01422304)
Timeframe: Baseline, 10 and 60 minutes post study drug administration
Intervention | percent change (Mean) |
---|
| 10 minutes (Sugammadex n=526, Usual Care n=507) | 60 minutes (Sugammadex n=524, Usual Care n=505) |
---|
Sugammadex | 8.0 | 8.9 |
,Usual Care | 2.5 | 3.4 |
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Number of Participants With One or More Adjudicated Major Events of Bleeding With Onset Within 14 Days After Study Drug Administration
This Measure is identified in study protocol as an Other Secondary Outcome Measure. All SUAEB were evaluated by a blinded external Adjudication Committee. MBE = one or more of the following: 1) Fatal bleeding; 2) Bleeding that is symptomatic and occurs in critical area/organ, in a non-operated joint, or is intramuscular with compartment syndrome; 3) Extrasurgical site bleeding causing a fall in Hgb level of 20 g/L (1.24 mmol/L) or more, or leading to transfusion of two or more units of whole blood or RBCs, occurring within 24 hours of the bleeding; 4) Surgical site bleeding requiring second intervention, or bleeding at operated joint that interferes with rehabilitation; or 5) Surgical site bleeding that is unexpected/prolonged and/or causes hemodynamic instability, with fall in Hgb level of at least 20 g/L (1.24 mmol/L) or transfusion of at least two units of whole blood or RBCs, occurring within 24 hours of the bleeding. (NCT01422304)
Timeframe: Up to 14 days post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 18 |
Usual Care | 23 |
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Number of Participants With One or More Adjudicated Venous Thromboembolic (VTE) Events With Onset Within 14 Days After Study Drug Administration
This Measure is identified in study protocol as an Other Secondary Outcome Measure. Suspected symptomatic VTE events were evaluated by a blinded external Adjudication Committee. The confirmation of a VTE event was based on determination of a clinically meaningful venous thrombosis (e.g., pulmonary embolism or deep vein thrombosis). (NCT01422304)
Timeframe: Up to 14 days post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 5 |
Usual Care | 3 |
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Number of Participants With One or More Adjudicated Events of Anaphylaxis With Onset Within 14 Days After Study Drug Administration
This Measure is identified in study protocol as an Other Secondary Outcome Measure. Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death. Adverse events suggestive of hypersensitivity which met defined criteria (e.g., serious event) and/or suspected events of anaphylaxis were evaluated by a blinded external Adjudication Committee to determine whether such events met either of the following two criteria for anaphylaxis (Sampson et al. J Allergy Clin Immunol 2006;117:391-7) - 1. Acute onset of an illness with involvement of the skin, mucosal tissue or both, and at least one of the following: a) respiratory compromise, b) reduced blood pressure (BP) or associated symptoms of end-organ dysfunction. 2. Two or more of the following that occur rapidly after exposure to a likely allergen for that participant: a) involvement of the skin-mucosal tissue, b) respiratory compromise, c) reduced BP or associated symptoms, d) persistent gastrointestinal symptoms. (NCT01422304)
Timeframe: Up to 14 days post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 0 |
Usual Care | 0 |
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Number of Participants Requiring Any Postoperative Transfusion
The number of participants who received a transfusion unit (e.g., whole blood, packed RBCs, cell saver RBCs, fresh frozen plasma, platelets) that started after study drug administration and within 120 hours after study drug administration (or within 48 hours after any previous [i.e., predose] transfusion for participants who had received a previous transfusion) was determined. (NCT01422304)
Timeframe: From end of study drug administration through approximately 120 hours after study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 221 |
Usual Care | 227 |
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Number of Participants With One or More Adjudicated Major Events of Bleeding With Onset Within 24 Hours After Study Drug Administration
This Measure is identified in study protocol as an Other Secondary Outcome Measure. All SUAEB were evaluated by a blinded external Adjudication Committee. Major bleeding event (MBE) = one or more of the following: 1) Fatal bleeding; 2) Bleeding that is symptomatic and occurs in critical area/organ, in a non-operated joint, or is intramuscular with compartment syndrome; 3) Extrasurgical site bleeding causing a fall in hemoglobin (Hgb) level of 20 g/L (1.24 mmol/L) or more, or leading to transfusion of two or more units of whole blood or red blood cells (RBCs), occurring within 24 hours of the bleeding; 4) Surgical site bleeding requiring second intervention, or bleeding at operated joint that interferes with rehabilitation; or 5) Surgical site bleeding that is unexpected/prolonged and/or causes hemodynamic instability, with fall in Hgb level of at least 20 g/L (1.24 mmol/L) or transfusion of at least two units of whole blood or RBCs, occurring within 24 hours of the bleeding. (NCT01422304)
Timeframe: Up to 24 hours post study drug administration
Intervention | participants (Number) |
---|
Sugammadex | 12 |
Usual Care | 20 |
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Percent Change From Baseline in Activated Partial Thromboplastin Time (aPTT) at 10 and 60 Minutes Post Study Drug Administration
Change from baseline in aPTT is identified in study protocol as the Key Secondary Outcome Measure. Blood samples for determination of aPTT values were obtained at baseline and at 10 and 60 minutes after study drug administration. aPTT is a performance indicator measuring the efficacy of the intrinsic and common blood coagulation (blood clotting) pathways. Higher values of aPTT indicate a reduction in the clotting tendency of blood. (NCT01422304)
Timeframe: Baseline, 10 and 60 minutes post study drug administration
Intervention | percent change (Mean) |
---|
| 10 minutes (Sugammadex n=525, Usual Care n=507) | 60 minutes (Sugammadex n=523, Usual Care n=505) |
---|
Sugammadex | 6.0 | 0.4 |
,Usual Care | -0.1 | -1.2 |
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Total Transfusion Volume in Participants Who Required Postoperative Transfusion
"Among participants who received a transfusion unit (e.g., whole blood, packed RBCs, cell saver RBCs, fresh frozen plasma, platelets) that started after study drug administration and within 120 hours after study drug administration (or within 48 hours after any previous [i.e., predose] transfusion for participants who had received a previous transfusion), the total volume of blood transfused post study drug was calculated. The volume of blood transfused post study drug (using linear interpolation when transfusions were ongoing at the time of study drug administration) was converted to grams of Hgb transfused, using RBC concentration information received from the investigators. The sum of Hgb transfused was standardized to normal volume Hgb in homologous whole blood, using 20 g/dL Hgb for calculation of the standardized volume." (NCT01422304)
Timeframe: From end of study drug administration through approximately 120 hours after study drug administration
Intervention | mL (Geometric Mean) |
---|
Sugammadex | 335 |
Usual Care | 345 |
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Postoperative Drainage Volume Within 24 Hours After Study Drug Administration
The total volume of postoperative drainage from the surgical site over the 24 hours after study drug administration was recorded. (NCT01422304)
Timeframe: Up to 24 hours post study drug administration
Intervention | mL (Mean) |
---|
Sugammadex | 464 |
Usual Care | 476 |
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Postoperative Changes in Hgb Concentrations Using the Bleeding Index
The Bleeding Index was used to describe postoperative changes in Hgb concentrations at Visit 3. Bleeding Index = Hgb level at Visit 3 - Hgb level at baseline, adjusted for the amount of RBCs transfused. Missing baseline Hgb values were imputed using the overall mean Hgb value at baseline. (NCT01422304)
Timeframe: Baseline and Visit 3 (24-48 hours post study drug administration)
Intervention | g/L (Mean) |
---|
Sugammadex | -15.7 |
Usual Care | -17.4 |
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Incidence of Residual Neuromuscular Blockade (NMB) as Defined by a Train-of-Four (TOF) Ratio <0.9 at Post Anesthesia Care Unit (PACU) Entry
Neuromuscular functioning was monitored by applying four TOF electrical stimulations to the ulnar nerve and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the magnitudes (height) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB, with a higher ratio indicating greater recovery from NMB. A T4/T1 Ratio of <0.9 is indicative of residual NMB. (NCT01479764)
Timeframe: At PACU entry on Day 1
Intervention | participants (Number) |
---|
Sugammadex | 0 |
Neostigmine/Glycopyrrolate | 33 |
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Time From Start of Study Drug Administration to Operating Room Discharge-ready
The time of operating room discharge readiness was determined by the surgical team based on clinical evaluations. (NCT01479764)
Timeframe: Day 1
Intervention | minutes (Least Squares Mean) |
---|
Sugammadex | 15.02 |
Neostigmine/Glycopyrrolate | 18.05 |
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Total Total Transient Dyspnea Index (TDI) Score After 6 Weeks of Treatment QVA149 Compared to Tiotropium
Total Transient Dyspnea Index (TDI) is part of the BDI/TDI questionnaire where participants indicated whether they improved or deteriorated since their Baseline Dyspnea Index (BDI). The BDI and TDI each had 3 domains: activities, tasks, and effort. BDI domains were rated from 0 (very severe) to 4 (none) and the rates summed for the total BDI score ranging from 0 to 12; the lower the score the worse the severity of dyspnea. TDI domains were rated from -6 (major deterioration) to 6 (major improvement) and the rates summed for the total TDI score ranging from -18 to 18. However, to ensure comparability with the TDI paper version, all TDI values were divided by 2 before the analysis. If data was missing or insufficient for any one of the domains a BDI/TDI was calculated. BDI = Baseline Dyspnea Index taken 75 min prior to the first dose in each treatment period. TDI = Transition Dyspnea Index taken after 6 weeks of treatment 75 min prior to the last dose in each treatment period. (NCT01490125)
Timeframe: Baseline and 6 weeks
Intervention | Units on a scale (Mean) |
---|
| BDI | TDI |
---|
QVA149 + Placebo to Tiotropium | 7.34 | 0.98 |
,Tiotropium + Placebo to QVA149 | 7.31 | 0.47 |
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Total Total Transient Dyspnea Index (TDI) Score After 6 Weeks of Treatment QVA149 Compared to Placebo
Total Transient Dyspnea Index (TDI) is part of the BDI/TDI questionnaire where participants indicated whether they improved or deteriorated since their Baseline Dyspnea Index (BDI). The BDI and TDI each had 3 domains: activities, tasks, and effort. BDI domains were rated from 0 (very severe) to 4 (none) and the rates summed for the total BDI score ranging from 0 to 12; the lower the score the worse the severity of dyspnea. TDI domains were rated from -6 (major deterioration) to 6 (major improvement) and the rates summed for the total TDI score ranging from -18 to 18. However, to ensure comparability with the TDI paper version, all TDI values were divided by 2 before the analysis. If data was missing or insufficient for any one of the domains a BDI/TDI was calculated. BDI = Baseline Dyspnea Index taken 75 min prior to the first dose in each treatment period. TDI = Transition Dyspnea Index taken after 6 weeks of treatment 75 min prior to the last dose in each treatment period. (NCT01490125)
Timeframe: Baseline and 6 weeks
Intervention | Units on a scale (Mean) |
---|
| BDI | TDI |
---|
Placebo | 7.33 | -0.38 |
,QVA149 + Placebo to Tiotropium | 7.34 | 0.98 |
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Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Used Over the 6 Weeks of Treatment
The number of puffs of rescue medication taken by participants, were collected each day during the study via entries in e-diaries (NCT01490125)
Timeframe: Baseline and 6 weeks
Intervention | puffs (Least Squares Mean) |
---|
QVA149 + Placebo to Tiotropium | -1.02 |
Tiotropium + Placebo to QVA149 | -0.57 |
Placebo | 0.41 |
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Standardized Forced Vital Capacity (FVC) Area Under the Curve (AUC) 5min-4 Hrs After First Dose and 6 Weeks of Treatment With QVA149 Compared to Placebo and Tiotropium
Forced Vital Capacity (FVC) is the total amount of air that can be exhaled by the patient after a full inhalation. The FVC was measured via spirometry conducted according to internationally accepted standards at 5 min-4 hr post dose of day 1 and week 6. (NCT01490125)
Timeframe: 5min-4hr at day 1 and week 6 post-dose
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=210,219,217) | Week 6 (n= 205,209,206) |
---|
Placebo | 3.020 | 2.957 |
,QVA149 + Placebo to Tiotropium | 3.340 | 3.393 |
,Tiotropium + Placebo to QVA149 | 3.249 | 3.269 |
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Change From Baseline in The Capacity of Daily Living During the Morning (CDLM) Score Averaged Over 6 Weeks of Treatment
"The Capacity of Daily Living during the Morning (CDLM) is a self-administered daily assessment. The CDLM asks COPD patients to (i) report their ability to carry out 6 morning activities and (ii) rate the difficulty in performing those activities on a five point Likert-type scale ranging from not at all difficult to extremely difficult. For each of the six morning activities a score ranging from 0 (=so difficult that they could not carry out the activity by themselves) to 5 (not at all difficult to carry out the activity by themselves) is calculated by using the responses from the two questions for each activity. Daily CDLM is calculated using the scores average from the 6 morning activities. CDLM is calculated as the average daily CDLM score over 6 weeks of treatment. The change from baseline in CDLM score over 6 weeks is analyzed using a MIXED model with baseline CDLM score as a covariate. A CDLM score of 0.20 is considered to be a minimal clinically important difference." (NCT01490125)
Timeframe: Baseline and 6 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
QVA149 + Placebo to Tiotropium | 0.09 |
Tiotropium + Placebo to QVA149 | 0.08 |
Placebo | -0.01 |
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Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 5min-4h After First Dose and 6 Weeks of Treatment With QVA149 Compared to Placebo and Tiotropium
Forced Expiratory Volume in 1 second (FEV1) was measured with spirometry conducted according to internationally accepted standards. Measurements were taken at 5 min- 4hr post-dose of day 1 and week 6. The standardized FEV1 Area under the curve (AUC) was calculated as the sum of trapezoids divided by the length of time. (NCT01490125)
Timeframe: 5min-4hr at day 1 and week 6 post-dose
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=220,219,2117) | Week 6 (n=205,209,206) |
---|
Placebo | 1.352 | 1.302 |
,QVA149 + Placebo to Tiotropium | 1.564 | 1.636 |
,Tiotropium + Placebo to QVA149 | 1.496 | 1.529 |
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Mean Percentage of Nights With 'no Nighttime Awakenings'
A night with 'no nighttime awakenings' is defined from diary data as any night where patient did not wake up due to symptoms. Total number of nights with 'no nighttime awakenings' over treatment period was divided by total number of nights where diary recordings have been made in order to derive percentage of 'no nighttime awakenings' which will be summarized by treatment and analyzed using a similar mixed model as specified for primary analysis. Diary data recorded during the 7 day run-in period was used to calculate baseline percentage of nights 'no nighttime awakenings'. (NCT01513460)
Timeframe: 12 weeks
Intervention | Percentage of nights (Mean) |
---|
NVA237 + Fluticasone/Salmeterol (Flu/Sal) | 0.834 |
Tiotropium + Flu/Sal | 0.816 |
Flu/Sal | 0.823 |
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Change From Baseline in Total Score of the St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) After 12 Weeks of Treatment
SGRQ-C is a health related quality of life questionnaire consisting of 40 items divided into two components: 1) symptoms, 2) activity& impacts. The lowest possible value is zero and the highest is 100. Higher values corresponded to greater impairment in quality of life. An analysis model included terms for treatment, baseline total SGRQ score, FEV1 and baseline smoking status. The model also contained as fixed effects the baseline total SGRQ score, FEV1 prior to inhalation of short acting bronchodilator, FEV1 post inhalation of short acting bronchodilator and stratification factors as covariates. A negative change from baseline indicates improvement. (NCT01513460)
Timeframe: 12 weeks
Intervention | units on a scale (Mean) |
---|
NVA237 + Fluticasone/Salmeterol (Flu/Sal) | -2.806 |
Tiotropium + Flu/Sal | -3.902 |
Flu/Sal | -0.652 |
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Change From Baseline in the Mean Daily Number of Puffs of Rescue Medication Use
The total number of puffs of rescue medication used over the last 12 h recorded in the morning (nighttime use) and in the evening (daytime use) over the full 12 weeks was divided by the total number of days with non-missing rescue data to derive the mean daytime and nighttime number of puffs of rescue medication. Change from baseline in the mean daytime and nighttime number of puffs of rescue medication was analyzed as for the change from baseline in the mean daily number of puffs of rescue medication. (NCT01513460)
Timeframe: baseline, 12 weeks
Intervention | puffs of rescue medication (Mean) |
---|
NVA237 + Fluticasone/Salmeterol (Flu/Sal) | 2.191 |
Tiotropium + Flu/Sal | 2.093 |
Flu/Sal | 2.908 |
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Change From Baseline in Mean Trough Forced Expiratory Volume in 1 Second (FEV1) (NVA237 Versus Tiotropium)
Spirometry was conducted according to internationally accepted standards. Trough FEV1 referred to the mean of FEV1 at 23:15 hours and 23:45 hours after the morning dose of study drug. The baseline was defined as the average of FEV1 values taken in the clinic 45 min and 15 min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates. A positive change from baseline indicates improvement. (NCT01513460)
Timeframe: baseline, 12 weeks
Intervention | liters (Mean) |
---|
NVA237 + Fluticasone/Salmeterol (Flu/Sal) | 0.095 |
Tiotropium + Flu/Sal | 0.102 |
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Change From Baseline in Mean Trough FEV1
Spirometry was conducted according to internationally accepted standards. Trough FEV1 referred to the mean of FEV1 at 23:15h and 23:45h after the morning dose of study drug. The baseline was defined as the average of FEV1 values taken in the clinic 45min and 15min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates. A positive change from baseline indicates improvement. (NCT01513460)
Timeframe: baseline, 4 weeks, 8 weeks, 12 weeks
Intervention | Liters (Mean) |
---|
| Week 4 | Week 8 | Week 12 |
---|
Flu/Sal | -0.010 | -0.002 | -0.012 |
,NVA237 + Fluticasone/Salmeterol (Flu/Sal) | 0.077 | 0.084 | 0.089 |
,Tiotropium + Flu/Sal | 0.077 | 0.092 | 0.087 |
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Change From Baseline in Mean Trough FEV1 (Flu/Sal Versus NVA237/Tiotropium+Flu/Sal)
Spirometry was conducted according to internationally accepted standards. Trough FEV1 referred to the mean of FEV1 at 23:15h and 23:45h after the morning dose of study drug. The baseline was defined as the average of FEV1 values taken in the clinic 45min and 15min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates. A positive change from baseline indicates improvement. (NCT01513460)
Timeframe: baseline, 4 weeks, 8 weeks, 12 weeks
Intervention | Liters (Mean) |
---|
| Week 4 | Week 8 | Week 12 |
---|
Flu/Sal | -0.010 | -0.002 | -0.012 |
,NVA237/Tiotropium+Flu/Sal | 0.077 | 0.088 | 0.088 |
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Time Course of Forced Expiratory Volume in One Second (FEV1) (Pre-dose to 4 Hours Post Dose) on Day 28
Time course of Forced Expiratory Volume in 1 second (FEV1) was measured at -45 min, -15 min predose, 5 min, 30 min, 1 hr, 2hr, 3hr and 4 hr post-dose on Day 28. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. (NCT01529632)
Timeframe: -45 min, -15 min predose, 5 min, 30 min, 1 hr, 2hr, 3hr and 4 hr post-dose on Day 28
Intervention | Liters (Least Squares Mean) |
---|
| -45 min predose (n=76,90) | -15 predose (n=72,87) | 5 min postdose (n=76,89) | 30 min postdose (n=76,88) | 1 hour postdose (n=77,90) | 2 hours postdose (n=77,90) | 3 hours postdose (n=78,91) | 4 hours postdose (n=77,84) |
---|
QAB149 + NVA237 | 1.460 | 1.430 | 1.514 | 1.544 | 1.604 | 1.624 | 1.587 | 1.556 |
,QVA149 | 1.452 | 1.449 | 1.491 | 1.529 | 1.584 | 1.601 | 1.576 | 1.554 |
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Peak Forced Expiratory Volume in 1 Second (FEV1) on Days 1 and 28 Post-dose
Spirometry was conducted according to internationally accepted standards. Peak FEV1 is the maximum FEV1 recorded in the period between 5 minutes and 4 hours post dose. Analysis of Covariance was carried out with a mixed model that used (period) baseline, defined as the value of FEV1 measured prior to the first study drug intake in the period, as a covariate. (NCT01529632)
Timeframe: 5 min - 4 hr at Days 1 and 28
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=83, 97) | Day 28 (n= 80, 92) |
---|
QAB149 + NVA237 | 1.646 | 1.654 |
,QVA149 | 1.668 | 1.643 |
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Change From Baseline in the Mean Daily, (Daytime and Nighttime Combined) Number of Puffs of Rescue Medication Used Over 28 Days of Treatment
The number of puffs of rescue medication taken in the previous 12 hours was recorded in the Patient Diary in the morning and evening. The total number of puffs of rescue medication per day over the whole active treatment period was calculated and divided by the total number of days with non-missing rescue data to derive the mean daily number of puffs of rescue medication taken for the patient. If the number of puffs was missing for part of the day (either morning or evening) then a half day was used in the denominator. (NCT01529632)
Timeframe: Baseline and 28 days
Intervention | puffs (Mean) |
---|
| Baseline (day 1) | 28 days after treatment |
---|
QAB149 + NVA237 | 2.04 | 1.70 |
,QVA149 | 2.24 | 1.85 |
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Change From Baseline in Percentage of Days With 'no Daytime Symptoms' Over 28 Days of Treatment
The mean total symptom scores and mean individual symptom scores for the patient were calculated for the whole study period. The mean change from baseline in the total scores and in the individual scores were summarized by treatment and were analyzed for the percentage of 'nights with no nighttime awakenings'. The symptom variables for the whole active treatment period was analyzed using the similar MIXED model as for the primary endpoint, with the baseline FEV1 term being replaced by the respective baseline symptom variables. (NCT01529632)
Timeframe: 28 days
Intervention | percentage of days (Mean) |
---|
| Baseline (day 1) | After 28 days of treatment |
---|
QAB149 + NVA237 | 3.9 | 6.0 |
,QVA149 | 6.2 | 9.3 |
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Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4 Hours at Day 28
Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4h at Day 28 was measured via spirometry conducted according to internationally accepted standards. Measurements were made at 0, 5, 15, and 30 minutes; and 1, 2, 3 and 4 hours post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. Mixed model used: AUC FEV1 = treatment + baseline FEV1 + FEV1 reversibility components + baseline smoking status + baseline ICS use + country + center (country) + error. Center was included as a random effect nested within country. (NCT01529632)
Timeframe: 0, 5, 15, and 30 minutes; and 1, 2, 3 and 4 hours post-dose at Day 28
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 1.575 |
QAB149 + NVA237 | 1.587 |
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Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4 Hours at Day 1
Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4h at Day 1 was measured via spirometry conducted according to internationally accepted standards. Measurements were made at 0, 5, 15, and 30 minutes; and 1, 2, 3 and 4 hours post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. Mixed model used: AUC FEV1 = treatment + baseline FEV1 + FEV1 reversibility components + baseline smoking status + baseline ICS use + country + center (country) + error. Center was included as a random effect nested within country. (NCT01529632)
Timeframe: 0, 5, 15, and 30 minutes; and 1, 2, 3 and 4 hours post-dose at Day 1
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 1.597 |
QAB149 + NVA237 | 1.573 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) After 28 Days of Blinded Treatment
Spirometry was conducted according to internationally accepted standards. Trough FEV1 is defined as the average of the 23 hour 15 minute and 23 hour 45 minute post-dose FEV1 readings measured at day 29, after 28 days of treatment. Mixed model: Trough FEV1 = treatment + baseline FEV1 + FEV1 reversibility components + baseline smoking status + baseline ICS use + country + center (country) + error. Center was included as a random effect nested within country. (NCT01529632)
Timeframe: Day 29
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 1.459 |
QAB149 + NVA237 | 1.465 |
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Change From Baseline in Daily Rescue Medication Use (Number of Puffs)
The participant recorded the rescue medication taken in an electronic diary between visits and in the spirometry device during study visits. Daytime and nighttime rescue medication use (number of puffs) over 26 weeks was analyzed. (NCT01566604)
Timeframe: Baseline, 26 weeks
Intervention | Number of puffs (Least Squares Mean) |
---|
NVA237 | -0.77 |
Placebo | -0.55 |
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Number of Moderate and Severe COPD Exacerbations
COPD exacerbations were recorded in the patient diary and other source documents. The rate of COPD exacerbations during the 26 week treatment period was analyzed using a generalized linear model assuming a negative binomial distribution. (NCT01566604)
Timeframe: 26 weeks
Intervention | Number of exacerbations (Mean) |
---|
NVA237 | 0.2 |
Placebo | 0.3 |
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Time to First Moderate or Severe COPD Exacerbation
A COPD exacerbation was defined as a worsening of the following two or more major symptoms for at least 2 consecutive days:1) dyspnea; 2) sputum volume; 3) sputum purulence; or defined as a worsening of any 1 major symptom together with an increase in any 1 of the following minor symptoms for at least 2 consecutive days: 1) sore throat; 2) colds (nasal discharge and/or nasal congestion); 3) fever without other cause; 4) cough; 5) wheeze. COPD exacerbations were recorded in the patient diary and other source documents. (NCT01566604)
Timeframe: 26 weeks
Intervention | Days (Median) |
---|
NVA237 | NA |
Placebo | NA |
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Trough Forced Expiratory Volume in One Second (FEV1)
Baseline FEV1 was defined as the average of the -45 min and -15 min FEV1 values taken on day 1 prior to the first dose of study medication. Trough FEV1 was defined as the mean of the post-dose 23 h 15 min and the 23 h 45 min FEV1 values. FEV1 was measured using central spirometry according to ATS/ERS standardization. Trough FEV1 was analyzed using a MIXED model for the full analysis set population. The model contained treatment as a fixed effect with the baseline FEV1 measurement, FEV1 prior to inhalation of short acting bronchodilator, FEV1 45 min post inhalation of short acting bronchodilator and baseline inhaled corticosteroids (ICS) use as covariates. (NCT01566604)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 1.204 |
Placebo | 1.063 |
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24h Trough FEV1
Trough FEV1 was defined as the mean of the post-dose 23 h 15 min and the 23 h 45 min FEV1 values. This was measured using central spirometry according to ATS/ERS standardization. This was analyzed using the same MIXED model as specified for the primary analysis. (NCT01566604)
Timeframe: Day 1, Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=289,151) | Week 26 (n=281,143) |
---|
NVA237 | 1.230 | 1.195 |
,Placebo | 1.109 | 1.059 |
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Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Symptoms (Cough, Wheezing, Shortness of Breath, Sputum Volume, Sputum Color and Night Time Awakenings)
In an electronic diary, the participant responded to 6 questions twice daily to report on the degree of symptoms over the past 12 hours of the morning and evening. The questions covered the participant's degree of overall symptoms, and degrees of individual symptoms of coughing, wheezing, amount of sputum, color of sputum and breathlessness. Each question scored from 0 to 3 where 0 represented no symptom present and 3 represented the worst degree of that symptom. A negative change in symptom score indicates improvement. (NCT01566604)
Timeframe: Baseline, 26 weeks
Intervention | score (Least Squares Mean) |
---|
| Total symptom (n=296,150) | Respiratory symptom | Cough symptom | Wheeze symptom | Sputum production | Sputum color | Breathless symptom |
---|
NVA237 | -1.16 | -0.21 | -0.24 | -0.30 | -0.15 | -0.10 | -0.17 |
,Placebo | -0.85 | -0.12 | -0.20 | -0.22 | -0.11 | -0.10 | -0.10 |
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FEV1 and Forced Vital Capacity (FVC)
FEV1 and FVC were measured using central spirometry according to ATS/ERS standardization. Both were analyzed using the same MIXED model as specified for the primary analysis. (NCT01566604)
Timeframe: Day 1 at 5, 15, 30 minutes (min) and 1 hour (h) post dose; days 2, 86, 184 at 23 (h) 15 min and 23 h 45 min post dose; days 29, 85, 183 at -45 and -15 min pre-dose and 5, 15, and 30 min post dose
Intervention | Liters (Least Squares Mean) |
---|
| FEV1, day 1, 5 min (n=281,143) | FEV1, day 1, 15 min (n=277,147) | FEV1, day 1, 30 min (n=283,145) | FEV1, day 1, 1 h (n=284,142) | FEV1, day 2, 23 h 15 min (n=267,137) | FEV1, day 2, 23 h 45 min min (n=272,140) | FEV1, day 29, -45 min (n=273,136) | FEV1, day 29, -15 min (n=280,142) | FEV1, day 29, 5 min (n=271,136) | FEV1, day 29, 15 min (n=272,135) | FEV1, day 29, 30 min (n=279,139) | FEV1, day 85, -45 min (n=269,130) | FEV1, day 85, -15 min (n=271,136) | FEV1, day 85, 5 min (n=262,130) | FEV1, day 85, 15 min (n=267,133) | FEV1, day 85, 30 min (n=273,137) | FEV1, day 85, 1 h (n=274,133) | FEV1, day 86, 23 h 15 min (n=261,127) | FEV1, day 86, 23 h 45 min (n=250,132) | FEV1, day 183, -45 min (n=262,135) | FEV1, day 183, - 15 min (n=265,135) | FEV1, day 183, 5 min (n=262,135) | FEV1, day 183, 15 min (n=261,140) | FEV1, day 183, 30 min (n=270,138) | FEV1, day 183, 1 h (n=263,135) | FEV1, day 184, 23 h 15 min (n=263,128) | FEV1, day 184, 23 h 45 min (n=266,132) | FVC, day 1, 5 min (n=281,143) | FVC, day 1, 15 min (n=277,147) | FVC, day 1, 30 min (n=283,145) | FVC, day 1, 1 h (n=284,142) | FVC, day 2, 23 h 15 min (n=267,137) | FVC, day 2, 23 h 45 min (n=272,140) | FVC, day 29, -45 min (n=273,136) | FVC, day 29, -15 min (n=280,142) | FVC, day 29, 5 min (n=271,136) | FVC, day 29, 15 min (n=272,135) | FVC, day 29, 30 min (n=279,139) | FVC, day 85, -45 min (n=269,130) | FVC, day 85, -15 min (n=271,136) | FVC, day 85, 5 min (n=262,130) | FVC, day 85, 15 min (n=267,133) | FVC, day 85, 30 min (n=273,137) | FVC, day 85, 1 h (n=274,133) | FVC, day 86, 23 h 15 min (n=261,127) | FVC, day 86, 23 h 45 min (n=250,132) | FVC, day 183, -45 min (n=262,135) | FVC, day 183, -15 min (n=265,135) | FVC, day 183, 5 min (n=262,135) | FVC, day 183, 15 min (n=261,140) | FVC, day 183, 30 min (n=270,138) | FVC, day 183, 1 h (n=263,135) | FVC, day 184, 23 h 15 min (n=263,128) | FVC, day 184, 23 h 45 min (n=266,132) |
---|
NVA237 | 1.199 | 1.245 | 1.265 | 1.295 | 1.228 | 1.230 | 1.208 | 1.226 | 1.240 | 1.259 | 1.272 | 1.179 | 1.190 | 1.229 | 1.246 | 1.263 | 1.275 | 1.195 | 1.203 | 1.176 | 1.179 | 1.220 | 1.233 | 1.265 | 1.263 | 1.197 | 1.196 | 2.925 | 2.992 | 3.041 | 3.044 | 2.953 | 2.981 | 2.908 | 2.927 | 2.970 | 2.993 | 2.995 | 2.854 | 2.898 | 2.927 | 2.954 | 2.977 | 2.987 | 2.908 | 2.894 | 2.858 | 2.862 | 2.927 | 2.957 | 2.988 | 2.941 | 2.869 | 2.894 |
,Placebo | 1.112 | 1.116 | 1.111 | 1.124 | 1.101 | 1.107 | 1.079 | 1.097 | 1.097 | 1.103 | 1.105 | 1.050 | 1.052 | 1.059 | 1.061 | 1.077 | 1.079 | 1.057 | 1.067 | 1.032 | 1.052 | 1.055 | 1.070 | 1.071 | 1.075 | 1.068 | 1.058 | 2.739 | 2.759 | 2.761 | 2.755 | 2.716 | 2.744 | 2.690 | 2.730 | 2.725 | 2.751 | 2.737 | 2.611 | 2.627 | 2.633 | 2.647 | 2.695 | 2.662 | 2.612 | 2.671 | 2.604 | 2.633 | 2.672 | 2.679 | 2.707 | 2.668 | 2.664 | 2.647 |
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Peak FEV1
Peak FEV1 was defined as the maximum FEV1 0-4 h post-dose. Peak Fev1 was measured at 45min and 15min pre-dose and up to 4h post dose at day 1, week 12 and week 26, using central spirometry according to ATS/ERS standardization. It was analyzed using the same MIXED model as specified for the primary analysis. (NCT01566604)
Timeframe: Day 1, week 12, week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=134,57) | Week 12 (n=125,56) | Week 26 (n=124,57) |
---|
NVA237 | 1.376 | 1.347 | 1.308 |
,Placebo | 1.183 | 1.140 | 1.112 |
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Standardized FEV1 Area Under the Curve (AUC(5 Min-4 h)) Post-dose
The standardized (with respect to time) AUC for FEV1 was calculated between 5 min and 4h post morning dose at day 1, week 12 and week 26. The AUC (5 min-4 h) for FEV1 at each visit was analyzed using the same MIXED model as specified for the primary analysis. (NCT01566604)
Timeframe: Day 1, week 12, week 26
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=134,57) | Week 12 (n=125,56) | Week 26 (n=124,57) |
---|
NVA237 | 1.311 | 1.286 | 1.243 |
,Placebo | 1.117 | 1.080 | 1.046 |
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The Total Score of the St George's Respiratory Questionnaire (SGRQ)
SGRQ is a health related quality of life questionnaire consisting of 51 items in three components: symptoms, activity and impacts. The lowest possible score is zero and the highest possible score is 100. Higher scores correspond to greater impairment in quality of life. The health-related quality of life was measured using SGRQ. It was completed by the participant at the investigators site. (NCT01566604)
Timeframe: Week 12, week 26
Intervention | Score (Least Squares Mean) |
---|
| week 12 (n=293,147) | week 26 (n=288,144) |
---|
NVA237 | 32.35 | 31.02 |
,Placebo | 37.39 | 35.94 |
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Transition Dyspnea Index (TDI) Score
Dyspnea was measured at baseline using the Baseline Dyspnea Index (BDI) and during the treatment period using the TDI, which captures changes from baseline. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort, and each domain scored from -3 (major deterioration) to +3 (major improvement), giving an overall score of -9 to +9. A negative score indicates deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01566604)
Timeframe: Baseline, week 12, week 26
Intervention | score (Least Squares Mean) |
---|
| week 12 (n=288,141) | week 26 (n=284,140) |
---|
NVA237 | 2.8 | 3.0 |
,Placebo | 1.6 | 2.0 |
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Trough FEV1 at Baseline and Week 26
Trough FEV1 is the mean value of FEV1 (forced expiratory volume in one second) measured at 23:15h and 23:45h after the morning doses. The baseline value was measured at day 1 prior to the first dose. (NCT01574651)
Timeframe: Baseline, Week 26
Intervention | Liters (Mean) |
---|
| Baseline | Week 26 |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 1.329 | 1.495 |
,Tiotropium Plus Formoterol and Placebo to QVA149 | 1.313 | 1.409 |
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Percent of Participants With at Least One Exacerbation Requiring Hospitalization
The percent of patients with at least one severe exacerbation within the 26 weeks that required hospitalization. COPD exacerbations were considered to be severe if hospitalization were required. (NCT01574651)
Timeframe: Week 26
Intervention | Percent of participants (Number) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 2.1 |
Tiotropium Plus Formoterol and Placebo to QVA149 | 2.4 |
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Percent of Participants With at Least One Exacerbation Requiring Systemic Corticosteroids and/or Antibiotics Over 26 Weeks
The percent of participants with at least one moderate exacerbation within the 26 weeks that required systemic corticosteroids and/or antibiotics during the treatment (NCT01574651)
Timeframe: Week 26
Intervention | Percent of participants (Number) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 10.9 |
Tiotropium Plus Formoterol and Placebo to QVA149 | 13.3 |
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Time- Event Analysis, Number of Participants With at Least One COPD Exacerbation (Moderate or Severe) During the Treatment Period
The number of participants with at least one moderate or severe COPD exacerbation. COPD exacerbations are considered to be moderate if treatment with systemic corticosteroids and/or antibiotics was required. COPD exacerbations are considered to be severe if hospitalizations were required. (NCT01574651)
Timeframe: Week 26
Intervention | Participants (Number) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 62 |
Tiotropium Plus Formoterol and Placebo to QVA149 | 70 |
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"Symptoms Score Reported by the Patients Using Part I Symptoms of SGRO-C"
"Part I of the SGRQ-C covers symptoms and is concerned with respiratory symptoms, their frequency and severity. Each questionnaire response has a unique empirically derived weight. A score was calculated from these weights. The lowest possible value is zero and the highest 100. A higher value corresponds to greater impairment of health status." (NCT01574651)
Timeframe: Baseline, Week 26
Intervention | Score on a scale (Mean) |
---|
| Baseline (n=473,457) | Week 26 (n=476,458) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 64.10 | 58.31 |
,Tiotropium Plus Formoterol and Placebo to QVA149 | 64.29 | 60.16 |
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FEV1 30 Min After the Morning Dose at Baseline and Week 26
FEV1 30min is the forced expiratory volume in one second measured 30 min after the morning dose. (NCT01574651)
Timeframe: Baseline, Week 26
Intervention | Liters (Mean) |
---|
| Baseline (n=475,458) | Week 26 (n=476,458) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 1.517 | 1.605 |
,Tiotropium Plus Formoterol and Placebo to QVA149 | 1.495 | 1.565 |
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St. George's Respiratory Questionnaire (SGRQ-C) Total Score After 26 Weeks of Treatment (Non-inferiority Analysis).
SGRQ is a health related quality of life questionnaire consisting of 40 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. For patients who completed the study but with missing SGRQ-C during treatment, the missing SGRQ-C were replaced by the last observation carried forward (LOCF). Symptom scores were expected to improve over treatment, therefore the replacement of missing values with earlier measurements did not result in overoptimistic imputation and this procedure could be regarded as conservative. (NCT01574651)
Timeframe: Baseline, week 26
Intervention | Score on a scale (Mean) |
---|
| Baseline (n=452,441) | Week 26 (n=475,456) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 44.70 | 41.30 |
,Tiotropium Plus Formoterol and Placebo to QVA149 | 45.68 | 43.19 |
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Transition Dyspnea Index (TDI) Focal Score After 26 Weeks of Treatment.
Baseline Dyspnea Index (BDI)/Transition Dyspnea Index (TDI) focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort and captures changes from baseline. BDI was measured at day 1 prior to the first dose with domain scores ranging from 0=very severe to 4=no impairment and a total score ranging from 0 to 12(best). TDI captures changes from baseline. Each domain is scored from -3=major deterioration to 3=major improvement to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score. missing values were replaced by the latest observed value (LOCF) (NCT01574651)
Timeframe: Week 26
Intervention | Units on a scale (Mean) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 1.34 |
Tiotropium Plus Formoterol and Placebo to QVA149 | 0.87 |
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St. George's Respiratory Questionnaire (SGRQ-C) Total Score After 26 Weeks of Treatment (Superiority Analysis).
SGRQ is a health related quality of life questionnaire consisting of 40 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. For patients who completed the study but with missing SGRQ-C during treatment, the missing SGRQ-C were replaced by the last observation carried forward (LOCF). Symptom scores were expected to improve over treatment, therefore the replacement of missing values with earlier measurements did not result in overoptimistic imputation and this procedure could be regarded as conservative. Superiority of QVA 110/50 μg to tiotropium 18 μg q.d. plus formoterol 12 μg b.i.d. in terms of health related quality of life as assessed by St George's Respiratory Questionnaire (SGRQ-C) after 26 weeks of treatment (NCT01574651)
Timeframe: Baseline, week 26
Intervention | Score on a scale (Mean) |
---|
| Baseline (n=452,441) | Week 26 (n=475,456) |
---|
QVA149 Plus Placebo to Tiotropium and Placebo to Formoterol | 44.70 | 41.30 |
,Tiotropium Plus Formoterol and Placebo to QVA149 | 45.68 | 43.19 |
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Change From Baseline in Mean Daily Total and Individual Symptom Scores
The symptoms (respiratory, cough, wheeze, sputum color, sputum production, breathlessness, sore throat, nasal discharge or congestion, and fever) for the whole active treatment period was analyzed using a mixed model, which contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline symptom score, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilators as covariates and center nested in region as a random effect. Each symptom was scored as 0, 1, 2 or 3 where the description for each score varied. For each of the symptoms, the range of scores from 0 to 3 represented an increase in symptoms where 0 represented little to no symptom and 3 represented severe or worst symptom. The total symptom score, which is the sum of the individual scores, ranged from 0 (best possible outcome) to 27 (worst possible outcome). (NCT01604278)
Timeframe: Baseline, 12 weeks
Intervention | Score (Least Squares Mean) |
---|
| Total symptom score | Respiratory symptom score | Cough symptom score | Wheeze symptom score | Sputum production score | Sputum color score | Breathless symptom score | Sore throat symptom score | Cold symptom score | Fever symptom score |
---|
NVA237 + Indacaterol | -1.2 | -0.3 | -0.2 | -0.3 | -0.1 | -0.1 | -0.2 | 0.0 | 0.0 | 0.0 |
,Placebo to NVA237 + Indacaterol | -1.1 | -0.2 | -0.2 | -0.2 | -0.1 | -0.1 | -0.2 | 0.0 | 0.0 | 0.0 |
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Change From Baseline in Mean Daily Number of Puffs of Rescue Medication
The number of puffs of rescue medication taken in the previous 12 hours was recorded in the patient diary in the morning and evening. The total number of puffs of rescue medication per day over the whole active treatment period was calculated and divided by the total number of days with non-missing rescue data to derive the mean daily number of puffs of rescue medication taken for the patient. If the number of puffs was missing for part of the day (either morning or evening), then a half day was used in the denominator. (NCT01604278)
Timeframe: Baseline, 12 weeks
Intervention | Number of puffs (Least Squares Mean) |
---|
NVA237 + Indacaterol | -1.9 |
Placebo to NVA237 + Indacaterol | -1.8 |
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FEV(1) Area Under the Curve (AUC) During 30 Minutes to 4 Hours Post Dose
Centralized spirometry was used according to internationally accepted standards was used. The trapezoidal rule was applied to calculate FEV1 Area Under the Curve (AUC) and then normalized to the length of time. Whether the participants had complete or incomplete FEV1 assessments in respective time ranges, their AUCs were calculated based on the existing FEV1 measurements (i.e., the missing FEV1 measurements were not interpolated). Specifically, for those participants who had a FEV1 assessment at only one time-point, their AUC was approximated by the observed FEV1. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis. (NCT01604278)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
NVA237 + Indacaterol | 1.641 |
Placebo to NVA237 + Indacaterol | 1.530 |
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Peak FEV1 During 30 Minutes to 4 Hours Post-dose at 12 Weeks
Centralized spirometry was used according to internationally accepted standards was used. Peak FEV1 was defined as the maximum FEV1 during the first 4 hours post morning dosing. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of FEV1, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilator as covariates and center nested in a region as a random effect. If all FEV1 measurements were missing from 30 minutes onward, the peak FEV1 was not calculated. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis. (NCT01604278)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
NVA237 + Indacaterol | 1.702 |
Placebo to NVA237 + Indacaterol | 1.596 |
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Transitional Dyspnea Index (TDI) Focal Score
Dyspnea was measured at baseline using the Baseline Dyspnea Index (BDI) and during treatment using the Transitional Dyspnea Index (TDI). Analysis was done via mixed model. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort. BDI domains were rated from 0 (severe) to 4 (unimpaired) and rates summed for baseline focal score ranged from 0 to 12; lower scores mean worse severity. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of 1 is considered a minimal clinically important difference. (NCT01604278)
Timeframe: baseline, 12 weeks
Intervention | Score (Least Squares Mean) |
---|
NVA237 + Indacaterol | 2.506 |
Placebo to NVA237 + Indacaterol | 2.012 |
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Trough Forced Expiratory Volume at 1 Second (FEV1)
Centralized spirometry according to internationally accepted standards was used. The model contained treatment, baseline smoking status and baseline inhaled corticosteroid (ICS) use as fixed effects with the baseline measurement of FEV1, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilator as covariates and center nested in region as a random effect. If trough FEV1 was missing at week 12, the latest non-missing pre-dose trough FEV1 (the mean of 45 and 15 min pre-dose measurements) from day 29, 57 or 84) was carried forward. These measurements had to have been taken before the next dose of study medication. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis. (NCT01604278)
Timeframe: 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
NVA237 + Indacaterol | 1.499 |
Placebo to NVA237 + Indacaterol | 1.436 |
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Number of Participants With Adverse Events and Serious Adverse Events
All study emergent adverse events including Chronic Obstructive Pulmonary Disease exacerbations were monitored from screening through the end of study. (NCT01604278)
Timeframe: 12 weeks
Intervention | Number of participants (Number) |
---|
| Adverse Events (serious and non-serious) | Serious adverse events | Deaths |
---|
NVA237 + Indacaterol | 85 | 5 | 0 |
,Placebo to NVA237 + Indacaterol | 75 | 5 | 0 |
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Inspiratory Capacity (IC) at Individual Time-points
Inspiratory Capacity (IC) was measured at 20 min pre-dose and at post-dose at 25 minutes, 1 hour 55 minutes, 3 hours 55 minutes and 23 hours 40 minutes, by visit. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of IC, FEV1 prior to inhalation of short acting bronchodilators and FEV1 post inhalation of short acting bronchodilators as covariates and center nested in region as a random effect. IC measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were set to missing. (NCT01604278)
Timeframe: Day 1, Days 84/85
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 25 min post dose (n=164,168) | Day 1, 1 h 55 min (n=161,176) | Day 1, 3 h 55 min (n=160,173) | Days 84/85, 20 min pre-dose (n=144,148) | Days 84/85, 25 min post dose (n=149,145) | Days 84/85, 1 h 55 min post dose (n=146,153) | Days 84/85, 3 h 55 min (n=146,145) | Days 84/85, 23 h 40 min (n=153,150) |
---|
NVA237 + Indacaterol | 2.493 | 2.587 | 2.557 | 2.444 | 2.580 | 2.607 | 2.577 | 2.405 |
,Placebo to NVA237 + Indacaterol | 2.434 | 2.478 | 2.475 | 2.363 | 2.420 | 2.485 | 2.439 | 2.337 |
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Forced Vital Capacity (FVC) at Individual Time-points
FVC was calculated at each time point up to 4 hours post-dose and at 23 hours 15 minutes and 23 hours 45 minutes, by visit. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of FVC, FEV1 prior to inhaltion of short acting bronchodilators and FEV1 post inhaltion of short acting bronchodilators as covariates and center nested in region as a random effect. FVC measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were set to missing. (NCT01604278)
Timeframe: Day 1, Day 29, Day 57 and Days 84/85
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 30 min post dose (n=208,199) | Day 1, 1 h post dose (n=214,209) | Day 1, 2 h post dose (n=212,207) | Day 1, 4 h post dose (n=206,213) | Day 1, 23 h 15 min post dose (n=201,203) | Day 1, 23 h 45 min post dose (n=213,204) | Day 29, 45 min pre-dose (n=198,202) | Day 29, 15 min pre-dose (n=198,200) | Day 29, 30 min post dose (n=202,201) | Day 29, 1 h post dose (n=200,199) | Day 56, 45 min pre-dose (n=201,202) | Day 56, 15 min pre-dose (n=199,198) | Day 56, 30 min post dose (n=200,200) | Day 56, 1 h post dose (n=197,204) | Days 84/85, 45 min pre-dose (n=201,206) | Days 84/85, 15 min pre-dose (n=190,196) | Days 84/85, 30 min post dose (n=198,199) | Days 84/85, 1 h post dose (n=201,200) | Days 84/85, 2 h post dose (n=198,201) | Days 84/85, 4 h post dose (n=200,198) | Days 84/85, 23 h 15 min post dose (n=193,188) | Days 84/85, 23 h 45 min post dose (n=197,199) |
---|
NVA237 + Indacaterol | 3.214 | 3.295 | 3.325 | 3.340 | 3.155 | 3.201 | 3.146 | 3.184 | 3.316 | 3.362 | 3.102 | 3.156 | 3.282 | 3.327 | 3.052 | 3.064 | 3.246 | 3.312 | 3.318 | 3.251 | 3.123 | 3.136 |
,Placebo to NVA237 + Indacaterol | 3.135 | 3.182 | 3.200 | 3.218 | 3.039 | 3.095 | 3.043 | 3.092 | 3.201 | 3.197 | 3.015 | 3.086 | 3.190 | 3.219 | 3.016 | 3.012 | 3.162 | 3.179 | 3.181 | 3.161 | 3.050 | 3.047 |
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FEV1 at Individual Time-points
Centralized spirometry according to internationally accepted standards was used. FEV1 was measured at all post-dose time points up to 4 hours, and at 23 hours 15 minutes and 23 hours 45 minutes, by visit. The model contained treatment, baseline smoking status and baseline ICS use as fixed effects with the baseline measurement of FEV1, FEV1 prior to inhaltion of short acting bronchodilators and FEV1 post inhaltion of short acting bronchodilators as covariates and center nested in region as a random effect. FEV1 measurements within 6 hours of rescue medication use or within 7 days of systemic corticosteroid use were not included in the analysis. (NCT01604278)
Timeframe: Day 1, Day 29, Day 57 and Days 84/85
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 30 minutes (min) post dose (n=208,199) | Day 1, 1 hour (h) post dose (n=214,209) | Day 1, 2 h post dose (n=212,207) | Day 1, 4 h post dose (n=206,213) | Day 1, 23 h 15 min post dose (n=201,203) | Day 1, 23 h 45 min post dose (n=213,204) | Day 29, 45 min pre-dose (n=198,202) | Day 29, 15 min pre-dose (n=198,200) | Day 29, 30 min post dose (n=202,201) | Day 29, 1 h post dose (n=200,199) | Day 56, 45 min pre-dose (n=201,202) | Day 56, 15 min pre-dose (n=199,198) | Day 56, 30 min post dose (n=200,200) | Day 56, 1 h post dose (n=197,204) | Days 84/85, 45 min pre-dose (n=201,206) | Days 84/85, 15 min pre-dose (n=190,196) | Days 84/85, 30 min post dose (n=198,199) | Days 84/85, 1 h post dose (n=201,200) | Days 84/85, 2 h post dose (n=198,201) | Days 84/85, 4 h post dose (n=200,198) | Days 84/85, 23 h 15 min post dose (n=193,188) | Days 84/85, 23 h 45 min post dose (n=197,199) |
---|
NVA237 + Indacaterol | 1.544 | 1.589 | 1.626 | 1.630 | 1.481 | 1.502 | 1.491 | 1.524 | 1.617 | 1.648 | 1.482 | 1.509 | 1.606 | 1.634 | 1.459 | 1.476 | 1.604 | 1.638 | 1.665 | 1.620 | 1.474 | 1.508 |
,Placebo to NVA237 + Indacaterol | 1.467 | 1.479 | 1.506 | 1.518 | 1.409 | 1.425 | 1.438 | 1.470 | 1.508 | 1.524 | 1.418 | 1.443 | 1.495 | 1.520 | 1.411 | 1.439 | 1.514 | 1.514 | 1.542 | 1.529 | 1.426 | 1.452 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) After 12 Weeks of Treatment (Analysis of Superiority)
FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. The trough in FEV1 was defined as the mean of two measurements at 23h 15min and 23h 45min post dosing. ANCOVA model: Trough FEV1 = treatment + baseline FEV1 + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). This analysis excluded values within 6 hours of rescue medication use or 7 days of systemic corticosteroid. (NCT01613326)
Timeframe: Week 12
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 1.398 |
Tiotropium | 1.393 |
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Transition Dyspnea Index (TDI) Focal Score After 4 Weeks and 12 Weeks of Treatment
"Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline.~ANCOVA model: TDI focal score = treatment + Baseline dyspnea index (BDI) + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). Center is included as a random effect nested within region." (NCT01613326)
Timeframe: Weeks 4 and 12
Intervention | Units on a scale (Least Squares Mean) |
---|
| Week 4 (n= 289, 287) | Week 12 (n= 290, 285) |
---|
NVA237 | 2.209 | 1.990 |
,Tiotropium | 2.086 | 2.178 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1 and Week 4
"FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing.~Trough FEV1 is defined as the average of the post-dose 23 h 15 min and the 23 h 45 min FEV1 values. Trough assessments taken outside 22 h 45 min - 24 h 15 min are excluded from this analysis.~ANCOVA model: Trough FEV1 = treatment + baseline FEV1 + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). Center is included as a random effect nested within region." (NCT01613326)
Timeframe: Day 1 and Week 4
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=296, 288) | Week 4 (n=284, 280) |
---|
NVA237 | 1.385 | 1.416 |
,Tiotropium | 1.386 | 1.416 |
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Peak Forced Expiratory Volume in 1 Second (FEV1) During 5 Min to 4 Hours Post-dose, at Day 1 and Week 12
Spirometry was conducted according to internationally accepted standards. Peak FEV1 is the maximum FEV1 recorded during first 4 hours post dose. ANCOVA model: Peak FEV1 = treatment + baseline FEV1 + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center (region). Center is included as a random effect nested within region. This analysis excludes values within 6 hours of rescue medication use or 7 days of systemic corticosteroid use. (NCT01613326)
Timeframe: 5 min to 4 hours post-dose at Day 1 and Week 12
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n= 298, 292) | Week 12 (n= 290, 282) |
---|
NVA237 | 1.575 | 1.577 |
,Tiotropium | 1.520 | 1.553 |
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St. George's Respiratory Questionnaire Total Score After 12 Weeks of Treatment
St. George's Respiratory Questionnaire (SGRQ) is a health related quality of life questionnaire consisting of 51 items in three areas: symptoms (respiratory symptoms and severity), activity (activities that cause or are limited by breathlessness) and impacts (social functioning and psychological disturbances due to airway disease). The total score is 0 to 100 with a higher score indicating poorer health status. ANCOVA model: SGRQ total score = treatment + baseline SGRQ score + baseline ICS use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center (region). (NCT01613326)
Timeframe: Week 12
Intervention | Units on a scale (Least Squares Mean) |
---|
NVA237 | 39.42 |
Tiotropium | 38.77 |
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Trough Forced Expiratory Volume in 1 Second (FEV1) After 12 Weeks of Treatment (Non-inferiority Analysis)
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. The trough in FEV1 was defined as the mean of two measurements at 23hours 15min and 23 hours 45min post dosing. ANCOVA model: Trough FEV1 = treatment + baseline FEV1 + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center (region). This analysis excluded values within 6 hours of rescue medication use or 7 days of systemic corticosteroid use. (NCT01613326)
Timeframe: Week 12
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 1.405 |
Tiotropium | 1.405 |
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Change From Baseline in Mean Daily Number of Puffs of Rescue Medication Used Over the 12 Week Treatment
"A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours.~Baseline mean daily, daytime and nighttime (combined) number of puffs is defined as the average of the respective number of puffs. Only patients with a value at both baseline and post-baseline visits were included." (NCT01613326)
Timeframe: Baseline and Day 1 to Week 12
Intervention | puffs (Mean) |
---|
| Baseline | Day 1 to week 12 |
---|
NVA237 | 4.09 | 2.76 |
,Tiotropium | 4.10 | 2.84 |
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Event Free Rate at Weeks 4, 8 and 12 After Treatment
Event free rate was calculated as a percentage of participants who did not experience any moderate or severe COPD exacerbation leading to hospitalization/treatment with systemic corticosteroids/treatment with antibiotics. The event free rate reflects the percent of patients who did NOT have an exacerbation by 4, 8 and 12 weeks. Event-free rates are calculated at the end of the specified weeks (i.e. Day 29, Day 57 and Day 85) by the Kaplan Meier method. (NCT01613326)
Timeframe: Weeks 4, 8 and 12
Intervention | percentage of participants (Number) |
---|
| Week 4 | Week 8 | Week 12 |
---|
NVA237 | 95.6 | 92.9 | 90.2 |
,Tiotropium | 96.6 | 93.8 | 92.4 |
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Forced Expiratory Volume in 1 Second (FEV1) at Each Time-point by Visit
Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. FEV1 was analyzed using Analysis of Covariance (ANCOVA) model: FEV1 = treatment + baseline FEV1 + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). Center is included as a random effect nested within region. (NCT01613326)
Timeframe: (5,15,30 min, 1, 2,3,4 h, 23h 15 min and 23h 45 min postdose of Day 1), (-45, -15 min predose, 5,15,30 min, 1h, 23h 15 min and 23h 45 min postdose of Week 4), (-45, -15 min predose, 5,15,30 min, 1, 2, 3,4 h, 23h 15 min and 23h 45 min postdose of Week 12)
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 5 min (n= 283, 278) | Day 1, 15 min (n= 282, 276) | Day 1, 30 min (n= 285, 281) | Day 1, 1 hour (n= 291, 286) | Day 1, 2 hours (n= 290, 286) | Day 1, 3 hours (n= 291, 285) | Day 1, 4 hours (n= 285, 281) | Day 1, 23 h 15 min (n= 289, 279) | Day 1, 23 h 45 min (n= 285, 278) | Week 4, -45 min (n= 280, 280) | Week 4, -15 min (n= 278, 279) | Week 4, 5 min (n= 277, 274) | Week 4, 15 min (n= 271, 270) | Week 4, 30 min (n= 272, 276) | Week 4, 1 hr (n= 280, 282) | Week 4, 23 h 15 min (n= 278, 276) | Week 4, 23 h 45 min (n= 274, 276) | Week 12, -45 min (n= 286, 279) | Week 12, -15 min (n= 283, 279) | Week 12, 5 min (n= 283, 271) | Week 12, 15 min (n= 275, 271) | Week 12, 30 min (n= 282, 278) | Week 12, 1 hr (n= 286, 279) | Week 12, 2 hours (n= 278, 277) | Week 12, 3 hours (n= 281, 279) | Week 12, 4 hours (n= 282, 280) | Week 12, 23 h 15 min (n= 276, 266) | Week 12, 23 h 45 min (n= 278, 276) |
---|
NVA237 | 1.382 | 1.428 | 1.442 | 1.482 | 1.517 | 1.527 | 1.490 | 1.384 | 1.381 | 1.403 | 1.388 | 1.422 | 1.459 | 1.454 | 1.513 | 1.422 | 1.418 | 1.394 | 1.377 | 1.430 | 1.440 | 1.461 | 1.500 | 1.507 | 1.506 | 1.473 | 1.414 | 1.415 |
,Tiotropium | 1.331 | 1.365 | 1.379 | 1.419 | 1.454 | 1.471 | 1.448 | 1.384 | 1.379 | 1.391 | 1.393 | 1.423 | 1.466 | 1.442 | 1.494 | 1.417 | 1.416 | 1.380 | 1.370 | 1.411 | 1.423 | 1.432 | 1.475 | 1.484 | 1.484 | 1.462 | 1.422 | 1.420 |
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Forced Vital Capacity (FVC) at Each Time-point by Visit
Forced Vital Capacity (FVC) is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry. ANCOVA model: FVC = treatment + baseline FVC + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). Center is included as a random effect nested within region. (NCT01613326)
Timeframe: (5,15,30 min, 1, 2,3,4 h, 23h 15 min and 23h 45 min postdose of Day 1), (-45, -15 min predose, 5,15,30 min, 1h, 23h 15 min and 23h 45 min postdose of Week 4), (-45, -15 min predose, 5,15,30 min, 1, 2, 3,4 h, 23h 15 min and 23h 45 min postdose of Week 12)
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 5 min (n= 283, 278) | Day 1, 15 min (n= 282, 276) | Day 1, 30 min (n= 285, 281) | Day 1, 1 hour (n= 291, 286) | Day 1, 2 hours (n= 290, 286) | Day 1, 3 hours (n= 291, 285) | Day 1, 4 hours (n= 285, 281) | Day 1, 23 h 15 min (n= 289, 279) | Day 1, 23 h 45 min (n= 285, 278) | Week 4, -45 min (n= 280, 280) | Week 4, -15 min (n= 278, 279) | Week 4, 5 min (n= 277, 274) | Week 4, 15 min (n= 271, 270) | Week 4, 30 min (n= 272, 276) | Week 4, 1 hr (n= 280, 282) | Week 4, 23 h 15 min (n= 278, 276) | Week 4, 23 h 45 min (n= 274, 276) | Week 12, -45 min (n= 286, 279) | Week 12, -15 min (n= 283, 279) | Week 12, 5 min (n= 283, 271) | Week 12, 15 min (n= 275, 271) | Week 12, 30 min (n= 282, 278) | Week 12, 1 hr (n= 286, 279) | Week 12, 2 hours (n= 278, 277) | Week 12, 3 hours (n= 281, 279) | Week 12, 4 hours (n= 282, 280) | Week 12, 23 h 15 min (n= 276, 266) | Week 12, 23 h 45 min (n= 278, 276) |
---|
NVA237 | 2.925 | 3.004 | 3.036 | 3.036 | 3.061 | 3.135 | 3.073 | 2.911 | 2.942 | 2.933 | 2.879 | 2.954 | 3.021 | 3.005 | 3.068 | 2.982 | 2.953 | 2.889 | 2.827 | 2.929 | 2.945 | 2.963 | 3.011 | 3.008 | 3.014 | 2.964 | 2.923 | 2.929 |
,Tiotropium | 2.874 | 2.954 | 2.991 | 3.006 | 3.029 | 3.111 | 3.046 | 2.951 | 2.951 | 2.943 | 2.898 | 2.997 | 3.058 | 3.011 | 3.093 | 3.013 | 2.978 | 2.905 | 2.837 | 2.953 | 2.963 | 2.982 | 3.009 | 3.012 | 3.018 | 2.977 | 2.953 | 2.955 |
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Inspiratory Capacity (IC) at Each Time-point, by Visit
IC was measured with spirometry conducted according to internationally accepted standards. ANCOVA model: IC = treatment + baseline IC + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). Center is included as a random effect nested within region. (NCT01613326)
Timeframe: (25 min, 1 h 55 min, 3 h 55 min, 23 h 40 min Day 1), (-20 min, 25 min, 23 h 40 min Week 4),(-20 min, 25 min, 1 h 55 min, 3 h 55 min, 23 h 40 min Week 12)
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 25 min (n= 216, 214) | Day 1, 1 h 55 min (n= 212, 208) | Day 1, 3 h 55 min (n= 211, 207) | Day 1, 23 h 40 min (n= 213, 212) | Week 4, -20 min (n= 204, 204) | Week 4, 25 min (n= 201, 200) | Week 4, 23 h 40 min (n=199,205) | Week 12, -20 min (n= 205, 204) | Week 12, 25 min (n= 215, 205) | Week 12, 1 h 55 min (n= 213, 203) | Week 12, 3 h 55 min (n= 203, 207) | Week 12, 23 h 40 min (n= 208, 206) |
---|
NVA237 | 2.378 | 2.433 | 2.343 | 2.247 | 2.231 | 2.335 | 2.284 | 2.198 | 2.292 | 2.344 | 2.313 | 2.228 |
,Tiotropium | 2.300 | 2.335 | 2.309 | 2.244 | 2.240 | 2.334 | 2.289 | 2.227 | 2.280 | 2.289 | 2.275 | 2.262 |
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Mean Daily, Daytime and Nighttime (Combined) Symptom Scores Over the 12 Week Treatment Period
Participants completed eDiaries providing scores 0 to 3 for symptoms: Cough and wheeze (none, mild, moderate, severe); sputum volume (none, less than 5 mL, 5-25 mL, >25 mL); sputum color (none, white-grey, yellow, green); lowest level of activity causing breathlessness (never or only when running, when walking uphill or upstairs, when walking on flat ground, at rest). Symptoms in the morning, for the previous night (no waking due to symptoms, woke up once due to symptoms, woke up more than once due to symptoms, woke up frequently or could not sleep due to symptoms). Symptoms experienced during the day that had prevented them for performing normal activities (not at all, a little, quite a lot, completely). The mean change from baseline in the total scores and in the individual scores was summarized by treatment. Only participants with a value at both baseline and post-baseline were included. Possible total scores 0-18 (night); 0-36 (day). A higher score means worsening of symptoms. (NCT01613326)
Timeframe: 12 weeks
Intervention | units on a scale (Mean) |
---|
| Baseline | Day 1 to Week 12 |
---|
NVA237 | 7.21 | 5.96 |
,Tiotropium | 6.90 | 5.96 |
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Standardized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) (5 Min-4 h) Post-dose
"Forced Expiratory Volume in one second (FEV1) was measured with spirometry conducted according to internationally accepted standards.~Area Under the Curve (AUC) is calculated using the trapezoidal rule using the existing FEV1 measurements (i.e., the missing FEV1 measurements are not interpolated).~ANCOVA model: FEV1 AUC = treatment + baseline FEV1 + baseline Inhaled corticosteroid (ICS) use (Yes/No) + FEV1 reversibility components + baseline smoking status + region + center(region). Center is included as a random effect nested within region." (NCT01613326)
Timeframe: Day 1 and week 12
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 (n=298, 292) | Week 12 (290, 282) |
---|
NVA237 | 1.496 | 1.493 |
,Tiotropium | 1.438 | 1.470 |
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Time to Premature Discontinuation of Treatment
methodTime to premature treatment discontinuation for each treatment group was displayed using a Kaplan-Meier curve. The date of last dose of study medication was considered as the event date and also as the censoring date for those patients who did not discontinue treatment earl (NCT01682863)
Timeframe: 56 weeks
Intervention | Days (Median) |
---|
QVA149 27.5/12.5 ug Bid | 384.0 |
QVA149 27.5/25 ug Bid | NA |
QAB149 75 ug od | NA |
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Change From Baseline in 1 Hour Post-dose FEV1 Measurements
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. (NCT01682863)
Timeframe: Day 1, 29, 57, 85, 141, 197, 253, 309, and 365
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Day 29 | Day 57 | Day 85 | Day 141 | Day 197 | Day 253 | Day 309 | Day 365 |
---|
QAB149 75 ug od | 0.122 | 0.173 | 0.173 | 0.170 | 0.170 | 0.157 | 0.140 | 0.125 | 0.104 |
,QVA149 27.5/12.5 ug Bid | 0.166 | 0.257 | 0.267 | 0.269 | 0.268 | 0.229 | 0.231 | 0.199 | 0.212 |
,QVA149 27.5/25 ug Bid | 0.178 | 0.287 | 0.302 | 0.301 | 0.288 | 0.278 | 0.240 | 0.222 | 0.221 |
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Change From Baseline in FVC Measurement at All Post-baseline Time Points
Pulmonary function assessments were performed using centralized spirometry according to international standards. (NCT01682863)
Timeframe: Day1, 29, 57, 85, 141, 197, 253, 309, and 365
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Day 29 | Day 57 | Day 85 | Day 141 | Day 197 | Day 253 | Day 309 | Day 365 |
---|
QAB149 75 ug od | 0.248 | 0.280 | 0.279 | 0.268 | 0.235 | 0.220 | 0.205 | 0.185 | 0.139 |
,QVA149 27.5/12.5 ug Bid | 0.316 | 0.375 | 0.390 | 0.388 | 0.382 | 0.313 | 0.310 | 0.272 | 0.312 |
,QVA149 27.5/25 ug Bid | 0.349 | 0.440 | 0.439 | 0.432 | 0.403 | 0.400 | 0.365 | 0.334 | 0.323 |
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Change From Baseline in Pre-dose Trough FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. (NCT01682863)
Timeframe: Day 29, 57,, 85, 141, 197, 253, 309 and 365
Intervention | Liters (Least Squares Mean) |
---|
| Day 29 | Day 57 | Day 85 | Day 141 | Day 197 | Day 253 | Day 309 | Day 365 |
---|
QAB149 75 ug od | 0.109 | 0.107 | 0.095 | 0.087 | 0.079 | 0.074 | 0.050 | 0.037 |
,QVA149 27.5/12.5 ug Bid | 0.164 | 0.178 | 0.166 | 0.174 | 0.138 | 0.142 | 0.096 | 0.116 |
,QVA149 27.5/25 ug Bid | 0.194 | 0.199 | 0.201 | 0.198 | 0.181 | 0.153 | 0.123 | 0.116 |
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Number of Patients With Adverse Events, Serious Adverse Events, and Death
The overall rate of adverse events reported from initiation through 30 days post last dose. (NCT01682863)
Timeframe: 56 weeks
Intervention | Number of Patients (Number) |
---|
| Patients with at least one SAEs | Patients with at least one AE | Death |
---|
QAB149 75 ug od | 24 | 139 | 5 |
,QVA149 27.5/12.5 ug Bid | 26 | 139 | 1 |
,QVA149 27.5/25 ug Bid | 25 | 142 | 3 |
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Change From Baseline in Mean Total Daily Symptom Scores
The participant recorded symptom scores twice daily in the eDiary. The daily clinical symptoms included: cough, wheezing, shortness of breath, sputum volume, sputum color, and night time awakening. The range of scores for each assessment is 0 to 3 where 0 indications No symptom and 3 indicates a Severe symptom. The maximum daytime total score is 27 and the maximum nighttime total score is 27. The total daily symptom score is obtained by adding the scores for the morning and evening symptoms for each day. The maximum possible total daily score is 54. A negative change from baseline indicated improvement. (NCT01682863)
Timeframe: 52 weeks
Intervention | Score on a scale (Least Squares Mean) |
---|
QVA149 27.5/12.5 ug Bid | -1.57 |
QVA149 27.5/25 ug Bid | -1.56 |
QAB149 75 ug od | -1.31 |
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Change From Baseline in the Daily Number of Puffs of Rescue Medication Over the 52 Week Period
Participants completed an electronic diary (eDiary) twice daily at the same time in the morning and evening to record the number of puffs of rescue medication taken in the previous 12 hours. (NCT01682863)
Timeframe: 52 weeks
Intervention | Number of puffs (Least Squares Mean) |
---|
QVA149 27.5/12.5 ug Bid | -1.89 |
QVA149 27.5/25 ug Bid | -1.62 |
QAB149 75 ug od | -1.73 |
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Percentage of Participants Experiencing Moderate or Severe COPD Exacerbation
Percentage of participants experiencing moderate or severe Chronic Obstructive Pulmonary Disease (COPD) (NCT01682863)
Timeframe: 52 weeks
Intervention | Percentage of participants (Number) |
---|
QVA149 27.5/12.5 ug Bid | 23.5 |
QVA149 27.5/25 ug Bid | 24.9 |
QAB149 75 ug od | 27.0 |
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Change From Baseline in Pre-dose Forced Vital Capacity (FVC) at All Post-baseline Timepoints
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FVC was defined as the average of the pre-dose FVC measured at -45 minutes (min) and -15 min at day 1. (NCT01697696)
Timeframe: -45 min and -15 minutes baseline and at Week 52
Intervention | Liters (Mean) |
---|
| Day 29/-45min | Day 29/-15min | Day 57/-45min | Day 57/-15min | Day 85/-45min | Day 85/-15min | Day 141/-45min | Day 141/-15min | Day 197/-45min | Day 197/-15min | Day 253/-45min | Day 253/-15min | Day 309/-45min | Day 309/-15min | Day 365/-45min | Day 365/-15min |
---|
NVA237 | 0.191 | 0.217 | 0.168 | 0.210 | 0.171 | 0.188 | 0.159 | 0.182 | 0.140 | 0.133 | 0.167 | 0.153 | 0.120 | 0.149 | 0.116 | 0.143 |
,QAB149 | 0.170 | 0.194 | 0.140 | 0.178 | 0.094 | 0.118 | 0.112 | 0.141 | 0.075 | 0.083 | 0.100 | 0.125 | 0.094 | 0.114 | 0.109 | 0.097 |
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Change From Baseline in Pre-dose Forced Expiratory Volume (FEV1) in One Second at All Post Baseline Timepoints
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. (NCT01697696)
Timeframe: -45 min and -15 minutes baseline and at Week 52
Intervention | Liters (Mean) |
---|
| Day 29/-45min | Day 29/-15min | Day 57/-45min | Day 57/-15min | Day 85/-45min | Day 85/-15min | Day 141/-45min | Day 141/-15min | Day 197/-45min | Day 197/-15min | Day 253/-45min | Day 253/-15min | Day 309/-45min | Day 309/-15min | Day 365/-45min | Day 365/-15min |
---|
NVA237 | 0.104 | 0.123 | 0.098 | 0.120 | 0.105 | 0.111 | 0.071 | 0.096 | 0.071 | 0.073 | 0.092 | 0.094 | 0.068 | 0.088 | 0.057 | 0.087 |
,QAB149 | 0.118 | 0.138 | 0.101 | 0.107 | 0.085 | 0.099 | 0.089 | 0.108 | 0.082 | 0.090 | 0.087 | 0.103 | 0.094 | 0.112 | 0.088 | 0.090 |
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Change From Baseline in Mean Forced Expiratory Volume (Average of the Two FEV1 Measurements 45 and 15 Minutes Pre-dose) in One Second at Week 52
Change from baseline in pre-dose trough FEV1 was analyzed using a repeated measures analysis of covariance model which contained treatment, baseline FEV1, visit, baseline smoking status, baseline ICS use, COPD severity and treatment by visit, visit by baseline FEV1 interactions. An unstructured variance-covariance error matrix was used .Pulmonary function assessments were performed using centralized spirometry according to international standards. Pre-dose trough FEV1 was defined as the mean of FEV1 at -45 min and -15 min before the morning dose at Week 52. Baseline FEV1 was defined as the mean of the pre-dose FEV1 at -45 min and -15 min on Day 1. (NCT01697696)
Timeframe: -45 min and -15 minutes baseline and at Week 52
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 0.056 |
QAB149 | 0.060 |
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Percentage of Participants Reporting Safety and Tolerability in Terms of Adverse Event (AE) Reporting Rate
Adverse events are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal lab finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgments of the investigators represent significant hazards. (NCT01697696)
Timeframe: 52 weeks
Intervention | Percentage of participants (Number) |
---|
NVA237 | 77.3 |
QAB149 | 77 |
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Time to First COPD Exacerbation (Moderate or Severe).
COPD exacerbations are considered to be moderate if treatment with systemic corticosteroids and/or antibiotics was required. COPD exacerbations are considered to be severe if hospitalizations were required. Rates are calculated using the Kaplan Meier method. (NCT01697696)
Timeframe: 52 weeks
Intervention | Days (Median) |
---|
NVA237 | NA |
QAB149 | NA |
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Time to Treatment Discontinuation
Discontinuation rates are calculated using the Kaplan Meier method. The protocol allowed patients to discontinue outside the treatment window, hence we have a patient who discontinued at Day 388. Reasons for discontinuing treatment are Subject/guardian decision, Adverse event, Protocol deviation Lack of efficacy, Physician decision, Dosing error, Disease improvement under study, Pregnancy, Technical problems (NCT01697696)
Timeframe: 52 Weeks
Intervention | Days (Median) |
---|
NVA237 | NA |
QAB149 | 388 |
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Change From Baseline in Mean Daily Number of Puffs of Rescue Medication
The number of puffs of rescue medication taken in the previous 12 hours was recorded by the patients in the eDiary in the morning and evening. The total number of puffs of rescue medication per day over the 52 week treatment period was calculated and divided by the total number of days with non-missing rescue data to derive the mean daily number of puffs of rescue medication taken for the patient. If the number of puffs was missing for part of the day (either morning or evening), then a half day was used in the denominator. Change from baseline in number of puffs were analyzed using a linear mixed model which contained treatment, baseline number of puffs, baseline smoking status, baseline ICS use and COPD disease severity as fixed effects with center as a random effect (NCT01697696)
Timeframe: 52 weeks
Intervention | Number of puffs (Least Squares Mean) |
---|
| Daily (n=231, 227) | Daytime (n=221, 220) | Nighttime (n=226, 222) |
---|
NVA237 | -1.16 | -0.71 | -0.52 |
,QAB149 | -1.79 | -1.05 | -0.73 |
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Change From Baseline in COPD Symptoms
The total symptom score was defined as the sum of individual cores for respiratory symptoms, cough, wheeze, amount of sputum, color of sputum, and reathlessness. Where a patient had a morning score and an evening score for an individual symptom on one particular day then the worst score was to be taken as the daily score for that symptom. Each symptom scale ranged from 0-3 where 0 was no symptoms and 3 was the worst. The total daily/daytime/nighttime symptom score consists of looking at the score for 6 symptoms and can therefore have a minimum score of 0 or a maximum of 18. (NCT01697696)
Timeframe: 52 weeks
Intervention | scores on a scale (Least Squares Mean) |
---|
| Daily total symptom score (n=231, 227) | Daytime total symptom score (n=221, 220) | Nighttime total symptom score (n=226, 222) |
---|
NVA237 | -1.18 | -0.95 | -1.11 |
,QAB149 | -1.47 | -1.14 | -1.25 |
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Change From Baseline in COPD Symptoms
Percentage of days with 'no daytime symptoms' A day with 'no daytime symptoms' was defined from the diary data as any day where the patient had recorded in the evening no cough, no wheeze, no production of sputum and no feeling of breathlessness (other than when running) and no puffs of rescue medication during the past 12 hours (approximately 8 am to 8pm). However, a patient was not considered symptom free if they had used rescue medication that day even if his/her total daytime symptoms score was zero. Percentage of nights with 'no nighttime awakenings' A night with 'no nighttime awakenings' was defined from diary data as any night where the patient did not wake up due to symptoms. The total number of nights with 'no nighttime awakenings' over the treatment period was divided by the total number of nights where diary recordings had been made in order to derive the percentage nights with 'no nighttime awakenings'. (NCT01697696)
Timeframe: 52 weeks
Intervention | Percentage of days / nights (Least Squares Mean) |
---|
| Nights with no nighttime awakenings (n=226, 222) | Days with no daytime symptoms (n=221, 220) | Days able to perform daily activities(n=221,220) |
---|
NVA237 | 17.4 | 6.0 | 5.4 |
,QAB149 | 18.0 | 5.1 | 8.5 |
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Inspiratory Capacity (IC)
During the 4 hours following inhalation of the study treatment, inspiratory capacity (IC) was measured with spirometry conducted according to internationally accepted standards. IC was measured at 30, 60, 120, 180, and 240 minutes post-dose (NCT01699685)
Timeframe: within 4h after dosing
Intervention | Liters (Mean) |
---|
| Day (0) 30 min post-dose | Day (0) 1 hour post-dose | Day (0) 2 hour post-dose | Day (0) 3 hour post-dose | Day (0) 4 hour post-dose | Day (6) 30 min post-dose | Day (6) 1 hour post-dose | Day (6) 2 hour post-dose | Day (6) 3 hour post-dose | Day (6) 4 hour post-dose |
---|
Sequence A | 2.67 | 2.67 | 2.69 | 2.74 | 2.74 | 2.79 | 2.80 | 2.86 | 2.83 | 2.85 |
,Sequence B | 2.75 | 2.79 | 2.71 | 2.69 | 2.74 | 2.40 | 2.72 | 2.74 | 2.69 | 2.68 |
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Inspiratory Capacity (IC) Peak Value
IC was measured with spirometry conducted according to internationally accepted standards. Peak IC was defined as the maximum IC of the mean at one of the post-dose measurements (30min, 60min, 120min, 180min and 240min). (NCT01699685)
Timeframe: Day (0) 30minutes, 1, 2, 3, and 4 hours; Day (6) 30 minutes, 1, 2, 3, and 4 hours
Intervention | Liters (Mean) |
---|
| Day 0 (n=38, 38) | Day 6 (n=36, 36) |
---|
Sequence A | 2.87 | 2.99 |
,Sequence B | 2.94 | 2.85 |
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Total Lung Capacity (TLC)
TLC was measured with spirometry conducted according to internationally accepted standards. Peak TLC was calculated as the mean of the three Functional Residual Capacity peak measurements plus the mean of the three Inspiratory Capacity measurements which were measured each at 30, 60, 120, 180 and 240 minutes post dose (NCT01699685)
Timeframe: Day (0) 30minutes, 1, 2, 3, and 4 hours; Day (6) 30 minutes, 1, 2, 3, and 4 hours
Intervention | Liters (Mean) |
---|
| Day (0) 30 min post-dose | Day (0) 1 hour post-dose | Day (0) 2 hour post-dose | Day (0) 3 hour post-dose | Day (0) 4 hour post-dose | Day (6) 30 min post-dose | Day (6) 1 hour post-dose | Day (6) 2 hour post-dose | Day (6) 3 hour post-dose | Day (6) 4 hour post-dose |
---|
Sequence A | 7.20 | 7.17 | 7.06 | 7.14 | 7.21 | 7.20 | 7.12 | 7.21 | 7.23 | 7.30 |
,Sequence B | 6.81 | 6.79 | 6.81 | 6.82 | 6.78 | 6.79 | 6.80 | 6.80 | 6.81 | 6.93 |
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Airway Resistance (Raw)
Raw was measured with spirometry conducted according to internationally accepted standards. Raw was the mean of the measurements which were measured each at 30, 60, 120, 180 and 240 minutes (NCT01699685)
Timeframe: Day (0) 30minutes, 1, 2, 3, and 4 hours; Day (6) 30 minutes, 1, 2, 3, and 4 hours
Intervention | cmH2O/l/s (Mean) |
---|
| Day (0) 30 min post-dose | Day (0) 1 hour post-dose | Day (0) 2 hour post-dose | Day (0) 3 hour post-dose | Day (0) 4 hour post-dose | Day (6) 30 min post-dose | Day (6) 1 hour post-dose | Day (6) 2 hour post-dose | Day (6) 3 hour post-dose | Day (6) 4 hour post-dose |
---|
Sequence A | 5.13 | 5.19 | 5.21 | 5.07 | 5.18 | 4.73 | 4.47 | 4.31 | 4.30 | 4.30 |
,Sequence B | 4.74 | 4.61 | 4.43 | 4.53 | 4.48 | 5.18 | 4.97 | 4.71 | 4.77 | 4.78 |
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Forced Expiratory Volume in One Second (FEV1)
FEV1 was measured with spirometry conducted according to internationally accepted standards. FEV1 was at 30, 60, 120, 180, and 240 minutes post-dose. Spirometry equipment and performance of spirometric testing had to be in accordance with standards as outlined in the American Thoracic Society for the Standardization of Spirometry recommendations. The spirometry equipment used during the study had to meet or exceed these minimal ATS recommendations (NCT01699685)
Timeframe: Day (0) 30minutes, 1, 2, 3, and 4 hours; Day (6) 30 minutes, 1, 2, 3, and 4 hours
Intervention | Liters (Mean) |
---|
| Day (0) 30 min post-dose | Day (0) 1 hour post-dose | Day (0) 2 hour post-dose | Day (0) 3 hour post-dose | Day (0) 4 hour post-dose | Day (6) 30 min post-dose | Day (6) 1 hour post-dose | Day (6) 2 hour post-dose | Day (6) 3 hour post-dose | Day (6) 4 hour post-dose |
---|
Sequence A | 1.49 | 1.50 | 1.51 | 1.53 | 1.53 | 1.59 | 1.63 | 1.66 | 1.65 | 1.64 |
,Sequence B | 1.57 | 1.60 | 1.60 | 1.59 | 1.60 | 1.52 | 1.53 | 1.55 | 1.56 | 1.56 |
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Forced Volume Capacity (FVC)
FVC was measured with spirometry conducted according to internationally accepted standards. Measurements were made 30, 60, 120, 180, and 240 minutes post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time (NCT01699685)
Timeframe: Day (0) 30minutes, 1, 2, 3, and 4 hours; Day (6) 30 minutes, 1, 2, 3, and 4 hours
Intervention | Liters (Mean) |
---|
| Day (0) 30 min post-dose | Day (0) 1 hour post-dose | Day (0) 2 hour post-dose | Day (0) 3 hour post-dose | Day (0) 4 hour post-dose | Day (6) 30 min post-dose | Day (6) 1 hour post-dose | Day (6) 2 hour post-dose | Day (6) 3 hour post-dose | Day (6) 4 hour post-dose |
---|
Sequence A | 2.98 | 3.00 | 3.01 | 3.08 | 3.07 | 3.19 | 3.25 | 3.29 | 3.32 | 3.30 |
,Sequence B | 3.00 | 3.02 | 3.04 | 3.04 | 3.07 | 2.96 | 2.97 | 2.99 | 2.98 | 2.96 |
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Change From Baseline of Morning and Nighttime Symptom Scores at Week 12
Patients reported symptoms using an electronic diary.The diary has 9 symptom questions each am & each pm.Each question can be answered w/1 of 4 pre-defined answers,with a unit value of 0-3, 0 is least & 3 is most severe symptom.Symptom scores are calculated as the mean of the symptom scores(either the score assessed in am for the previous 12 hrs-referred to as nighttime scores,or the score assessed in pm for the previous 12 hrs-referred to as the daytime symptom score) for each patient over 12 weeks.The baseline is calculated from the run-in epoch prior to randomization.The change from baseline is in LS mean daily symptom scores over the 12 weeks. If the mean score over the 12 weeks is lower than the baseline, result is (-).A neg. result indicates an improvement in COPD symptom severity. the # of patients analyzed can vary between both day & night scores. Therefore, the # of patients analyzed for the combined daily symptom score can vary from the #s for individual day & night scores. (NCT01709864)
Timeframe: 12 weeks
Intervention | score (Least Squares Mean) |
---|
| Daytime total symptom score (n=208,202) | nighttime total symptom score (n=207,202) |
---|
NVA237 | -1.14 | -1.22 |
,Placebo | -0.73 | -0.95 |
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"Percentage of Days Able to Perform Usual Daily Activities"
"Patients are reporting symptoms by using an electronic diary. A day able to perform usual daily activities is defined from diary data as any day where the patient was not prevented from performing their usual daily activities due to respiratory symptoms." (NCT01709864)
Timeframe: from Baseline up to 12 weeks
Intervention | pecentage of days (Least Squares Mean) |
---|
NVA237 | 8.6 |
Placebo | 1.8 |
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Change From Baseline of Daily Symptom Scores
Patients reported symptoms using an electronic diary.The diary has 9 symptom questions each am and each pm. Each question can be answered w/1 of 4 pre-defined answers, with a unit value of 0-3, 0 is least & 3 is most severe symptom.Symptom scores are calculated as the mean of combined daily symptom scores(combined from am & pm)for each patient over 12 weeks. The baseline is calculated from the run-in epoch prior to randomization.The change from baseline is in LS mean daily symptom scores over the 12 weeks. If the mean score over the 12 weeks is lower than the baseline, result is (-).A neg. result indicates an improvement in COPD symptom severity. Patients may have met the min. response requirements for the night scores(am questions),but not for the day scores(pm questions)or vice versa, the # of patients analyzed can vary between both day & night scores. Therefore, the # of patients analyzed for the combined daily symptom score can vary from the #s for individual day & night scores. (NCT01709864)
Timeframe: 12 weeks
Intervention | Score (Least Squares Mean) |
---|
NVA237 | -1.39 |
Placebo | -1.01 |
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"Percentage of Nights With no Nighttime Awakenings"
"Patients are reporting symptoms by using an electronic diary. A night with no nighttime awakening is defined from diary data as any night where the patient did not wake up due to symptoms. Percentage of no nighttime awakenings from Baseline up to 12 weeks." (NCT01709864)
Timeframe: from Baseline up to 12 weeks
Intervention | percentage of nights (Least Squares Mean) |
---|
NVA237 | 13.3 |
Placebo | 11.3 |
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"Percentage of Days With no Daytime Symptoms"
"Patients are reporting symptoms by using an electronic diary. A day with no daytime symptoms is defined from diary data as any day where the patient has recorded in the evening no cough, no wheeze, no production of sputum, and no feeling of breathlessness (other than when running) during the past approximately 12 hours. The percentage of days is calculated by the number of days with no daytime symptoms/total number of days with evaluable data X 100." (NCT01709864)
Timeframe: from Baseline up to 12 weeks
Intervention | percentage of days (Least Squares Mean) |
---|
NVA237 | 5.1 |
Placebo | 2.5 |
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Breathlessness Assessed by Transition Dyspnea Index (TDI) Focal Score at Week 12
Breathlessness at week 12 is measured using the Transition Dyspnea Index (TDI). On day 1, breathlessness is assessed by the Baseline Dyspnea Index (BDI). Patients are considered to have clinically significant improvement with the TDI score change versus BDI being equal to or greater than 1. TDI focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort. Each domain is scored from -3 (major deterioration) to 3 (major improvement) to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score. (NCT01709864)
Timeframe: Week 12
Intervention | scores on a scale (Least Squares Mean) |
---|
NVA237 | 1.46 |
Placebo | 0.54 |
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Change From Baseline in the Health Status Assessed by St. George's Respiratory Questionnaire
The health status, as reported by the patients, is assessed using the St. George's Respiratory Questionnaire (SGRQ). The SGRQ is a 50 item scale assessing symptoms, patient activities and impact of the disease. Scores range from 0 to 100 units, with higher scores indicating more limitations. The assessment is based on total score as well as the percentage of patients with clinically significant improvement at week 12 versus day 1. A clinically meaningful improvement (MCID) in SGRQ is defined as a decrease of 4 or more units of the SGRQ scale in the total score, as compared to baseline (change from baseline). (NCT01709864)
Timeframe: Week 12
Intervention | score (Least Squares Mean) |
---|
NVA237 | -4.4 |
Placebo | -1.7 |
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Change From Baseline of Forced Vital Capacity (FVC) at All Individual Timepoints at Day 1 and at Week 12 (Day 85)
The Forced Vital Capacity (FVC) assessments for all individual time points of the serial measurements on day 1 and at week 12 are analyzed. (NCT01709864)
Timeframe: Baseline, Day 1 and Week 12 (Day 85)
Intervention | liters (Least Squares Mean) |
---|
| DAY 1/ 5 min (n=221, 214) | DAY 1/ 15 min (n=222, 216) | DAY 1/ 1h (n=222, 216) | DAY 1/ 2h (n=221, 216) | DAY 1/ 4h (n=220, 213) | DAY 1/ 6h (n=221, 214) | DAY 1/ 8h (n=220, 214) | DAY 1/ 11h 55min (n=216, 207) | DAY 85/ -45 min (n=217, 208) | DAY 85/ -15 min (n=216, 208) | DAY 85/ 5 min (n=221, 214) | DAY 85/ 15 min (n=222, 216) | DAY 85/ 1h (n=222, 216) | DAY 85/ 2h (n=221, 216) | DAY 85/ 4h (n=220, 213) | DAY 85/ 6h (n=221, 214) | DAY 85/ 8h (n=220, 214) | DAY 85/ 11h 55min (n=216, 207) |
---|
NVA237 | 0.175 | 0.265 | 0.318 | 0.351 | 0.290 | 0.252 | 0.192 | 0.152 | 0.162 | 0.156 | 0.184 | 0.263 | 0.258 | 0.277 | 0.215 | 0.199 | 0.128 | 0.110 |
,Placebo | 0.037 | 0.044 | 0.032 | 0.071 | 0.067 | 0.022 | -0.009 | -0.030 | -0.043 | -0.017 | -0.007 | -0.003 | 0.004 | 0.033 | 0.076 | -0.015 | -0.023 | -0.006 |
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Change From Baseline of Forced Expiratory Volume in One Second (FEV1) at All Individual Timepoints at Day 1 and at Week 12 (Day 85)
The Forced Expiratory Volume in one second (FEV1) assessments for all individual time points of the serial measurements on day 1 and at week 12 are analyzed. (NCT01709864)
Timeframe: Baseline, Day 1 and Week 12 (Day 85)
Intervention | liters (Least Squares Mean) |
---|
| DAY 1/ 5 min (n=221, 214) | DAY 1/ 15 min (n=222, 216) | DAY 1/ 1h (n=222, 216) | DAY 1/ 2h (n=221, 216) | DAY 1/ 4h (n=220, 213) | DAY 1/ 6h (n=221, 214) | DAY 1/ 8h (n=220, 214) | DAY 1/ 11h 55min (n=216, 207) | DAY 85/ -45 min (n=217, 208) | DAY 85/ -15 min (n=216, 208) | DAY 85/ 5 min (n=221, 214) | DAY 85/ 15 min (n=222, 216) | DAY 85/ 1h (n=222, 216) | DAY 85/ 2h (n=221, 216) | DAY 85/ 4h (n=220, 213) | DAY 85/ 6h (n=221, 214) | DAY 85/ 8h (n=220, 214) | DAY 85/ 11h 55min (n=216, 207) |
---|
NVA237 | 0.074 | 0.129 | 0.176 | 0.198 | 0.168 | 0.132 | 0.113 | 0.083 | 0.092 | 0.090 | 0.118 | 0.171 | 0.178 | 0.186 | 0.147 | 0.120 | 0.080 | 0.072 |
,Placebo | 0.015 | 0.015 | 0.008 | 0.031 | 0.028 | 0.000 | -0.022 | -0.046 | -0.040 | -0.022 | -0.018 | -0.016 | -0.014 | 0.006 | 0.014 | -0.026 | -0.036 | -0.043 |
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Change From Baseline in Trough FEV1 and Pre-dose Trough FEV1 by Visit
Trough Forced Expiratory Volume in one second (FEV1) is the mean of FEV1 at 23h 15min and 23h 45min after the morning dose of the previous day. Pre-dose trough FEV1 is the mean of FEV1 at -45min and -15min before morning dose (NCT01709864)
Timeframe: Day 2, 86 (trough) Day 15, 29, 57, 85 (pre-dose trough)
Intervention | liters (Least Squares Mean) |
---|
| Trough FEV1 Day 2 (n=218, n=214) | Trough FEV1 Day 86 (n=218, n=214) | Pre-dose Trough FEV1 Day 15 (n=217, n=208) | Pre-dose Trough FEV1 Day 29 (n=217, n=208) | Pre-dose Trough FEV1 Day 57 (n=217, n=208) | Pre-dose Trough FEV1 Day 85 (n=217, n=208) |
---|
NVA237 | 0.141 | 0.123 | 0.112 | 0.0105 | 0.0106 | 0.090 |
,Placebo | 0.025 | 0.007 | -0.002 | -0.005 | -0.006 | -0.029 |
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Change From Baseline in FEV1 AUC (0-12H) at Day 1 and FEV1 AUC (0-4h), AUC (4-8h), AUC (8-12h) at Day 1 and Week 12 (Day 85)
The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) is assessed for different time spans within the overall serial measurement post dosing (FEV1 AUCs Time Spans), at day 1 and at week 12 of treatment. Serial lung function measurements are taken at various time points post dosing on day 1 and at week 12 to calculate the AUC for these different time spans. (NCT01709864)
Timeframe: Day 1 and Week 12 (Day 85)
Intervention | liters*hr (Least Squares Mean) |
---|
| FEV1, AUC 0-12h Day 1 (n=222, n=216) | FEV1, AUC 0-4h Day 1 (n=222, n=216) | FEV1, AUC 0-4h Day 85 (n=222, n=216) | FEV1, AUC 4-8h Day 1 (n=222, n=215) | FEV1, AUC 4-8h Day 85 (n=222, n=215) | FEV1, AUC 8-12h Day 1 (n=222, n=215) | FEV1, AUC 8-12h Day 85 (n=222, n=215) |
---|
NVA237 | 0.140 | 0.174 | 0.171 | 0.138 | 0.115 | 0.102 | 0.074 |
,Placebo | -0.001 | 0.021 | 0.001 | 0.001 | -0.017 | -0.037 | -0.034 |
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The Average Number of Puffs of Rescue Medication Per Day
Patients report the number of puffs of rescue medication (salbutamol / albuterol) using an electronic diary. The use of rescue medication is analyzed as the mean daily number of puffs used per patient over the 12 weeks treatment period. (NCT01709864)
Timeframe: baseline and 12 weeks
Intervention | number of puffs (Least Squares Mean) |
---|
NVA237 | -1.63 |
Placebo | -0.86 |
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Percentage of Participants With a Clinically Important Improvement of >=4units in the SGRQ Total Score at Week 12
The health status, as reported by the patients, is assessed using the St. George's Respiratory Questionnaire (SGRQ). The assessment is based on total score as well as the percentage of patients with clinically significant improvement at week 12 versus day 1. A clinically significant improvement in SGRQ is defined as less than or equal to -4 change from baseline. (NCT01709864)
Timeframe: Week 12
Intervention | percentage of participants (Number) |
---|
NVA237 | 49.0 |
Placebo | 40.6 |
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Percentage of Days Without Rescue Medication Use
Patients report the number of puffs of rescue medication (salbutamol / albuterol) using an electronic diary. The use of rescue medication is analyzed as the percentage of days without usage of rescue medication over the 12 weeks treatment period. The baseline is calculated from the run-in epoch prior to randomization. (NCT01709864)
Timeframe: 12 weeks
Intervention | percentage of days (Least Squares Mean) |
---|
NVA237 | 16.6 |
Placebo | 10.5 |
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Change From Baseline of Standardized Area Under the Curve (AUC) for Forced Expiratory Volume in One Second (FEV1) Post Dosing
The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) post dosing (FEV1 AUC) at week 12 of treatment. Serial lung function measurements are taken at various time points following dosing at week 12 to calculate the AUC. (NCT01709864)
Timeframe: 12 weeks
Intervention | liters*hr (Least Squares Mean) |
---|
NVA237 | 0.125 |
Placebo | -0.014 |
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Analysis of FEV1 (L) Trough Response (Pre-dose) Over the Whole Treatment Period
Average of Trough Forced Expiratory Volume in one second (FEV1) (NCT01709903)
Timeframe: 6,12,18 and 26 weeks
Intervention | liter (Least Squares Mean) |
---|
| Week 6 (n=356,341) | week 12 (n=346,333) | week 18 (n=339,332) | week 26 (n=338,324) |
---|
Fluticasone/Salmeterol | 1.184 | 1.191 | 1.174 | 1.142 |
,QVA149 | 1.256 | 1.265 | 1.252 | 1.226 |
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Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Superiority of QVA 110/50μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d
(NCT01709903)
Timeframe: 26 weeks
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.259 |
Fluticasone/Salmeterol | 1.183 |
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Trough Forced Expiratory Volume in One Second (FEV1) Following 26 Weeks of Treatment to Demonstrate the Non-inferiority of QVA149 110/50 μg o.d. to Fluticasone/Salmeterol 500/50 μg b.i.d
Measurement of QVA149 110/50 μg o.d. to fluticasone/salmeterol 500/50 μg b.i.d. in terms of trough FEV1 (mean of 23 h 15 min and 23 h 45 min post QVA149 dose) following 26 weeks of treatment in patients with moderate to severe COPD. (NCT01709903)
Timeframe: 26 weeks
Intervention | liters (Least Squares Mean) |
---|
QVA149 | 1.248 |
Fluticasone/Salmeterol | 1.176 |
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Analysis of the TDI Focal Score Over the Whole Treatment Period
"The Transition Dyspnea Index (TDI) total score after 12 and 26 weeks of treatment will be analyzed using the same mixed model as specified for the primary analysis with the Baseline Dyspnea Index (BDI) total score as the baseline.Total score ranging - 9 to + 9. The lower the score, the more deterioration in severity of dyspnea. One additional option in each category, which does not contribute to the score, allows for circumstances in which impairment is due to reasons other than dyspnea. .Baseline 12 weeks and Baseline 26 weeks, were the baseline scores for available participants analyzed for each time point." (NCT01709903)
Timeframe: 12 and 26 weeks
Intervention | Numbers on a scale (Least Squares Mean) |
---|
| Baseline 12 weeks (n=348,337) | 12 weeks (n=348,337) | Baseline 26 weeks (n=335,326) | 26 weeks (n=335,326) |
---|
Fluticasone/Salmeterol | 6.36 | 2.40 | 6.40 | 2.86 |
,QVA149 | 6.36 | 2.62 | 6.38 | 3.02 |
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Symptoms Reported Using E-diary Over 12 and 26 Weeks of Treatment
Percentage of nights with 'no nighttime awakenings', percentage of days with 'no daytime symptoms', and percentage of 'days able to perform usual daily activities' over 26 weeks (FAS) (NCT01709903)
Timeframe: 26 weeks
Intervention | % days in study (Least Squares Mean) |
---|
| % nights 'no nighttime awakenings' (n=336,322) | % days with 'no daytime symptoms' (n=341,334) | % days able perform daily activities (n=341,334) |
---|
Fluticasone/Salmeterol | 67.86 | 10.22 | 42.16 |
,QVA149 | 67.57 | 7.31 | 44.02 |
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Rescue Medication Use: Summary of the Mean Daily, Daytime and Nighttime Number of Puffs of Rescue Medication, by 4 Weekly Intervals
"The number of puffs of rescue medication taken in the previous 12 hours will be recorded in the Patient Diary in the morning and evening. Baseline 12 weeks and Baseline 26 weeks, were the baseline scores for available participants analyzed for each time point. Less puffs taken is better." (NCT01709903)
Timeframe: 12 and 26 weeks
Intervention | # of puffs (Mean) |
---|
| Baseline Daytime 12-16 weeks (n=329,318) | Daytime 12-16 weeks (n=329,318) | Baseline Nighttime 12-16 weeks (n=322,307) | Nighttime 12-16 weeks (n=322,307) | Baseline Daytime 24-26 weeks (n=326,315) | Daytime 24-26 weeks (n=326,315) | Baseline Night time 24-26 weeks (n=320,304) | Night time 24-26 weeks (n=320,304) |
---|
Fluticasone/Salmeterol | 1.69 | 0.61 | 1.24 | 0.49 | 1.70 | 0.62 | 1.21 | 0.48 |
,QVA149 | 1.57 | 0.66 | 1.25 | 0.52 | 1.54 | 0.63 | 1.23 | 0.52 |
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Analysis of Trough FVC (L) Over the Whole Treatment Period
Average of Trough Forced Vital Capacity (FVC) at 23 hours 15 min and the 23 hours 45 min post dose (NCT01709903)
Timeframe: 12 and 26 weeks
Intervention | liter (Least Squares Mean) |
---|
| Day 1 (n=350,351) | Week 12 (n=342,332) | week 26 (n= 333,323) |
---|
Fluticasone/Salmeterol | 2.957 | 2.835 | 2.793 |
,QVA149 | 3.040 | 3.036 | 2.966 |
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Standardized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) 0-4 Hours
Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-4h at Day 1 was measured via spirometry conducted according to internationally accepted standards. Measurements were made at 0, 5, 15, and 30 minutes; and 1, 2, 3 and 4 hours post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time. Mixed model used: AUC FEV1 = treatment + baseline FEV1 + FEV1 reversibility components + baseline smoking status + baseline ICS use + country + center (country) + error. Center was included as a random effect nested within country. (NCT01709903)
Timeframe: Day 1, 12 and 26 weeks
Intervention | Liter (Mean) |
---|
| Day 1 (n=369,364) | 12 weeks (n=350,338) | 26 weeks (n=339,323) |
---|
Fluticasone/Salmeterol | 1.252 | 1.262 | 1.229 |
,QVA149 | 1.317 | 1.388 | 1.351 |
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Percentage of Participants With a Clinically Important Improvement of at Least 4 Units in the SGRQ Total Score
"Participants reported change in health status by using the SGRQ. The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD: Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity; Part II covers Activity and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score was calculated for each of these 3 subscales and a Total score was calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status." (NCT01712516)
Timeframe: 12 weeks
Intervention | Percentage of participants (Number) |
---|
QVA149 | 59.2 |
QAB149 | 56.8 |
NVA237 | 51.5 |
Placebo | 34.5 |
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Secondary: Change From Baseline in Standardized FEV1 AUC (0-4 h), FEV1 AUC (4-8h), FEV1 AUC (8-12h) and FEV1 AUC (0-12 h)
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. The trapezoidal rule was used to calculate FEV1 AUC and then normalized to the length of time. (NCT01712516)
Timeframe: BL, day 1, 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, AUC 0-4h (n=249,251,250,246) | Day 1, AUC 4-8h (n=248,248,250,243) | Day 1, AUC 8-12h (n=248,249,249,245) | Day 1, AUC 0-12h (n=249,251,250,246) | Week 12, AUC 0-4h (n=249,251,250,246) | Week 12, AUC 4-8h (n=248,248,250,243) | Week 12, AUC 8-12h (n=248,249,249,245) | Week 12, AUC 0-12h (n=249,251,250,246) |
---|
NVA237 | 0.174 | 0.134 | 0.092 | 0.135 | 0.196 | 0.148 | 0.123 | 0.155 |
,Placebo | 0.019 | -0.003 | -0.031 | -0.003 | -0.008 | -0.021 | -0.055 | -0.028 |
,QAB149 | 0.101 | 0.090 | 0.054 | 0.080 | 0.147 | 0.120 | 0.095 | 0.122 |
,QVA149 | 0.213 | 0.187 | 0.143 | 0.184 | 0.289 | 0.229 | 0.182 | 0.234 |
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Secondary: Change From Baseline in Mean Total Daily Symptom Score, Mean Daytime Total Symptom Score and Mean Nighttime Total Symptom Score
The participant recorded symptom scores twice daily in the eDiary. The daily clinical symptoms included: cough, wheezing, shortness of breath, sputum volume, sputum color, and night time awakening. The range of scores for each assessment is 0 to 3 where 0 indications No symptom and 3 indicates a Severe symptom. The maximum daytime total score is 27 and the maximum nighttime total score is 27. The total daily symptom score is obtained by adding the scores for the morning and evening symptoms for each day. The maximum possible total daily score is 54. A negative change from baseline indicated improvement. (NCT01712516)
Timeframe: BL, 12 weeks
Intervention | score on a scale (Least Squares Mean) |
---|
| total daily (n=243,242,242,235) | total daytime (n=242,239,240,234) | total nighttime (n=243,239,238,234) |
---|
NVA237 | -1.09 | -0.96 | -0.90 |
,Placebo | -0.61 | -0.53 | -0.41 |
,QAB149 | -1.22 | -1.05 | -1.01 |
,QVA149 | -1.34 | -1.16 | -1.09 |
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Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score
"Participants reported change in health status by using the SGRQ. The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD: Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity; Part II covers Activity and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score was calculated for each of these 3 subscales and a Total score was calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status. Missing week 12 data were imputed with Last Observation Carried Forward (LOCF) method but only if measured at day >= 29. A negative change from baseline indicates improvement." (NCT01712516)
Timeframe: BL, 12 Weeks
Intervention | score on a scale (Least Squares Mean) |
---|
QVA149 | -7.5 |
QAB149 | -5.9 |
NVA237 | -6.0 |
Placebo | -1.1 |
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Change From Baseline in Pre-dose Trough FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Pre-dose trough FEV1 was analyzed using the same MMRM as specified for FEV1. Pre-dose trough FEV1 was defined as the mean of FEV1 at -45 min and -15 min before the morning dose. Since the time of evening dose of the previous day was not recorded at these visits, no time window was applied. (NCT01712516)
Timeframe: BL, day 85
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 0.193 |
QAB149 | 0.100 |
NVA237 | 0.108 |
Placebo | -0.027 |
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Secondary: Change From Baseline in Mean Daily Number of Puffs of Rescue Medication
Participants completed an electronic diary (eDiary) twice daily at the same time in the morning and evening to record the number of puffs of rescue medication taken in the previous 12 hours. A negative change from baseline indicates improvement. (NCT01712516)
Timeframe: BL, 12 weeks
Intervention | number of puffs (Least Squares Mean) |
---|
QVA149 | -2.19 |
QAB149 | -2.05 |
NVA237 | -1.78 |
Placebo | -1.04 |
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Change From Baseline in FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. (NCT01712516)
Timeframe: BL, Day 1: 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h55 min; Day 2: 23h15min, 23h45min; Day 15: -45min, -15min, 1h; Day 29: -45 min, -15min, 1h; Day 57: -45min, -15min, 1h; day 85: -45min, -15min, 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h; day 86: 23h15min; 23h45min
Intervention | Liters (Least Squares Mean) |
---|
| day 1, 5 min (n=248,249,249,243) | day 1, 15 min (n=248,251,249,244) | day 1, 1 h (n=249,251,249,246) | day 1, 2 h (n=249,249,248,246) | day 1, 4 h (n=247,247,248,237) | day 1, 6 h (n=247,246,244,239) | day 1, 8 h (n=248,247,245,242) | day 1, 11 h 55 min(n=242,243,244,239) | day 2, 23 h 15 min (n=241,246,245,241) | day 2, 23 h 45 min (n= 246,251,248,244) | day 15, - 45 min (243,249,246,240) | day 15, -15 min (n=243,248,246,241) | day 15, 1 h (n=249,251,249,246) | day 29, -45 min (n=243,249,246,240) | day 29, -15 min (n=243,248,246,241) | day 29, 1 h (n=249,251,249,246) | day 57, -45 min (n=243,249,246,240) | day 57, -15 min (n=243,248,246,241) | day 57, 1 h (n=249,251,249,246) | day 85, -45 min (n=243,249,246,240) | day 85, - 15 min (n=243,248,246,241) | day 85, 5 min (n=248,249,249,243) | day 85, 15 min (n=248,251,249,244) | day 85, 1 h (n=249,251,249,246) | day 85, 2 h (n=249,249,248,246) | day 85, 4 h (n=247,247,248,237) | day 85, 6 h (n=247,246,244,239) | day 85, 8 h (n=248,247,245,242) | day 85, 11 h 55 min(n=242,243,244,239) | day 86, 23 h 15 min (n=241,246,245,241) | day 86, 23 h 45 min (n=246,251,248,244) |
---|
NVA237 | 0.072 | 0.126 | 0.176 | 0.197 | 0.167 | 0.135 | 0.112 | 0.066 | 0.128 | 0.137 | 0.108 | 0.132 | 0.212 | 0.117 | 0.138 | 0.216 | 0.117 | 0.147 | 0.221 | 0.096 | 0.123 | 0.143 | 0.179 | 0.208 | 0.216 | 0.172 | 0.139 | 0.133 | 0.105 | 0.117 | 0.132 |
,Placebo | -0.001 | 0.005 | 0.008 | 0.030 | 0.019 | -0.005 | -0.019 | -0.045 | 0.002 | 0.018 | -0.045 | -0.025 | -0.019 | -0.030 | -0.013 | -0.004 | -0.037 | -0.014 | -0.016 | -0.032 | -0.018 | -0.020 | -0.001 | -0.018 | -0.001 | -0.004 | -0.011 | -0.039 | -0.073 | -0.023 | -0.012 |
,QAB149 | 0.076 | 0.090 | 0.089 | 0.109 | 0.108 | 0.085 | 0.077 | 0.029 | 0.105 | 0.118 | 0.114 | 0.143 | 0.179 | 0.127 | 0.147 | 0.170 | 0.104 | 0.125 | 0.163 | 0.090 | 0.109 | 0.151 | 0.153 | 0.141 | 0.159 | 0.145 | 0.122 | 0.107 | 0.078 | 0.130 | 0.144 |
,QVA149 | 0.117 | 0.160 | 0.199 | 0.237 | 0.220 | 0.181 | 0.165 | 0.116 | 0.201 | 0.216 | 0.208 | 0.238 | 0.321 | 0.213 | 0.235 | 0.320 | 0.203 | 0.224 | 0.319 | 0.187 | 0.199 | 0.246 | 0.269 | 0.293 | 0.315 | 0.260 | 0.226 | 0.198 | 0.163 | 0.206 | 0.221 |
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Change From Baseline in FVC
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FVC was defined as the average of the pre-dose FVC measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FVC measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. (NCT01712516)
Timeframe: BL, Day 1: 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h55 min; Day 2: 23h15min, 23h45min; Day 15: -45min, -15min, 1h; Day 29: -45 min, -15min, 1h; Day 57: -45min, -15min, 1h; day 85: -45min, -15min, 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h; day 86: 23h15min; 23h45min
Intervention | Liters (Least Squares Mean) |
---|
| day 1, 5 min (n=248,249,249,243) | day 1, 15 min (n=248,251,249,244) | day 1, 1 h (n=249,251,249,246) | day 1, 2 h (n=249,249,248,246) | day 1, 4 h (n=247,247,248,237) | day 1, 6 h (n=247,246,244,239) | day 1, 8 h (n=248,247,245,242) | day 1, 11 h 55 min (n=242,243,244,239) | day 2, 23 h 15 min (n=241,246,245,241) | day 2, 23 h 45 min (n=246,251,248,244) | day 15, -45 min (n=243,249,246,240) | day 15, -15 min (n=243,248,246,241) | day 15, 1 h (n=249,251,249,246) | day 29, -45 min (n=243,249,246,240) | day 29, -15 min (n=243,248,246,241) | day 29, 1 h (n=249,251,249,246) | day 57, -45 min (n=243,249,246,240) | day 57, -15 min (n=243,248,246,241) | day 57, 1 h (n=249,251,249,246) | day 85, -45 min (n=243,249,246,240) | day 85, -15 min (n=243,248,246,241) | day 85, 5 min (n=248,249,249,243) | day 85, 15 min (n=248,251,249,244) | day 85, 1 h (n=249,251,249,246) | day 85, 2h (n=249,249,248,246) | day 85, 4 h (n=247,247,248,237) | day 85, 6 h (n=247,246,244,239) | day 85, 8 h (n=248,247,245,242) | day 85, 11 55 min (n=242,243,244,239) | day 86, 23 h 15 min (n=241,246,245,241) | day 86, 23 h 45 min (n=246,251,248,244) |
---|
NVA237 | 0.158 | 0.238 | 0.309 | 0.324 | 0.271 | 0.244 | 0.212 | 0.125 | 0.217 | 0.229 | 0.168 | 0.198 | 0.311 | 0.188 | 0.197 | 0.322 | 0.173 | 0.222 | 0.326 | 0.143 | 0.180 | 0.225 | 0.276 | 0.295 | 0.301 | 0.261 | 0.211 | 0.213 | 0.197 | 0.176 | 0.210 |
,Placebo | -0.006 | 0.009 | 0.013 | 0.044 | 0.026 | 0.004 | -0.021 | -0.060 | 0.001 | 0.027 | -0.047 | -0.020 | -0.009 | -0.025 | -0.004 | 0.008 | -0.034 | -0.009 | -0.011 | -0.029 | -0.031 | -0.048 | -0.004 | -0.023 | -0.001 | 0.002 | -0.011 | -0.038 | -0.093 | -0.021 | -0.017 |
,QAB149 | 0.175 | 0.185 | 0.153 | 0.214 | 0.189 | 0.159 | 0.154 | 0.093 | 0.191 | 0.196 | 0.163 | 0.201 | 0.269 | 0.194 | 0.218 | 0.259 | 0.142 | 0.167 | 0.227 | 0.121 | 0.142 | 0.215 | 0.223 | 0.209 | 0.218 | 0.203 | 0.164 | 0.152 | 0.131 | 0.172 | 0.199 |
,QVA149 | 0.245 | 0.318 | 0.355 | 0.395 | 0.364 | 0.316 | 0.285 | 0.235 | 0.343 | 0.355 | 0.313 | 0.358 | 0.473 | 0.320 | 0.332 | 0.449 | 0.293 | 0.298 | 0.445 | 0.252 | 0.263 | 0.331 | 0.377 | 0.400 | 0.414 | 0.338 | 0.305 | 0.273 | 0.233 | 0.278 | 0.298 |
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Transitional Dyspnea Index (TDI) Focal Score
The Baseline Dyspnea Index (BDI) / TDI is an instrument used to assess a participant's level of dyspnea. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort. BDI domains were rated from 0 (severe) to 4 (unimpaired) and rates summed for baseline focal score ranged from 0 to 12; lower scores mean worse severity. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of ≥1 was defined as a clinically important improvement from baseline. (NCT01712516)
Timeframe: BL, 12 weeks
Intervention | score on a scale (Least Squares Mean) |
---|
QVA149 | 2.88 |
QAB149 | 1.98 |
NVA237 | 1.88 |
Placebo | 0.85 |
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Change From Baseline in Trough FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Trough FEV1 was analyzed using the same MMRM as specified for FEV1. Trough FEV1 was defined as the mean of FEV1 at 23 h 15 min and 23 h 45 min after the morning dose of the previous day. Before the mean was calculated, a time window of 10 - 13 hours post-evening dose was applied to these 2 measurements. Recordings outside the time window were set to missing. (NCT01712516)
Timeframe: BL, day 2, day 86
Intervention | Liters (Least Squares Mean) |
---|
| day 2 | day 86 |
---|
NVA237 | 0.132 | 0.128 |
,Placebo | 0.010 | -0.017 |
,QAB149 | 0.111 | 0.138 |
,QVA149 | 0.208 | 0.216 |
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Primary: Change From Baseline in Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) (0-12 Hours (h))
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. Missing values of FEV1 AUC0-12 at Day 1 and Week 12 will not imputed. The trapezoidal rule was used to calculate FEV1 AUC and then normalized to the length of time. (NCT01712516)
Timeframe: baseline (BL), 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 0.234 |
QAB149 | 0.122 |
NVA237 | 0.155 |
Placebo | -0.028 |
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Change From Baseline in Standardized Area Under The Curve for Forced Expiratory Volume in One Second for Different Time Spans Post Dosing
"The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1FEV1) is assessed for different time spans (0-4 h, 4-8 h, 8-12 h) within the overall serial measurement post dosing (FEV1 AUCs Time Spans), at day 1 and at week 12 of treatment. Serial lung function measurements are taken at various the following time points post dosing on day 1 and at week 12 to calculate the FEV1 AUC for these different time spans: .5 min, 15 min, 1:00 h, 2:00 h, 4:00 h, 6:00 h, 8:00 h, and 11:55 h after the morning dose.~The endpoint was the change from baseline (CFB) in FEV1 AUC0-12h following the morning dose at day 1 or week 12, respectively, (defined as the mean FEV1 change from baseline over 5 min to 11 h 55 mins divided by 11 h 50 mins). Where the FEV1 AUC is smaller than at baseline, a negative value can occur." (NCT01715298)
Timeframe: Day 1 and Week 12
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 AUC 0-4h (n=215,213) | Week 12 AUC 0-4h (n=215,213) | Day 1 AUC 4-8h (n=213,209) | Week 12 AUC 4-8h (n=213,209) | Day 1 AUC 8-12h (n=212,210) | Week 12 AUC 8-12h (n=212,210) |
---|
NVA237 | 0.154 | 0.153 | 0.118 | 0.107 | 0.085 | 0.075 |
,Placebo | 0.014 | 0.004 | 0.011 | 0.000 | -0.021 | -0.033 |
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Change From Baseline in Morning and Nighttime Symptom Scores
Patients are reporting morning and nighttime symptoms by using an electronic diary. The electronic diary has 9 symptom questions each morning and each evening. Each question can be answered with one of four pre-defined answers, corresponding to a unit value of 0-3, where 0 stands for the lowest and 3 for the most severe symptom experience. Morning and nighttime symptoms scores for each patient over 12 weeks are reported and analyzed. Symptom scores are calculated as the mean of the symptom scores (morning symptom scores or nighttime symptom scores, respectively) for each patient over 12 weeks (Day 1 to week 12). The baseline is calculated from the run-in epoch prior to randomization. The outcome is calculated as the change from baseline in the morning and nighttime symptom scores, respectively. A negative number indicates a reduction in the symptom severity and is owed to the calculation of the change from baseline. (NCT01715298)
Timeframe: Day 1 to week 12
Intervention | Score (Least Squares Mean) |
---|
| Daytime total symptom score (n=207,195) | Nighttime total symptom score (n=208,200) |
---|
NVA237 | -0.86 | -1.03 |
,Placebo | -0.61 | -0.76 |
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Change From Baseline in Mean Trough Forced Vital Capacity
Mean trough Forced Vital Capacity (FVC) is assessed as the arithmetic mean of two FVC measurements, conducted within the last hour of a 24 hours period from a morning dose, either that of day 1 or at week 12 of treatment (23:15 h and 23:45 h assessments). The endpoints are the change from baseline in trough FVC on Day 1 and at Week 12, with the mean of the -45 min and -15 min measurements on Day 1 as the baseline. (NCT01715298)
Timeframe: Day 1 and week 12
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 12 |
---|
NVA237 | 0.249 | 0.210 |
,Placebo | 0.078 | 0.080 |
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Change From Baseline in Forced Vital Capacity at All Individual Timepoints
The Forced Vital Capacity (FVC)assessments for all individual time points of the serial measurements on day 1 and at week 12 are analyzed. Serial lung function measurements are taken at the following time points following dosing on Day 1 and at week 12: 5 min, 15 min, 1:00 h, 2:00 h, 4:00 h, 6:00 h, 8:00 h, and 11:55 h after the morning dose. For week 12 (day 85), the pre-dose measurements (-45 min and -15 min) and the trough measurements (23:15 h and 23:45 h post-dose) are included. The endpoints are the change from baseline in FVC following the morning dose on Day 1 and at Week 12. Where the FVC at any one timepoint is smaller than at baseline, a negative value can occur. (NCT01715298)
Timeframe: Day 1 and week 12
Intervention | Liters (Least Squares Mean) |
---|
| FVC, day 1, 5 min (n=214,211) | FVC, day 1, 15 min (n=214,213) | FVC, day 1, 1 h (n=215,211) | FVC, day 1, 2 h (n=211,211) | FVC, day 1, 4 h (n=209,208) | FVC, day 1, 6 h (n=208,205) | FVC, day 1, 8 h (n=209,205) | FVC, day 1, 11 h 55min (n=203,202) | FVC, day 85, -45 min (n=207,204) | FVC, day 85, -15 min (n=208,204) | FVC, day 85, 5 min (n=214,211) | FVC, day 85, 15 min (n=214,213) | FVC, day 85, 1 hr (n=215,211) | FVC, day 85, 2 hr (n=211,211) | FVC, day 85, 4 hr (n=209,208) | FVC, day 85, 6 hr (n=208,205) | FVC, day 85, 8 hr (n=209,205) | FVC, day 85, 11 hr 55min (n=203,202) | FVC, day 85, 23 hr 15min (n=210,204) | FVC, day 85, 23 hr 45min (n=213,208) |
---|
NVA237 | 0.120 | 0.233 | 0.304 | 0.322 | 0.247 | 0.225 | 0.200 | 0.147 | 0.123 | 0.146 | 0.177 | 0.219 | 0.267 | 0.275 | 0.204 | 0.185 | 0.152 | 0.135 | 0.207 | 0.228 |
,Placebo | -0.014 | 0.005 | 0.041 | 0.060 | 0.048 | 0.051 | -0.002 | -0.017 | 0.008 | 0.010 | 0.001 | -0.003 | 0.010 | 0.024 | 0.035 | 0.016 | -0.015 | -0.045 | 0.066 | 0.095 |
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Change From Baseline in Forced Expiratory Volume in One Second at All Individual Timepoints
The Forced Expiratory Volume in one second (FEV1) assessments for all individual time points of the serial measurements on day 1 and at week 12 are analyzed. Time points of the serial lung function measurements are 5 min, 15 min, 1:00 h, 2:00 h, 4:00 h, 6:00 h, 8:00 h, and 11:55 h after the morning dose. The table indicates the percent change from baseline (CFB) in FEV1 and standard deviation in brackets. Where the FEV1 is lower than at baseline, a negative percent value can occur. (NCT01715298)
Timeframe: Day 1 and week 12
Intervention | Percent (Mean) |
---|
| FEV1, day 1, 5 min (n=207,202) | FEV1, day 1, 15 min (n=209,201) | FEV1, day 1, 1 h (n=205,205) | FEV1, day 1, 2 h (n=201,205) | FEV1, day 1, 4 h (n=199,202) | FEV1, day 1, 6h (n=197,197) | FEV1, day 1, 8 h (n=200,189) | FEV1, day 1, 11 h 55min (n=184,182) | FEV1, day 85, -45min (n=184,188) | FEV1, day 85, -15min (n=180,185) | FEV1, day 85, 5min (n=185,178) | FEV1, day 85, 15min (n=186,189) | FEV1, day 85, 1h (n=184,187) | FEV1, day 85, 2h (n=178,187) | FEV1, day 85, 4h (n=179,183) | FEV1, day 85, 6h (n=174,172) | FEV1, day 85, 8h (n=178,174) | FEV1, day 85, 11h 55min (n=171,171) |
---|
NVA237 | 4.9 | 9.9 | 13.9 | 16.0 | 12.7 | 10.3 | 8.9 | 6.6 | 6.4 | 9.6 | 10.4 | 12.9 | 15.8 | 16.0 | 12.5 | 9.8 | 7.8 | 7.2 |
,Placebo | -0.3 | 0.3 | 1.2 | 2.5 | 2.2 | 2.2 | -0.5 | -1.7 | 1.7 | 2.7 | 1.8 | 2.0 | 1.6 | 2.4 | 3.5 | 2.5 | 0.2 | -2.1 |
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Change From Baseline in the Percentage of Days Without Rescue Medication Use
Patients report the number of puffs of rescue medication (salbutamol / albuterol) using an electronic diary. The use of rescue medication is analyzed as the change from baseline in the percentage of days without usage of rescue medication over the 12 weeks treatment period. The baseline is calculated as the percentage of days without usage of rescue medication from during the the run-in epoch prior to randomization. (NCT01715298)
Timeframe: Baseline and week 12
Intervention | percentage of days (Least Squares Mean) |
---|
NVA237 | 11.4 |
Placebo | 7.0 |
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Change From Baseline in the Health Status Assessed by St. George's Respiratory Questionnaire
The health status, as reported by the patients, is assessed using the St. George's Respiratory Questionnaire (SGRQ). The SGRQ is a 50 item scale assessing symptoms, patient activities and impact of the disease. Scores range from 0 to 100 units, with higher scores indicating more limitations. The assessment is based on total score as well as the percentage of patients with clinically significant improvement at week 12 versus day 1. A clinically meaningful improvement (MCID) in SGRQ is defined as a decrease of 4 or more units of the SGRQ scale in the total score, as compared to baseline (change from baseline). (NCT01715298)
Timeframe: Week 12
Intervention | Score (Least Squares Mean) |
---|
NVA237 | -6.4 |
Placebo | -1.2 |
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Change From Baseline in Standardized Area Under the Curve for Forced Expiratory Volume in One Second Post Dosing
"The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) post dosing (FEV1 AUC) is measured at week 12 of treatment. Serial lung function measurements are taken at the following time points following dosing at week 12 to calculate the FEV1 AUC: 5 min, 15 min, 1:00 h, 2:00 h, 4:00 h, 6:00 h, 8:00 h, and 11:55 h after the morning dose.~The primary endpoint was the change from baseline in FEV1 AUC0-12h following the morning dose at Week 12 (defined as the mean FEV1 change from baseline (CFB) over 5 min to 11 h 55 mins divided by 11 h 50 mins). Where the FEV1 AUC is smaller than at baseline, a negative value can occur" (NCT01715298)
Timeframe: Week 12
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 0.115 |
Placebo | -0.008 |
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Change From Baseline in Standardized Area Under the Curve (AUC(0-12h)) for Forced Expiratory Volume in One Second Post Dosing
"The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) post dosing (FEV1 AUC) is assessed at day 1 of treatment. Serial lung function measurements are taken at the following various time points post dosing at day 1 to calculate the FEV1 AUC: 5 min, 15 min, 1:00 h, 2:00 h, 4:00 h, 6:00 h, 8:00 h, and 11:55 h after the morning dose.~.The endpoint was the change from baseline (CFB) in FEV1 AUC0-12h following the morning dose at day 1 (defined as the mean FEV1 change from baseline over 5 min to 11 h 55 mins divided by 11 h 50 mins). Where the FEV1 AUC is smaller than at baseline, a negative value can occur." (NCT01715298)
Timeframe: Day 1
Intervention | Liters (Least Squares Mean) |
---|
NVA237 | 0.121 |
Placebo | 0.003 |
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Change From Baseline in Mean Number of Puffs of Rescue Medication Per Day
Patients report the number of puffs of rescue medication (salbutamol / albuterol) using an electronic diary. The use of rescue medication is analyzed as the change from baseline in the mean daily number of puffs used per patient over the 12 weeks treatment period. The baseline is calculated from the run-in epoch prior to randomization (mean number of puffs per day). A negative number indicates a reduction in the mean daily number of puffs of rescue medication. (NCT01715298)
Timeframe: Baseline and week 12
Intervention | Number of puffs (Least Squares Mean) |
---|
NVA237 | -1.33 |
Placebo | -0.80 |
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Change From Baseline in Daily Symptom Scores
Patients are reporting symptoms by using an electronic diary. The electronic diary has 9 symptom questions each morning and each evening. Each question can be answered with one of four pre-defined answers, corresponding to a unit value of 0-3, where 0 stands for the lowest and 3 for the most severe symptom experience. Symptom scores are calculated as the mean of the combined daily symptom scores (combined from morning and evening scores) for each patient over 12 weeks (Day 1 to week 12). The baseline is calculated from the run-in epoch prior to randomization. The change from baseline in the least squares mean daily symptom scores over the 12 week treatment period is provided. Where the mean daily symptom score over the 12 week treatment period is lower than the baseline, the result is negative. A negative result indicates an improvement in COPD symptom severity. (NCT01715298)
Timeframe: day 1 to week 12
Intervention | Score (Least Squares Mean) |
---|
NVA237 | -1.09 |
Placebo | -0.80 |
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Breathlessness Assessed by Transition Dyspnea Index
Breathlessness at week 12 is measured using the interviewer-administered Transition Dyspnea Index (TDI). On day 1, breathlessness is assessed by the interviewer-administered Baseline Dyspnea Index (BDI). The change from BDI to TDI is assessed, with the TDI total score ranging from -9 to +9 units of the scale. The lower the score, the more deterioration in severity of dyspnea. Patients are considered to have clinically significant improvement (MCID) with the TDI score change versus BDI being equal to or greater than 1. (NCT01715298)
Timeframe: Week 12
Intervention | Score (Least Squares Mean) |
---|
NVA237 | 0.95 |
Placebo | 0.48 |
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"Change From Baseline in the Percentage of Nights With no Nighttime Awakenings"
"Patients are reporting symptoms by using an electronic diary. The electronic diary has 9 symptom questions each morning and each evening. One of the symptom questions of the morning questionnaire relates to the number of awakenings due to COPD symptoms during the previous night. The answer with the lowest symptom score is no waking due to symptoms. A night with no nighttime awakening is defined from diary data as any night where the patient did not wake up due to symptoms. The change from baseline in the percentage of nights with no nighttime awakening is calculated from the mean percentage of nights with this answer over the 12 week treatment period, with the baseline being The baseline is calculated from the run-in epoch prior to randomization." (NCT01715298)
Timeframe: Day 1 and week 12
Intervention | Percentage of nights (Least Squares Mean) |
---|
NVA237 | 13.1 |
Placebo | 9.2 |
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"Change From Baseline in the Percentage of Days With no Daytime Symptoms"
"Patients are reporting symptoms by using an electronic diary. The electronic diary has 9 symptom questions each morning and each evening. Each question can be answered with one of four pre-defined answers, corresponding to a unit value of 0-3, where 0 stands for the lowest and 3 for the most severe symptom experience. A day with no daytime symptoms is defined from diary data as any day where the patient has recorded in the evening no cough, no wheeze, no production of sputum, and no feeling of breathlessness (other than when running) during the past approximately 12 hours in the evening questionnaire. The change from baseline in the percentage of days with no daytime symptoms is calculated from the mean percentage of days with this answer over the 12 week treatment period, with the baseline being. The baseline is calculated from the run-in epoch prior to randomization." (NCT01715298)
Timeframe: Day 1 to week 12
Intervention | Percentage of days (Least Squares Mean) |
---|
NVA237 | 3.6 |
Placebo | 2.6 |
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"Change From Baseline in Percentage of Days Able to Perform Usual Daily Activities"
"Patients are reporting symptoms by using an electronic diary. The electronic diary has 9 symptom questions each morning and each evening. One of the symptom questions of the evening questionnaire relates to the impact of COPD symptoms on the performance of usual daily activities (Did your respiratory symptoms stop you performing your usual daily activities today). The answer with the lowest symptom score is not at all. A day able to perform usual daily activities is defined from diary data as any day where the patient was not prevented from performing their usual daily activities due to respiratory symptoms. The change from baseline in the percentage of days able to perform usual daily activities is calculated from the mean percentage of days with this answer over the 12 week treatment period, with the baseline beingThe baseline is calculated from the run-in epoch prior to randomization." (NCT01715298)
Timeframe: Day 1 to week 12
Intervention | Percentage of days (Least Squares Mean) |
---|
NVA237 | 5.2 |
Placebo | 0.9 |
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Mean Trough Forced Expiratory Volume in One Second
Mean trough Forced Expiratory Volume in one second (FEV1) is assessed as the arithmetic mean of two FEV1 measurements, conducted within the last hour of a 24 hour period from a morning dose, either that of day 1 or at week 12 of treatment. The data is reported as the change from baseline (CFB), with the baseline being the arithmetic mean of the two pre-dose measurements (-45 min and -15 min) preceding the serial lung function measurements on Day 1 (NCT01715298)
Timeframe: Day 1 and week 12
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Week 12 |
---|
NVA237 | 0.128 | 0.123 |
,Placebo | 0.021 | 0.038 |
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Change From Baseline in Pre-dose Trough FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Pre-dose trough FEV1 was analyzed using the same MMRM as specified for FEV1. Pre-dose trough FEV1 was defined as the mean of FEV1 at -45 min and -15 min before the morning dose. Since the time of evening dose of the previous day was not recorded at these visits, no time window was applied. (NCT01727141)
Timeframe: BL, day 85
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 0.161 |
QAB149 | 0.083 |
NVA237 | 0.061 |
Placebo | -0.035 |
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Change From Baseline in Mean Daily Number of Puffs of Rescue Medication
Participants completed an electronic diary (eDiary) twice daily at the same time in the morning and evening to record the number of puffs of rescue medication taken in the previous 12 hours. A negative change from baseline indicates improvement. (NCT01727141)
Timeframe: BL, 12 Weeks
Intervention | Number of puffs (Least Squares Mean) |
---|
QVA149 | -2.22 |
QAB149 | -1.72 |
NVA237 | -1.65 |
Placebo | -1.00 |
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Change From Baseline in Trough FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Trough FEV1 was analyzed using the same MMRM as specified for FEV1. Trough FEV1 was defined as the mean of FEV1 at 23 h 15 min and 23 h 45 min after the morning dose of the previous day. Before the mean was calculated, a time window of 10 - 13 hours post-evening dose was applied to these 2 measurements. Recordings outside the time window were set to missing. (NCT01727141)
Timeframe: BL, day 2, day 86
Intervention | Liters (Least Squares Mean) |
---|
| day 2 | day 86 |
---|
NVA237 | 0.112 | 0.092 |
,Placebo | 0.015 | -0.012 |
,QAB149 | 0.109 | 0.120 |
,QVA149 | 0.187 | 0.201 |
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Change From Baseline in Standardized FEV1 AUC (0-4 h), FEV1 AUC (4-8h), FEV1 AUC (8-12h) and FEV1 AUC (0-12 h)
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. The trapezoidal rule was used to calculate FEV1 AUC and then normalized to the length of time. (NCT01727141)
Timeframe: BL, day 1, week 12
Intervention | Liters (Least Squares Mean) |
---|
| day 1, FEV1 AUC 0-4h (n=249,251,250,246) | day 1, FEV1 AUC 4-8h (n=257,260,261,257) | day 1, FEV1 AUC 8-12h (n=254,256,259,253) | day 1, FEV1 AUC 0-12h (n=249,251,250,246) | week 12, FEV1 AUC 0-4h (n=249,251,250,246) | week 12, FEV1 AUC 4-8h (n=257,260,261,257) | week 12, FEV1 AUC 8-12h (n=254,256,259,253) | week 12, FEV1 AUC 0-12h (n=249,251,250,246) |
---|
NVA237 | 0.158 | 0.125 | 0.094 | 0.128 | 0.149 | 0.111 | 0.072 | 0.112 |
,Placebo | 0.028 | 0.023 | -0.006 | 0.016 | -0.010 | -0.016 | -0.043 | -0.021 |
,QAB149 | 0.096 | 0.096 | 0.065 | 0.083 | 0.141 | 0.121 | 0.084 | 0.117 |
,QVA149 | 0.194 | 0.178 | 0.138 | 0.171 | 0.254 | 0.205 | 0.164 | 0.211 |
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Change From Baseline in Mean Total Daily Symptom Score, Mean Daytime Total Symptom Score and Mean Nighttime Total Symptom Score
The participant recorded symptom scores twice daily in the eDiary. The daily clinical symptoms included: cough, wheezing, shortness of breath, sputum volume, sputum color, and night time awakening. The range of scores for each assessment is 0 to 3 where 0 indications No symptom and 3 indicates a Severe symptom. The maximum daytime total score is 27 and the maximum nighttime total score is 27. The total daily symptom score is obtained by adding the scores for the morning and evening symptoms for each day. The maximum possible total daily score is 54. A negative change from baseline indicated improvement. (NCT01727141)
Timeframe: BL, 12 Weeks
Intervention | score on a scale (Least Squares Mean) |
---|
| Daily (n=251,250,252,240) | Daytime (n=245,246,245,238) | Nighttime (n=244,248,248,234) |
---|
NVA237 | -0.99 | -0.88 | -0.85 |
,Placebo | -0.52 | -0.38 | -0.40 |
,QAB149 | -0.97 | -0.85 | -0.83 |
,QVA149 | -1.30 | -1.17 | -1.07 |
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Change From Baseline in FVC
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FVC was defined as the average of the pre-dose FVC measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FVC measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. (NCT01727141)
Timeframe: BL, Day 1: 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h55 min;Day 2: 23h15min, 23h45min;Day 15: -45min, -15min, 1h;Day 29: -45 min, -15min, 1h;Day 57: -45min, -15min, 1h;Day 85: -45min, -15min, 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h 55min;Day 86: 23h15min; 23h45min
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 5 min (n=255,257,260,255) | Day 1, 15 min (n=256,256,261,258) | Day 1, 1 h (n=258,260,261,258) | Day 1, 2 h (n=254,257,261,254) | Day 1, 4 h (n=252,260,256,254) | Day 1, 6 h (n=253,256,254,248) | Day 1, 8 h (n=253,251,256,248) | Day 1, 11 h 55 min(n=246,250,253,245) | Day 2, 23 h 15 min (n=249,249,254,242) | Day 2, 23 h 45 min (n=255,254,258,250) | Day 15, -45 min (n=254,254,256,244) | Day 15, -15 min (n=254,254,256,243) | Day 15, 1 h (n=258,260,261,258) | Day 29, -45 min (n=254,254,256,244) | Day 29, -15 min (n=254,254,256,243) | Day 29, 1 h (n=258,260,261,258) | Day 57, -45 min (n=254,254,256,244) | Day 57, -15 min (n=254,254,256,243) | Day 57, 1 h (n=258,260,261,258) | Day 85, -45 min (n=254,254,256,244) | Day 85, -15 min (n=254,254,256,243) | Day 85, 5 min (n=255,257,260,255) | Day 85, 15 min (n=256,256,261,258) | Day 85, 1 h (n=258,260,261,258) | Day 85, 2 h (n=254,257,261,254) | Day 85, 4 h (n=252,260,256,254) | Day 85, 6 h (n=253,256,254,248) | Day 85, 8h (n=253,251,256,248) | Day 85, 11 55 min (n=246,250,253,245) | Day 86, 23 h 15 min (n=249,249,254,242) | Day 86, 23 h 45 min (n=255,254,258,250) |
---|
NVA237 | 0.136 | 0.243 | 0.292 | 0.306 | 0.253 | 0.230 | 0.195 | 0.140 | 0.190 | 0.201 | 0.134 | 0.167 | 0.269 | 0.142 | 0.168 | 0.272 | 0.124 | 0.172 | 0.265 | 0.092 | 0.134 | 0.179 | 0.226 | 0.243 | 0.285 | 0.203 | 0.176 | 0.155 | 0.110 | 0.142 | 0.167 |
,Placebo | 0.009 | 0.032 | 0.029 | 0.076 | 0.072 | 0.043 | 0.040 | -0.019 | 0.013 | 0.056 | -0.016 | 0.032 | 0.034 | -0.022 | 0.017 | 0.046 | -0.026 | 0.022 | 0.030 | -0.055 | -0.058 | -0.031 | -0.011 | -0.024 | 0.012 | 0.008 | -0.033 | -0.035 | -0.071 | -0.007 | 0.029 |
,QAB149 | 0.175 | 0.200 | 0.191 | 0.220 | 0.209 | 0.214 | 0.188 | 0.122 | 0.214 | 0.232 | 0.188 | 0.206 | 0.274 | 0.177 | 0.203 | 0.259 | 0.153 | 0.177 | 0.239 | 0.106 | 0.129 | 0.192 | 0.226 | 0.200 | 0.222 | 0.201 | 0.164 | 0.154 | 0.109 | 0.160 | 0.186 |
,QVA149 | 0.234 | 0.283 | 0.329 | 0.390 | 0.355 | 0.319 | 0.306 | 0.240 | 0.315 | 0.337 | 0.265 | 0.307 | 0.419 | 0.276 | 0.304 | 0.422 | 0.286 | 0.299 | 0.411 | 0.247 | 0.264 | 0.350 | 0.378 | 0.366 | 0.380 | 0.326 | 0.290 | 0.263 | 0.209 | 0.295 | 0.315 |
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Change From Baseline in FEV1
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. (NCT01727141)
Timeframe: BL, Day 1:5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h55 min;Day 2: 23h15min, 23h45min;Day 15: -45min, -15min, 1h;Day 29: -45 min, -15min, 1h;Day 57: -45min, -15min, 1h;Day 85: -45min, -15min, 5min, 15min, 1h, 2h, 4h, 6h, 8h, 11h55min;Day 86: 23h15min; 23h45min
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 5 min (n=255,257,260,255) | Day 1, 15 min (n=256,256,261,258) | Day 1, 1 h (n=258,260,261,258) | Day 1, 2 h (n=254,257,261,254) | Day 1, 4 h (n=252,260,256,254) | Day 1, 6 h (n=253,256,254,248) | Day 1, 8 h (n=253,251,256,248) | Day 1, 11 h (n=246,250,253,245) | Day 2, 23h 15 min (n=249,249,254,242) | Day 2, 23h 45min (n= 255,254,258,250) | Day 15, -45min (n=254,254,256,244) | Day 15, -15 min (n=254,254,256,243) | Day 15, 1 h (n=258,260,261,258) | Day 29, -45 min (n=254,254,256,244) | Day 29, -15 min (n=254,254,256,243) | Day 29, 1 h (n=258,260, 261,258) | Day 57, -45 min (n=254,254,256,244) | Day 57, -15 min (n=254,254,256,243) | Day 57, 1 h (n=258,260,261,258) | Day 85, -45 min (n= 254,254,256,244) | Day 85, -15 min (n=254,254,256,243) | Day 85, 5 min (n=255,257,260,255) | Day 85, 15 min (n=256,256,261,258) | Day 85, 1 h (n=258,260,261,258) | Day 85, 2 h 9n=254,257,261,254) | Day 85, 4 h (n=252,260,256,254) | Day 85, 6 h (n=253,256,254,248) | Day 85, 8 h (n=253,251,256,248) | Day 85, 11 h 55min(n=246,250,253,245) | Day 86, 23 h 15 min (n=249,249,254,242) | Day 86, 23 h 45 min (n=255,254,258,250) |
---|
NVA237 | 0.065 | 0.117 | 0.166 | 0.179 | 0.146 | 0.125 | 0.106 | 0.073 | 0.106 | 0.119 | 0.067 | 0.087 | 0.161 | 0.073 | 0.092 | 0.156 | 0.069 | 0.094 | 0.161 | 0.051 | 0.073 | 0.106 | 0.130 | 0.150 | 0.171 | 0.132 | 0.109 | 0.086 | 0.055 | 0.082 | 0.100 |
,Placebo | 0.009 | 0.012 | 0.016 | 0.037 | 0.039 | 0.021 | 0.004 | -0.020 | 0.004 | 0.022 | -0.023 | -0.008 | 0.004 | -0.029 | -0.006 | 0.006 | -0.016 | 0.006 | 0.008 | -0.038 | -0.035 | -0.036 | -0.020 | -0.021 | -0.009 | -0.001 | -0.017 | -0.030 | -0.064 | -0.017 | -0.004 |
,QAB149 | 0.071 | 0.088 | 0.085 | 0.104 | 0.105 | 0.102 | 0.081 | 0.047 | 0.104 | 0.119 | 0.114 | 0.139 | 0.173 | 0.111 | 0.131 | 0.167 | 0.097 | 0.117 | 0.150 | 0.080 | 0.088 | 0.119 | 0.143 | 0.136 | 0.145 | 0.140 | 0.123 | 0.103 | 0.066 | 0.116 | 0.128 |
,QVA149 | 0.111 | 0.146 | 0.179 | 0.219 | 0.207 | 0.178 | 0.157 | 0.116 | 0.176 | 0.194 | 0.168 | 0.185 | 0.269 | 0.175 | 0.193 | 0.271 | 0.181 | 0.193 | 0.273 | 0.154 | 0.171 | 0.232 | 0.242 | 0.250 | 0.265 | 0.242 | 0.197 | 0.180 | 0.143 | 0.196 | 0.216 |
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Transitional Dyspnea Index (TDI) Focal Score
The Baseline Dyspnea Index (BDI) / TDI is an instrument used to assess a participant's level of dyspnea. The BDI and TDI each have three domains: functional impairment, magnitude of task and magnitude of effort. BDI domains were rated from 0 (severe) to 4 (unimpaired) and rates summed for baseline focal score ranged from 0 to 12; lower scores mean worse severity. TDI domains were rated from -3 (major deterioration) to 3 (major improvement) and rates summed for transition focal score ranged from -9 to 9; negative scores indicate deterioration. A TDI focal score of ≥1 was defined as a clinically important improvement from baseline. (NCT01727141)
Timeframe: BL, 12 weeks
Intervention | score on a scale (Least Squares Mean) |
---|
QVA149 | 1.94 |
QAB149 | 1.30 |
NVA237 | 1.48 |
Placebo | 0.71 |
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Percentage of Participants With a Clinically Important Improvement of at Least 4 Units in the SGRQ Total Score
"Participants reported change in health status by using the SGRQ. The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD: Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity; Part II covers Activity and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score was calculated for each of these 3 subscales and a Total score was calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status." (NCT01727141)
Timeframe: 12 weeks
Intervention | Percentage of participants (Number) |
---|
QVA149 | 57.3 |
QAB149 | 48.0 |
NVA237 | 46.1 |
Placebo | 39.0 |
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Change From Baseline in Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) (0-12 Hours (h))
Pulmonary function assessments were performed using centralized spirometry according to international standards. Baseline FEV1 was defined as the average of the pre-dose FEV1 measured at -45 minutes (min) and -15 min at day 1. A mixed model for repeated measures (MMRM), used for this analysis, included terms of treatment, baseline FEV1 measurements, smoking status at baseline, baseline inhaled corticosteroid (ICS) use, region, baseline FEV1 * visit interaction, and visit, treatment * visit interaction. Missing values of FEV1 AUC0-12 at Day 1 and Week 12 will not imputed. The trapezoidal rule was used to calculate FEV1 AUC and then normalized to the length of time. (NCT01727141)
Timeframe: baseline (BL), 12 Weeks
Intervention | Liter (Least Squares Mean) |
---|
QVA149 | 0.211 |
QAB149 | 0.117 |
NVA237 | 0.112 |
Placebo | -0.021 |
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Change From Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score
"Participants reported change in health status by using the SGRQ. The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD: Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity; Part II covers Activity and is concerned with activities that cause or are limited by breathlessness; Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease. A score was calculated for each of these 3 subscales and a Total score was calculated. In each case the lowest possible value is zero and the highest 100. Higher values correspond to greater impairment of health status. Missing week 12 data were imputed with Last Observation Carried Forward (LOCF) method but only if measured at day >= 29. A negative change from baseline indicates improvement." (NCT01727141)
Timeframe: BL, 12 Weeks
Intervention | score on a scale (Least Squares Mean) |
---|
QVA149 | -6.4 |
QAB149 | -4.6 |
NVA237 | -4.8 |
Placebo | -2.7 |
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Subjective Evaluation of the View on the Operating Field by the Surgeon
"At the end of surgery, the view on the operating field will be graded by the surgeon using a 5-point rating scale:~Extremely poor~Poor~Acceptable~Good~Optimal" (NCT01748643)
Timeframe: Participants will be followed for the duration of the laparoscopic gastric bypass surgery, an expected average of 1.5h
Intervention | units on a scale (Mean) |
---|
Deep Neuromuscular Blockade, Reversal With Sugammadex | 4.2 |
Normal Neuromuscular Blockade, Reversal With Neostigmine | 3.9 |
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Peak Expiratory Flow
Peak expiratory flow is measured with the Vitalograph® electronic portable peak flow meter. A mean of 3 measurements in the upright posture in bed before and after surgery will be used. (NCT01748643)
Timeframe: Measured the day before surgery and 30min after completion of surgery (when the modified observer's assessment of alertness/sedation scale is 5 (Patient responds readily to name spoken in normal tone))
Intervention | percent change from baseline (Mean) |
---|
Deep Neuromuscular Blockade, Reversal With Sugammadex | 51.3 |
Normal Neuromuscular Blockade, Reversal With Neostigmine | 51.5 |
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Forced Vital Capacity
Forced vital capacity is measured with the Vitalograph® electronic portable peak flow meter. A mean of 3 measurements in the upright posture in bed before and after surgery will be used. (NCT01748643)
Timeframe: Measured the day before surgery and 30min after completion of surgery (when the modified observer's assessment of alertness/sedation scale is 5 (Patient responds readily to name spoken in normal tone))
Intervention | percent change from baseline (Mean) |
---|
Deep Neuromuscular Blockade, Reversal With Sugammadex | 51.9 |
Normal Neuromuscular Blockade, Reversal With Neostigmine | 49.0 |
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Number of Intra-abdominal Pressure Rises > 18cmH2O
The number of intra-abdominal pressure rises > 18cmH2O detected by the intra-abdominal CO2 insufflator. (NCT01748643)
Timeframe: Participants will be followed for the duration of the laparoscopic gastric bypass surgery, an expected average of 1.5h
Intervention | number of intra-abdominal pressure rises (Mean) |
---|
Deep Neuromuscular Blockade, Reversal With Sugammadex | 0.2 |
Normal Neuromuscular Blockade, Reversal With Neostigmine | 0.3 |
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Forced Expiratory Volume in 1 Second
Forced expiratory volume in 1 second is measured with the Vitalograph® electronic portable peak flow meter. A mean of 3 measurements in the upright posture in bed before and after surgery will be used. (NCT01748643)
Timeframe: Measured the day before surgery and 30min after completion of surgery (when the modified observer's assessment of alertness/sedation scale is 5 (Patient responds readily to name spoken in normal tone))
Intervention | percent change from baseline (Mean) |
---|
Deep Neuromuscular Blockade, Reversal With Sugammadex | 45.2 |
Normal Neuromuscular Blockade, Reversal With Neostigmine | 48.8 |
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Duration of Surgery
Measured from the time of first skin incision to completion of skin closure. (NCT01748643)
Timeframe: Participants will be followed for the duration of the laparoscopic gastric bypass surgery, an expected average of 1.5h
Intervention | minutes (Mean) |
---|
Deep Neuromuscular Blockade, Reversal With Sugammadex | 61.3 |
Normal Neuromuscular Blockade, Reversal With Neostigmine | 70.6 |
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Change From Baseline in Morning Pre-dose Trough FEV1
Change from baseline in morning pre-dose trough forced expiratory volume in 1 second (FEV1) at Week 24. (NCT01854658)
Timeframe: At Week 24
Intervention | Liters (Least Squares Mean) |
---|
FF MDI (PT005) | 0.061 |
GP MDI (PT001) | 0.063 |
GFF MDI (PT003) | 0.116 |
Placebo MDI | 0.013 |
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Rescue Ventolin HFA Use
Change from baseline in average daily rescue Ventolin HFA use over 24 weeks (NCT01854658)
Timeframe: 24 weeks
Intervention | Puffs / Day (Least Squares Mean) |
---|
FF MDI (PT005) | -0.7 |
GP MDI (PT001) | -0.4 |
GFF MDI (PT003) | -1.0 |
Placebo MDI | 0.0 |
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Peak FEV1
Peak change from baseline in FEV1 within 2 hours post-dosing at Week 24 (NCT01854658)
Timeframe: At week 24
Intervention | Liters (Least Squares Mean) |
---|
FF MDI (PT005) | 0.268 |
GP MDI (PT001) | 0.223 |
GFF MDI (PT003) | 0.350 |
Placebo MDI | 0.083 |
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Onset of Action as Assessed by FEV1
Defined as the first time-point using the 5- and 15-minute post dose measurements where the difference in FEV1 from Placebo was statistically significant (NCT01854658)
Timeframe: Day 1
Intervention | Liters (Least Squares Mean) |
---|
| 5 min post dose | 15 min post dose |
---|
FF MDI (PT005) | 0.175 | 0.212 |
,GFF MDI (PT003) | 0.192 | 0.237 |
,GP MDI (PT001) | 0.052 | 0.109 |
,Placebo MDI | 0.006 | 0.022 |
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St. George Respiratory Questionnaire (SGRQ) Score
Change from baseline in the SGRQ total score at Week 24. The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD. The scores range from 0 (minimum, best possible health status) to 100 (maximum, worst possible health status). The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts). Change from Baseline at a particular visit was calculated as the SGRQ total score at that visit minus Baseline. Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life. (NCT01854658)
Timeframe: 24 weeks
Intervention | Scores on a scale (Least Squares Mean) |
---|
FF MDI (PT005) | -2.3 |
GP MDI (PT001) | -2.2 |
GFF MDI (PT003) | -3.0 |
Placebo MDI | -1.2 |
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Change From Baseline in Morning Pre-dose Trough FEV1 Over 24 Weeks
Change from baseline in morning pre-dose trough forced expiratory volume in 1 second (FEV1) over 24 weeks. FEV1 was assessed at multiple time points post-baseline, and a model-based average of all visits starting from Week 2 through week 24 inclusive was calculated. The change values reported in the table represent the change between the baseline and the average FEV1 post-baseline. (NCT01854658)
Timeframe: Over 24 weeks
Intervention | Liters (Least Squares Mean) |
---|
FF MDI (PT005) | 0.080 |
GP MDI (PT001) | 0.082 |
GFF MDI (PT003) | 0.137 |
Placebo MDI | 0.008 |
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Residual Volume (RV)
Residual Volume (RV) will be measured using whole body plethysmography (Bodybox). (NCT01922271)
Timeframe: Day 1
Intervention | Liters (Mean) |
---|
| -45 min (n=152, 150) | 30 min (n=150, 151) | 1 hr (n=151, 149) | 1 hr 30 min (n=151, 149) | 2 h 30 min (n= 150, 149) | 3 h 30 min (n= 150, 148) |
---|
NVA237 | 4.433 | 3.996 | 3.891 | 3.910 | 3.893 | 3.970 |
,Tiotropium | 4.344 | 4.035 | 3.913 | 3.903 | 3.861 | 3.895 |
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Inspiratory Capacity (IC)
Inspiratory Capacity (IC) is the volume of air breathed in by a maximum inspiration at the end of a normal expiration. Whole body plethysmography (Bodybox) will be used to measure IC. (NCT01922271)
Timeframe: Day 1
Intervention | Liters (Mean) |
---|
| -45 min (n=152, 150) | 30 min (n=150, 151) | 1hr (n=151, 149) | 1hr 30 min (n=151, 150) | 2hr 30 min (n=150, 149) | 3hr 30 min (n=150, 149) |
---|
NVA237 | 2.169 | 2.433 | 2.455 | 2.472 | 2.467 | 2.479 |
,Tiotropium | 2.193 | 2.422 | 2.435 | 2.457 | 2.474 | 2.449 |
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Functional Resistance Capacity (FRCpleth)
Functional Resistance Capacity (FRCpleth) will be measured using whole body plethysmography (Bodybox). (NCT01922271)
Timeframe: Day 1
Intervention | Liters (Mean) |
---|
| -45 min (n=152, 150) | 30 min (n=150, 151) | 1 hr (n=151, 149) | 1 hr 30 min (n=151, 149) | 2 h 30 min (n= 150, 149) | 3 h 30 min (n= 150, 148) |
---|
NVA237 | 5.211 | 4.823 | 4.769 | 4.756 | 4.736 | 4.761 |
,Tiotropium | 5.142 | 4.852 | 4.725 | 4.714 | 4.676 | 4.704 |
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Forced Expiratory Volume in One Second (FEV1) Area Under Curve (AUC) 0-2
Standardized Forced Expiratory Volume in One Second (FEV1) AUC0-2h will be measured via spirometry. The AUC will be calculated from the FEV1 measurements obtained at timepoints between 0 min and 2h using the trapezoidal rule and will be standardized (=divided) by the measurement time (i.e. 2h). (NCT01922271)
Timeframe: Day 1
Intervention | liters per hour (Mean) |
---|
NVA237 | 1.490 |
Tiotropium | 1.453 |
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Forced Expiratory Volume in One Second (FEV1) 15 Min Post Dose
Forced expiratory volume in 1 second (FEV1) is the amount of air that can be exhaled in one second. FEV1 will be measured by spirometry. All spirometry calibrations and evaluations will follow the recommendations of the American Thoracic Society / European Respiratory Society guidelines for acceptability. (NCT01922271)
Timeframe: Day 1
Intervention | liters per hour (Mean) |
---|
NVA237 | 1.433 |
Tiotropium | 1.398 |
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Specific Airway Resistance (sRAW)
Specific Airway Resistance (sRAW) indicates volume and resistance-dependent work of breathing needed in order to generate a reference flow rate of 1 L/s, measured by kPa*s. Whole body plethysmography (Bodybox) is used to measure SRaw. (NCT01922271)
Timeframe: Day 1
Intervention | kilopascal (kPa) (Mean) |
---|
| -45 min (n=152, 150) | 30 min (n=150, 151) | 1 hr (n=151, 149) | 1 hr 30 min (n=151, 150) | 2 hr 30 min (n=150, 149) | 3 hr 30 min (n=150, 149) |
---|
NVA237 | 4.203 | 2.904 | 2.656 | 2.632 | 2.643 | 2.779 |
,Tiotropium | 4.105 | 3.089 | 2.877 | 2.811 | 2.756 | 2.828 |
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Total Lung Capacity (TLC)
Total Lung Capacity (TLC) is the best vital capacity plus residual volume (RV). Whole body plethysmography (Bodybox) will be used to measure TLC. (NCT01922271)
Timeframe: Day 1
Intervention | Liters (Mean) |
---|
| -45 min (n=152, 150) | 30 min (n=150, 151) | 1hr (n=151, 149) | 1hr 30 min (n=151, 149) | 2hr 30 min (n=150, 149) | 3hr 30 min (n=150, 148) |
---|
NVA237 | 7.380 | 7.255 | 7.224 | 7.227 | 7.203 | 7.240 |
,Tiotropium | 7.335 | 7.274 | 7.161 | 7.165 | 7.149 | 7.149 |
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Comparison of Glycopyrronium QD Versus Tiotropium QD on Symptoms Outcome
"Comparison of symptoms outcome between glycopyrronium QD versus tiotropium QD will be conducted via the PROMorning COPD Symptoms questionnaire. This questionnaire will be completed by participants at waking-up, pre-inhalation of study treatment (at home), and they will complete Part 2 of PRO-Morning COPD Symptoms questionnaire at site, 3hours post-inhalation of study treatment. The PRO-Morning COPD Symptoms Questionnaire is a self-administered patient reported outcome (PRO) instrument developed by the sponsor to evaluate patients' experience of early morning symptoms of COPD. The questionnaire consists of two parts : predose and postdose.~Each part has 6 questions and for each question a scale of 0 to 10 can be reached. For the predose and postdose part of the questionnaire you will have then each a total score of 0-60 by adding the sub-scores for each question, higher scores represent worse severity of COPD morning symptoms" (NCT01959516)
Timeframe: day 1 (baseline) and week 4
Intervention | Scores on a scale (Least Squares Mean) |
---|
| 3h post-dose (Day 1) | 3h post-dose (Week 4) |
---|
Glycopyronium From Sequence A to B and Sequence B to A | 9.7068 | 10.4641 |
,Tiotropium From Sequence A to B and Sequence B to A | 10.3974 | 10.3193 |
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Forced Expiratory Volume in 1 Second (FEV1) AUC0-4h After First Dose of Treatment.
Forced Expiratory Volume in 1 second (FEV1) Area Under the Curve (AUC) will measured via spirometry and calculated from 0 to 4 hours post-dose on day 1 of study treatment. (NCT01959516)
Timeframe: Day 1
Intervention | Liters*hours (Least Squares Mean) |
---|
Glycopyronium From Sequence A to B and Sequence B to A | 1.7432 |
Tiotropium From Sequence A to B and Sequence B to A | 1.7132 |
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Trough FEV1 at Week 12 for Group: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy)
Trough FEV1 at visit 4 is defined as FEV1, computed as the mean of forced expiratory volume in 1 second 15min and 45 min pre dose measurements, at the end of the dosing interval. (NCT01985334)
Timeframe: Week 12 (Visit 4)
Intervention | Liters (Least Squares Mean) |
---|
D1 (Any LAMA or LABA and mMRC>1) | 1.6728 |
D2 (Indacaterol/Glycopyrronium and mMRC>1) | 1.7742 |
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Trough FEV1 at Week 12 for Group: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA or LAMA Monotherapy or LABA and ICS in Free or FDC on Trough FEV1 at Week 12.
Trough FEV1 at visit 4 is defined as FEV1, computed as the mean of forced expiratory volume in 1 second 15min and 45 min pre dose measurements, at the end of the dosing interval. (NCT01985334)
Timeframe: 12 Weeks
Intervention | Liters (Least Squares Mean) |
---|
C2 +D2 | 1.7650 |
C1 + D1 | 1.6789 |
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Trough FEV1 at Week 12 for Group: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA and ICS in Free or FDC
Trough FEV1 at visit 4 is defined as FEV1, computed as the mean of forced expiratory volume in 1 second 15min and 45 min pre dose measurements, at the end of the dosing interval. (NCT01985334)
Timeframe: Week 12 (Visit 4)
Intervention | Liters (Least Squares Mean) |
---|
C1 (Any LABA and ICS) | 1.6847 |
C2 (Indacaterol/Glycopyrronium) | 1.7558 |
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Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA or LAMA Monotherapy or LABA and ICS in Free or FDC
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01985334)
Timeframe: Day 1 (baseline) and week 12
Intervention | Score on a scale (Least Squares Mean) |
---|
C2 +D2 | 2.0354 |
C1 + D1 | 0.8588 |
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Trough FEV1 at Week 12 for Group: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC) or vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy)
Trough FEV1 at visit 4 is defined as FEV1, computed as the mean of forced expiratory volume in 1 second 15min and 45 min pre dose measurements, at the end of the dosing interval (NCT01985334)
Timeframe: 12 Weeks
Intervention | Liters (Least Squares Mean) |
---|
A2 + B2 | 1.8373 |
A1 + B1 | 1.8065 |
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Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy)
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01985334)
Timeframe: Day 1 (baseline) and week 12
Intervention | Units on a scale (Least Squares Mean) |
---|
D1 (Any LAMA or LABA and mMRC>1) | 0.8632 |
D2 (Indacaterol/Glycopyrronium and mMRC>1) | 2.1209 |
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Mean Change From Baseline Reported Symptoms of COPD for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC
Patient-reported symptoms of COPD combined will be measured using eDiary data reported over the 12 week treatment period. The mean total symptom scores and mean individual symptom scores for the patient were calculated for the whole study period. The mean change from baseline in the total scores and in the individual scores were summarized by treatment and were analyzed for the percentage of nights with no nighttime awakenings and percentage of days with no symptoms. (NCT01985334)
Timeframe: Baseline, 12 weeks
Intervention | Percentage of days (Mean) |
---|
A1 (Any SABA and/or SAMA) | -0.04 |
A2 (Glycopyrronium) | -0.10 |
B1 (Any LAMA or LABA and mMRC=1) | -0.03 |
B2 (Glycopyrronium and mMRC=1) | -0.05 |
C1 (Any LABA and ICS) | -0.05 |
C2 (Indacaterol/Glycopyrronium) | -0.07 |
D1 (Any LAMA or LABA and mMRC>1) | -0.04 |
D2 (Indacaterol/Glycopyrronium and mMRC>1) | -0.09 |
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Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Indacaterol Maleate and Glycopyrronium Bromide FDC vs. LABA and ICS in Free or FDC
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01985334)
Timeframe: Day 1 (baseline) and week 12
Intervention | Units on a scale (Least Squares Mean) |
---|
C1 (Any LABA and ICS) | 0.8508 |
C2 (Indacaterol/Glycopyrronium) | 1.9491 |
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Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC)
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01985334)
Timeframe: Day 1 (baseline) and week 12
Intervention | Units on a scale (Least Squares Mean) |
---|
A1 (Any SABA and/or SAMA) | 0.5117 |
A2 (Glycopyrronium) | 2.3005 |
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Change From Baseline on Transition Dyspnea Index (TDI) for Groups: Glycopyrronium vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy)
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01985334)
Timeframe: Day 1 (baseline) and week 12
Intervention | Units on a scale (Least Squares Mean) |
---|
B1 (Any LAMA or LABA and mMRC=1) | 0.6969 |
B2 (Glycopyrronium and mMRC=1) | 1.4351 |
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Change From Baseline on Total Score of COPD Assessment Test (CAT) for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC
Total score of COPD Assessment Test (CAT) will be measured at baseline and at week 12. This questionnaire is completed by the patient. The score ranges from 0-40 where higher scores represent worse health status. CAT scores ≥ 10 are associated with significantly impaired health status. (NCT01985334)
Timeframe: Day 1 (baseline) and Week 12
Intervention | Score (Mean) |
---|
A1 (Any SABA and/or SAMA) | 0.1 |
A2 (Glycopyrronium) | -1.8 |
B1 (Any LAMA or LABA and mMRC=1) | 0.1 |
B2 (Glycopyrronium and mMRC=1) | -0.5 |
C1 (Any LABA and ICS) | -0.4 |
C2 (Indacaterol/Glycopyrronium) | -1.4 |
D1 (Any LAMA or LABA and mMRC>1) | -0.9 |
D2 (Indacaterol/Glycopyrronium and mMRC>1) | -1.9 |
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Change From Baseline on Total Score of Clinical COPD Questionnaire (CCQ) for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC
"The Clinical COPD Questionnaire (CCQ) is a self-administered 10-item questionnaire developed to measure clinical control in patients with COPD. Patients will be instructed to recall their experiences during the previous week. They respond to each question using a 7-point scale from 0 = asymptomatic/no imitation to 6 = extremely symptomatic/totally limited. The questionnaire is divided into 3 domains (symptoms [items 1, 2, 5, and 6] functional [items 7, 8, 9, and 10] and mental state [items 3 and 4]). The overall clinical COPD control score and the scores of the domains are calculated by adding all the scores together and dividing this sum by the number of questions.~Thus, the overall clinical COPD control score as well as the score on each of the three domains varies between 0 (very good control) to 6 (extremely poor control)." (NCT01985334)
Timeframe: Day 1 (baseline) and Week 12
Intervention | Score (Mean) |
---|
A1 (Any SABA and/or SAMA) | -0.0 |
A2 (Glycopyrronium) | -0.3 |
B1 (Any LAMA or LABA and mMRC=1) | 0.0 |
B2 (Glycopyrronium and mMRC=1) | -0.1 |
C1 (Any LABA and ICS) | -0.1 |
C2 (Indacaterol/Glycopyrronium) | -0.2 |
D1 (Any LAMA or LABA and mMRC>1) | -0.1 |
D2 (Indacaterol/Glycopyrronium and mMRC>1) | -0.3 |
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Change From Baseline on on Transition Dyspnea Index (TDI) for Groups: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC) or Long-acting Bronchodilators (LABA or LAMA Monotherapy)
Transition Dyspnea Index (TDI) captures changes from baseline. The TDI score is based on three domains with each domain scored from -3 (major deterioration) to +3 (major improvement), to give an overall score of -9 to +9, a negative score indicating a deterioration from baseline. A TDI focal score of 1 is considered to be a clinically significant improvement from baseline. (NCT01985334)
Timeframe: Day 1 (baseline) and week 12
Intervention | Score on a scale (Least Squares Mean) |
---|
A2 +B2 | 1.6315 |
A1 +B1 | 0.6562 |
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Mean Number of Puffs of Rescue Medication Use for Groups: Glycopyrronium and Indacaterol Maleate and Glycopyrronium Bromide FDC
Mean number of puffs of rescue medication use will be measured using eDiary data over 12 weeks of treatment. (NCT01985334)
Timeframe: 12 weeks
Intervention | Number of puffs (Mean) |
---|
A1 (Any SABA and/or SAMA) | 1.8 |
A2 (Glycopyrronium) | 1.0 |
B1 (Any LAMA or LABA and mMRC=1) | 0.8 |
B2 (Glycopyrronium and mMRC=1) | 0.7 |
C1 (Any LABA and ICS) | 1.6 |
C2 (Indacaterol/Glycopyrronium) | 1.1 |
D1 (Any LAMA or LABA and mMRC>1) | 1.4 |
D2 (Indacaterol/Glycopyrronium and mMRC>1) | 1.1 |
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Trough FEV1 at Week 12 for Group: Glycopyrronium vs. Long-acting Bronchodilators (LABA or LAMA Monotherapy)
Trough FEV1 at visit 4 is defined as FEV1, computed as the mean of forced expiratory volume in 1 second 15min and 45 min pre dose measurements, at the end of the dosing interval (NCT01985334)
Timeframe: Week 12 (Visit 4)
Intervention | Liters (Least Squares Mean) |
---|
B1 (Any LAMA or LABA and mMRC=1) | 1.8004 |
B2 (Glycopyrronium and mMRC=1) | 1.8215 |
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Trough FEV1 at Week 12 for Group: Glycopyrronium vs. Short-acting Bronchodilators (SABA and/or SAMA as Monotherapy or in Free or FDC)
Trough FEV1 at visit 4 is defined as FEV1, computed as the mean of forced expiratory volume in 1 second 15min and 45 min pre dose measurements, at the end of the dosing interval (NCT01985334)
Timeframe: Week 12 (Visit 4)
Intervention | Liters (Least Squares Mean) |
---|
A1 (Any SABA and/or SAMA) | 1.8264 |
A2 (Glycopyrronium) | 1.8916 |
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Percentage of Subjects Who Have a Minimum 2-grade Improvement in HDSS From Baseline at Week 4
"HDSS is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities.~1 (Best), 2, 3, 4 (Worst)" (NCT02016885)
Timeframe: Baseline - Week 4
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate, 1.0% | 14 |
Glycopyrrolate, 2.0% | 20 |
Glycopyrrolate, 3.0% | 21 |
Glycopyrrolate, 4.0% | 18 |
Vehicle | 9 |
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Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 6
(NCT02016885)
Timeframe: Baseline - Week 6
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate, 1.0% | 24 |
Glycopyrrolate, 2.0% | 27 |
Glycopyrrolate, 3.0% | 29 |
Glycopyrrolate, 4.0% | 23 |
Vehicle | 25 |
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Change in Dermatology Life Quality Index (DLQI) From Baseline at Week 4
The DLQI is a ten question questionnaire, used to measure the impact of skin disease on the quality of life of an affected person. The scoring of each question is as follows: Very much (3), A lot (2), A little (1), Not at all (0), Not relevant (0). Is calculated by summing the score of each question resulting in a max of 30 and a min of 0. Higher the score the more Quality of life is impaired. (NCT02016885)
Timeframe: Baseline - Week 4
Intervention | scores on a scale (Mean) |
---|
Glycopyrrolate, 1.0% | -6.2 |
Glycopyrrolate, 2.0% | -6.6 |
Glycopyrrolate, 3.0% | -7.0 |
Glycopyrrolate, 4.0% | -5.9 |
Vehicle | -3.8 |
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Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 6
(NCT02016885)
Timeframe: Baseline - Week 6
Intervention | mg/5 min (Mean) |
---|
Glycopyrrolate, 1.0% | -32.08 |
Glycopyrrolate, 2.0% | -51.36 |
Glycopyrrolate, 3.0% | -72.23 |
Glycopyrrolate, 4.0% | -57.15 |
Vehicle | -55.14 |
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Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 4
Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min. (NCT02016885)
Timeframe: Baseline - Week 4
Intervention | mg/5 min (Mean) |
---|
Glycopyrrolate, 1.0% | -56.63 |
Glycopyrrolate, 2.0% | -67.17 |
Glycopyrrolate, 3.0% | -91.39 |
Glycopyrrolate, 4.0% | -88.40 |
Vehicle | -55.80 |
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Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 4
(NCT02016885)
Timeframe: Baseline - Week 4
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate, 1.0% | 27 |
Glycopyrrolate, 2.0% | 30 |
Glycopyrrolate, 3.0% | 35 |
Glycopyrrolate, 4.0% | 25 |
Vehicle | 28 |
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Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 4
(NCT02129660)
Timeframe: Baseline - Week 4
Intervention | Participants (Count of Participants) |
---|
Dose 1 of Glycopyrrolate | 16 |
Dose 2 of Glycopyrrolate | 17 |
Dose 1 of Glycopyrronium | 15 |
Dose 2 of Glycopyrronium | 14 |
Vehicle | 12 |
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Percentage of Subjects Who Have a Minimum 1-grade Improvement in HDSS From Baseline at Week 6
(NCT02129660)
Timeframe: Baseline - Week 6
Intervention | Participants (Count of Participants) |
---|
Dose 1 of Glycopyrrolate | 19 |
Dose 2 of Glycopyrrolate | 16 |
Dose 1 of Glycopyrronium | 17 |
Dose 2 of Glycopyrronium | 13 |
Vehicle | 13 |
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Percentage of Subjects Who Have a Minimum 2-grade Improvement in HDSS From Baseline at Week 4
"HDSS is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities.~1 (Best), 2, 3, 4 (Worst)" (NCT02129660)
Timeframe: Baseline - Week 4/ET
Intervention | Participants (Count of Participants) |
---|
Dose 1 of Glycopyrrolate | 10 |
Dose 2 of Glycopyrrolate | 10 |
Dose 1 of Glycopyrronium | 9 |
Dose 2 of Glycopyrronium | 10 |
Vehicle | 6 |
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Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 4
Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min. (NCT02129660)
Timeframe: Baseline - Week 4
Intervention | mg/5 min (Mean) |
---|
Dose 1 of Glycopyrrolate | -104.20 |
Dose 2 of Glycopyrrolate | -58.27 |
Dose 1 of Glycopyrronium | -105.28 |
Dose 2 of Glycopyrronium | -72.69 |
Vehicle | -53.85 |
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Absolute Change in the Gravimetrically Measured Sweat Production From Baseline to Week 6
(NCT02129660)
Timeframe: Baseline - Week 6
Intervention | mg/5 min (Mean) |
---|
Dose 1 of Glycopyrrolate | -92.20 |
Dose 2 of Glycopyrrolate | -44.37 |
Dose 1 of Glycopyrronium | -96.98 |
Dose 2 of Glycopyrronium | -66.17 |
Vehicle | -71.06 |
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Percentage of Subjects Who Had at Least 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4
(NCT02129660)
Timeframe: Baseline - Week 4
Intervention | Participants (Count of Participants) |
---|
Dose 1 of Glycopyrrolate | 19 |
Dose 2 of Glycopyrrolate | 16 |
Dose 1 of Glycopyrronium | 20 |
Dose 2 of Glycopyrronium | 16 |
Vehicle | 15 |
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Percentage of Subjects Who Had at Least 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 6
(NCT02129660)
Timeframe: Baseline - Week 6
Intervention | Participants (Count of Participants) |
---|
Dose 1 of Glycopyrrolate | 15 |
Dose 2 of Glycopyrrolate | 15 |
Dose 1 of Glycopyrronium | 17 |
Dose 2 of Glycopyrronium | 16 |
Vehicle | 14 |
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T 1/2
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (T 1/2) (NCT02196714)
Timeframe: Day 1
Intervention | h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 9.49 |
GFF MDI 14.4/9.6 ug | 4.14 |
GP MDI 28.8 ug | 24.87 |
GP MDI 14.4 ug | 19.13 |
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Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Chemistry Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 hours
Intervention | μmol/L (Mean) |
---|
| Creatinine (μmol/L) | Direct bilirubin (μmol/L) | Iron (μmol/L) | Total bilirubin (μmol/L) |
---|
GFF MDI 14.4/9.6 ug | 4.92 | -2.53 | -2.81888 | -7.14 |
,GFF MDI 28.8/9.6 ug | 1.88 | -3.06 | -5.42524 | -8.19 |
,GP MDI 28.8 ug | 3.61 | -2.64 | -2.58949 | -7.20 |
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Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Chemistry Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 hours
Intervention | IU/L (Mean) |
---|
| ALT (IU/L) | Alkaline phosphatase (IU/L) | AST (IU/L) | Gamma glutamyl transferase (IU/L) |
---|
GFF MDI 14.4/9.6 ug | -1.7 | -5.0 | -3.3 | -1.6 |
,GFF MDI 28.8/9.6 ug | -3.1 | -5.2 | -4.2 | -2.5 |
,GP MDI 28.8 ug | -2.4 | -6.0 | -3.7 | -2.2 |
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Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Chemistry Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 hours
Intervention | g/L (Mean) |
---|
| Albumin (g/L) | Protein (g/L) |
---|
GFF MDI 14.4/9.6 ug | -6.9 | -10.8 |
,GFF MDI 28.8/9.6 ug | -7.1 | -10.9 |
,GP MDI 28.8 ug | -6.7 | -10.3 |
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Vd/F
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrroniuml by Treatment (NCT02196714)
Timeframe: Day 1
Intervention | L (Mean) |
---|
GFF MDI 28.8/9.6 ug | 3508.00 |
GFF MDI 14.4/9.6 ug | 2577.78 |
GP MDI 28.8 µg | 3555.88 |
GP MDI 14.4 µg | 2101.03 |
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Vd/F
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (NCT02196714)
Timeframe: Day 1
Intervention | L (Mean) |
---|
GFF MDI 28.8/9.6 ug | 1187.75 |
GFF MDI 14.4/9.6 ug | 1054.16 |
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Tmax
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (tmax) (NCT02196714)
Timeframe: Day 1
Intervention | h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 0.10 |
GFF MDI 14.4/9.6 ug | 0.10 |
GP MDI 28.8 ug | 0.10 |
GP MDI 14.4 ug | 0.10 |
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Tmax
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (tmax) (NCT02196714)
Timeframe: Day 1
Intervention | h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 0.10 |
GFF MDI 14.4/9.6 ug | 0.10 |
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T 1/2
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (T 1/2) (NCT02196714)
Timeframe: Day 1
Intervention | h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 5.45 |
GFF MDI 14.4/9.6 ug | 5.25 |
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Lambda z
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (NCT02196714)
Timeframe: Day 1
Intervention | 1/h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 0.1506 |
GFF MDI 14.4/9.6 ug | 0.1983 |
GP MDI 28.8 ug | 0.1100 |
GP MDI 14.4 ug | 0.1614 |
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Lambda z
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (NCT02196714)
Timeframe: Day 1
Intervention | 1/h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 0.1412 |
GFF MDI 14.4/9.6 ug | 0.1470 |
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Cmax
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (Cmax) (NCT02196714)
Timeframe: Day 1
Intervention | pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 15.23 |
GFF MDI 14.4/9.6 ug | 9.09 |
GP MDI 28.8 ug | 16.85 |
GP MDI 14.4 µg | 7.26 |
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Cmax
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (Cmax) (NCT02196714)
Timeframe: Day 1
Intervention | pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 10.74 |
GFF MDI 14.4/9.6 ug | 11.99 |
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CL/F
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (NCT02196714)
Timeframe: Day 1
Intervention | L/h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 657.91 |
GFF MDI 14.4/9.6 ug | 449.10 |
GP MDI 28.8 µg | 785.60 |
GP MDI 14.4 µg | 423.12 |
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CL/F
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (NCT02196714)
Timeframe: Day 1
Intervention | L/h (Mean) |
---|
GFF MDI 28.8/9.6 ug | 168.95 |
GFF MDI 14.4/9.6 ug | 161.55 |
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Change in QTc Fridericia's Interval From Pre-dose to 12 Hours Post Dose
Change in QTc Fridericia's Interval from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | msec (Mean) |
---|
GFF MDI 28.8/9.6 ug | -4.8 |
GFF MDI 14.4/9.6 ug | -5.4 |
GP MDI 28.8 ug | -10.8 |
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Change in QTc Bazett Interval From Pre-dose to 12 Hours Post Dose
Change in QTc Bazett Interval from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | msec (Mean) |
---|
GFF MDI 28.8/9.6 ug | 7.2 |
GFF MDI 14.4/9.6 ug | 4.4 |
GP MDI 28.8 ug | -5.8 |
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AUC 0-∞
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (AUC 0-∞) (NCT02196714)
Timeframe: Day 1
Intervention | h*pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 61.88 |
GFF MDI 14.4/9.6 ug | 61.43 |
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Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Hematology Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 Hours
Intervention | 10^9cells/L (Mean) |
---|
| Basophils (10^9cells/L) | Eosinophils (10^9cells/L) | Granulocytes (10^9cells/L) | Leukocytes (10^9cells/L) | Lymphocytes (10^9cells/L) | Monocytes (10^9cells/L) | Platelets (10^9cells/L) |
---|
GFF MDI 14.4/9.6 ug | 0.000 | 0.033 | 0.483 | 0.780 | 0.206 | 0.056 | -14.4 |
,GFF MDI 28.8/9.6 ug | 0.007 | 0.044 | 0.222 | 0.484 | 0.147 | 0.065 | -22.4 |
,GP MDI 28.8 ug | 0.001 | 0.065 | 0.443 | 0.800 | 0.235 | 0.055 | -23.1 |
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Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Hematology Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 Hours
Intervention | Ratio (Mean) |
---|
| Basophils/leukocytes (ratio) | Eosinophils/leukocytes (ratio) | Granulocytes/leukocytes (ratio) | Hematocrit (ratio) | Lymphocytes/leukocytes (ratio) | Monocytes/leukocytes (ratio) |
---|
GFF MDI 14.4/9.6 ug | -0.0013 | 0.0026 | 0.0003 | -0.041 | -0.0019 | 0.0004 |
,GFF MDI 28.8/9.6 ug | -0.0001 | 0.0034 | 0.0043 | -0.040 | -0.0110 | 0.0034 |
,GP MDI 28.8 ug | -0.0013 | 0.0046 | -0.0010 | -0.043 | -0.0018 | -0.0006 |
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Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Hematology Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 Hours
Intervention | g/L (Mean) |
---|
| Ery. mean corpuscuar HGB (g/L) | Hemoglobin (g/L) |
---|
GFF MDI 14.4/9.6 ug | 8.5 | -10.61 |
,GFF MDI 28.8/9.6 ug | 12.0 | -8.81 |
,GP MDI 28.8 ug | 11.4 | -10.38 |
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Change in Mean Glucose and Potassium Results (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Glucose and Potassium Results (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 hours
Intervention | mmol/L (Mean) |
---|
| Glucose (mmol/L) 30 minutes post-dose | Glucose (mmol/L) 2 hours post-dose | Glucose (mmol/L) 4 hours post-dose | Glucose (mmol/L) 12 hours post-dose | Potassium (mmol/L) 30 minutes post-dose | Potassium (mmol/L) 2 hours post-dose | Potassium (mmol/L) 4 hours post-dose | Potassium (mmol/L) 12 hours post-dose |
---|
GFF MDI 14.4/9.6 ug | -0.08 | -0.01 | -0.24 | 0.18 | 0.00 | -0.07 | -0.12 | -0.06 |
,GFF MDI 28.8/9.6 ug | -0.03 | 0.05 | -0.08 | 0.10 | 0.01 | -0.02 | -0.01 | 0.05 |
,GP MDI 28.8 ug | -0.01 | -0.06 | -0.16 | 0.23 | 0.06 | 0.10 | -0.07 | 0.07 |
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Change in QT Interval From Pre-dose to 12 Hours Post Dose
Change in QT Interval from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | msec (Mean) |
---|
GFF MDI 28.8/9.6 ug | -28.5 |
GFF MDI 14.4/9.6 ug | -24.8 |
GP MDI 28.8 ug | -20.5 |
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AUC 0-∞
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (AUC 0-∞) (NCT02196714)
Timeframe: Day 1
Intervention | h*pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 46.26 |
GFF MDI 14.4/9.6 ug | 32.18 |
GP MDI 28.8 µg | 37.32 |
GP MDI 14.4 µg | 34.04 |
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AUC 0-12
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (AUC 0-12) (NCT02196714)
Timeframe: Day 1
Intervention | h*pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 44.15 |
GFF MDI 14.4/9.6 ug | 42.54 |
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AUC 0-12
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (AUC 0-12) (NCT02196714)
Timeframe: Day 1
Intervention | h*pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 45.43 |
GFF MDI 14.4/9.6 ug | 21.75 |
GP MDI 28.8 ug | 50.59 |
GP MDI 14.4 ug | 24.72 |
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AUC 0-t
Descriptive Statistics for Pharmacokinetic Parameters of Formoterol by Treatment (AUC 0-t) (NCT02196714)
Timeframe: Day 1
Intervention | h*pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 45.96 |
GFF MDI 14.4/9.6 ug | 42.39 |
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Change in QRS Duration From Pre-dose to 12 Hours Post Dose
Change in QRS duration from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | msec (Mean) |
---|
GFF MDI 28.8/9.6 ug | -3.9 |
GFF MDI 14.4/9.6 ug | -1.1 |
GP MDI 28.8 ug | -4.0 |
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AUC 0-t
Descriptive Statistics for Pharmacokinetic Parameters of Glycopyrronium by Treatment (AUC 0-t) (NCT02196714)
Timeframe: Day 1
Intervention | h*pg/mL (Mean) |
---|
GFF MDI 28.8/9.6 ug | 53.52 |
GFF MDI 14.4/9.6 ug | 21.37 |
GP MDI 28.8 ug | 64.05 |
GP MDI 14.4 µg | 23.72 |
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Change in Heart Rate From Pre-dose to 12 Hours Post Dose
Change in Heart Rate from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | Beats/Min (Mean) |
---|
GFF MDI 28.8/9.6 ug | 11.3 |
GFF MDI 14.4/9.6 ug | 9.3 |
GP MDI 28.8 ug | 4.5 |
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Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Chemistry Parameters (±SD) from Pre-dose to 12 Hours Post-dose (eGFR) (NCT02196714)
Timeframe: 12 hours
Intervention | mL/min/1.73m2 (Mean) |
---|
GFF MDI 28.8/9.6 ug | -4.2 |
GFF MDI 14.4/9.6 ug | -7.2 |
GP MDI 28.8 ug | -3.5 |
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Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Chemistry Parameters (±SD) from Pre-dose to 12 Hours Post-dose (Ferritin) (NCT02196714)
Timeframe: 12 hours
Intervention | μg/L (Mean) |
---|
GFF MDI 28.8/9.6 ug | -14.169 |
GFF MDI 14.4/9.6 ug | -11.949 |
GP MDI 28.8 ug | -11.669 |
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Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Hematology Parameters (±SD) from Pre-dose to 12 Hours Post-dose (Ery. mean corpuscuar hemoglobin) (NCT02196714)
Timeframe: 12 Hours
Intervention | pg/cell (Mean) |
---|
GFF MDI 28.8/9.6 ug | 0.78 |
GFF MDI 14.4/9.6 ug | 0.49 |
GP MDI 28.8 ug | 0.75 |
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Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Hematology Parameters (±SD) from Pre-dose to 12 Hours Post-dose (Ery. mean corpuscuar volume) (NCT02196714)
Timeframe: 12 Hours
Intervention | fL (Mean) |
---|
GFF MDI 28.8/9.6 ug | -0.9 |
GFF MDI 14.4/9.6 ug | -0.8 |
GP MDI 28.8 ug | -0.9 |
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Change in Mean Hematology Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Hematology Parameters (±SD) from Pre-dose to 12 Hours Post-dose (Erythrocytes) (NCT02196714)
Timeframe: 12 Hours
Intervention | 10^12cells/L (Mean) |
---|
GFF MDI 28.8/9.6 ug | -0.391 |
GFF MDI 14.4/9.6 ug | -0.419 |
GP MDI 28.8 ug | -0.433 |
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Change in PR Interval From Pre-dose to 12 Hours Post Dose
Change in PR Interval from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | msec (Mean) |
---|
GFF MDI 28.8/9.6 ug | -10.7 |
GFF MDI 14.4/9.6 ug | -8.5 |
GP MDI 28.8 ug | -7.4 |
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Change in QRS Axis From Pre-dose to 12 Hours Post Dose
Change in QRS axis from Pre-dose to 12 hours Post dose (NCT02196714)
Timeframe: 12 hours
Intervention | QRS axis (Mean) |
---|
GFF MDI 28.8/9.6 ug | -0.5 |
GFF MDI 14.4/9.6 ug | 4.1 |
GP MDI 28.8 ug | 0.0 |
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Change in Mean Chemistry Parameters (±SD) From Pre-dose to 12 Hours Post-dose
Change in Mean Chemistry Parameters (±SD) from Pre-dose to 12 Hours Post-dose (NCT02196714)
Timeframe: 12 hours
Intervention | mmol/L (Mean) |
---|
| Blood urea nitrogen (mmol/L) | Calcium (mmol/L) | Chloride (mmol/L) | Magnesium (mmol/L) | Phosphorus (mmol/L) | Sodium (mmol/L) |
---|
GFF MDI 14.4/9.6 ug | 0.34 | -0.14 | 2.5 | -0.07 | 0.163 | 0.5 |
,GFF MDI 28.8/9.6 ug | 0.01 | -0.15 | 3.0 | -0.05 | 0.135 | 0.9 |
,GP MDI 28.8 ug | 0.74 | -0.13 | 2.3 | -0.04 | 0.133 | 0.1 |
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Change From Baseline in Trough FEV1 (Forced Expiratory Volume) to Week 4
Portable spirometers will be provided to investigators and they will use this device for all of their patient measurements of FEV1 during the trial (NCT02202616)
Timeframe: Baseline, week 4
Intervention | Liter (Mean) |
---|
QVA149 110/50 After Flu/Sal | 0.12 |
QVA149 110/50 After Tio | 0.14 |
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Single Point and Change in Baseline Dyspnea Index and Transitional Dyspnea Index (BDI/TDI)
A trained assessor interviewed the patient and graded the degree of impairment due to dyspnea (difficulty breathing). BDI/TDI focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort and captures changes from baseline. BDI was measured at day 1 prior to the first dose with domain scores ranging from 0=very severe to 4=no impairment and a total score ranging from 0 to 12(best). TDI captures changes from baseline. Each domain is scored from -3=major deterioration to 3=major improvement to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score. The BDI was assessed at Baseline, whereas the TDI was assessed at Week 4 and Week 16. (NCT02202616)
Timeframe: Baseline, Week 4, week 16
Intervention | Score (Mean) |
---|
| BDI week 0 | TDI week 4 | TDI week 16 |
---|
QVA149 110/50 After Flu/Sal | 6.5 | 2.2 | 2.9 |
,QVA149 110/50 After Tio | 6.8 | 2.0 | 2.4 |
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Change From Baseline in Trough (Forced Expiratory Volume (FEV1) (Pre-dose FEV1)
Primary end points: To evaluate the real-life effectiveness of QVA149 (indacaterol 110 mcg/glycopyrronium 50 mcg) in the management of patients with COPD who have symptoms defined as CAT score >10 with tiotropium monotherapy; effectiveness will be assessed as the mean change in trough FEV1 from baseline to 16 weeks. and to evaluate the real-life effectiveness of QVA149 (indacaterol 110 mcg/glycopyrronium 50 mcg) in the management of patients with COPD who have symptoms defined as CAT score >10 while on treatment with FDC of fluticasone propionate/salmeterol; effectiveness will be assessed as the mean change in trough FEV1 from baseline to 16 weeks. (NCT02202616)
Timeframe: 16 weeks study
Intervention | Liter (Mean) |
---|
QVA149 110/50 After Flu/Sal | 0.17 |
QVA149 110/50 After Tio | 0.18 |
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Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Questionnaire (CAT)
The CAT is an 8 item questionnaire that assesses the impact of COPD on the patient's functional status. Scores for each of the 8 items are summed to give an overall score (out of 40). The score ranges from 0-40 where higher scores represent worse health status. CAT scores ≥ 10 are associated with significantly impaired health status. (NCT02202616)
Timeframe: Baseline, week 4, week 16
Intervention | Score (Mean) |
---|
| Week 4 | Week 16 |
---|
QVA149 110/50 After Flu/Sal | -5.9 | -8.2 |
,QVA149 110/50 After Tio | -4.7 | -5.9 |
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Percent of Time Spent During the Night Below 90 % in Blood Oxygen Saturation
The time during the night spent below 90 % in blood oxygen saturation following 4 weeks administration of QVA149 compared to placebo was assessed. Night time oxygenation (SpO2) was measured using polygraphy. (NCT02233543)
Timeframe: Post 4 weeks administration of QVA149, post 4 weeks administration of placebo
Intervention | Percent (Least Squares Mean) |
---|
QVA149 (Indacaterol/Glycopyrronium) | 44.37 |
Placebo | 36.58 |
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Mean Night-time Blood Oxygenation
The mean night-time blood oxygenation following 4 weeks administration of QVA149 compared to placebo was assessed. Night time oxygenation (SpO2) was measured using polygraphy. (NCT02233543)
Timeframe: Post 4 weeks administration of QVA149, post 4 weeks administration of placebo
Intervention | Percent Oxygenation (Least Squares Mean) |
---|
QVA149 (Indacaterol/Glycopyrronium) | 89.59 |
Placebo | 90.04 |
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Change From Baseline in Trough FEV1 on Day 85
FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Day 84 (Week 12). Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84 and 85. Baseline trough FEV1 is the mean of the two assessments made -30 and -5 minutes (min) pre-dose on Day 1. Change from baseline was calculated as the trough FEV1 value on Day 85 minus the BL value. Analysis performed using a repeated measures model with covariates of treatment, baseline FEV1, centre group, 24 hour subset flag, Day, Day by baseline and Day by treatment interactions. The least squares mean changes are presented here. (NCT02236611)
Timeframe: Baseline (BL) and Day 85
Intervention | Liter (Least Squares Mean) |
---|
UMEC 62.5 mcg QD | 0.123 |
GLYCO 44 mcg QD | 0.099 |
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Percentage of Devices in Agreement Between Laboratory-advanced Does Indicator Actuation and Weight-based Actuation Count at Last Available Visit.
Percentage of devices whose number of actuations counted at the end of the study, using the dose indicator reading, was consistent (±20 actuations) with the number of actuations used as estimated by the change in MDI weight (NCT02268396)
Timeframe: Over the life of the canister/120 puffs - up to 4 weeks
Intervention | Percentage (Number) |
---|
GFF MDI (PT003) | 75.0 |
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Percentage of Devices in Agreement Between Laboratory-Advanced Dose Indicator Actuation Count and Subject-Reported Actuation Count at the Last Available Visit
Percentage of devices whose number of actuations counted at the end of the study, using the lab-advanced dose indicator reading, was consistent (±20 actuations) with the number of actuations used as reported by the subject (NCT02268396)
Timeframe: Over the life of the canister/120 puffs - up to 4 weeks
Intervention | Percentage of devices (Number) |
---|
GFF MDI (PT003) | 96.2 |
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Percentage of Devices Where the Dose Indicator Actuation Count is >20 Less Than the Subject-reported Actuation Count (Undercount)
Percentage of devices where the dose indicator actuation count is >20 less than the subject-reported actuation count (undercount) (NCT02268396)
Timeframe: Over the life of the canister/120 puffs - up to 4 weeks
Intervention | Percentage (Number) |
---|
GFF MDI (PT003) | 2.9 |
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Percentage of Correct Advances (±2 or ±4 Actuations) of the Dose Indicator Based on Subject-reported Actuation Count
Percentage of Correct Advances (±2 or ±4 Actuations) of the Dose Indicator Based on Subject-reported Actuation Count (NCT02268396)
Timeframe: Over the life of the canister/120 puffs - up to 4 weeks
Intervention | Percentage of correct advances (Number) |
---|
| Correct within ±2 actuations | Correct within ±4 actuations |
---|
GFF MDI (PT003) | 87.3 | 93.2 |
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Percentage of Devices in Agreement Between eCRF-Based Dose Indicator Actuation Count and Weight-Based Actuation Count at the Last Available Visit
Percentage of devices whose number of actuations counted at the end of the study, using the dose indicator reading, was consistent (±20 actuations) with the number of actuations used as estimated by the change in MDI weight (NCT02268396)
Timeframe: Over the life of the canister/120 puffs - up to 4 weeks
Intervention | Percentage of Devices (Number) |
---|
GFF MDI (PT003) | 86.9 |
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Dose Indicator Actuation Consistency: Percentage of Devices in Agreement Between CRF-Based Dose Indicator Actuation Count
Dose Indicator Actuation Consistency: Percentage of Devices in Agreement Between CRF-Based Dose Indicator Actuation Count and Subject-Reported Actuation Count at the Last Available Visit: ITT Population (NCT02268396)
Timeframe: Over the life of the canister/120 puffs - up to 4 weeks
Intervention | Percentage (Number) |
---|
GFF MDI (PT003) | 96.4 |
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Percentage of Subjects With Treatment-emergent Serious Adverse
A treatment emergent serious adverse event (SAE) is any SAE that occurred on or after the first dose of study medication, any SAE with a missing start date and a stop date on or after the first dose of study medication, or any SAE with both a missing start and stop date. (NCT02276222)
Timeframe: Up to Week 48
Intervention | percentage of participants (Number) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 12.3 |
Spiriva 18 mcg QD Handihaler | 10.5 |
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Percentage of Subjects Who Discontinue the Study Due to TEAE
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date. (NCT02276222)
Timeframe: Up to 48 Weeks
Intervention | percentage of participants (Number) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 10.0 |
Spiriva 18 mcg QD Handihaler | 2.8 |
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Number of Subjects With Treatment-emergent Serious Adverse Events (SAE)
A treatment emergent serious adverse event (SAE) is any SAE that occurred on or after the first dose of study medication, any SAE with a missing start date and a stop date on or after the first dose of study medication, or any SAE with both a missing start and stop date. (NCT02276222)
Timeframe: Up to Week 48
Intervention | participants (Number) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 76 |
Spiriva 18 mcg QD Handihaler | 49 |
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Number of Subjects With Treatment-emergent Adverse Events (TEAE)
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date. (NCT02276222)
Timeframe: Up to Week 48
Intervention | participants (Number) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 430 |
Spiriva 18 mcg QD Handihaler | 312 |
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Percentage of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
"All deaths and any other findings suggestive of a potential MACE (including clinically relevant information and SAEs, and all PTs form the SMQs myocardial infarction, other ischemic heart disease, central nervous system hemorrhages and cerebrovascular conditions) were sent to an adjudication committee for review and categorized as CV death, nonfatal MI, and nonfatal stroke. The MACE score was defined as the total number of subjects with CV deaths, nonfatal MIs, and nonfatal strokes. These events were collected from the first date of study medication until the date of last contact." (NCT02276222)
Timeframe: Up to 48 Weeks
Intervention | percentage of participants (Number) |
---|
| MACE score | cardiovascular death | non-fatal myocardial infarction | non-fatal stroke |
---|
Spiriva 18 mcg QD Handihaler | 1.7 | 0.4 | 1.1 | 0.2 |
,SUN-101 50 mcg BID eFlow (CS) Nebulizer | 0.5 | 0.2 | 0.3 | 0 |
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Number of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
"All deaths and any other findings suggestive of a potential MACE (including clinically relevant information and SAEs, and all PTs form the SMQs myocardial infarction, other ischemic heart disease, central nervous system hemorrhages and cerebrovascular conditions) were sent to an adjudication committee for review and categorized as CV death, nonfatal MI, and nonfatal stroke. The MACE score was defined as the total number of subjects with CV deaths, nonfatal MIs, and nonfatal strokes. These events were collected from the first date of study medication until the date of last contact." (NCT02276222)
Timeframe: Up to Week 48
Intervention | participants (Number) |
---|
| MACE score | cardiovascular death | non-fatal myocardial infarction | non-fatal stroke |
---|
Spiriva 18 mcg QD Handihaler | 8 | 2 | 5 | 1 |
,SUN-101 50 mcg BID eFlow (CS) Nebulizer | 3 | 1 | 2 | 0 |
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Incidence Rate Per 1000 Person Years of Subjects With Major Adverse Cardiac Events (MACE), Including Cardiovascular Death, Ischemia/Infarction, and Stroke
"All deaths and any other findings suggestive of a potential MACE (including clinically relevant information and SAEs, and all PTs form the SMQs myocardial infarction, other ischemic heart disease, central nervous system hemorrhages and cerebrovascular conditions) were sent to an adjudication committee for review and categorized as CV death, nonfatal MI, and nonfatal stroke. The MACE score was defined as the total number of subjects with CV deaths, nonfatal MIs, and nonfatal strokes. These events were collected from the first date of study medication until the date of last contact." (NCT02276222)
Timeframe: up to week 48
Intervention | event per 1000 person years (Number) |
---|
| MACE score | cardiovascular death | non-fatal myocardial infarction | non-fatal stroke |
---|
Spiriva 18 mcg QD Handihaler | 20.3 | 5.1 | 12.7 | 2.5 |
,SUN-101 50 mcg BID eFlow (CS) Nebulizer | 6.4 | 2.1 | 4.3 | 0 |
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Number of Subjects Who Discontinue the Study Due to TEAE
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date. (NCT02276222)
Timeframe: Up to Week 48
Intervention | participants (Number) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 62 |
Spiriva 18 mcg QD Handihaler | 13 |
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Mean Change From Baseline Over 48 Weeks in Trough FEV1 for All Subjects
"Spirometry was performed according to internationally accepted standards. Trough FEV1 was defined as the average of the FEV1 values collected at the end of the dosing interval at each clinic visit. The mean change from baseline in trough FEV1 over the 48 week treatment period is calculated by averaging the trough FEV1 changes from baseline across all study visits while subjects are taking randomized treatment.~Values affected by other medication use were to be set to missing." (NCT02276222)
Timeframe: Up to Week 48
Intervention | liters (Least Squares Mean) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 0.1016 |
Spiriva 18 mcg QD Handihaler | 0.0931 |
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Percentage of Subjects With Treatment-emergent Adverse Events
A TEAE is any adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date. (NCT02276222)
Timeframe: Up to Week 48
Intervention | percentage of participants (Number) |
---|
SUN-101 50 mcg BID eFlow (CS) Nebulizer | 69.4 |
Spiriva 18 mcg QD Handihaler | 67.0 |
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Change From Baseline in SGRQ Total Score Over Weeks 12-24 , Japan & EU/SK/TW Approach
Change from baseline in the SGRQ total score. The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD. The scores range from 0 (minimum, best possible health status) to 100 (maximum, worst possible health status). The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts). Change from Baseline at a particular visit was calculated as the SGRQ total score at that visit minus Baseline. Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life (NCT02343458)
Timeframe: over weeks 12-24
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | -5.2 |
FF MDI 9.6 ug | -5.0 |
GP MDI 14.4 ug | -3.6 |
Placebo MDI | -1.7 |
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Change From Baseline in Morning Pre-dose Trough FEV1 Over Weeks 12-24, Japan Approach
Change from baseline in morning pre-dose trough FEV1 over weeks 12-24, Japan approach (NCT02343458)
Timeframe: over weeks 12-24
Intervention | mL (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 128 |
FF MDI 9.6 ug | 54 |
GP MDI 14.4 ug | 74 |
Placebo MDI | -25 |
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Change From Baseline in SGRQ Total Score at Week 24, US/China Approach
Change from baseline in the SGRQ total score. The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD. The scores range from 0 (minimum, best possible health status) to 100 (maximum, worst possible health status). The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts). Change from Baseline at a particular visit was calculated as the SGRQ total score at that visit minus Baseline. Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life (NCT02343458)
Timeframe: at week 24
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | -5.3 |
FF MDI 9.6 ug | -5.6 |
GP MDI 14.4 ug | -3.7 |
Placebo MDI | -0.9 |
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Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks EU/SK/TW Approach
Peak change from baseline in FEV1 within 2 hours post-dosing over 24 weeks EU/SK/TW approach (NCT02343458)
Timeframe: over 24 weeks
Intervention | mL (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 375 |
FF MDI 9.6 ug | 277 |
GP MDI 14.4 ug | 234 |
Placebo MDI | 82 |
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Change From Baseline in SGRQ Total Score at Week 24 in Symptomatic Population, US/China Approach
Change from baseline in the SGRQ total score. The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD. The scores range from 0 (minimum, best possible health status) to 100 (maximum, worst possible health status). The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts). Change from Baseline at a particular visit was calculated as the SGRQ total score at that visit minus Baseline. Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life (NCT02343458)
Timeframe: at week 24
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | -6.9 |
FF MDI 9.6 ug | -7.8 |
GP MDI 14.4 ug | -3.8 |
Placebo MDI | -1.6 |
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Change From Baseline in Morning Pre-dose Trough FEV1 Over 24 Weeks. Primary Endpoint, EU/SK/TW Approach, Secondary Endpoint US/China Approach.
Change from baseline in morning pre-dose trough FEV1 over 24 weeks. Primary endpoint, EU/SK/TW approach, Secondary endpoint US/China approach. (NCT02343458)
Timeframe: over 24 weeks
Intervention | mL (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 135 |
FF MDI 9.6 ug | 63 |
GP MDI 14.4 ug | 80 |
Placebo MDI | -20 |
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Change From Baseline in Morning Pre-dose Trough FEV1 at Week 24 of Treatment (US/China Approach)
For the US/China approach, the primary endpoint was the change from baseline in morning pre-dose trough FEV1 at Week 24 of treatment (NCT02343458)
Timeframe: at week 24
Intervention | mL (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 120 |
FF MDI 9.6 ug | 47 |
GP MDI 14.4 ug | 60 |
Placebo MDI | -45 |
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TDI Focal Score Over 24 Weeks - US/China and EU/SK/TW Approaches -Symptomatic Population
TDI focal score over 24 Weeks as a Model-Based Average (ITT Population) The TDI is an instrument which measures the changes in the participant's dyspnea from Baseline. The scores in the TDI evaluate ratings for 3 different categories (functional impairment, magnitude of task in exertional capacity, and magnitude of effort). TDI scores ranged from -3 (major deterioration) to +3 (major improvement); total score = -9 to 9 (NCT02343458)
Timeframe: over 24 Weeks
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 1.5 |
FF MDI 9.6 ug | 1.3 |
GP MDI 14.4 ug | 1.1 |
Placebo MDI | 0.7 |
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TDI Focal Score Over 24 Weeks, US/China and EU/SK/TW Approach
TDI focal score over 24 Weeks as a Model-Based Average (ITT Population) The TDI is an instrument which measures the changes in the participant's dyspnea from Baseline. The scores in the TDI evaluate ratings for 3 different categories (functional impairment, magnitude of task in exertional capacity, and magnitude of effort). TDI scores ranged from -3 (major deterioration) to +3 (major improvement); total score = -9 to 9 (NCT02343458)
Timeframe: over 24 Weeks
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 1.6 |
FF MDI 9.6 ug | 1.5 |
GP MDI 14.4 ug | 1.3 |
Placebo MDI | 0.8 |
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TDI Focal Score Over Weeks 12-24 - Japan Approach - Symptomatic Population
TDI focal score over 12-24 Weeks as a Model-Based Average (ITT Population) The TDI is an instrument which measures the changes in the participant's dyspnea from Baseline. The scores in the TDI evaluate ratings for 3 different categories (functional impairment, magnitude of task in exertional capacity, and magnitude of effort). TDI scores ranged from -3 (major deterioration) to +3 (major improvement); total score = -9 to 9 (NCT02343458)
Timeframe: over weeks 12-24
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 1.5 |
FF MDI 9.6 ug | 1.4 |
GP MDI 14.4 ug | 1.1 |
Placebo MDI | 0.7 |
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TDI Focal Score Over Weeks 12-24 Japan Approach
TDI focal score over 12-24 Weeks as a Model-Based Average (ITT Population) The TDI is an instrument which measures the changes in the participant's dyspnea from Baseline. The scores in the TDI evaluate ratings for 3 different categories (functional impairment, magnitude of task in exertional capacity, and magnitude of effort). TDI scores ranged from -3 (major deterioration) to +3 (major improvement); total score = -9 to 9 (NCT02343458)
Timeframe: over Weeks 12-24
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 1.7 |
FF MDI 9.6 ug | 1.5 |
GP MDI 14.4 ug | 1.4 |
Placebo MDI | 0.8 |
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FEV1 Measured at 5 Minutes Post-dose on Day 1
Onset of Action as Assessed by FEV1 Day 1 at 5 Minutes Post-Dose. Reported is the FEV1 measured at 5 minutes post-dose on Day 1 as the first time point when the difference from Placebo was statistically significant (NCT02343458)
Timeframe: Assessed at 5-minutes post dose on Day 1
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 0.202 |
FF MDI 9.6 ug | 0.186 |
GP MDI 14.4 ug | 0.059 |
Placebo MDI | 0.022 |
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Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing at Week 24 US/China Approach
Peak change from baseline in FEV1 within 2 hours post-dosing at Week 24 US/China approach (NCT02343458)
Timeframe: at week 24
Intervention | mL (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 358 |
FF MDI 9.6 ug | 247 |
GP MDI 14.4 ug | 214 |
Placebo MDI | 55 |
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Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over Weeks 12-24 Japan Approach
Peak change from baseline in FEV1 within 2 hours post-dosing over weeks 12-24 Japan approach (NCT02343458)
Timeframe: over weeks 12-24
Intervention | mL (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 368 |
FF MDI 9.6 ug | 255 |
GP MDI 14.4 ug | 228 |
Placebo MDI | 70 |
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FEV1 Measured at 15 Minutes Post-dose on Day 1
Onset of Action as Assessed by FEV1 Day 1 at 15 Minutes Post-Dose. Reported is the FEV1 measured at 15 minutes post-dose on Day 1 as the first time point when the difference from Placebo was statistically significant (NCT02343458)
Timeframe: Assessed at 15-minute post dose on Day 1
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | 0.241 |
FF MDI 9.6 ug | 0.220 |
GP MDI 14.4 ug | 0.105 |
Placebo MDI | 0.033 |
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Change From Baseline in SGRQ Total Score Over Weeks 12-24, in Symptomatic Population, Japan & EU/SK/TW Approach
Change from baseline in the SGRQ total score. The SGRQ is a disease-specific questionnaire, self-completed by participants, used to evaluate the effect of GFF MDI, FF MDI and GP MDI on health-related quality of life as compared to placebo in subjects with COPD. The scores range from 0 (minimum, best possible health status) to 100 (maximum, worst possible health status). The SGRQ contains 76 items grouped into three domains (symptoms, activity and impacts). Change from Baseline at a particular visit was calculated as the SGRQ total score at that visit minus Baseline. Change from Baseline in total score of -4 units or lower is considered as clinically meaningful improvement in quality of life (NCT02343458)
Timeframe: over weeks 12-24
Intervention | Scores on a scale (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | -6.9 |
FF MDI 9.6 ug | -7.3 |
GP MDI 14.4 ug | -3.9 |
Placebo MDI | -3.1 |
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Change From Baseline in Average Daily Rescue Ventolin Use Over 24 Weeks in RVU Population, All Approaches
Change from baseline in average daily rescue Ventolin use over 24 weeks in RVU population, all approaches (NCT02343458)
Timeframe: over 24 weeks
Intervention | Puffs/day (Least Squares Mean) |
---|
GFF MDI 14.4/9.6 ug | -1.4 |
FF MDI 9.6 ug | -1.0 |
GP MDI 14.4 ug | -0.6 |
Placebo MDI | -0.4 |
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Morning Pre-Dose Trough FEV1 on Day 30
Morning Pre-Dose Trough FEV1 on Day 30 (NCT02347072)
Timeframe: Day 30
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.129 |
Spiriva Respimat | 0.072 |
Placebo | -0.073 |
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Morning Pre-Dose Trough FEV1 on Day 29
Morning Pre-Dose Trough FEV1 on Day 29 (NCT02347072)
Timeframe: Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.140 |
Spiriva Respimat | 0.097 |
Placebo | -0.020 |
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Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) 0-24
Normalized Forced Expiratory Volume in 1 second (FEV1) Area Under the Curve (AUC) 0-24 (NCT02347072)
Timeframe: Pre dose, 15 and 30 minutes, 1, 2, 4, 8, 12, 12.25, 12.5, 13, 14, 16, 22, and 24 hours post the morning dose on Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.192 |
Spiriva Respimat | 0.112 |
Placebo | -0.072 |
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FEV1 AUC0-12
Normalized FEV1 AUC0-12 (NCT02347072)
Timeframe: Pre dose, 15 and 30 minutes, 1, 2, 4, 8, and 12 hours post the morning dose on Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.226 |
Spiriva Respimat | 0.178 |
Placebo | -0.026 |
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Peak Change From Baseline in FEV1 Morning
Peak Change From Baseline in FEV1 Morning (NCT02347072)
Timeframe: Baseline and Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.406 |
Spiriva Respimat | 0.325 |
Placebo | 0.129 |
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Peak Change From Baseline in IC (Inspiratory Capacity) Evening
Peak Change From Baseline in IC Evening (NCT02347072)
Timeframe: Baseline and Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.421 |
Spiriva Respimat | 0.297 |
Placebo | 0.109 |
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Peak Change From Baseline in IC Morning
Peak Change From Baseline in IC Morning (NCT02347072)
Timeframe: Baseline and Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.454 |
Spiriva Respimat | 0.374 |
Placebo | 0.206 |
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FEV1 AUC12-24
Normalized FEV1 AUC12-24 (NCT02347072)
Timeframe: Pre dose, 15 and 30 minutes, 1, 2, 4, 8, and 12 hours post the evening dose on Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.159 |
Spiriva Respimat | 0.039 |
Placebo | -0.118 |
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Peak Change From Baseline in FEV1 Evening
Peak Change From Baseline in FEV1 Evening (NCT02347072)
Timeframe: Baseline and Day 29
Intervention | Liters (Least Squares Mean) |
---|
GFF MDI | 0.395 |
Spiriva Respimat | 0.230 |
Placebo | 0.058 |
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Morning Pre-Dose Trough FEV1 on Day 29
Morning Pre-Dose Trough FEV on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.130 |
Placebo | -0.012 |
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FEV1 AUC12-24 on Day 29
FEV1 AUC12-24 on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.115 |
Placebo | -0.127 |
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FEV1 AUC0-24 on Day 29
Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC)0-24 on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.166 |
Placebo | -0.083 |
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Peak Change From Baseline in Inspiratory Capacity (IC) Following the Evening Dose on Day 29
Peak Change from Baseline in Inspiratory Capacity (IC) following the evening dose on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.486 |
Placebo | 0.105 |
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Peak Change From Baseline in IC Following the Morning Dose on Day 29
Peak Change from Baseline in IC following the morning dose on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.543 |
Placebo | 0.208 |
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Peak Change From Baseline in FEV1 on Day 29
Peak Change From Baseline in FEV1 following the morning dose on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.410 |
Placebo | 0.134 |
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Peak Change From Baseline in FEV1 on Day 29
Peak Change From Baseline in FEV1 following evening Dose on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.344 |
Placebo | 0.050 |
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Morning Pre-Dose Trough FEV1 on Day 30
Morning Pre-Dose Trough FEV1 on Day 30 (NCT02347085)
Timeframe: Day 30
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.090 |
Placebo | -0.064 |
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FEV1 AUC0-12 on Day 29
FEV1 AUC0-12 on Day 29 (NCT02347085)
Timeframe: Day 29
Intervention | Liters (Mean) |
---|
GFF MD (PT003) | 0.216 |
Placebo | -0.039 |
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Change From Baseline in Area Under The Curve (AUC 0-12 Hour) for Forced Expiratory Volume in One Second (FEV1) Post Dosing at Day 1
The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) is assessed for 0-12 hour, post dosing at Day 1 of treatment. Baseline FEV1 was defined as the average of the -45 minutes and -15 minutes FEV1 values taken on Day 1. (NCT02371629)
Timeframe: Baseline, 0-12 hour post dose at Day 1
Intervention | Liters (Least Squares Mean) |
---|
NVA237 Twice Daily | 0.143 |
NVA237 Once Daily | 0.139 |
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Change From Baseline in the Percentage of Days With no Rescue Medication Use Over the 26 Weeks
Patients report the number of puffs of rescue medication (salbutamol / albuterol) using an electronic diary. change from baseline in percentage of days without rescue medication usage over 26 weeks was analyzed. (NCT02371629)
Timeframe: Baseline, 26 Weeks
Intervention | percentage of days (Least Squares Mean) |
---|
NVA237 Twice Daily | 16.574 |
NVA237 Once Daily | 15.363 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12
Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FEV1 defined as the mean of two measurements at 23 hours 15 minutes and 23 hour 45 minutes post dosing. Baseline FEV1 was defined as the average of the -45 minutes and -15 minutes FEV1 values taken on Day 1. An analysis-of-covariance (ANCOVA) for repeated measurements, also known as mixed model for repeated measures (MMRM), was performed for the change from baseline of trough FEV1 at Week 12. The model included treatment, COPD severity, baseline smoking status, baseline ICS use, region, and visit (Day 1, and Weeks 12 and 26) as factors and baseline FEV1 as a covariate. (NCT02371629)
Timeframe: Baseline, Week 12
Intervention | Liters (Least Squares Mean) |
---|
NVA237 Twice Daily | 0.092 |
NVA237 Once Daily | 0.059 |
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Change From Baseline in Area Under The Curve (AUC) for Forced Expiratory Volume in One Second (FEV1) for Different Time Spans Post Dosing at Week 12
The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) is assessed for different time spans (0-12h, 0-24h, 12-24h) within the overall serial measurement post dosing at week 12 of treatment. Baseline FEV1 was defined as the average of the -45 minutes and -15 minutes FEV1 values taken on Day 1. (NCT02371629)
Timeframe: Baseline, 0-12 hour, 0-24 hour , 12-24 hour post dose at Week 12
Intervention | Liters (Least Squares Mean) |
---|
| AUC (0-12 hour) | AUC (0-24 hour) | AUC (12-24 hour) |
---|
NVA237 Once Daily | 0.106 | 0.043 | -0.019 |
,NVA237 Twice Daily | 0.136 | 0.085 | 0.035 |
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Change From Baseline in Area Under The Curve (AUC) for Forced Expiratory Volume in One Second (FEV1) for Different Time Spans Post Dosing at Week 26
The standardized Area Under the Curve (AUC) for Forced Expiratory Volume in one second (FEV1) is assessed for different time spans (0-12h, 0-24h, 12-24h) within the overall serial measurement post dosing at week 26 of treatment. Baseline FEV1 was defined as the average of the -45 minutes and -15 minutes FEV1 values taken on Day 1. (NCT02371629)
Timeframe: Baseline, 0-12 hour, 0-24 hour , 12-24 hour post dose at Week 26
Intervention | Liters (Least Squares Mean) |
---|
| AUC (0-12 hour) | AUC (0-24 hour) | AUC (12-24 hour) |
---|
NVA237 Once Daily | 0.091 | 0.030 | -0.028 |
,NVA237 Twice Daily | 0.123 | 0.076 | 0.032 |
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Change From Baseline in Forced Vital Capacity (FVC) at Individual Timepoints at Week 26
Mixed model for repeated measures was used to analyze change from baseline in FVC. Baseline FVC is defined as the average of the -45 min and -15 min FVC values taken on Day 1 prior to first dose. (NCT02371629)
Timeframe: Baseline, Week 26 (Day 183-184)
Intervention | Liters (Least Squares Mean) |
---|
| Day 183/-45 min: | Day 183/-15 min: | Day 183/5 min: | Day 183/15 min: | Day 183/30 min: | Day 183/1 h: | Day 183/2 h | Day 183/3 h: | Day 183/4 h: | Day 183/6 h | Day 183/8 h | Day 183/10 h | Day 183/12 h | Day 183/13 h | Day 184/16 h | Day 184/22 h | Day 184/23 h 15 min | Day 184/23 h 45 min |
---|
NVA237 Once Daily | 0.025 | 0.029 | 0.085 | 0.132 | 0.144 | 0.154 | 0.200 | 0.186 | 0.169 | 0.116 | 0.085 | 0.039 | 0.026 | 0.004 | -0.081 | -0.076 | 0.031 | 0.077 |
,NVA237 Twice Daily | 0.079 | 0.102 | 0.159 | 0.177 | 0.194 | 0.190 | 0.229 | 0.229 | 0.216 | 0.146 | 0.137 | 0.071 | 0.041 | 0.096 | -0.014 | -0.036 | 0.075 | 0.129 |
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Change From Baseline in Inspiratory Capacity (IC) at Individual Timepoints at Week 26
Mixed model for repeated measures was used to analyze change from baseline in IC. (NCT02371629)
Timeframe: Baseline, Week 26 (Day 183-184)
Intervention | Liters (Least Squares Mean) |
---|
| Day 183/-20 min | Day 183/25 min | Day 183/1 h 55 min | Day 183/3 h 55 min | Day 183/7 h 55 min | Day 183/11 h 55 min | Day 184/23 h 40 min |
---|
NVA237 Once Daily | 0.054 | 0.173 | 0.171 | 0.159 | 0.110 | 0.030 | 0.062 |
,NVA237 Twice Daily | 0.094 | 0.181 | 0.193 | 0.163 | 0.108 | 0.042 | 0.045 |
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Change From Baseline in Mean Daily COPD Symptom Score at Week 26
Patients reported symptoms by using an electronic diary. The mean daily total symptom score, the mean morning symptom score and the mean evening symptom score were calculated for each patient over 26 weeks. Each symptom measured in a numeric rating scale of 0-10; 0 indicates no symptom and 10 indicates severe symptom. 0 is no waking due to symptoms, 1 woke up once, 2 woke up more than once due to symptoms ; 10 was the worst score.The daily score for an individual symptom score was the worst of the morning and evening scores on a particular day. If either the morning or evening score was missing for a symptom then the non-missing value was taken as the worst. A negative change indicates improvement. Only the scores for the 6 COPD symptoms (respiratory symptoms, cough, wheeze, production of sputum, sputum color, and breathlessness) were used to derive the total symptom score (NCT02371629)
Timeframe: Baseline, 26 Weeks
Intervention | score on a scale (Least Squares Mean) |
---|
| Change in mean daily | Change in mean morning | Change in mean evening |
---|
NVA237 Once Daily | -1.107 | -0.828 | -1.056 |
,NVA237 Twice Daily | -1.336 | -1.032 | -1.205 |
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Change From Baseline in Total St. George's Respiratory Questionnaire (SGRQ) Score at Week 12 and Week 26
"The health status, as reported by the patients, is assessed using the St. George's Respiratory Questionnaire (SGRQ). The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD:~Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity~Part II covers Activity and is concerned with activities that caused or are limited by breathlessness~Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease.~A score was calculated for each of these three subscales and the total score was calculated. In each case, the lowest possible value was 0 and the highest 100. Higher values corresponded to greater impairment of health status." (NCT02371629)
Timeframe: Baseline, 12 Weeks, 26 Weeks
Intervention | score on a scale (Least Squares Mean) |
---|
| Change from Baseline to WK 12 | Change from Baseline to WK 26 |
---|
NVA237 Once Daily | -3.563 | -4.644 |
,NVA237 Twice Daily | -5.320 | -6.587 |
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Change From Baseline in Transitional Dyspnea Index (TDI) Focal Score at Week 12 and Week 26
Breathlessness at Week 12 and Week 26 is measured using the Transition Dyspnea Index (TDI). On day 1, breathlessness is assessed by the Baseline Dyspnea Index (BDI). Baseline Dyspnea Index (BDI)/Transition Dyspnea Index (TDI) focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort and captures changes from baseline. BDI was measured at day 1 prior to the first dose with domain scores ranging from 0=very severe to 4=no impairment and a total score ranging from 0 to 12(best). TDI captures changes from baseline. Each domain is scored from -3=major deterioration to 3=major improvement to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score. (NCT02371629)
Timeframe: Baseline, 12 Weeks, 26 Weeks
Intervention | score on a scale (Least Squares Mean) |
---|
| Change from Baseline to WK 12 | Change from Baseline to WK 26 |
---|
NVA237 Once Daily | 0.849 | 1.170 |
,NVA237 Twice Daily | 1.346 | 1.523 |
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Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 1 and Week 26
Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FEV1 defined as the mean of two measurements at 23 hours 15 minutes and 23 hour 45 minutes post dosing. Baseline FEV1 was defined as the average of the -45 minutes and -15 minutes FEV1 values taken on Day 1. An analysis-of-covariance (ANCOVA) for repeated measurements, also known as mixed model for repeated measures (MMRM), was performed for the change from baseline of trough FEV1. The model included treatment, COPD severity, baseline smoking status, baseline ICS use, region, and visit (Day 1, and Weeks 12 and 26) as factors and baseline FEV1 as a covariate. (NCT02371629)
Timeframe: Baseline, Day 1, Week 26
Intervention | Liters (Least Squares Mean) |
---|
| Change from baseline to Day 1 | Change from baseline to Week 26 |
---|
NVA237 Once Daily | 0.070 | 0.056 |
,NVA237 Twice Daily | 0.119 | 0.104 |
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Number of Patients With Adverse Events, Serious Adverse Events and Death
This endpoint reports patients affected by any adverse events (AE), serious adverse events (SAE) and death. Only treatment emergent AE, SAE, deaths are reported for this endpoint. (NCT02371629)
Timeframe: 26 Weeks
Intervention | Count of Participants (Number) |
---|
| Patients with at least one AE | Patients with at least one SAE | Death |
---|
NVA237 Once Daily | 224 | 30 | 1 |
,NVA237 Twice Daily | 203 | 33 | 1 |
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Percentage of Patients With a Clinically Important Improvement on Transitional Dyspnea Index (TDI) Focal Score at Week 12 and Week 26
"Breathlessness at Week 12 and Week 26 is measured using the Transition Dyspnea Index (TDI). On day 1, breathlessness is assessed by the Baseline Dyspnea Index (BDI). Baseline Dyspnea Index (BDI)/Transition Dyspnea Index (TDI) focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort and captures changes from baseline. BDI was measured at day 1 prior to the first dose with domain scores ranging from 0=very severe to 4=no impairment and a total score ranging from 0 to 12(best). TDI captures changes from baseline. Each domain is scored from -3=major deterioration to 3=major improvement to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score.~Clinically important improvement indicates ≥ 1 unit in the TDI focal score at Weeks 12 and 26 in comparison to BDI focal score (an increase of ≥ 1)." (NCT02371629)
Timeframe: Baseline, 12 Weeks, 26 Weeks
Intervention | Percentage of patients (Number) |
---|
| Change from Baseline to WK 12 | Change from Baseline to WK 26 |
---|
NVA237 Once Daily | 52.0 | 54.6 |
,NVA237 Twice Daily | 56.9 | 61.1 |
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Percentage of Patients With a Clinically Significant Improvement in St George Respiratory Questionnaire at Week 12 and Week 26
"The health status, as reported by the patients, is assessed using the St. George's Respiratory Questionnaire (SGRQ).~The SGRQ contains 50 items divided into 2 parts covering 3 aspects of health related to COPD:~Part I covers Symptoms and is concerned with respiratory symptoms, their frequency and severity~Part II covers Activity and is concerned with activities that caused or are limited by breathlessness~Part II is also concerned with Impacts, which covers a range of aspects concerned with social functioning and psychological disturbances resulting from airways disease.~A score was calculated for each of these three subscales and the total score was calculated. In each case, the lowest possible value was 0 and the highest 100.~A clinically significant improvement is defined as ≥ 4 unit improvement from baseline score (a decrease of ≥ 4)." (NCT02371629)
Timeframe: Baseline, 12 Weeks, 26 Weeks
Intervention | percentage of patients (Number) |
---|
| Change from Baseline to WK 12 | Change from Baseline to WK 26 |
---|
NVA237 Once Daily | 46.9 | 49.6 |
,NVA237 Twice Daily | 54.5 | 59.4 |
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Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Individual Timepoints at Week 26
Mixed model for repeated measures was used to analyze change from baseline in FEV1. Baseline FEV1 is defined as the average of the -45 min and -15 min FEV1 values taken on Day 1 prior to first dose. (NCT02371629)
Timeframe: Baseline, Week 26 (Day 183-184)
Intervention | Liters (Least Squares Mean) |
---|
| Day 183/-45 min | Day 183/-15 min | Day 183/5 min | Day 183/15 min | Day 183/30 min | Day 183/1 h | Day 183/2 h | Day 183/3 h | Day 183/4 h | Day 183/6 h | Day 183/8 h | Day 183/10 h | Day 183/12 h | Day 183/13 h | Day 184/16 h | Day 184/22 h | Day 184/23 h 15 min | Day 184/23 h 45 min |
---|
NVA237 Once Daily | 0.012 | 0.034 | 0.070 | 0.106 | 0.122 | 0.132 | 0.163 | 0.154 | 0.132 | 0.080 | 0.064 | 0.038 | 0.024 | 0.000 | -0.063 | -0.043 | 0.032 | 0.067 |
,NVA237 Twice Daily | 0.058 | 0.086 | 0.111 | 0.145 | 0.155 | 0.158 | 0.194 | 0.179 | 0.166 | 0.110 | 0.118 | 0.067 | 0.056 | 0.093 | -0.001 | -0.012 | 0.076 | 0.122 |
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Peak Change From Baseline in FEV1 Within 3 Hours Post-dosing on Day 15
Forced Expiratory Volume in 1 second (FEV1) within 3 hours post-dosing on Day 15 (NCT02433834)
Timeframe: From Day 1 to Within 3 hours post dosing on Day 15 in each of 5 treatment periods
Intervention | Liter (Least Squares Mean) |
---|
GP MDI 28.8 µg | 0.284 |
GP MDI 14.4 µg | 0.261 |
GP MDI 7.2 µg | 0.252 |
GP MDI 3.6 µg | 0.237 |
GP MDI 1.9 µg | 0.215 |
Placebo MDI | 0.130 |
SAL 50 µg | 0.285 |
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Change From Baseline in Asthma Control Questionnaire (ACQ-5) on Day 15
The ACQ-5 measures 5 symptoms (woken at night by symptoms, wake in the morning with symptoms, limitation of daily activities, shortness of breath, and wheeze). The scale is 0-6, where 0=minimum and 6=maximum (NCT02433834)
Timeframe: Day 1-Day 15 in each of 5 treatment periods
Intervention | Scores on a scale (Least Squares Mean) |
---|
GP MDI 28.8 µg | -0.167 |
GP MDI 14.4 µg | -0.173 |
GP MDI 7.2 µg | -0.113 |
GP MDI 3.6 µg | -0.100 |
GP MDI 1.9 µg | -0.205 |
Placebo MDI | -0.056 |
SAL 50 µg | -0.304 |
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FEV1 AUC0-3 on Day 15
FEV1 AUC0-3 is the area under the curve for the change from baseline in FEV1 calculated using the trapezoidal rule. All observed data will be used with the trapezoidal rule to calculate AUC. To aid in interpretation, all AUC values will be normalized by dividing the AUC by the time from the first to the last non-missing value (typically 3 hours). (NCT02433834)
Timeframe: Day 1-Day 15 in each of 5 treatment periods
Intervention | Liter (Least Squares Mean) |
---|
GP MDI 28.8 µg | 0.191 |
GP MDI 14.4 µg | 0.167 |
GP MDI 7.2 µg | 0.146 |
GP MDI 3.6 µg | 0.147 |
GP MDI 1.9 µg | 0.113 |
Placebo MDI | 0.038 |
SAL 50 µg | 0.190 |
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Change From Baseline in Average Daily Post-dose PEFR Over 14 Days
Daily pre-dose PEFR and daily post-dose PEFR will each be calculated as the average of the AM and PM measurements recorded for a given day. If either the AM or PM assessment is missing, only the single measurement will be used. Analyses of average daily pre-dose PEFR, average daily post-dose PEFR, and rescue Ventolin HFA usage will use the average of the non-missing daily values recorded in the subject diaries over each week and over the last week of treatment within each period. (NCT02433834)
Timeframe: Day 1-Day 15 in each of 5 treatment periods
Intervention | L/min (Least Squares Mean) |
---|
GP MDI 28.8 µg | 5.53 |
GP MDI 14.4 µg | -2.86 |
GP MDI 7.2 µg | -5.38 |
GP MDI 3.6 µg | 3.09 |
GP MDI 1.9 µg | -5.68 |
Placebo MDI | -21.65 |
SAL 50 µg | 3.55 |
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Change From Baseline in Average Daily Pre-dose PEFR Over 14 Days
Change from baseline in average daily pre-dose peak expiratory flow rate (PEFR) over 14 days Daily pre-dose PEFR and daily post-dose PEFR will each be calculated as the average of the AM and PM measurements recorded for a given day. If either the AM or PM assessment is missing, only the single measurement will be used. Analyses of average daily pre-dose PEFR, average daily post-dose PEFR, and rescue Ventolin HFA usage will use the average of the non-missing daily values recorded in the subject diaries over each week and over the last week of treatment within each period. (NCT02433834)
Timeframe: Day 1-Day 15 in each of 5 treatment periods
Intervention | L/min (Least Squares Mean) |
---|
GP MDI 28.8 µg | 5.01 |
GP MDI 14.4 µg | -6.54 |
GP MDI 7.2 µg | -10.65 |
GP MDI 3.6 µg | -2.98 |
GP MDI 1.9 µg | -10.52 |
Placebo MDI | -22.57 |
SAL 50 µg | -3.00 |
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Change From Baseline in Average Daily Rescue Medication Use Over 14 Days
Daily pre-dose PEFR and daily post-dose PEFR will each be calculated as the average of the AM and PM measurements recorded for a given day. If either the AM or PM assessment is missing, only the single measurement will be used. Analyses of average daily pre-dose PEFR, average daily post-dose PEFR, and rescue Ventolin HFA usage will use the average of the non-missing daily values recorded in the subject diaries over each week and over the last week of treatment within each period. (NCT02433834)
Timeframe: Day 1-Day 15 in each of 5 treatment periods
Intervention | Puffs (Least Squares Mean) |
---|
GP MDI 28.8 µg | -0.42 |
GP MDI 14.4 µg | -0.25 |
GP MDI 7.2 µg | -0.24 |
GP MDI 3.6 µg | -0.24 |
GP MDI 1.9 µg | -0.23 |
Placebo MDI | -0.11 |
SAL 50 µg | -0.63 |
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Change From Baseline in Morning Pre-dose Trough FEV1 on Day 15
Change from baseline in morning pre-dose trough FEV1 on Day 15 (NCT02433834)
Timeframe: Day 1-Day 15 in each of 5 treatment periods
Intervention | Liter (Least Squares Mean) |
---|
GP MDI 28.8 µg | 0.073 |
GP MDI 14.4 µg | 0.047 |
GP MDI 7.2 µg | 0.042 |
GP MDI 3.6 µg | 0.012 |
GP MDI 1.9 µg | 0.018 |
Placebo MDI | -0.012 |
SAL 50 µg | 0.059 |
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Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over 4 hour intervals FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h. (NCT02487446)
Timeframe: baseline, 12 weeks
Intervention | Liter (Least Squares Mean) |
---|
| 0-4h | 4-8h | 8-12h | 12-16h | 16-20h | 20-24h (n=310,314) |
---|
QVA149 | 0.3223 | 0.2399 | 0.1911 | 0.2594 | 0.1914 | 0.1722 |
,Umeclidinium/Vilanterol | 0.3289 | 0.2831 | 0.2411 | 0.2349 | 0.1875 | 0.1821 |
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Change From Baseline in FEV1 AUC 0-12h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over 12 hours (AUC 0-12h). (NCT02487446)
Timeframe: baseline, 0 to 12 hours post-dose at week 12
Intervention | Liter (Least Squares Mean) |
---|
QVA149 | 0.2543 |
Umeclidinium/Vilanterol | 0.2848 |
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Change From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 15 minutes and 23 hours 45 minutes post-dose for each treatment (NCT02487446)
Timeframe: baseline, 23 hours 15 minutes and 23 hours 45 minutes post previous morning dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 0.1891 |
Umeclidinium/Vilanterol | 0.2043 |
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Change From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Pre-dose trough FEV1 was defined as the average of measurements made 15 minutes and 45 minutes pre morning dose for each treatment. (NCT02487446)
Timeframe: baseline, 15 minutes and 45 minutes pre morning dose at week 12
Intervention | Liter (Least Squares Mean) |
---|
QVA149 | 0.2302 |
Umeclidinium/Vilanterol | 0.2450 |
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Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over an entire day (AUC 0-24h). A positive change from baseline indicates improvement. (NCT02487446)
Timeframe: baseline, 0 to 24 hours post-dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 0.2321 |
Umeclidinium/Vilanterol | 0.2436 |
,QVA149 | 0.2321 |
Umeclidinium/Vilanterol | 0.2436 |
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Change From Baseline in FEV1 AUC 12-24h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over 12 hours (AUC 12-24h). (NCT02487446)
Timeframe: baseline, 12 hours to 24 hours post-dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
QVA149 | 0.2076 |
Umeclidinium/Vilanterol | 0.2025 |
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QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time Point
FEV1 was measured with spirometry conducted according to internationally accepted standards. (NCT02487446)
Timeframe: Day 1 (5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 23h 15min, 23h 45min); week 6 (-45min, -15min); week 12 (-45min, -15min, 5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 12h 5min, 12h 15min, 12h 30min, 13, 14, 16, 20, 23h 15min, 23h 45min)
Intervention | Liter (Least Squares Mean) |
---|
| Day 1, 5 minutes | Day 1, 15 minutes | Day 1, 30 minutes | Day 1, 1 hour | Day 1, 2 hours | Day 1, 4 hours | Day 1, 8 hours | Day 1, 11 hours 55 minutes | Day 1, 23 hours 15 minutes | Day 1, 23 hours 45 minutes | Week 6, -45 minutes | Week 6, -15 minutes | Week 12, -45 minutes | Week 12, -15 minutes | Week 12, 5 minutes | Week 12, 15 minutes | Week 12, 30 minutes | Week 12, 1 hour | Week 12, 2 hours | Week 12, 4 hours | Week 12, 8 hours | Week 12, 11 hours 55 minutes | Week 12, 12 hours 5 minutes (n=294,305) | Week 12, 12 hours 15 minutes | Week 12, 12 hours 30 minutes | Week 12, 13 hours | Week 12, 14 hours | Week 12, 16 hours | Week 12, 20 hours | Week 12, 23 hours 15 minutes | Week 12, 23 hours 45 minutes (n=300,303) |
---|
QVA149 | 0.2177 | 0.2566 | 0.2811 | 0.2944 | 0.3109 | 0.2788 | 0.1681 | 0.1406 | 0.2565 | 0.2737 | 0.2914 | 0.3390 | 0.3044 | 0.3344 | 0.3960 | 0.4378 | 0.4602 | 0.4649 | 0.4405 | 0.3872 | 0.2714 | 0.2306 | 0.3455 | 0.3409 | 0.3688 | 0.3760 | 0.3681 | 0.3129 | 0.2175 | 0.2237 | 0.2607 |
,Umeclidinium/Vilanterol | 0.2218 | 0.2927 | 0.3325 | 0.3534 | 0.3687 | 0.4237 | 0.3237 | 0.2910 | 0.2747 | 0.3001 | 0.3513 | 0.3732 | 0.3442 | 0.3566 | 0.3861 | 0.4169 | 0.4480 | 0.4647 | 0.4853 | 0.4343 | 0.3555 | 0.3231 | 0.3112 | 0.3235 | 0.3326 | 0.3361 | 0.3371 | 0.3279 | 0.2353 | 0.2750 | 0.2728 |
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QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time Point
FEV1 was measured with spirometry conducted according to internationally accepted standards. (NCT02487446)
Timeframe: Day 1 (5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 23h 15min, 23h 45min); week 6 (-45min, -15min); week 12 (-45min, -15min, 5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 12h 5min, 12h 15min, 12h 30min, 13, 14, 16, 20, 23h 15min, 23h 45min)
Intervention | Liter (Least Squares Mean) |
---|
| Day 1, 5 minutes | Day 1, 15 minutes | Day 1, 30 minutes | Day 1, 1 hour | Day 1, 2 hours | Day 1, 4 hours | Day 1, 8 hours | Day 1, 11 hours 55 minutes | Day 1, 23 hours 15 minutes | Day 1, 23 hours 45 minutes | Week 6, -45 minutes | Week 6, -15 minutes | Week 12, -45 minutes | Week 12, -15 minutes | Week 12, 5 minutes | Week 12, 15 minutes | Week 12, 30 minutes | Week 12, 1 hour | Week 12, 2 hours | Week 12, 4 hours | Week 12, 8 hours | Week 12, 11 hours 55 minutes | Week 12, 12 hours 5 minutes | Week 12, 12 hours 15 minutes | Week 12, 12 hours 30 minutes | Week 12, 13 hours | Week 12, 14 hours | Week 12, 16 hours | Week 12, 20 hours | Week 12, 23 hours 15 minutes (n=299,305) | Week 12, 23 hours 45 minutes |
---|
QVA149 | 0.1112 | 0.1509 | 0.1602 | 0.1755 | 0.1840 | 0.1432 | 0.0815 | 0.0699 | 0.1498 | 0.1579 | 0.2122 | 0.2378 | 0.2225 | 0.2390 | 0.2879 | 0.3187 | 0.3346 | 0.3426 | 0.3343 | 0.2760 | 0.2033 | 0.1764 | 0.2343 | 0.2465 | 0.2695 | 0.2749 | 0.2667 | 0.2230 | 0.1622 | 0.1791 | 0.2048 |
,Umeclidinium/Vilanterol | 0.1201 | 0.1682 | 0.1945 | 0.2230 | 0.2329 | 0.2270 | 0.1861 | 0.1674 | 0.1764 | 0.1932 | 0.2469 | 0.2668 | 0.2378 | 0.2538 | 0.2831 | 0.3074 | 0.3258 | 0.3334 | 0.3445 | 0.3137 | 0.2545 | 0.2311 | 0.2218 | 0.2324 | 0.2350 | 0.2448 | 0.2355 | 0.2197 | 0.1629 | 0.1981 | 0.2117 |
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Change From Baseline in FEV1 AUC 0-12h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over 12 hours (AUC 0-12h). (NCT02487498)
Timeframe: baseline, 0 to 12 hours post-dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.2077 |
First Umeclidinium/Vilanterol, Then QVA149 | 0.2496 |
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Change From Baseline in FEV1 AUC 12-24h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over 12 hours (AUC 12-24h). (NCT02487498)
Timeframe: baseline, 12 hours to 24 hours post-dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.1625 |
First Umeclidinium/Vilanterol, Then QVA149 | 0.1539 |
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Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over an entire day (AUC 0-24h). A positive change from baseline indicates improvement. (NCT02487498)
Timeframe: baseline, 0 to 24 hours post-dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.1846 |
First Umeclidinium/Vilanterol, Then QVA149 | 0.2028 |
,First QVA149, Then Umeclidinium/Vilanterol | 0.1846 |
First Umeclidinium/Vilanterol, Then QVA149 | 0.2028 |
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QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Pre-dose trough FEV1 was defined as the average of measurements made 15 minutes and 45 minutes pre morning dose for each treatment. (NCT02487498)
Timeframe: baseline, 12 weeks
Intervention | Liters (Least Squares Mean) |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.1827 |
First Umeclidinium/Vilanterol, Then QVA149 | 0.2043 |
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Superiority of QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose)
FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 15 minutes and 23 hours 45 minutes post-dose for each treatment. (NCT02487498)
Timeframe: baseline, 23 hours 15 minutes and 23 hours 45 minutes post previous morning dose at week 12
Intervention | Liters (Least Squares Mean) |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.1676 |
First Umeclidinium/Vilanterol, Then QVA149 | 0.1767 |
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Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h
FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over 4 hour intervals FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h. (NCT02487498)
Timeframe: baseline, 12 weeks
Intervention | Liter (Least Squares Mean) |
---|
| 0-4h | 4-8h | 8-12h | 12-16h | 16-20h | 20-24h |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.2663 | 0.1970 | 0.1513 | 0.2120 | 0.1383 | 0.1374 |
,First Umeclidinium/Vilanterol, Then QVA149 | 0.2938 | 0.2519 | 0.2015 | 0.1842 | 0.1340 | 0.1445 |
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QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time Point
FEV1 was measured with spirometry conducted according to internationally accepted standards. (NCT02487498)
Timeframe: Day 1 (5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 23h 15min, 23h 45min); week 6 (-45min, -15min); week 12 (-45min, -15min, 5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 12h 5min, 12h 15min, 12h 30min, 13, 14, 16, 20, 23h 15min, 23h 45min)
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 5 minutes | Day 1, 15 minutes | Day 1, 30 minutes | Day 1, 1 hour | Day 1, 2 hours | Day 1, 4 hours | Day 1, 8 hours | Day 1, 11 hours 55 minutes | Day 1, 23 hours 15 minutes | Day 1, 23 hours 45 minutes | Week 6, -45 minutes | Week 6, -15 minutes | Week 12, -45 minutes | Week 12, -15 minutes | Week 12, 5 minutes | Week 12, 15 minutes | Week 12, 30 minutes | Week 12, 1 hour | Week 12, 2 hours | Week 12, 4 hours | Week 12, 8 hours | Week 12, 11 hours 55 minutes | Week 12, 12 hours 5 minutes | Week 12, 12 hours 15 minutes | Week 12, 12 hours 30 minutes | Week 12, 13 hours | Week 12, 14 hours | Week 12, 16 hours | Week 12, 20 hours | Week 12, 23 hours 15 minutes | Week 12, 23 hours 45 minutes |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.1134 | 0.1448 | 0.1630 | 0.1742 | 0.1723 | 0.1487 | 0.0908 | 0.0521 | 0.1422 | 0.1702 | 0.1819 | 0.2111 | 0.1750 | 0.1914 | 0.2421 | 0.2681 | 0.2819 | 0.2919 | 0.2740 | 0.2316 | 0.1631 | 0.1320 | 0.1974 | 0.2107 | 0.2296 | 0.2341 | 0.2308 | 0.1705 | 0.1078 | 0.1573 | 0.1798 |
,First Umeclidinium/Vilanterol, Then QVA149 | 0.1117 | 0.1591 | 0.1836 | 0.2000 | 0.2138 | 0.2168 | 0.1781 | 0.1537 | 0.1573 | 0.1821 | 0.2071 | 0.2343 | 0.1957 | 0.2112 | 0.2563 | 0.2865 | 0.2940 | 0.3053 | 0.2994 | 0.2823 | 0.2201 | 0.1812 | 0.1893 | 0.1959 | 0.1934 | 0.1953 | 0.1966 | 0.1582 | 0.1158 | 0.1648 | 0.1892 |
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QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time Point
FEV1 was measured with spirometry conducted according to internationally accepted standards. (NCT02487498)
Timeframe: Day 1 (5min, 15min, 30 min, hours 1, 2, 4, 8, 11h 55min, 23h 15min, 23h 45min); week 6 (-45min, -15min); week 12 (-45min, -15min, 5min, 15min, 30min, hours 1, 2, 4, 8, 11h 55min, 12h 5min, 12h 15min, 12h 30min, 13, 14, 16, 20, 23h 15min, 23h 45min)
Intervention | Liters (Least Squares Mean) |
---|
| Day 1, 5 minutes | Day 1, 15 minutes | Day 1, 30 minutes | Day 1, 1 hour | Day 1, 2 hours | Day 1, 4 hours | Day 1, 8 hours | Day 1, 11 hours 55 minutes | Day 1, 23 hours 15 minutes | Day 1, 23 hours 45 minutes | Week 6, -45 minutes | Week 6, -15 minutes | Week 12, -45 minutes | Week 12, -15 minutes | Week 12, 5 minutes | Week 12, 15 minutes | Week 12, 30 minutes | Week 12, 1 hour | Week 12, 2 hours | Week 12, 4 hours | Week 12, 8 hours | Week 12, 11 hours 55 minutes | Week 12, 12 hours 5 minutes | Week 12, 12 hours 15 minutes | Week 12, 12 hours 30 minutes | Week 12, 13 hours | Week 12, 14 hours | Week 12, 16 hours | Week 12, 20 hours | Week 12, 23 hours 15 minutes | Week 12, 23 hours 45 minutes |
---|
First QVA149, Then Umeclidinium/Vilanterol | 0.1994 | 0.2454 | 0.2734 | 0.2841 | 0.2708 | 0.2333 | 0.1728 | 0.1291 | 0.2387 | 0.2821 | 0.2666 | 0.2860 | 0.2264 | 0.2468 | 0.3386 | 0.3616 | 0.3796 | 0.3935 | 0.3708 | 0.3261 | 0.2259 | 0.1900 | 0.2817 | 0.3010 | 0.3279 | 0.3381 | 0.3445 | 0.2496 | 0.1600 | 0.2026 | 0.2415 |
,First Umeclidinium/Vilanterol, Then QVA149 | 0.2054 | 0.2589 | 0.3028 | 0.3136 | 0.3334 | 0.3405 | 0.3067 | 0.2654 | 0.2363 | 0.2940 | 0.3045 | 0.3372 | 0.2737 | 0.2844 | 0.3489 | 0.3811 | 0.4019 | 0.4085 | 0.4050 | 0.3845 | 0.3152 | 0.2749 | 0.2711 | 0.2762 | 0.2786 | 0.2909 | 0.2984 | 0.2514 | 0.1845 | 0.2251 | 0.2662 |
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Apparent Volume of Distribution (Vz/F) After Extravascular Dose Administration of Seebri Breezhaler and SUN-101
"calculated as Dose/(AUC0-∞* λz), where F = Bioavailability. If AUC0-∞ is missing, then Vz/F is considered as missing.~Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr" (NCT02512302)
Timeframe: up to week 5
Intervention | liters (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 1263.63 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 1668.59 |
Seebri® Breezhaler® | 1305.30 |
Seebri® Breezhaler® With Activated Charcoal | 1708.81 |
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Area Under the Curve From Time Zero to 24 Hours (AUC0_24)
Area under the drug concentration-time curve from time zero to 24 hours postdose pk parameteres are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr (NCT02512302)
Timeframe: Up to Week 5
Intervention | hr*pg/mL (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 172.23 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 159.12 |
Seebri® Breezhaler® | 472.35 |
Seebri® Breezhaler® With Activated Charcoal | 428.52 |
: Glycopyrrolate Injection | 1961.79 |
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Area Under the Curve Zero to 48 Hours (AUC0_48) for Seebri Breezhaler and Sun-101 AUC0-48, CL/F, Vz/F, Tmax, t½, and Dose Normalized Cmax, AUC0-24, AUC0-48, AUC0-∞ - AUC0-∞ -
Area under the drug concentration-time curve from time zero to 48 hours postdose Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr. (NCT02512302)
Timeframe: Up to Week 5
Intervention | hr*pg/mL (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 182.59 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 179.78 |
Seebri® Breezhaler® | 524.18 |
Seebri® Breezhaler® With Activated Charcoal | 485.99 |
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Clearance (CL) for IV Infusion of 50 mcg of Glycopyrrolate
"calculated as Dose/AUC0-inf after the IV dose administration. If AUC0-inf is missing, then CL was considered as missing.~Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr." (NCT02512302)
Timeframe: Up to Week 5
Intervention | Liters/hr (Geometric Mean) |
---|
: Glycopyrrolate Injection | 19.60 |
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Cmax
maximum observed concentration-Cmax is calculated from plasma concentrations analyzed from blood samples collected between 0 and 48 hr. (NCT02512302)
Timeframe: Up to Week 5
Intervention | Pg/mL (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 53.75 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 49.27 |
Seebri® Breezhaler® | 166.79 |
Seebri® Breezhaler® With Activated Charcoal | 148.03 |
: Glycopyrrolate Injection | 3787.47 |
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Time of Occurrence of Cmax (Tmax) for IV Infusion of 50 mcg of Glycopyrrolate
The time 0 is based on start of the infusion. Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr. (NCT02512302)
Timeframe: Up to Week 5
Intervention | hr (Median) |
---|
: Glycopyrrolate Injection | 0.100 |
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Dose Normalized Area Under the Curve Zero From Zero to Infinity (AUC0_inf) for Seebri and SUN-101
"Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.~Area under the drug concentration-time curve from zero to infinity, calculated by summing AUC0-last and the AUC extrapolated from tlast to infinity multiplied by the dose normalization factor: dose normalization factor* (AUC0-∞ = AUC0-last+ Clast / (NCT02512302)
Timeframe: λz
Intervention | λz ( ) Clast / ) |
---|
SUN-101 Via eFlow Nebulizer | λz |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | λz |
Seebri® Breezhaler® | λz |
Seebri® Breezhaler® With Activated Charcoal | λz |
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Dose Normalized Area Under the Curve Zero to 48 Hours (AUC0_48) for Seebri and SUN-101
"Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.~Area under the drug concentration-time curve from time zero to 48 hours postdose multiplied by the dose normalization factor. The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50 mcg, the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9." (NCT02512302)
Timeframe: up to week 5
Intervention | hr*pg/mL (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 290.32 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 285.85 |
Seebri® Breezhaler® | 471.76 |
Seebri® Breezhaler® With Activated Charcoal | 437.39 |
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Dose Normalized Cmax for Seebri and SUN-101.
"Maximum observed concentration multiplied by the dose normalization factor. Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.~The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50 mcg, the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9." (NCT02512302)
Timeframe: up to week 5
Intervention | Pg/mL (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 85.46 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 78.33 |
Seebri® Breezhaler® | 150.11 |
Seebri® Breezhaler® With Activated Charcoal | 133.22 |
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Area Under the Curve From Time Zero to Infinity (AUC0_infinity)
"calculated by summing AUC0-last and the AUC extrapolated from tlast to infinity: AUC0-∞ = AUC0-last+ Clast / (NCT02512302)
Timeframe: λz
Intervention | λz ( Clast / ) |
---|
SUN-101 Via eFlow Nebulizer | λz |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | λz |
Seebri® Breezhaler® | λz |
Seebri® Breezhaler® With Activated Charcoal | λz |
: Glycopyrrolate Injection | λz |
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Dose Normalized Area Under the Curve Zero to 24 Hours (AUC0_24) for Seebri and SUN-101
"Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.~Area under the drug concentration-time curve from time zero to 24 hours postdose multiplied by the dose normalization factor. The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50 mcg, the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9." (NCT02512302)
Timeframe: up to week 5
Intervention | hr*pg/mL (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 273.85 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 253.00 |
Seebri® Breezhaler® | 425.12 |
Seebri® Breezhaler® With Activated Charcoal | 385.67 |
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The Percentage of Subjects With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs Leading to Discontinuation
An adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date. (NCT02512302)
Timeframe: Up to Week 5
Intervention | percentage of participants (Number) |
---|
| Adverse Events | Serious Adverse Events | Adverse events leading to discontinuation |
---|
: Glycopyrrolate Injection | 25.9 | 0 | 0 |
,Seebri® Breezhaler® | 25.0 | 0 | 0 |
,Seebri® Breezhaler® With Activated Charcoal | 40.7 | 0 | 3.7 |
,SUN-101 Via eFlow Nebulizer | 20.7 | 0 | 3.4 |
,SUN-101 Via eFlow Nebulizer With Activated Charcoal | 31.0 | 0 | 3.4 |
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The Number of Subjects With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs Leading to Discontinuation
An adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date. (NCT02512302)
Timeframe: Up to Week 5
Intervention | participants (Number) |
---|
| Adverse Events | Serious Adverse Events | Adverse events leading to discontinuation |
---|
: Glycopyrrolate Injection | 7 | 0 | 0 |
,Seebri® Breezhaler® | 7 | 0 | 0 |
,Seebri® Breezhaler® With Activated Charcoal | 11 | 0 | 1 |
,SUN-101 Via eFlow Nebulizer | 6 | 0 | 1 |
,SUN-101 Via eFlow Nebulizer With Activated Charcoal | 9 | 0 | 1 |
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Time of Occurrence of Cmax (Tmax) for Seebri Breezhaler and SUN-101
The time 0 is based on start of the inhalation. Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr. (NCT02512302)
Timeframe: up to week 5
Intervention | hr (Median) |
---|
SUN-101 Via eFlow Nebulizer | 0.317 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 0.250 |
Seebri® Breezhaler® | 0.250 |
Seebri® Breezhaler® With Activated Charcoal | 0.250 |
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Volume of Distribution During the Elimination Phase (Vz) for IV Infusion of 50 mcg of Glycopyrrolate
calculated as Dose/(AUC0-inf*λz). Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr. (NCT02512302)
Timeframe: Up to Week 5
Intervention | Liters (Geometric Mean) |
---|
: Glycopyrrolate Injection | 113.06 |
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Terminal Half Life (t1/2) for for Seebri Breezhaler and SUN-101
"calculated as ln(2) / λz . At least 3 data points at the terminal elimination phase were required to determine t½.~Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr." (NCT02512302)
Timeframe: up to week 5
Intervention | hr (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 6.554 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 5.191 |
Seebri® Breezhaler® | 10.378 |
Seebri® Breezhaler® With Activated Charcoal | 14.866 |
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Terminal Half Life (t1/2) for IV Infusion of 50 mcg of Glycopyrrolate
"calculated as ln(2) / λz . At least 3 data points at the terminal elimination phase were required to determine t½.~Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr." (NCT02512302)
Timeframe: Up to Week 5
Intervention | hr (Geometric Mean) |
---|
: Glycopyrrolate Injection | 3.998 |
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Apparent Clearance Calculated as Dose/AUC0-INF After Extravascular Dose Administration of Seebri Breezhaler and SUN-101
"calculated as Dose/AUC0-∞ after extravascular dose administration, where F = Bioavailability. If AUC0-∞ is missing, then CL/F is considered as missing.~Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr." (NCT02512302)
Timeframe: up to week 5
Intervention | L/hr (Geometric Mean) |
---|
SUN-101 Via eFlow Nebulizer | 213.47 |
SUN-101 Via eFlow Nebulizer With Activated Charcoal | 297.91 |
Seebri® Breezhaler® | 103.70 |
Seebri® Breezhaler® With Activated Charcoal | 110.35 |
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Central Command Regulation of Heart Rate
Heart rate response to static hand grip immediately followed by supra-systolic arm occlusion and release will determine adequacy on central command control over heart rate response during exercise. (NCT02524145)
Timeframe: 1 day; primary outcome was complete for each subject in 1 day
Intervention | beats per minute (Mean) |
---|
Healthy Seniors | 93 |
HFpEF | 89 |
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Cardiac Beta-receptor Sensitivity
Cardiac beta-receptor sensitivity will be measured by calculating slope of heart rate versus isoproterenol serum level. (NCT02524145)
Timeframe: 1 day; primary outcome was complete for each subject in 1 day
Intervention | beats per ng/kg/min ISO (Mean) |
---|
Healthy Seniors | 0.254 |
HFpEF | 0.156 |
Healthy Young | 0.365 |
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Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4
(NCT02530281)
Timeframe: From Baseline to Week 4
Intervention | percent of subjects (Number) |
---|
Glycopyrronium | 72.4 |
Vehicle | 53.2 |
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Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4
"Hyperhidrosis Disease Severity Scale (HDSS) is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities.~1 (Best), 2, 3, 4 (Worst)" (NCT02530281)
Timeframe: From Baseline to Week 4
Intervention | percent of subjects (Number) |
---|
Glycopyrronium | 56.5 |
Vehicle | 23.7 |
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Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4, Excluding Centers With Outlier Data
(NCT02530281)
Timeframe: Baseline - Week 4
Intervention | mg/5 min (Least Squares Mean) |
---|
Glycopyrronium | -100.56 |
Vehicle | -88.08 |
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Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4
Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min. (NCT02530281)
Timeframe: From Baseline to Week 4
Intervention | mg/5 min (Least Squares Mean) |
---|
Glycopyrronium | -102.00 |
Vehicle | -100.34 |
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Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of ASDD Item #2 From Baseline at Week 4
"The Axillary Sweating Daily Diary (ASDD) is a 4-item instrument designed to measure the severity of axillary hyperhidrosis and its impact on daily activities. The 4 Items are:~During the past 24 hours, did you have any underarm sweating? (Yes or No)~During the past 24 hours, how would you rate your underarm sweating at its worst? (0=No sweating at all, 1, 2,…, 10=Worst possible sweating)~During the past 24 hours, to what extent did your underarm sweating impact your activities? (0=Not at all, 1=A little bit, 2=A moderate amount, 3=A great deal and 4=An extreme amount)~During the past 24 hours, how bothered were you by your underarm sweating? (0=Not at all bothered, 1=A little bothered, 2=Moderately bothered, 3=Very bothered, 4=Extremely bothered)" (NCT02530281)
Timeframe: From Baseline to Week 4
Intervention | percent of subjects (Number) |
---|
Glycopyrronium | 52.8 |
Vehicle | 28.3 |
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Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4
Hyperhidrosis Disease Severity Scale (HDSS) is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities. (NCT02530294)
Timeframe: From Baseline to Week 4
Intervention | percent of subjects (Number) |
---|
Glycopyrronium | 61.6 |
Vehicle | 27.8 |
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Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of Axillary Sweating Daily Diary (ASDD) Item #2 From Baseline at Week 4
"The Axillary Sweating Daily Diary (ASDD) is a 4-item instrument designed to measure the severity of axillary hyperhidrosis and its impact on daily activities. The 4 Items are:~During the past 24 hours, did you have any underarm sweating? (Yes or No)~During the past 24 hours, how would you rate your underarm sweating at its worst? (0=No sweating at all, 1, 2,…, 10=Worst possible sweating)~During the past 24 hours, to what extent did your underarm sweating impact your activities? (0=Not at all, 1=A little bit, 2=A moderate amount, 3=A great deal and 4=An extreme amount)~During the past 24 hours, how bothered were you by your underarm sweating? (0=Not at all bothered, 1=A little bothered, 2=Moderately bothered, 3=Very bothered, 4=Extremely bothered)" (NCT02530294)
Timeframe: From Baseline to Week 4
Intervention | percent of subjects (Number) |
---|
Glycopyrronium | 66.1 |
Vehicle | 26.9 |
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Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4
(NCT02530294)
Timeframe: From Baseline to Week 4
Intervention | percent of subjects (Number) |
---|
Glycopyrronium | 77.3 |
Vehicle | 53.3 |
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Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4
Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min. (NCT02530294)
Timeframe: Baseline - Week 4
Intervention | mg/5 min (Least Squares Mean) |
---|
Glycopyrronium | -115.43 |
Vehicle | -81.20 |
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Change From Baseline in Dermatology Life Quality Index (DLQI) at Week 44/ET
The Dermatology Life Quality Index DLQI is a ten question questionnaire, used to measure the impact of skin disease on the quality of life of an affected person. The scoring of each question is as follows: Very much (3), A lot (2), A little (1), Not at all (0), Not relevant (0). Is calculated by summing the score of each question resulting in a max of 30 and a min of 0. Higher the score the more Quality of life is impaired. (NCT02553798)
Timeframe: Baseline (from DRM04-HH04 (NCT02530281) or DRM04-HH05 (NCT02530294) study) - Week 44/ET
Intervention | scores on a scale (Mean) |
---|
Glycopyrronium | -8.7 |
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Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4
Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min. (NCT02553798)
Timeframe: Baseline (from DRM04-HH04 (NCT02530281) or DRM04-HH05 (NCT02530294) study) - Week 44/ET
Intervention | mg/5 min (Mean) |
---|
Glycopyrronium | -95.68 |
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Long-term Safety Assessed Through Adverse Events and Local Skin Reactions
The Total Participants at risk are based on the Safety population, defined as, Participants who were randomized and received at least one confirmed dose of study drug. (NCT02553798)
Timeframe: Day 1 - Week 44
Intervention | Adverse Events and Local Skin Reactions (Number) |
---|
| Mild AEs | Moderate AEs | Severe AEs | Mild LSRs | Moderate LSRs | Severe LSRs |
---|
Glycopyrronium | 148 | 153 | 28 | 120 | 44 | 15 |
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Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS)
Hyperhidrosis Disease Severity Scale (HDSS) is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities. (NCT02553798)
Timeframe: Baseline (from DRM04-HH04 (NCT02530281) or DRM04-HH05 (NCT02530294) study) - Week 44/ET
Intervention | participants (Number) |
---|
| 3 - point improvement | 2 - point improvement | 1 - point improvement | no improvement |
---|
Glycopyrronium | 72 | 204 | 135 | 26 |
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Baseline Transitional Dyspnea Index (TDI) Focal Score
A trained assessor interviewed the patient and graded the degree of impairment due to dyspnea (difficulty breathing). TDI focal score is based on three domains: functional impairment, magnitude of task and magnitude of effort and captures changes from baseline. TDI captures changes from baseline, each domain is scored from -3=major deterioration to 3=major improvement to give an overall TDI focal score of -9 to 9. Higher numbers indicate a better score. (NCT02566031)
Timeframe: Week 12
Intervention | Score (Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 0.77 |
Tiotropium | 0.61 |
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Daily Rescue Medication Use (Number of Puffs)
The total number of puffs of rescue medication used over the last 24 hours will be recorded in the patient diary in the morning. The total number of puffs of rescue medication per day over the full 12 weeks will be calculated and divided by the total number of days with non-missing rescue medication data to derive the mean daily number of puffs of rescue medication taken for the patient. The mean daily number of puffs of rescue medication used over 12 weeks will be summarized by treatments (NCT02566031)
Timeframe: Week 12
Intervention | Puffs/day (Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 1.7 |
Tiotropium | 1.8 |
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Trough Forced Expiratory Volume In One Second (FEV1) After 12 Weeks of Treatment
Spirometry was performed according to internationally accepted standards. Trough FEV1 is defined as the mean of 45 minute and 15 minute pre-dose values. (NCT02566031)
Timeframe: Week 12
Intervention | Liters (Mean) |
---|
Indacaterol and Glycopyrronium (QVA149) | 0.0668 |
Tiotropium | 0.0090 |
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Number of Participants With Change From Baseline on Total Score of COPD Assessment Test (CAT)
Total score of COPD Assessment Test (CAT) will be measured at week 12. This questionnaire is completed by the patient. The score ranges from 0-40 where higher scores represent worse health status. Mild: Score = 0 - 10, Moderate: Score = 11 - 20, Severe: Score = 21 - 30, Very Severe: Score = 31 - 40. The CAT total score was the sum of 8 item scores (each ranging from 0 to 5). If 1 or 2 items were missing, they were replaced with the mean of the completed items. If 3 or more items were missing, the CAT total score was set missing (NCT02566031)
Timeframe: Week 12
Intervention | Number of participants (Number) |
---|
| Mild | Moderate | Severe | Very severe | Missing |
---|
Indacaterol and Glycopyrronium (QVA149) | 62 | 92 | 15 | 0 | 8 |
,Tiotropium | 54 | 101 | 22 | 1 | 6 |
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Trough Forced Expiratory Volume In One Second (FEV1) After 4 Weeks of Treatment
Spirometry was performed according to internationally accepted standards. Trough FEV1 was defined as the mean of 45 minute and 15 minute pre-dose values. (NCT02566031)
Timeframe: mean of 45 min and 15 min pre-dose week 4
Intervention | Liters (Mean) |
---|
| -45min | -15min |
---|
Indacaterol and Glycopyrronium (QVA149) | 0.087 | 0.077 |
,Tiotropium | 0.026 | 0.024 |
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Depth and Duration of Intraoperative Hypotension - Threshold MAP 75 mmHg
Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mmHg*minute (Median) |
---|
Usual Care Group | 485 |
Hypotension Decision Support | 417 |
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Usage Frequency of Cardiovascular Drugs: Ephinephrine
Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 1215 |
Hypotension Decision Support | 409 |
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Usage Frequency of Cardiovascular Drugs: Ephedrine
Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 9310 |
Hypotension Decision Support | 2718 |
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Timing of Cardiovascular Drugs for MAP < 65 mmHg
Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | minutes (Median) |
---|
Usual Care Group | 2 |
Hypotension Decision Support | 1.14 |
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Postoperative Rise in Creatinine Levels
Absolute values for serum creatinine before and after surgery will be compared. When multiple postoperative creatinine measurements are made, the maximum difference is reported. (NCT02726620)
Timeframe: Within 7 days after surgery
Intervention | mg/dL (Median) |
---|
Usual Care Group | 0.00 |
Hypotension Decision Support | 0.00 |
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Time to Discharge Readiness at the Postanesthesia Care Unit (PACU)
The time from arriving at the postanesthesia care unit (PACU) until the time the patient is considered ready for discharge (in minutes). (NCT02726620)
Timeframe: A specific time frame on the day of surgery: from the start of admission to the PACU to discharge from the PACU, an expected average of 4 hours
Intervention | minutes (Median) |
---|
Usual Care Group | 67 |
Hypotension Decision Support | 60 |
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Timing of Cardiovascular Drugs for MAP < 50 mmHg
Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 50 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | minutes (Median) |
---|
Usual Care Group | 1 |
Hypotension Decision Support | 0 |
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Timing of Cardiovascular Drugs for MAP < 55 mmHg
Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 55 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | minutes (Median) |
---|
Usual Care Group | 1 |
Hypotension Decision Support | 0.5 |
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Timing of Cardiovascular Drugs for MAP < 60 mmHg
Cardiovascular drugs as defined under interventions. Time of first administration of cardiovascular drug relative to the time at which the mean arterial pressure (MAP) drops below 60 mmHg. Per patient the average time to first administration of all hypotensive episodes was calculated. That average time is used as the outcome variable. A negative value indicates that administration occurred before the drop in MAP. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | minutes (Median) |
---|
Usual Care Group | 0.8 |
Hypotension Decision Support | 1.5 |
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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
Average concentrations of inhalational anesthesia during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | EndTidal% (other) (Median) |
---|
| Sevoflurane (EndTidal %) | Isoflurane (EndTidal %) | Desflurane (EndTidal %) |
---|
Hypotension Decision Support | 1.27 | 0.68 | 2.31 |
,Usual Care Group | 1.35 | 0.68 | 4.10 |
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Incidence of a MAP < 50 mmHg for > 20 Minutes
Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 304 |
Hypotension Decision Support | 85 |
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Incidence of a MAP < 55 mmHg
Incidence of a mean arterial pressure (MAP) < 55 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 10991 |
Hypotension Decision Support | 3045 |
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Incidence of a MAP < 50 mmHg for > 10 Minutes
Incidence of a mean arterial pressure (MAP) < 50 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 1159 |
Hypotension Decision Support | 326 |
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Incidence of a MAP < 55 mmHg for > 10 Minutes
Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 3181 |
Hypotension Decision Support | 759 |
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Incidence of a MAP < 55 mmHg for > 20 Minutes
Incidence of a mean arterial pressure (MAP) < 55 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 1223 |
Hypotension Decision Support | 284 |
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Incidence of a MAP < 60 mmHg
Incidence of a mean arterial pressure (MAP) < 60 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 13779 |
Hypotension Decision Support | 3798 |
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Incidence of a MAP < 60 mmHg for > 10 Minutes
Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 10 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 6989 |
Hypotension Decision Support | 1723 |
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Incidence of a MAP < 60 mmHg for > 20 Minutes
Incidence of a mean arterial pressure (MAP) < 60 mmHg for a cumulative duration of all hypotensive episodes of more than 20 minutes during the anesthetic phase of the procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 3632 |
Hypotension Decision Support | 792 |
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Intraoperative Administration of Intravenous Fluids
Total amount (mL) of intravenous fluids (as defined under interventions) administered during the surgical procedure. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mL (Median) |
---|
Usual Care Group | 1500.00 |
Hypotension Decision Support | 1400.00 |
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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
Average concentrations of propofol infusion rates during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mcg/kg/min (propofol) (Median) |
---|
Usual Care Group | 65.00 |
Hypotension Decision Support | 50.00 |
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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
Average concentrations of propofol infusion rates during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mcg/kg/min (propofol) (Median) |
---|
Usual Care Group | 63.95 |
Hypotension Decision Support | 50.00 |
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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
Average concentrations of propofol infusion rates during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mcg/kg/min (propofol) (Median) |
---|
Usual Care Group | 61.07 |
Hypotension Decision Support | 50.00 |
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Intravenous Anesthetic Drug Use During Intraoperative Hypotension: MAP < 65 mmHg
Average concentrations of propofol infusion rates during MAP < 65 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mcg/kg/min (propofol) (Median) |
---|
Usual Care Group | 60.10 |
Hypotension Decision Support | 48.59 |
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Depth and Duration of Intraoperative Hypotension - Threshold MAP 55 mmHg
Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mmHg*minute (Median) |
---|
Usual Care Group | 23 |
Hypotension Decision Support | 23 |
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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 60 mmHg
Average concentrations of inhalational anesthesia during MAP < 60 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | EndTidal% (other) (Median) |
---|
| Sevoflurane (EndTidal %) | Isoflurane (EndTidal %) | Desflurane (EndTidal %) |
---|
Hypotension Decision Support | 1.25 | 0.67 | 2.33 |
,Usual Care Group | 1.35 | 0.68 | 4.36 |
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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 55 mmHg
Average concentrations of inhalational anesthesia during MAP < 55 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | EndTidal% (other) (Median) |
---|
| Sevoflurane (EndTidal %) | Isoflurane (EndTidal %) | Desflurane (EndTidal %) |
---|
Hypotension Decision Support | 1.25 | 0.67 | 4.65 |
,Usual Care Group | 1.34 | 0.68 | 4.60 |
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Incidence of a MAP < 50 mmHg
Incidence of a mean arterial pressure (MAP) < 50 mmHg during anesthesia for 1 minute or more. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 7781 |
Hypotension Decision Support | 2196 |
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In-hospital Mortality
Hospital mortality rate during a single hospital admission after the surgery (NCT02726620)
Timeframe: All postoperative days during a single hospital admission, expected median of 5 days
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 487 |
Hypotension Decision Support | 137 |
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Estimated Intraoperative Blood Loss
The estimated blood loss in mL during the surgical procedure (NCT02726620)
Timeframe: During the surgical procedure: an expected average of 2 hours
Intervention | mL (Median) |
---|
Usual Care Group | 100 |
Hypotension Decision Support | 75 |
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Depth and Duration of Intraoperative Hypotension - Threshold MAP 70 mmHg
Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mmHg*minute (Median) |
---|
Usual Care Group | 273 |
Hypotension Decision Support | 235 |
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Depth and Duration of Intraoperative Hypotension - Threshold MAP 65 mmHg
Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mmHg*minute (Median) |
---|
Usual Care Group | 96 |
Hypotension Decision Support | 86 |
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Depth and Duration of Intraoperative Hypotension - Threshold MAP 60 mmHg
Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mmHg*minute (Median) |
---|
Usual Care Group | 57 |
Hypotension Decision Support | 52 |
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Depth and Duration of Intraoperative Hypotension - Threshold MAP 50 mmHg
Depth and duration of intraoperative hypotension will be modeled by calculating areas under the threshold for mean arterial pressures (MAPs). Thresholds will vary from 75 mmHg to 50 mmHg in 5 mmHg decrements. Together these variables represent the depth and duration of intraoperative hypotension. To optimize goodness of fit of these variables, the decremental steps may be increased to 10 mmHg and more restrictive lowest and highest thresholds may be chosen for the statistical analysis. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mmHg*minute (Median) |
---|
Usual Care Group | 19 |
Hypotension Decision Support | 19 |
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Average Use of Cardiovascular Drugs: Phenylephrine
Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mg (Median) |
---|
Usual Care Group | 0.90 |
Hypotension Decision Support | 1.30 |
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Average Use of Cardiovascular Drugs: Norepinephrine
Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mg (Median) |
---|
Usual Care Group | 0.62 |
Hypotension Decision Support | 0.70 |
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Average Use of Cardiovascular Drugs: Glycopyrrolate
Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mg (Median) |
---|
Usual Care Group | 0.40 |
Hypotension Decision Support | 0.40 |
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Average Use of Cardiovascular Drugs: Epinephrine
Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosage would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mg (Median) |
---|
Usual Care Group | 1.00 |
Hypotension Decision Support | 0.70 |
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Average Use of Cardiovascular Drugs: Ephedrine
Cardiovascular drugs as defined under interventions. Average use for each drug will be calculated. Cardiovascular drugs that were given in <1% of cases are not reported, as the average dosages would be meaningless. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | mg (Median) |
---|
Usual Care Group | 20 |
Hypotension Decision Support | 15 |
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30-day Mortality
Vanderbilt University Medical Center: combination of in-hospital mortality and 'alive-index' (which checks for visits to the hospital in the electronic healthcare record as indication of being alive at 30 days) (NCT02726620)
Timeframe: 30 days after surgery
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 511 |
Hypotension Decision Support | 143 |
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Inhaled Anesthetic Drug Use During Intraoperative Hypotension: MAP < 50 mmHg
Average concentrations of inhalational anesthesia during MAP < 50 mmHg episodes (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | EndTidal% (other) (Median) |
---|
| Sevoflurane (EndTidal %) | Isoflurane (EndTidal %) | Desflurane (EndTidal %) |
---|
Hypotension Decision Support | 1.23 | 0.65 | 4.70 |
,Usual Care Group | 1.32 | 0.65 | 4.28 |
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Usage Frequency of Cardiovascular Drugs: Phenylephrine
Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 12211 |
Hypotension Decision Support | 3685 |
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Usage Frequency of Cardiovascular Drugs: Norepinephrine
Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 762 |
Hypotension Decision Support | 233 |
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Usage Frequency of Cardiovascular Drugs: Glycopyrrolate
Cardiovascular drugs as defined under interventions. Frequency of patients receiving the drug. Cardiovascular drugs that were given in <1% of cases are not reported. (NCT02726620)
Timeframe: During the anesthetic phase of the surgical procedure: an expected average of 2.5 hours
Intervention | Participants (Count of Participants) |
---|
Usual Care Group | 11093 |
Hypotension Decision Support | 1257 |
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Operating Room (OR) Turnover Time When Using Sugammadex Instead of Combination of Neostigmine and Glycopyrrolate.
(NCT02860507)
Timeframe: through start of next surgery, average of 2 hours
Intervention | Minutes (Mean) |
---|
Neostigmine + Glycopyrrolate | 49.7 |
Sugammadex | 49.45 |
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Number of Patients Who Experience Postoperative Nausea and Vomiting, Post-operative Pain, and Post-operative Complications
(NCT02860507)
Timeframe: through discharge from hospital, average of 72 hours
Intervention | Participants (Count of Participants) |
---|
Neostigmine + Glycopyrrolate | 8 |
Sugammadex | 10 |
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Treatment Failure Defined by Increase in Lower Respiratory Symptoms Necessitating Treatment With Active, Long-acting Inhaled Bronchodilator, Corticosteroids or Antibiotics
Treatment failure defined by increase in lower respiratory symptoms necessitating treatment with active, long-acting inhaled bronchodilator, corticosteroids or antibiotics (NCT02867761)
Timeframe: During study follow-up (baseline to 12 Weeks)
Intervention | Participants (Count of Participants) |
---|
Indacaterol/Glycopyrrolate | 5 |
Placebo | 9 |
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Proportion of Individuals With Both a 4 Unit Improvement in SGRQ and a 1 Unit Improvement in BDI/TDI Without Treatment Failure
Measured by units of improvement in SGRQ scores at Baseline and 12 weeks, as well as review of treatment failure status at 4 weeks and 12 weeks of treatment (treatment failure is defined by an increase in lower respiratory symptoms necessitating treatment with active, long-acting inhaled bronchodilator, corticosteroids or antibiotics). (NCT02867761)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
Indacaterol/Glycopyrrolate | 55 |
Placebo | 60 |
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Proportion of Individuals With a 2 Unit Improvement in CAT Without Treatment Failure
Proportion of individuals with a 2 unit improvement in CAT without treatment failure (NCT02867761)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
Indacaterol/Glycopyrrolate | 169 |
Placebo | 166 |
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Proportion of Individuals With a 1 Unit Improvement in the BDI/TDI Without Treatment Failure
Proportion of individuals with a 1 unit improvement in the BDI/TDI without treatment failure (NCT02867761)
Timeframe: 12 weeks
Intervention | Participants (Count of Participants) |
---|
Indacaterol/Glycopyrrolate | 80 |
Placebo | 80 |
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Proportion (Percentage) of Individuals Who Experience a 4 Unit Improvement in St. George's Respiratory Questionnaire (SGRQ) at 12 Weeks and do Not Meet Criteria for Treatment Failure During the 12 Week Treatment Period
"Measured by units of improvement in SGRQ scores at Baseline and 12 weeks, as well as review of treatment failure status at 4 weeks and 12 weeks of treatment (treatment failure is defined by an increase in lower respiratory symptoms necessitating treatment with active, long-acting inhaled bronchodilator, corticosteroids or antibiotics).~A 4 unit change is the minimum clinically important difference. SGRQ has a 0 - 100 score; 0 as low symptoms (feeling better) and 100 as high symptoms (feeling worse)." (NCT02867761)
Timeframe: Baseline and 12 weeks
Intervention | Participants (Count of Participants) |
---|
Indacaterol/Glycopyrrolate | 128 |
Placebo | 144 |
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Mean Change in COPD Assessment Test (CAT)
Value at 12 Weeks Minus Baseline. 0 - 40; 0 as low symptoms (feeling better) and 40 as high symptoms (feeling worse). (NCT02867761)
Timeframe: Baseline, 12 weeks
Intervention | score on a scale (Mean) |
---|
Indacaterol/Glycopyrrolate | -4.5 |
Placebo | -4.8 |
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Mean Change in St. George's Respiratory Questionnaire (SGRQ)
Value at 12 Weeks Minus Baseline. SGRQ has a 0 - 100 score; 0 as low symptoms (feeling better) and 100 as high symptoms (feeling worse). (NCT02867761)
Timeframe: Baseline, 12 weeks
Intervention | score on a scale (Mean) |
---|
Indacaterol/Glycopyrrolate | -7.7 |
Placebo | -8.9 |
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Symptoms and Rescue Medication Use Based on Daily Diary
Percentage of days with symptoms (shortness of breath, chest tightness, wheezing, cough, or sputum) or use of albuterol (NCT02867761)
Timeframe: During study follow-up (Baseline to 12 weeks)
Intervention | percentage of days (Mean) |
---|
Indacaterol/Glycopyrrolate | 67.0 |
Placebo | 63.6 |
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Area Under the Curve (AUC) 0-3 Hours for FEV1
FEV1 AUC0-3h was calculated as the area under the FEV1-time curve from 0 to 3h post-dose using the trapezoidal rule, divided by the duration (3h) to report in liters. (NCT02867761)
Timeframe: At 12 weeks, FEV1 is measured at 1-hour intervals for 3 hours
Intervention | liters (Mean) |
---|
Indacaterol/Glycopyrrolate | 8.09 |
Placebo | 7.82 |
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Change in FEF25-75%
FEF25-75%-Forced expiratory flow over the middle one half of the FVC; the average flow from the point at which 25 percent of the FVC has been exhaled to the point at which 75 percent of the FVC has been exhaled. (NCT02867761)
Timeframe: Baseline to 12 weeks
Intervention | Liters per second (Mean) |
---|
Indacaterol/Glycopyrrolate | 0.07 |
Placebo | -0.08 |
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Change From Baseline in 12 Hour Trough Inspiratory Capacity - Absolute Value
Change from baseline in 12 hour trough inspiratory capacity - absolute value (NCT02867761)
Timeframe: Baseline
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate | 0.12 |
Placebo | 0.02 |
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Change From Baseline in Trough FEV1 - % Predicted
Trough FEV1 at 12 week minus trough FEV1 at baseline. (NCT02867761)
Timeframe: Baseline to 12 Weeks
Intervention | percentage of predicted number (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate | 2.48 |
Placebo | -0.09 |
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Change From Baseline in Trough Forced Expiratory Volume Per 1 Second (FEV1) - Absolute Value
Trough FEV1 at 12 week minus trough FEV1 at baseline. (NCT02867761)
Timeframe: Baseline to 12 Weeks
Intervention | Liters (Least Squares Mean) |
---|
Indacaterol/Glycopyrrolate | 0.04 |
Placebo | -0.01 |
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Mean Change in Baseline Dyspnea Index (BDI)/Transition Dyspnea Index (TDI)
Value at 12 Weeks Minus Baseline. (NCT02867761)
Timeframe: 12 Weeks
Intervention | ratio (Mean) |
---|
Indacaterol/Glycopyrrolate | 0.93 |
Placebo | 0.92 |
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Number of Participants Who Reported Nausea
Did the subject report nausea? The subject will respond with yes or no. (NCT02872935)
Timeframe: From the administration of the spinal anesthesia to delivery of baby - Total time 90minutes
Intervention | Participants (Count of Participants) |
---|
Placebo: Normal Saline | 8 |
Glycopyrrolate Group | 7 |
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Number of Participants Who Experienced Vomiting.
This measure is observed by care team. Reported as vomiting, yes or no. (NCT02872935)
Timeframe: From the administration of the spinal anesthesia to delivery of baby; Total time 90minutes
Intervention | Participants (Count of Participants) |
---|
Placebo: Normal Saline | 4 |
Glycopyrrolate Group | 2 |
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Number of Subjects With Clinically Significant ECG Parameters Reported During the Study
ECGs were recorded at screening and at each study treatment visit pre-dose (within 30 minutes prior to dose); post-dose at 30 minutes and 1, 2, 4, 8, 12 and 24 hours; and then at the post study assessment. (NCT02948582)
Timeframe: 0 to 24h
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 0 |
Glycopyrrolate Inhalation Solution 50μg | 0 |
Glycopyrrolate Inhalation Solution 100μg | 0 |
Glycopyrrolate Inhalation Solution 200μg | 0 |
Glycopyrrolate Inhalation Solution 400μg | 0 |
Placebo 0.5mL | 0 |
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Percentage of Subjects With Treatment Emergent AEs
AE's are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment (NCT02948582)
Timeframe: Day 69 (includes dosing Day 1, washout Day 12, safety follow up Day 69)
Intervention | percentage of participants (Number) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 41.0 |
Glycopyrrolate Inhalation Solution 50μg | 36.8 |
Glycopyrrolate Inhalation Solution 100μg | 45.9 |
Glycopyrrolate Inhalation Solution 200μg | 40.5 |
Glycopyrrolate Inhalation Solution 400μg | 35.1 |
Placebo 0.5mL | 37.8 |
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t1/2; Plasma Half-life
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02948582)
Timeframe: 0 to 12 hour
Intervention | hours (Geometric Mean) |
---|
Glycopyrrolate Inhalation Solution 50μg | 0.8949 |
Glycopyrrolate Inhalation Solution 100μg | 3.0137 |
Glycopyrrolate Inhalation Solution 200μg | 3.1663 |
Glycopyrrolate Inhalation Solution 400μg | 4.1238 |
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Tmax; Time to Maximum Observed Plasma Concentration
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02948582)
Timeframe: 0 to 12 hours
Intervention | hours (Median) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 0.165 |
Glycopyrrolate Inhalation Solution 50μg | 0.320 |
Glycopyrrolate Inhalation Solution 100μg | 0.260 |
Glycopyrrolate Inhalation Solution 200μg | 0.275 |
Glycopyrrolate Inhalation Solution 400μg | 0.180 |
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Trough FEV1 (Change From Baseline)
"Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.~Trough FEV1 was defined as the mean of FEV1 values obtained at 23 hours 30 minutes and 24 hours post-dose of each Treatment Visit." (NCT02948582)
Timeframe: 24hr post dose
Intervention | liters (Mean) |
---|
Glycopyrrolate Inhalation Solution12.5μg | -0.093 |
Glycopyrrolate Inhalation Solution 50μg | 0.0114 |
Glycopyrrolate Inhalation Solution 100μg | 0.0447 |
Glycopyrrolate Inhalation Solution 200μg | 0.0542 |
Glycopyrrolate Inhalation Solution 400μg | 0.0292 |
Placebo 0.5mL | -0.0612 |
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Number of Subjects Who Died, Number of Subjects With Treatment Emergent SAEs, Number of Subjects Who Discontinued Due to AE
AE's are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment (NCT02948582)
Timeframe: Day 69 (includes dosing Day 1, washout Day 12, safety follow up Day 69)
Intervention | participants (Number) |
---|
| subjects who died | subjects with treatment emergent SAEs | Subjects whodiscontinued due to an AE | subjects with treatment emergent AEs |
---|
Glycopyrrolate Inhalation Solution 100μg | 0 | 1 | 2 | 17 |
,Glycopyrrolate Inhalation Solution 200μg | 0 | 0 | 0 | 15 |
,Glycopyrrolate Inhalation Solution 400μg | 0 | 0 | 0 | 13 |
,Glycopyrrolate Inhalation Solution 50μg | 0 | 0 | 2 | 14 |
,Glycopyrrolate Inhalation Solution12.5μg | 0 | 0 | 2 | 16 |
,Placebo 0.5mL | 0 | 0 | 0 | 14 |
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Peak FEV1 (Change From Baseline and Percent Change)
spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. . The peak FEV1 was defined as the highest post-dose FEV1 value within 4 hrs after the dose. Percent change from baseline was calculated as 100 times the difference of peak FEV1 minus baseline FEV1 divided by baseline FEV1. (NCT02948582)
Timeframe: 0-4h post dose
Intervention | liters (Mean) |
---|
| Change from baseline | percent change from baseline |
---|
Glycopyrrolate Inhalation Solution 100μg | 0.260 | 24.14 |
,Glycopyrrolate Inhalation Solution 200μg | 0.292 | 26.73 |
,Glycopyrrolate Inhalation Solution 400μg | 0.272 | 25.44 |
,Glycopyrrolate Inhalation Solution 50μg | 0.229 | 21.05 |
,Glycopyrrolate Inhalation Solution12.5μg | 0.165 | 15.30 |
,Placebo 0.5mL | 0.061 | 5.24 |
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Standardized FEV1 AUC0-24 Area Under the FEV1 Curve From 0 to 24 Hours Post-dose (Actual and Change Baseline)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. . The standardized actual FEV1 AUC(0-24) was calculated using the trapezoidal rule divided by the actual hours from the first FEV1 to the last FEV1 in the interval. Standardized change from baseline FEV1 AUC(0-24) was also calculated similarly, using the change from pre-dose FEV1. (NCT02948582)
Timeframe: 0 to 24h
Intervention | liters (Mean) |
---|
| Actual standardized FEV1 AUC0_12 | change from baseline standardized FEV1 AUC0_12 |
---|
Glycopyrrolate Inhalation Solution 100μg | 1.281 | 0.082 |
,Glycopyrrolate Inhalation Solution 200μg | 1.313 | 0.123 |
,Glycopyrrolate Inhalation Solution 400μg | 1.325 | 0.105 |
,Glycopyrrolate Inhalation Solution 50μg | 1.257 | 0.072 |
,Glycopyrrolate Inhalation Solution12.5μg | 1.212 | 0.009 |
,Placebo 0.5mL | 1.151 | -0.053 |
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AUC0-inf Area Under the Plasma Concentration-time Curve From Time Zero to Infinity
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02948582)
Timeframe: 0 to 12 hour
Intervention | pg.h/ml (Geometric Mean) |
---|
Glycopyrrolate Inhalation Solution 50μg | 246.84 |
Glycopyrrolate Inhalation Solution 100μg | 634.65 |
Glycopyrrolate Inhalation Solution 200μg | 772.59 |
Glycopyrrolate Inhalation Solution 400μg | 1367.76 |
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Standardized FEV1AUC12-24 Area Under the FEV1 Curve From 12 to 24 Hours Post- Dose (Actual and Change From Baseline).
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. The standardized actual FEV1 AUC(12-24) was calculated using the trapezoidal rule divided by the actual hours from the first FEV1 to the last FEV1 in the interval. Standardized change from baseline FEV1 AUC(12-24) was also calculated similarly, using the change from pre-dose FEV1. (NCT02948582)
Timeframe: 12-24h post dose
Intervention | liters (Mean) |
---|
| acutal standardized FEV1 AUC0_12 | change from baseline standardized FEV1 AUC0_12 |
---|
Glycopyrrolate Inhalation Solution 100μg | 1.227 | 0.028 |
,Glycopyrrolate Inhalation Solution 200μg | 1.253 | 0.063 |
,Glycopyrrolate Inhalation Solution 400μg | 1.259 | 0.039 |
,Glycopyrrolate Inhalation Solution 50μg | 1.203 | 0.018 |
,Glycopyrrolate Inhalation Solution12.5μg | 1.165 | -0.038 |
,Placebo 0.5mL | 1.123 | -0.082 |
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Standardized FEV1AUC0-12 Area Under the FEV1 Curve From 0 to 12 Hours Post-dose ( Actual and Change From Baseline).
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines.. The standardized actual FEV1 AUC(0-12) was calculated using the trapezoidal rule divided by the actual hours from the first FEV1 to the last FEV1 in the interval. Standardized change from baseline FEV1 AUC(0-12) was also calculated similarly, using the change from pre-dose FEV1. (NCT02948582)
Timeframe: 0-12h post dose
Intervention | liters (Mean) |
---|
| actual standardized FEV1 AUC0_12 | change from baseline standardized FEV1 AUC0_12 |
---|
Glycopyrrolate Inhalation Solution 100μg | 1.335 | 0.136 |
,Glycopyrrolate Inhalation Solution 200μg | 1.374 | 0.184 |
,Glycopyrrolate Inhalation Solution 400μg | 1.390 | 0.170 |
,Glycopyrrolate Inhalation Solution 50μg | 1.311 | 0.126 |
,Glycopyrrolate Inhalation Solution12.5μg | 1.259 | 0.055 |
,Placebo 0.5mL | 1.180 | -0.024 |
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Number of Subjects With Clinically Significant Abnormal Vital Signs Reported During the Study
Vital signs were measured at screening and at each Treatment Visit pre-dose (within 30 minutes prior to dose); post-dose at 30 minutes and 1, 2, 4, 8, 12 and 24 hours; and then at the post study assessment. (NCT02948582)
Timeframe: 0-24 h
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 0 |
Glycopyrrolate Inhalation Solution 50μg | 0 |
Glycopyrrolate Inhalation Solution 100μg | 0 |
Glycopyrrolate Inhalation Solution 200μg | 0 |
Glycopyrrolate Inhalation Solution 400μg | 0 |
Placebo 0.5mL | 0 |
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Number of Clinically Significant Abnormal Laboratory Results Reported During the Study
Clinical safety lab parameters were collected at screening and at the post study assessment. Any laboratory values that were out of range of normal reference values were evaluated by the Investigators. (NCT02948582)
Timeframe: Day -14, Day 69
Intervention | number of events (Number) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 0 |
Glycopyrrolate Inhalation Solution 50μg | 0 |
Glycopyrrolate Inhalation Solution 100μg | 0 |
Glycopyrrolate Inhalation Solution 200μg | 0 |
Glycopyrrolate Inhalation Solution 400μg | 0 |
Placebo 0.5mL | 0 |
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Cmax; Maximum Observed Plasma Concentration
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02948582)
Timeframe: 0 to 12 hour
Intervention | pg/mL (Geometric Mean) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 59.25 |
Glycopyrrolate Inhalation Solution 50μg | 74.48 |
Glycopyrrolate Inhalation Solution 100μg | 144.58 |
Glycopyrrolate Inhalation Solution 200μg | 316.05 |
Glycopyrrolate Inhalation Solution 400μg | 504.93 |
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AUC0-t; Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Measurable Drug Concentration.
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02948582)
Timeframe: 0 to 12 hour
Intervention | pg.h/ml (Geometric Mean) |
---|
Glycopyrrolate Inhalation Solution12.5μg | 135.87 |
Glycopyrrolate Inhalation Solution 50μg | 67.18 |
Glycopyrrolate Inhalation Solution 100μg | 237.80 |
Glycopyrrolate Inhalation Solution 200μg | 677.24 |
Glycopyrrolate Inhalation Solution 400μg | 1481.36 |
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Number of Subjects With Treatment Emergent AEs
AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment. SAEs are AEs that result in the following outcomes: death, are life-threatening, persistent or significant disability/incapacity, congenital anomaly/birth defect, or important medical events that may have been considered a SAE when, based upon appropriate medical judgment, they may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed in the definition. (NCT02951312)
Timeframe: 0-47 days
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 2 |
Glycopyrrolate Inhalation Solution 75mg | 2 |
Glycopyrrolate Inhalation Solution 200mg | 4 |
Glycopyrrolate Inhalation Solution 200mg Jet | 2 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 2 |
Placebo 0.5 mL | 1 |
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Number of Subjects Who Discontinued Due to AE
AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment. (NCT02951312)
Timeframe: 0-47 days
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Number of Subjects With Clinically Significant Abnormal Laboratory Results Reported During the Study
Clinical safety lab parameters were collected at screening and at the post study follow-up assessment. The clinical significance of each out of normal range laboratory parameter was determined by the investigator during the study. (NCT02951312)
Timeframe: day 47 (post studyfollow-up assessment)
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Number of Subjects With Clinically Significant Abnormal Laboratory Results Reported During the Study
Clinical safety lab parameters were collected at screening and at the post study follow-up assessment. The clinical significance of each out of normal range laboratory parameter was determined by the investigator during the study. (NCT02951312)
Timeframe: post study follow-up assessment (Day 47)
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Number of Subjects With Clinically Significant Abnormal Vital Signs Reported During the Study
Vital signs were measured at screening, during the study (pre-dose, and 30 and 60 minutes and 2, 4, 8, 12, 24 and 30 hours post-dose) and at post study assessment. The clinical significance of each out of normal range vital sign parameter was determined by the investigator during the study. (NCT02951312)
Timeframe: 30 hrs post dose
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Number of Subjects With Clinically Significant ECG Parameters Reported During the Study
ECGs were measured at screening, during the study (pre-dose, and 30 and 60 minutes and 2, 4, 8, 12, 24 and 30 hours post-dose) and at post study follow-up assessment. (NCT02951312)
Timeframe: 30hr post dose
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Number of Subjects Who Died
(NCT02951312)
Timeframe: 0-47 days
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Peak FEV1 (Change From Baseline )
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. (NCT02951312)
Timeframe: 0 to 4hr
Intervention | liters (Mean) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0.212 |
Glycopyrrolate Inhalation Solution 75mg | 0.255 |
Glycopyrrolate Inhalation Solution 200mg | 0.303 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0.233 |
Glycopyrrolate Inhalation Solution 500mg | 0.177 |
Glycopyrrolate Inhalation Solution1000mg | 0.283 |
Placebo 0.5 mL | 0.120 |
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Number of Subjects With Treatment Emergent SAEs
AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment.AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment. SAEs are AEs that result in the following outcomes: death, are life-threatening, persistent or significant disability/incapacity, congenital anomaly/birth defect, or important medical events that may have been considered a SAE when, based upon appropriate medical judgment, they may have jeopardized the subject and may have required medical or surgical intervention to prevent one of the outcomes listed in the definition. (NCT02951312)
Timeframe: 0-47 days
Intervention | Participants (Count of Participants) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0 |
Glycopyrrolate Inhalation Solution 75mg | 0 |
Glycopyrrolate Inhalation Solution 200mg | 0 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0 |
Glycopyrrolate Inhalation Solution 500mg | 0 |
Glycopyrrolate Inhalation Solution1000mg | 0 |
Placebo 0.5 mL | 0 |
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Peak FEV1 (Percent Change)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. (NCT02951312)
Timeframe: 0 to 4hr
Intervention | percent change (Mean) |
---|
Glycopyrrolate Inhalation Solution 25mg | 17.12 |
Glycopyrrolate Inhalation Solution 75mg | 15.60 |
Glycopyrrolate Inhalation Solution 200mg | 22.98 |
Glycopyrrolate Inhalation Solution 200mg Jet | 19.28 |
Glycopyrrolate Inhalation Solution 500mg | 11.47 |
Glycopyrrolate Inhalation Solution1000mg | 16.87 |
Placebo 0.5 mL | 6.80 |
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Percentage of Subjects With Treatment Emergent AEs
AEs are defined as existing conditions which worsen or events which occur during the course of the clinical trial after treatment. (NCT02951312)
Timeframe: 0-47 days
Intervention | percentage of participants (Number) |
---|
Glycopyrrolate Inhalation Solution 25mg | 33.3 |
Glycopyrrolate Inhalation Solution 75mg | 33.3 |
Glycopyrrolate Inhalation Solution 200mg | 66.7 |
Glycopyrrolate Inhalation Solution 200mg Jet | 33.3 |
Glycopyrrolate Inhalation Solution 500mg | 0.0 |
Glycopyrrolate Inhalation Solution1000mg | 33.3 |
Placebo 0.5 mL | 16.7 |
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t1/2 Plasma Half-life
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr. (NCT02951312)
Timeframe: 0 to 12 hours post-dose
Intervention | hour (Mean) |
---|
Glycopyrrolate Inhalation Solution 200mg | 2.947 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0.778 |
Glycopyrrolate Inhalation Solution 500mg | 6.298 |
Glycopyrrolate Inhalation Solution1000mg | 7.573 |
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Tmax Time to Maximum Observed Plasma Concentration
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02951312)
Timeframe: 0 to 12 hours post dose
Intervention | hours (Mean) |
---|
Glycopyrrolate Inhalation Solution 200mg | .025 |
Glycopyrrolate Inhalation Solution 200mg Jet | 0.08 |
Glycopyrrolate Inhalation Solution 500mg | 0.25 |
Glycopyrrolate Inhalation Solution1000mg | 0.17 |
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Trough FEV1 (Change From Baseline)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. Trough FEV1 was defined as the spirometry value collected at 24 hours post dose within each Treatment Period. (NCT02951312)
Timeframe: 24hr post dose
Intervention | liters (Mean) |
---|
Glycopyrrolate Inhalation Solution 25mg | 0.038 |
Glycopyrrolate Inhalation Solution 75mg | 0.087 |
Glycopyrrolate Inhalation Solution 200mg | 0.138 |
Glycopyrrolate Inhalation Solution 200mg Jet | -0.013 |
Glycopyrrolate Inhalation Solution 500mg | -0.017 |
Glycopyrrolate Inhalation Solution1000mg | 0.065 |
Placebo 0.5 mL | -0.030 |
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FEV1 AUC0-24 Area Under the FEV1 Over Time Curve (Change From Baseline)
Spirometry measurements were conducted in accordance with the current ATS/ERS 2005 guidelines. (NCT02951312)
Timeframe: 0 to 24hr post dose
Intervention | liters (Mean) |
---|
Glycopyrrolate Inhalation Solution 25mg | 1.59 |
Glycopyrrolate Inhalation Solution 75mg | 3.10 |
Glycopyrrolate Inhalation Solution 200mg | 3.19 |
Glycopyrrolate Inhalation Solution 200mg Jet | 1.35 |
Glycopyrrolate Inhalation Solution 500mg | 1.53 |
Glycopyrrolate Inhalation Solution1000mg | 3.08 |
Placebo 0.5 mL | -0.11 |
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Cmax Maximum Observed Plasma Concentration
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02951312)
Timeframe: 0 to 12 hours post dose
Intervention | pg/mL (Mean) |
---|
Glycopyrrolate Inhalation Solution 200mg | 177.242 |
Glycopyrrolate Inhalation Solution 200mg Jet | 75.530 |
Glycopyrrolate Inhalation Solution 500mg | 749.872 |
Glycopyrrolate Inhalation Solution1000mg | 1534.057 |
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AUC0-t Area Under the Plasma Concentration-time Curve From Time Zero to the Last Quantifiable Concentration
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02951312)
Timeframe: 0 to 12 hourr post dose
Intervention | pg*h/mL (Mean) |
---|
Glycopyrrolate Inhalation Solution 200mg | 429.335 |
Glycopyrrolate Inhalation Solution 200mg Jet | 26.176 |
Glycopyrrolate Inhalation Solution 500mg | 2014.276 |
Glycopyrrolate Inhalation Solution1000mg | 4084.763 |
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AUC0-inf Area Under the Plasma Concentration-time Curve From Time Zero to Infinity
Pk parameters are calculated from glycopyrrolate plasma concentration analysed from serial blood samples collected between 0 and 12 hr (NCT02951312)
Timeframe: 0 to 12 hours post dose
Intervention | pg*h/mL (Mean) |
---|
Glycopyrrolate Inhalation Solution 200mg | 563.416 |
Glycopyrrolate Inhalation Solution 200mg Jet | 65.013 |
Glycopyrrolate Inhalation Solution 500mg | 2491.803 |
Glycopyrrolate Inhalation Solution1000mg | 5271.099 |
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Numerical Rating Scale (NRS) Pain Scores at 1 Hour Postop
NRS Pain scores at 1 hour after surgery. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 1 hour after PACU admission
Intervention | units on a scale (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 0 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | 1.8 |
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Numerical Rating Scale Pain Scores at 2 Hours Postop
Numerical rating scale pain score as reported by the patient at 2 hours post-operatively. Rated on a scale of 0 (no pain) to 10 (worst pain imaginable). (NCT02996591)
Timeframe: 2 hours after PACU admission
Intervention | units on a scale (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | .4 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | .9 |
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Numerical Rating Scale Pain Scores on Postoperative Day (POD) 1
Numerical Rating Scale Pain from 0-10. 0 being no pain at all. 10 being the worst pain imaginable. (NCT02996591)
Timeframe: 24 hours after surgery
Intervention | score on a scale (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 1 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | 1 |
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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq). From 1-5. 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: Postoperative day 1
Intervention | score on a scale (Mean) |
---|
| Pain | Sore Throat | Back Pain | Vomiting | Cold | Hunger | Thirst |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 1.5 | 1.5 | 1.2 | 1 | 1 | 1.7 | 2.2 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 1.4 | 1.2 | 1.1 | 1 | 1.3 | 1.4 | 2.3 |
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Time Until Patient is Ready for Discharge From Post-Anesthesia Care Unit (PACU) to Home.
Modified Aldrete Scoring System and Marshall and Chung Postanesthesia Discharge Scoring System, measured in time until discharge criteria is met (in minutes) (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery
Intervention | Minutes (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 81 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | 43.5 |
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Back Pain on POD1
Back pain (yes/no) on POD1 (NCT02996591)
Timeframe: Postoperative day 1
Intervention | Participants (Count of Participants) |
---|
| No | Yes |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 14 | 3 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 16 | 2 |
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Opioid Consumption
Opioid consumption (mg OME) during inpatient stay (NCT02996591)
Timeframe: Duration of stay in recovery room after surgery (average 2 hours)
Intervention | mg OME (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 2.2 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | 5 |
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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
Leiden Perioperative Care Patient Satisfaction questionnaire (LPPSq) score. Performed at 1 hour postoperatively. To what degree did patients have the following symptoms. Rated 1-5, 1 being not at all. 5 being extremely. (NCT02996591)
Timeframe: 1 hour after surgery
Intervention | score on a scale (Mean) |
---|
| Pain | A Sore Throat | Back Pain | Vomiting | Cold | Hunger | Thirst |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 1.6 | 1.6 | 1.2 | 1 | 1.3 | 1.7 | 2.5 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 1.1 | 1.2 | 1.2 | 1 | 1.4 | 1.9 | 2.7 |
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Cognitive Recovery at 2 Hours Post-operative
Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked at 2 hour post-operatively. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: 2 hours after PACU admission
Intervention | Participants (Count of Participants) |
---|
| No | Yes |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 4 | 13 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 1 | 16 |
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Cognitive Recovery on POD1
Postoperative Quality Recovery Scale Cognitive Domain questionnaire. Asked on postoperative day 1. Either yes (return to pre-operative cognitive function levels) or no (not yet returned to pre-operative function levels) (NCT02996591)
Timeframe: Postoperative day 1
Intervention | Participants (Count of Participants) |
---|
| No | Yes |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 2 | 15 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 3 | 14 |
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Incidence of Transient Neurologic Symptoms
(NCT02996591)
Timeframe: Postoperative day 1 and if present, monitored until resolution
Intervention | Participants (Count of Participants) |
---|
| Normal | Transient Neurological Symptoms |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 18 | 0 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 18 | 0 |
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Postoperative Discomfort and Needs (Post-op Pain, Sore Throat, Back Pain, Nausea, Cold, Hunger, Thirst)
Rating the Nausea/Vomiting of patients post-operatively. (NCT02996591)
Timeframe: 2 hours after surgery
Intervention | score on a scale (Mean) |
---|
| Pain | Sore Throat | Back Pain | Vomiting | Cold | Hunger | Thirst |
---|
General Anesthesia With Popliteal and Adductor Canal Blocks. | 1.4 | 1.6 | 1.2 | 1 | 1.1 | 1.2 | 1.8 |
,Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 1.2 | 1.2 | 1.1 | 1 | 1.1 | 1.4 | 2.1 |
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Assessment of Patient Blinding to Group Assignment
Patients will be asked whether they believe they were in the general anesthesia or spinal anesthesia group. These responses are then validated using the Bang Blinding Index, which either confirms or refutes the validity of the blinding. The scale runs from -1 to 1, with a score of 0 indicating complete blinding, -1 indicating opposite guessing of groups, and 1 indicating a complete lack of blinding. (NCT02996591)
Timeframe: Postoperative day 1
Intervention | Bang blinding index (Number) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | .588 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | .722 |
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Opioid Consumption Through First Postoperative Day. Measured in mg OME
(NCT02996591)
Timeframe: Postoperative day 1
Intervention | mg OME (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 8.3 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | 11 |
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Nausea Intensity
Nausea intensity ranked on NRS score following PACU admission to 2 hours after discharge. Scored from 0-10. 0 Being no nausea, 10 being worst nausea imaginable. (NCT02996591)
Timeframe: 2 hours after PACU admission
Intervention | score on a scale (Mean) |
---|
Spinal Anesthesia With Popliteal and Adductor Canal Blocks. | 0 |
General Anesthesia With Popliteal and Adductor Canal Blocks. | 0 |
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Time to Maximum Plasma Concentration (Tmax) - Budesonide
Time to maximum plasma concentration (tmax) - Budesonide Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h (Median) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 0.333 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 0.333 |
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Terminal Elimination Rate Constant (λz) - Glycopyrronium
Terminal elimination rate constant (λz) - Glycopyrronium - Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | 1/h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 0.122 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 0.081 |
PT003 (GFF MDI) 14.4/9.6 µg | 0.112 |
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Terminal Elimination Rate Constant (λz) - Budesonide
Terminal elimination rate constant (λz) - Budesonide - Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | 1/h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 0.152 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 0.219 |
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Maximum Plasma Concentration (Cmax) - Glycopyrronium
Maximum plasma concentration (Cmax) of Glycopyrronium Day 8 (NCT03075267)
Timeframe: Day 8 Pre-dose -60, and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 11.303 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 11.754 |
PT003 (GFF MDI) 14.4/9.6 µg | 13.124 |
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Maximum Plasma Concentration (Cmax) - Glycopyrronium
Maximum plasma concentration (Cmax) of Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 4.884 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 5.286 |
PT003 (GFF MDI) 14.4/9.6 µg | 5.674 |
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Maximum Plasma Concentration (Cmax) - Budesonide
Maximum plasma concentration (Cmax) of Budesonide Day 8 (NCT03075267)
Timeframe: Day 8 Pre-dose -60, and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 626.435 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 315.425 |
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Maximum Plasma Concentration (Cmax) - Budesonide
Maximum plasma concentration (Cmax) of Budesonide Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 459.308 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 224.298 |
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Elimination Half-life (t½) - Glycopyrronium
Elimination half-life (t½) - Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 5.676 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 8.539 |
PT003 (GFF MDI) 14.4/9.6 µg | 6.194 |
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Elimination Half-life (t½) - Budesonide
Elimination half-life (t½) - Budesonide Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 4.572 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 3.168 |
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Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Glycopyrronium
Area under the plasma concentration-time curve from 0-12 hours (AUC 0-12) - Glycopyrronium Day 8 (NCT03075267)
Timeframe: Day 8
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 69.487 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 77.078 |
PT003 (GFF MDI) 14.4/9.6 µg | 72.636 |
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Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Glycopyrronium
Area under the plasma concentration-time curve from 0-12 hours (AUC 0-12) - Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 29.400 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 27.197 |
PT003 (GFF MDI) 14.4/9.6 µg | 29.002 |
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Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Budesonide
Area under the plasma concentration-time curve from 0-12 hours (AUC 0-12) - Budesonide Day 8 (NCT03075267)
Timeframe: Day 8
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 2509.888 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 1249.615 |
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Area Under the Plasma Concentration-time Curve From 0-12 Hours (AUC 0-12) - Budesonide
Area under the plasma concentration-time curve from 0-12 hours (AUC 0-12) - Budesonide Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 1747.910 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 811.812 |
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Area Under the Plasma Concentration-time Curve From 0 to the Time of the Last Measurable Plasma Concentration (AUC 0-t) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-t) - Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 17.616 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 17.707 |
PT003 (GFF MDI) 14.4/9.6 µg | 20.287 |
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Area Under the Plasma Concentration-time Curve From 0 to the Time of the Last Measurable Plasma Concentration (AUC 0-t) - Budesonide
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-t) - Budesonide Day 1 (NCT03075267)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 1884.912 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 830.012 |
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Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC 0-∞) - Budesonide
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC 0-∞) - Budesonide Day 1 (NCT03075267)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 1936.211 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 876.673 |
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Apparent Volume of Distribution (Vd/F) - Glycopyrronium
Apparent volume of distribution (Vd/F) - Glycopyrronium - Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | L (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 2172.038 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 2123.999 |
PT003 (GFF MDI) 14.4/9.6 µg | 1864.314 |
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Apparent Volume of Distribution (Vd/F) - Budesonide
Apparent volume of distribution (Vd/F) - Budesonide - Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | L (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 1090.237 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 834.269 |
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Apparent Total Body Clearance (CL/F) - Glycopyrronium
Apparent total body clearance (CL/F) - Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | L/h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 406.038 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 436.184 |
PT003 (GFF MDI) 14.4/9.6 µg | 330.757 |
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Apparent Total Body Clearance (CL/F) - Formoterol
Apparent total body clearance (CL/F) - Formoterol Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | L/h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 155.801 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 131.286 |
PT003 (GFF MDI) 14.4/9.6 µg | 135.962 |
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Apparent Total Body Clearance (CL/F) - Budesonide
Apparent total body clearance (CL/F) - Budesonide Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | L/h (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 165.271 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 182.508 |
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Accumulation Ratio for Cmax (RAC [Cmax]) - Glycopyrronium
Accumulation ratio for Cmax (RAC [Cmax]) - Glycopyrronium (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose and Day 8 Pre-dose -60, and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | Ratio (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 2.383 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 2.319 |
PT003 (GFF MDI) 14.4/9.6 µg | 2.412 |
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Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium
Time to maximum plasma concentration (tmax) - Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h (Median) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 0.100 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 0.100 |
PT003 (GFF MDI) 14.4/9.6 µg | 0.100 |
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Accumulation Ratio for AUC 0-12 (RAC [AUC 0-12]) - Glycopyrronium
Accumulation ratio for AUC 0-12 (RAC [AUC 0-12]) - Glycopyrronium (NCT03075267)
Timeframe: Day 1 and Day 8
Intervention | Ratio (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 3.324 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 3.030 |
PT003 (GFF MDI) 14.4/9.6 µg | 3.189 |
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Accumulation Ratio for AUC 0-12 (RAC [AUC 0-12]) - Budesonide
Accumulation ratio for AUC 0-12 (RAC [AUC 0-12]) - Budesonide (NCT03075267)
Timeframe: Day 1 and Day 8
Intervention | Ratio (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 1.455 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 1.539 |
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Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC 0-∞) - Glycopyrronium
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC 0-∞) - Glycopyrronium Day 1 (NCT03075267)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 35.465 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 33.014 |
PT003 (GFF MDI) 14.4/9.6 µg | 43.537 |
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Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium
Time to maximum plasma concentration (tmax) - Glycopyrronium Day 8 (NCT03075267)
Timeframe: Day 8 Pre-dose -60, and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h (Median) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 0.333 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 0.333 |
PT003 (GFF MDI) 14.4/9.6 µg | 0.333 |
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Time to Maximum Plasma Concentration (Tmax) - Budesonide
Time to maximum plasma concentration (tmax) - Budesonide Day 8 (NCT03075267)
Timeframe: Day 8 Pre-dose -60, and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | h (Median) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 0.333 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 0.333 |
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Accumulation Ratio for Cmax (RAC [Cmax]) - Budesonide
Accumulation ratio for Cmax (RAC [Cmax]) - Budesonide (NCT03075267)
Timeframe: Day 1 Pre-dose and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose and Day 8 Pre-dose -60, and 2, 6, 20, 40 min, 1, 2, 4, 8, 10, 12 and 24 h post-dose
Intervention | Ratio (Geometric Mean) |
---|
PT010 (BGF MDI) 320/14.4/9.6 µg | 1.400 |
PT010 (BGF MDI) 160/14.4/9.6 µg | 1.406 |
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Measure Participants' Recovery Time Post-Surgery
Determine whether SUG, as compared to NEO decreases time for patients to be ready for discharge from the PACU post-surgery. (NCT03116997)
Timeframe: 1 day
Intervention | hours (Median) |
---|
Neuromuscular Blockade Reversed With Neostigmine/Gly | 3.59 |
Neuromuscular Blockade Reversed With Sugammadex | 3.62 |
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Peak FEV1 During 4 Hours Post-dose After 1 Week of Treatment
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared with placebo in terms of Peak FEV1 following 1 week of treatment in the respective treatment period. FEV1 was measured with spirometry conducted according to internationally accepted standards. The peak effect following 1 week of treatment was defined as the maximum FEV1 during the first 4 hour on that day. (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50 ug | 2.621 |
NVA237 25 ug | 2.630 |
Placebo | 2.457 |
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FEV1 AUC (5 Min - 23 h 45 Min) After One Week of Treatment
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared with placebo in terms of Standardized FEV1 AUC following 1 week of treatment in the respective treatment period. FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over an entire day AUC (5 min - 23 h 45 min) (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50 ug | 2.443 |
NVA237 25 ug | 2.450 |
Placebo | 2.304 |
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FEV1 AUC (5 Min-1 h) After One Week of Treatment
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared with placebo in terms of Standardized FEV1 AUC following 1 week of treatment in the respective treatment period. FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over an entire day (AUC 5min-1h) (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50 ug | 2.489 |
NVA237 25 ug | 2.492 |
Placebo | 2.324 |
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FEV1 AUC (5 Min-4 h) After One Week of Treatment
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared with placebo in terms of Standardized FEV1 AUC following 1 week of treatment in the respective treatment period. FEV1 was measured with spirometry conducted according to internationally accepted standards. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time over an entire day (AUC 5min-4h) (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50 ug | 2.522 |
NVA237 25 ug | 2.525 |
Placebo | 2.346 |
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Percent Change From Baseline in FEV1/FVC Ratio
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared with placebo in terms of FEV1/FVC ratio following 1 week of treatment in respective treatment period (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Percent change (Mean) |
---|
NVA237 50 ug | 0.018 |
NVA237 25 ug | 0.016 |
Placebo | 0.003 |
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Trough FEV1 After One Week of Treatment, Point Estimate
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared to placebo in terms of trough FEV1 (mean of 23h 15 min and 23 h 45 min post -dose) following 1 week of treatment in the respective treatment period. Trough FEV1 was assessed by performing spirometry measurements in the clinic for each treatment period. For the primary efficacy variable, trough FEV1 is the mean of two measurements taken at 23h 15 min and 23h 45 min post dose. (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50 ug | 2.392 |
NVA237 25 ug | 2.392 |
Placebo | 2.303 |
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Mean Morning Peak Expiratory Flow (PEF) Following the 1-week Treatment Period
A Peak Expiratory Flow (PEF) meter was distributed to patients at Visit 1, to be used to measure PEF twice-daily as directed. During the Screening and Treatment Periods, PEF was measured in the morning and evening every day. the morning PEF was performed within 15 minutes after waking, and the evening PEF approximately 12 hours later. Patients were encouraged to perform morning and evening PEF measurements before the use of any LABA or rescue medication. The highest of 3 values was recorded as the daily personal best. The personal best was used to calculate the mean morning PEF and mean evening PEF value (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | L/min (Least Squares Mean) |
---|
NVA237 50 ug | 395.09 |
NVA237 25 ug | 393.87 |
Placebo | 369.58 |
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Mean Evening Peak Expiratory Flow Rate (PEF) Following 1-week Treatment
A Peak Expiratory Flow (PEF) meter was distributed to patients at Visit 1, to be used to measure PEF twice-daily as directed. During the Screening and Treatment Periods, PEF was measured in the morning and evening every day. the morning PEF was performed within 15 minutes after waking, and the evening PEF approximately 12 hours later. Patients were encouraged to perform morning and evening PEF measurements before the use of any LABA or rescue medication. The highest of 3 values was recorded as the daily personal best. The personal best was used to calculate the mean morning PEF and mean evening PEF value collected between assessment Visits. LS Mean of change from baseline in mean morning PEF is calculated with the ANCOVA model using treatment, stratification group, dosing schedule, gender, center grouping, smoking status, and baseline mean morning PEF as covariates (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | L/min (Least Squares Mean) |
---|
NVA237 50 ug | 409.66 |
NVA237 25 ug | 408.08 |
Placebo | 378.72 |
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Trough Forced Vital Capacity (FVC) After 1 Week of Treatment
To evaluate the bronchodilator effects of NVA237 (25 ug and 50 ug) compared with placebo in terms of FVC following 1 week of treatment in respective treatment period. Trough Forced Vital Capacity (FVC) following 7 Days. FVC is the amount of air which can be forcibly exhaled from the lungs after taking the deepest breath possible. FVC was assessed via spirometry (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Liters (Least Squares Mean) |
---|
NVA237 50 ug | 3.509 |
NVA237 25 ug | 3.530 |
Placebo | 3.472 |
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Mean Daily Number of Puffs of Rescue Medication During 1 Week of Treatment
A day with no rescue medication use is defined from the diary data as any day where the patient recorded no rescue medicine use during the previous 12 hours. daytime and nighttime (combined) number of puffs is defined as the average of the respective number of puffs. (NCT03137784)
Timeframe: Following 1 week of treatment
Intervention | Puffs/day (Least Squares Mean) |
---|
NVA237 50 ug | 0.98 |
NVA237 25 ug | 1.02 |
Placebo | 1.13 |
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Overall Recovery Time
To determine if Sugammadex can improve overall recovery time, measured by time from end of surgery to the time patient met Discharge Criteria. (NCT03138967)
Timeframe: Up to 3 hours after end of surgery
Intervention | hours (Mean) |
---|
Suggamadex or Treatment Group | 2.0847 |
Neostigime/Glycopyrrolate or Standard of Care Group | 2.4727 |
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PostOperative Complications
To determine if Sugammadex can improve post-operative complications for outpatient bladder procedures such as bladder perforation, nausea, vomiting, post-operative intubation and hospital admittance secondary to respiratory complications which was assessed uring follow ups on post-operative day 1 (POD1) and post-operative day 7 (POD7) looking for immediate postoperative complications such as bladder perforation, nausea, vomiting, postoperative intubation and hospital admittance secondary to respiratory complications and readmission within a week post-procedure for any other cause. (NCT03138967)
Timeframe: Post-operatively, up to 7 days
Intervention | Participants (Count of Participants) |
---|
Suggamadex or Treatment Group | 5 |
Neostigime/Glycopyrrolate or Standard of Care Group | 7 |
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Muscle Recovery Time
The primary outcome is to determine if Sugammadex can improve muscle recovery time, measured by time from administration of neuromuscular blockade reversal to train-of-four ratio of 0.9 in outpatient bladder procedures. It was assessed in the intraoperative period measuring the time from administration of reversal agent to TOF of 0.9 in minutes. (NCT03138967)
Timeframe: Intraoperatively, up to 3 hours
Intervention | minutes (Mean) |
---|
Suggamadex or Treatment Group | 2 |
Neostigime/Glycopyrrolate or Standard of Care Group | 9.24 |
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Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in FAS Population
To assess the effects of GFF relative to UV on lung function in FAS population as measured by peak change from baseline in FEV1 is defined as the maximum of the FEV1 assessments within the 2 hours post-dosing time windows at each visit minus baseline using spirometry. Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1). (NCT03162055)
Timeframe: From Baseline (Day 1) up to 24 weeks
Intervention | mL (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | 299.1 |
Umeclidinium/Vilanterol | 300.8 |
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Mean Peak Change From Baseline in FEV1 Within 2 Hours Post-dosing Over 24 Weeks in PP Analysis Set Population
To assess the effects of GFF relative to UV on lung function in PP analysis set population as measured by peak change from baseline in FEV1 is defined as the maximum of the FEV1 assessments within the 2 hours post-dosing time windows at each visit minus baseline using spirometry. Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1). (NCT03162055)
Timeframe: From Baseline (Day 1) up to 24 weeks
Intervention | mL (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | 293.5 |
Umeclidinium/Vilanterol | 296.9 |
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Mean Peak Change From Baseline in Inspiratory Capacity (IC) Within 2 Hours Post-dosing Over 24 Weeks
Peak change from baseline in IC is defined as the maximum of the IC assessments within the 2 hours post-dosing time windows at each visit minus baseline. Baseline is defined as the average of available evaluable -60 and -30 minute pre-dose assessments conducted at randomization (Day 1). (NCT03162055)
Timeframe: From Baseline (Day 1) up to 24 weeks
Intervention | mL (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | 363.1 |
Umeclidinium/Vilanterol | 378.3 |
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Mean Transition Dyspnea Index (TDI) Focal Score Over 24 Weeks
The baseline dyspnea index (BDI) and TDI consist of 3 individual components: functional impairment, magnitude of task, and magnitude of effort. For the BDI, each of these 3 components were rated in 5 grades from 0 (very severe) to 4 (no impairment), and were summed to form a baseline total score from 0 to 12. For the TDI, changes in dyspnea were rated for each component by 7 grades from -3 (major deterioration) to +3 (major improvement), and were added to form a TDI focal score from -9 to +9. Baseline is defined as the latest BDI assessment within 7 days before or at randomization (Day 1). (NCT03162055)
Timeframe: From Baseline (Day -7 or 1) up to 24 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | 1.23 |
Umeclidinium/Vilanterol | 1.60 |
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Percentage of Participants With Increase of FEV1 of >=100 mL From Baseline at 5 Minutes Post-dosing on Day 1
The percentage of participants with an increase in FEV1 of >=100 mL from baseline at 5 minutes post-dosing on Day 1 was determined to assess the early onset of action. Baseline is defined as the average of available evaluable -60 and -30 minute pre-dose assessments conducted at randomization (Day 1). Only data assigned to the 5 minute window was used to determine response. Participants with missing data were considered non-responders for the analysis. (NCT03162055)
Timeframe: 5 minutes post-dose on Day 1
Intervention | Percentage of participants (Number) |
---|
Glycopyrronium/Formoterol Fumarate | 60.1 |
Umeclidinium/Vilanterol | 40.8 |
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Mean Change From Baseline in COPD Assessment Test (CAT) Score Over 24 Weeks
The CAT is used to quantify the impact of COPD symptoms on health status. The CAT has a scoring range of 0-40, and it is calculated as the sum of the responses given for each of the 8 items (scored on a 6-point scale from 0 to 5), with higher scores indicating a higher impact of COPD symptoms on health status. If the response to 1 of the 8 items is missing, the missing item was considered equal to the average of the 7 non-missing items for that participant. If more than 1 item is missing the score was considered missing. Baseline is defined as the latest assessment within 7 days before or at randomization (Day 1). (NCT03162055)
Timeframe: From Baseline (Day -7 or 1) up to 24 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | -2.97 |
Umeclidinium/Vilanterol | -3.56 |
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Mean Change From Baseline in Daily Rescue (Albuterol/Salbutamol MDI) Use Over 24 Weeks
The number of inhalations of rescue albuterol/salbutamol MDI was recorded in the participant ePRO in the morning and evening. Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1). a/s = albuterol/salbutamol. (NCT03162055)
Timeframe: From Baseline (Day -7) up to 24 weeks
Intervention | puffs/day (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | -1.70 |
Umeclidinium/Vilanterol | -2.35 |
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Mean Change From Baseline in Early Morning Symptoms of COPD Instrument (EMSCI) Over 24 Weeks
Change from baseline in the 6-item EMSCI Symptom Severity Score was derived by averaging the responses from a participant on the 6 item-level symptom scores (scored on a 4-point scale from 1 to 4, whereas 1= mild and 4= very severe). The EMSCI collected data about the frequency and severity of early morning symptoms and the impact of COPD symptoms on early morning activity in participants with COPD. Participants completed a daily electronic patient-reported outcome (ePRO) questionnaire for their COPD symptoms. Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1). TI = Time interval. (NCT03162055)
Timeframe: From Baseline (Day -7) up to 24 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | -0.142 |
Umeclidinium/Vilanterol | -0.176 |
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Mean Change From Baseline in Morning Pre-dose Trough Forced Expiratory Volume in 1 Second (FEV1) Over 24 Weeks
To assess the effects of GFF relative to UV on lung function as measured by change from baseline in morning pre-dose trough FEV1 is defined as the average of the -60 and -30 minute pre-dose values at each visit minus baseline using spirometry. Baseline is defined as the mean of the non-missing -60 and -30 minute values obtained prior to dosing at randomization (Day 1). BR a/s = bronchodilator responsiveness to albuterol/salbutamol. (NCT03162055)
Timeframe: From Baseline (Day 1) up to 24 weeks
Intervention | milliliter (mL) (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | 82.4 |
Umeclidinium/Vilanterol | 169.6 |
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Mean Change From Baseline in Night-Time Symptoms of COPD Instrument (NiSCI) Over 24 Weeks
Change from baseline in the 6-item NiSCI Symptom Severity Score was derived by averaging the responses from a participant on the 6 item-level symptom scores (scored on a 4-point scale from 1 to 4, whereas 1= mild and 4= very severe). The NiSCI collected data about the frequency and severity of night-time symptoms and the impact of COPD symptoms on night-time awakenings in participants with COPD. Participants completed a daily ePRO questionnaire for their COPD symptoms. Baseline is defined as the average of the non-missing values from the ePRO data collected in the last 7 days before the randomization (Day 1). (NCT03162055)
Timeframe: From Baseline (Day -7) up to 24 weeks
Intervention | Units on a scale (Least Squares Mean) |
---|
Glycopyrronium/Formoterol Fumarate | -0.165 |
Umeclidinium/Vilanterol | -0.207 |
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Number of Hypoxic Episodes
Hypoxia was defined as an episode of peripheral oxygen saturation (SpO2) <94% on ≤2 L/min of oxygen by nasal cannula, or a SpO2 <98% on ≥2 L/min of oxygen, or postoperative SpO2 of ≥5% reduction compared to preoperative values. (NCT03168308)
Timeframe: Through patient's stay in the early postoperative period, approximately 1-2 hours.
Intervention | episode(s) (Median) |
---|
Neostigmine & Glycopyrrolate | 1 |
Sugammadex | 0 |
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Number of Participants Who Needed Rescue Sugammadex After Initial Reversal of Neuromuscular Blockade
To determine if reversal with sugammadex versus neostigmine requires an additional dose of sugammadex rescue after initial reversal of neuromuscular blockade. (NCT03168308)
Timeframe: From time of reversal to 80 minutes after arrival in the post-anesthesia care unit, approximately 1-2 hours.
Intervention | Participants (Count of Participants) |
---|
Neostigmine & Glycopyrrolate | 5 |
Sugammadex | 0 |
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Time to Complete Reversal of Neuromuscular Blockade
The time from the administration of the blinded reversal syringe until complete reversal of neuromuscular blockade (train of four ratio ≥0.9). (NCT03168308)
Timeframe: From time of reversal to complete reversal of neuromuscular blockade (train of four ratio ≥0.9), approximately 1 hour
Intervention | minutes (Mean) |
---|
Neostigmine & Glycopyrrolate | 40 |
Sugammadex | 10 |
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Time to Regular Breathing
time from administration of reversal agent to time of deep, regular breathing (NCT03229486)
Timeframe: time from administration of reversal agent to time of deep, regular breathing, assessed up to 60 minutes
Intervention | seconds (Mean) |
---|
Sugammadex | 273.8 |
Neostigmine | 345.1 |
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Pediatric Anesthesia Emergence Delirium Score
Maximum Pediatric Anesthesia Emergence Delirium (PAED) score after arrival in the PACU.Higher values represent more emergence delirium (worse) PAED Score is represented with total PAED score summed up of subscales. The total score is reported and it ranges from 0 to 20. Higher score means worse state. (NCT03229486)
Timeframe: within 30 minutes after arrival at post-anesthesia care unit (PACU)
Intervention | units on a scale (Median) |
---|
Sugammadex | 18 |
Neostigmine | 18 |
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Time Recovery of TOF Ratio to 0.7
Time from the start of administration of reversal agents to recovery of the TOF ratio to 0.7 (NCT03229486)
Timeframe: Time from the start of administration of reversal agents to recovery of the TOF ratio to 0.7, assessed up to 60 minutes
Intervention | seconds (Mean) |
---|
Sugammadex | 72.7 |
Neostigmine | 167.4 |
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Time Recovery of TOF Ratio to 0.8
Time from the start of administration of reversal agents to recovery of the TOF ratio to 0.8 (NCT03229486)
Timeframe: Time from the start of administration of reversal agents to recovery of the TOF ratio to 0.8, assessed up to 60 minutes
Intervention | seconds (Mean) |
---|
Sugammadex | 83.9 |
Neostigmine | 213.6 |
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Time Recovery of TOF Ratio to 0.9
Time from the start of administration of reversal agents to recovery of the TOF ratio to 0.9 (NCT03229486)
Timeframe: Time from the start of administration of reversal agents to recovery of the TOF ratio to 0.9, assessed up to 60 minutes
Intervention | seconds (Mean) |
---|
Sugammadex | 99.6 |
Neostigmine | 253.1 |
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Time to Awakening
time from administration of reversal agent to time of eye opening or child showing purposeful movement (NCT03229486)
Timeframe: time from administration of reversal agent to time of eye opening or child showing purposeful movements, assessed up to 60 minutes
Intervention | seconds (Mean) |
---|
Sugammadex | 275.8 |
Neostigmine | 371.2 |
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Time to Extubation
time from administration of reversal agent to time of tracheal extubation (NCT03229486)
Timeframe: time from administration of reversal agent to time of tracheal extubation, assessed up to 60 minutes
Intervention | seconds (Mean) |
---|
Sugammadex | 312.1 |
Neostigmine | 427.3 |
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Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium
Time to maximum plasma concentration (tmax) - Glycopyrronium (NCT03250182)
Timeframe: Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose), Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Intervention | hours (Median) |
---|
| Day 1 | Day 8 |
---|
PT010 | 0.03 | 0.10 |
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Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Budesonide (NCT03250182)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 2407.3 |
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Time to Maximum Plasma Concentration (Tmax) - Budesonide
Time to maximum plasma concentration (tmax) - Budesonide (NCT03250182)
Timeframe: Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose), Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Intervention | hours (Median) |
---|
| Day 1 | Day 8 |
---|
PT010 | 0.33 | 0.67 |
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Maximum Plasma Concentration (Cmax) - Glycopyrronium
Maximum plasma concentration (Cmax) - Glycopyrronium (NCT03250182)
Timeframe: Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Intervention | pg/mL (Geometric Mean) |
---|
PT010 | 18.3 |
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Maximum Plasma Concentration (Cmax) - Glycopyrronium
Maximum plasma concentration (Cmax) - Glycopyrronium (NCT03250182)
Timeframe: Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose)
Intervention | pg/mL (Geometric Mean) |
---|
PT010 | 17.2 |
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Maximum Plasma Concentration (Cmax) - Budesonide
Maximum plasma concentration (Cmax) - Budesonide (NCT03250182)
Timeframe: Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose
Intervention | pg/mL (Geometric Mean) |
---|
PT010 | 663.2 |
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Maximum Plasma Concentration (Cmax) - Budesonide
Maximum plasma concentration (Cmax) - Budesonide (NCT03250182)
Timeframe: Day 1
Intervention | pg/mL (Geometric Mean) |
---|
PT010 | 709.3 |
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Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Glycopyrronium
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Glycopyrronium (NCT03250182)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 61.2 |
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Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Budesonide (NCT03250182)
Timeframe: Day 8
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 3004.7 |
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Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Budesonide
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Budesonide (NCT03250182)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 2996.9 |
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Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Glycopyrronium (NCT03250182)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 39.4 |
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Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Budesonide
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Budesonide (NCT03250182)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 2731.8 |
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Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Glycopyrronium (NCT03250182)
Timeframe: Day 8
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 73.9 |
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Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Glycopyrronium (NCT03250182)
Timeframe: Day 1
Intervention | h*pg/mL (Geometric Mean) |
---|
PT010 | 42.5 |
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Morning Pre-dose Trough FEV1
Change from Baseline in Morning Pre-dose Trough FEV1 (NCT03256552)
Timeframe: Baseline, Day 8
Intervention | Liters (Least Squares Mean) |
---|
GP MDI 28.8 µg | 0.101 |
GP MDI 14.4 µg | 0.098 |
GP MDI 7.2 µg | 0.077 |
Placebo MDI | -0.031 |
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Peak Change in FEV1
Peak Change from Baseline in FEV1 (NCT03256552)
Timeframe: Day 1 and Day 8
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Day 8 |
---|
GP MDI 14.4 µg | 0.212 | 0.265 |
,GP MDI 28.8 µg | 0.254 | 0.260 |
,GP MDI 7.2 µg | 0.192 | 0.238 |
,Placebo MDI | 0.104 | 0.082 |
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FVC AUC0-2
Change from Baseline in FVC AUC0-2 on Day 8 normalized for length of follow-up. FVC was measured at 15 min, 30 min, 1 hour, and 2 hours post dose. (NCT03256552)
Timeframe: Baseline, Day 8
Intervention | Liters (Least Squares Mean) |
---|
GP MDI 28.8 µg | 0.273 |
GP MDI 14.4 µg | 0.265 |
GP MDI 7.2 µg | 0.223 |
Placebo MDI | 0.047 |
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FEV1 AUC0-2
Change from Baseline in FEV1 AUC0-2 normalized for length of follow-up. FEV1 was measured at 15 min, 30 min, 1 hour, and 2 hours post dose. (NCT03256552)
Timeframe: Day 1 and Day 8
Intervention | Liters (Least Squares Mean) |
---|
| Day 1 | Day 8 |
---|
GP MDI 14.4 µg | 0.140 | 0.199 |
,GP MDI 28.8 µg | 0.176 | 0.194 |
,GP MDI 7.2 µg | 0.127 | 0.170 |
,Placebo MDI | 0.043 | 0.019 |
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Change of Diaphragmatic Contractility Speed- Sniff (Breathing From the Nose), cm/s
The change of diaphragmatic contractility speed was defined as baseline minus postoperative diaphragmatic contraction. (NCT03322657)
Timeframe: from baseline to 90 minutes after the administration of the reversal agent
Intervention | cm/s (Mean) |
---|
Neostigmine With Glycopyrrolate | -0.04 |
Sugammadex | 0.29 |
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Change of Diaphragmatic Contractility Speed, Deep Breathing From Mouth, cm/s
The change of diaphragmatic contractility speed was defined as baseline minus postoperative diaphragmatic contraction. (NCT03322657)
Timeframe: from baseline to 90 minutes after the administration of reversal agent
Intervention | cm/s (Mean) |
---|
Neostigmine With Glycopyrrolate | -0.02 |
Sugammadex | 0.80 |
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TOF Ratio at 90 Min
"TOF (train of four), also known as a peripheral nerve stimulator, is used to assess nerve function in patients receiving neuromuscular blocking agents (paralytic medications). Before giving the medications, the baseline must be measured because this tells how much electrical stimulation the patient needs for nerve stimulation without any paralytic on board.~Our primary outcome TOF ratio between TOF at 90 minutes after the administration of the reversal agent versus the TOF at baseline tells us how well the treatment is working to reverse the rocuronium Neuromuscular. This is a sensitivity analysis of primary analysis." (NCT03322657)
Timeframe: at 90 minutes after the administration of the reversal agent
Intervention | ratio (Median) |
---|
Neostigmine With Glycopyrrolate | 1.07 |
Sugammadex | 1.16 |
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Time in Minutes to Reach Train of Four (TOF) Ratio ≥ 0.9 After the Administration of Reversal Agent
The primary outcome was a time-to-TOF ratio ≥ 0.9 after the administration of the reversal agent. The TOF ratio was measured in a continuous manner every 12 seconds from the administration of the reversal drug until TOF ratio ≥ 0.9 or until 90 minutes after administration of the reversal agent. (NCT03322657)
Timeframe: within 90 minutes after endotracheal extubation
Intervention | minutes (Median) |
---|
Neostigmine With Glycopyrrolate | 8 |
Sugammadex | 3 |
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The Time for Extubation After Administration of Reversal Agents
Time from administration of reversal agent to tracheal extubation (NCT03322657)
Timeframe: Up to 4 hours after administration of reversal agents
Intervention | minutes (Median) |
---|
Neostigmine With Glycopyrrolate | 8 |
Sugammadex | 8 |
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Percentage of Participants Experiencing an Event of Clinical Interest (ECI) Up To 7 Days After Administration of Study Intervention
As per the protocol primary analysis, the percentage of participants experiencing an ECI up to 7 days after administration of study intervention was reported. ECIs were a discrete set of both AEs and SAEs, specifically designated as such for the trial. For the purposes of this investigation, ECIs included 1) drug-induced liver injury; 2) clinically-relevant arrhythmias, inclusive of bradycardia and tachycardia defined as events necessitating intervention, as determined by investigator judgment; and 3) instances of hypersensitivity and/or anaphylaxis adjudicated by an external expert Adjudication Committee. A participant could have experienced more than one type of ECI. (NCT03346057)
Timeframe: Up to 7 days
Intervention | Percentage of Participants (Number) |
---|
| With one or more ECIs | Adjudicated Hypersensitivity | Adjudicated Anaphylaxis | Clinically Relevant Bradycardia | Clinically Relevant Tachycardia | Other Clinically Relevant Cardiac Arrhythmia | Drug Induced Liver Injury |
---|
Neostigmine + Glycopyrrolate | 3.9 | 0.0 | 0.0 | 2.0 | 0.0 | 2.0 | 0.0 |
,Sugammadex 16 mg/kg | 7.4 | 0.0 | 0.0 | 0.0 | 5.9 | 1.5 | 0.0 |
,Sugammadex 2 mg/kg | 1.9 | 0.0 | 0.0 | 0.0 | 1.9 | 0.0 | 0.0 |
,Sugammadex 4 mg/kg | 5.6 | 0.0 | 0.0 | 2.8 | 1.9 | 0.9 | 0.0 |
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Percentage of Participants Experiencing a Serious Adverse Event (SAE) Up To 7 Days After Administration of Study Intervention
As per the protocol primary analysis, the percentage of participants experiencing an SAE up to 7 days after administration of study intervention was reported. An SAE was an adverse event that: resulted in death; was life threatening; resulted in persistent or significant disability or incapacity; resulted in or prolonged an existing inpatient hospitalization; was a congenital anomaly or birth defect; was an other important medical event, was a cancer; or was associated with an overdose. (NCT03346057)
Timeframe: Up to 7 days
Intervention | Percentage of Participants (Number) |
---|
Sugammadex 2 mg/kg | 11.4 |
Sugammadex 4 mg/kg | 7.5 |
Sugammadex 16 mg/kg | 10.3 |
Neostigmine + Glycopyrrolate | 5.9 |
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Percentage of Participants Experiencing an Adverse Event (AE) Up To 7 Days After Administration of Study Intervention
As per the protocol primary analysis, the percentage of participants experiencing an AE up to 7 days after administration of study intervention was reported. An AE was defined as any untoward medical occurrence in a participant which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that was temporally associated with the use of the Sponsor's product was also an AE. (NCT03346057)
Timeframe: Up to 7 days
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg | 94.3 |
Sugammadex 4 mg/kg | 88.8 |
Sugammadex 16 mg/kg | 92.6 |
Neostigmine + Glycopyrrolate | 88.2 |
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Percentage of Participants With Other Treatment-Emergent Cardiac Arrhythmia Events
The percentage of participants experiencing other treatment-emergent cardiac arrhythmia events was identified with continuous ECG monitoring. Other treatment-emergent cardiac arrhythmias were defined as new or worsening arrhythmias (e.g., atrial fibrillation, atrial tachycardia, ventricular fibrillation, or ventricular tachyarrhythmia), sustained for at least 1 minute after administration of study intervention. Worsening arrhythmia events may or may not have been considered an AE, as determined by investigator judgment. (NCT03346057)
Timeframe: Up to approximately 35 minutes post-administration
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg | 1.0 |
Sugammadex 4 mg/kg | 0.0 |
Sugammadex 16 mg/kg | 1.5 |
Neostigmine + Glycopyrrolate | 2.0 |
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Percentage of Participants With Treatment-Emergent Sinus Bradycardia Events
The percentage of participants experiencing treatment-emergent sinus bradycardia events was identified with continuous electrocardiogram (ECG) monitoring. Treatment-emergent sinus bradycardia were defined as a heart rate <60 bpm that has also decreased more than 20% compared to participant baseline heart rate value, sustained for at least 1 minute after administration of study intervention. Treatment-emergent sinus bradycardia events may or may not have been considered an adverse event (AE), as determined by investigator judgment. (NCT03346057)
Timeframe: Up to approximately 35 minutes post-administration
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg | 1.0 |
Sugammadex 4 mg/kg | 1.9 |
Sugammadex 16 mg/kg | 7.4 |
Neostigmine + Glycopyrrolate | 7.8 |
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Percentage of Participants With Treatment-Emergent Sinus Tachycardia Events
The percentage of participants experiencing treatment-emergent sinus tachycardia events was identified with continuous ECG monitoring. Treatment-emergent sinus tachycardia is defined as a heart rate ≥100 bpm that has also increased more than 20% compared to participant baseline heart rate value, sustained for at least 1 minute after administration of study intervention. Treatment-emergent sinus tachycardia events may or may not have been considered an AE, as determined by investigator judgment. (NCT03346057)
Timeframe: Up to approximately 35 minutes post-administration
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg | 6.7 |
Sugammadex 4 mg/kg | 9.3 |
Sugammadex 16 mg/kg | 8.8 |
Neostigmine + Glycopyrrolate | 21.6 |
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Percentage of Participants With Other Treatment-Emergent Cardiac Arrhythmia Events
The percentage of participants experiencing other treatment-emergent cardiac arrhythmia events were identified with continuous ECG monitoring. Other treatment-emergent cardiac arrhythmias are defined as new or worsening arrhythmias (e.g., atrial fibrillation, atrial tachyarrhythmia, ventricular fibrillation, or ventricular tachyarrhythmia), sustained for at least 1 minute after administration of study intervention. Worsening arrhythmia events may or may not be considered an AE, as determined by investigator judgment. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 35 minutes
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 0.0 |
Sugammadex 4 mg/kg ABW | 0.0 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 0.0 |
Sugammadex 2 mg/kg IBW | 2.6 |
Sugammadex 4 mg/kg IBW | 0.0 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 1.4 |
Neostigmine/Glycopyrrolate | 2.6 |
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Percentage of Participants With Treatment-Emergent Sinus Bradycardia Events
The percentage of participants experiencing treatment-emergent bradycardia events were identified with continuous electrocardiogram (ECG) monitoring. Treatment-emergent sinus bradycardia is defined as a heart rate <60 bpm that has also decreased more than 20% compared to participant baseline heart rate value, sustained for at least 1 minute after administration of study intervention. Treatment-emergent sinus bradycardia events may or may not be considered an adverse event (AE), as determined by investigator judgment. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 35 minutes
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 5.3 |
Sugammadex 4 mg/kg ABW | 5.3 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 5.3 |
Sugammadex 2 mg/kg IBW | 2.6 |
Sugammadex 4 mg/kg IBW | 5.6 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 4.1 |
Neostigmine/Glycopyrrolate | 2.6 |
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Time to Recovery (TTR) of Participant Train of Four (TOF) Ratio to ≥0.9: Secondary Geometric Mean Analysis
The secondary efficacy analysis of TTR of participant TOF ratio to ≥0.9 was performed by estimating the geometric mean of TTR within each treatment group. TTR was monitored by applying electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to magnitudes of the first and fourth twitches respectively, after nerve stimulation. The T4/T1 ratio (TOF; expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster TTR of the TOF ratio to 0.9 indicates faster recovery from NMB. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 76 minutes
Intervention | Minutes (Geometric Mean) |
---|
Sugammadex 2 mg/kg ABW | 2.0 |
Sugammadex 4 mg/kg ABW | 1.9 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 2.0 |
Sugammadex 2 mg/kg IBW | 3.2 |
Sugammadex 4 mg/kg IBW | 3.5 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 3.3 |
Neostigmine/Glycopyrrolate | 23.1 |
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Percentage of Participants Experiencing a Serious Adverse Event (SAE) After Administration of Study Intervention
The percentage of participants experiencing an SAE following administration of study intervention was monitored. An SAE is an adverse event that: results in death; is life threatening; results in persistent or significant disability or incapacity; results in or prolongs a hospitalization; is a congenital anomaly or birth defect; is a cancer; or may jeopardize the participant, potentially requiring medical or surgical intervention. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 7 days
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 2.6 |
Sugammadex 4 mg/kg ABW | 0.0 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 1.3 |
Sugammadex 2 mg/kg IBW | 5.3 |
Sugammadex 4 mg/kg IBW | 8.3 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 6.8 |
Neostigmine/Glycopyrrolate | 7.9 |
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Percentage of Participants With Prolonged (>10 Minutes) Time to Recovery (TTR) of the Train Of Four (TOF) Ratio to ≥0.9
Following administration of study intervention, the percentage of participants experiencing prolonged (>10 minutes) recovery to a TOF ratio ≥0.9 was calculated. TTR was monitored by applying electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to magnitudes of the first and fourth twitches respectively, after nerve stimulation. The T4/T1 ratio (TOF; expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster TTR of the TOF ratio to 0.9 indicates faster recovery from NMB. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 76 minutes
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 7.9 |
Sugammadex 4 mg/kg ABW | 2.7 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 5.3 |
Sugammadex 2 mg/kg IBW | 5.4 |
Sugammadex 4 mg/kg IBW | 0.0 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 2.7 |
Neostigmine/Glycopyrrolate | 84.2 |
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Percentage of Participants Experiencing an Adverse Event (AE) After Administration of Study Intervention
The percentage of participants experiencing an AE following administration of study intervention was monitored. An AE is any unfavorable and unintended medical occurrence, symptom, or disease witnessed in a participant, regardless of whether or not a causal relationship with the study treatment can be demonstrated. Further, any worsening (i.e. any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition that is temporally associated with the use of the study treatment is also considered an AE. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 7 days
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 94.7 |
Sugammadex 4 mg/kg ABW | 86.8 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 90.8 |
Sugammadex 2 mg/kg IBW | 94.7 |
Sugammadex 4 mg/kg IBW | 91.7 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 93.2 |
Neostigmine/Glycopyrrolate | 89.5 |
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Percentage of Participants With Treatment-Emergent Sinus Tachycardia Events
The percentage of participants experiencing treatment-emergent sinus tachycardia events were identified with continuous ECG monitoring. Treatment-emergent sinus tachycardia is defined as a heart rate ≥100 bpm that has also increased more than 20% compared to participant baseline heart rate value, sustained for at least 1 minute after administration of study intervention. Treatment-emergent sinus tachycardia events may or may not be considered an AE, as determined by investigator judgment. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 35 minutes
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 10.5 |
Sugammadex 4 mg/kg ABW | 13.2 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 11.8 |
Sugammadex 2 mg/kg IBW | 7.9 |
Sugammadex 4 mg/kg IBW | 2.8 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 5.4 |
Neostigmine/Glycopyrrolate | 7.9 |
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Time to Recovery (TTR) of Participant Train of Four (TOF) Ratio to ≥0.7: Geometric Mean Analysis
The efficacy analysis of TTR of participant TOF ratio to ≥0.7 was performed by estimating the geometric mean of TTR within each treatment group. TTR was monitored by applying electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to magnitudes of the first and fourth twitches respectively, after nerve stimulation. The T4/T1 ratio (TOF; expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster TTR of the TOF ratio to 0.7 indicates faster recovery from NMB. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 61 minutes
Intervention | Minutes (Geometric Mean) |
---|
Sugammadex 2 mg/kg ABW | 1.4 |
Sugammadex 4 mg/kg ABW | 1.3 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 1.4 |
Sugammadex 2 mg/kg IBW | 2.1 |
Sugammadex 4 mg/kg IBW | 2.0 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 2.1 |
Neostigmine/Glycopyrrolate | 10.9 |
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Time to Recovery (TTR) of Participant Train of Four (TOF) Ratio to ≥0.8: Geometric Mean Analysis
The efficacy analysis of TTR of participant TOF ratio to ≥0.8 was performed by estimating the geometric mean of TTR within each treatment group. TTR was monitored by applying electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to magnitudes of the first and fourth twitches respectively, after nerve stimulation. The T4/T1 ratio (TOF; expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster TTR of the TOF ratio to 0.8 indicates faster recovery from NMB. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 69 minutes
Intervention | Minutes (Geometric Mean) |
---|
Sugammadex 2 mg/kg ABW | 1.6 |
Sugammadex 4 mg/kg ABW | 1.5 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 1.5 |
Sugammadex 2 mg/kg IBW | 2.5 |
Sugammadex 4 mg/kg IBW | 2.6 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 2.5 |
Neostigmine/Glycopyrrolate | 16.6 |
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Time to Recovery (TTR) of Participant Train Of Four (TOF) Ratio to ≥0.9: Primary Kaplan-Meier Analysis
The primary efficacy analysis of TTR of TOF ratio to ≥0.9 was performed by estimating event rates within each treatment group using the Kaplan-Meier method. TTR was monitored by applying electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to magnitudes of the first and fourth twitches respectively, after nerve stimulation. The T4/T1 ratio (TOF; expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster TTR of the TOF ratio to 0.9 indicates faster recovery from NMB. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 76 minutes
Intervention | Minutes (Median) |
---|
Sugammadex 2 mg/kg ABW | 1.7 |
Sugammadex 4 mg/kg ABW | 1.8 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 1.8 |
Sugammadex 2 mg/kg IBW | 3.4 |
Sugammadex 4 mg/kg IBW | 3.3 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 3.3 |
Neostigmine/Glycopyrrolate | 34.5 |
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Percentage of Participants Experiencing an Event of Clinical Interest (ECI) After Administration of Study Intervention
The percentage of participants experiencing an ECI following administration of study intervention was monitored. ECIs are a discrete set of both AEs and SAEs, specifically designated as such for the trial. For the purposes of this investigation, ECIs included 1) drug-induced liver injury; 2) clinically-relevant arrhythmias, inclusive of bradycardia and tachycardia defined as events necessitating intervention, as determined by investigator judgment; and 3) instances of hypersensitivity and/or anaphylaxis adjudicated by an external expert Adjudication Committee. As specified by the protocol, analyses for this outcome measure were conducted in participants pooled by dosing method across depth of NMB (Sugammadex ABW [2 mg/kg ABW plus 4 mg/kg ABW] and Sugammadex IBW [2 mg/kg IBW plus 4 mg/kg IBW]) as well as in all randomized treatment arms separated by depth of NMB (Sugammadex 2 mg/kg ABW, Sugammadex 4 mg/kg ABW, Sugammadex 2 mg/kg IBW, and Sugammadex 4 mg/kg IBW). (NCT03346070)
Timeframe: Up to 7 days
Intervention | Percentage of participants (Number) |
---|
Sugammadex 2 mg/kg ABW | 0.0 |
Sugammadex 4 mg/kg ABW | 2.6 |
Sugammadex ABW (2 mg/kg ABW Plus 4 mg/kg ABW) | 1.3 |
Sugammadex 2 mg/kg IBW | 2.6 |
Sugammadex 4 mg/kg IBW | 2.8 |
Sugammadex IBW (2 mg/kg IBW Plus 4 mg/kg IBW) | 2.7 |
Neostigmine/Glycopyrrolate | 2.6 |
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Plasma Half-Life (t½) of Sugammadex [Part A]
The t½ of sugammadex, defined as the time required for the plasma concentration to decrease to 50% of maximum, was determined in each Part A arm. (NCT03351608)
Timeframe: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Intervention | Hours (Median) |
---|
Part A: Sugammadex 2 mg (2 to <6 Years) | 1.15 |
Part A: Sugammadex 2 mg (6 to <12 Years) | 1.19 |
Part A: Sugammadex 2 mg (12 to <17 Years) | 1.49 |
Part A: Sugammadex 4 mg (2 to <6 Years) | 1.12 |
Part A: Sugammadex 4 mg (6 to <12 Years) | 1.56 |
Part A: Sugammadex 4 mg (12 to <17 Years) | 1.51 |
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Time to Recovery of Participant Train-of-Four (TOF) Ratio to ≥0.9 [Part B]
The time to recovery of TOF ratio to ≥0.9 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB. Per protocol, the efficacy analysis is based on comparison of the Part B: Sugammadex 2 mg arm versus the Part B: Neostigmine + (Glycopyrrolate or Atropine) arm. (NCT03351608)
Timeframe: Up to 30 minutes post-dose
Intervention | Minutes (Geometric Mean) |
---|
Part B: Sugammadex 2 mg/kg | 1.6 |
Part B: Sugammadex 4 mg/kg | 1.9 |
Part B: Neostigmine + (Glycopyrrolate or Atropine) | 7.5 |
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Time to Recovery of Participant TOF Ratio to ≥0.7 [Part B]
The time to recovery of TOF ratio to ≥0.7 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB. (NCT03351608)
Timeframe: Up to 30 minutes post-dose
Intervention | Minutes (Geometric Mean) |
---|
Part B: Sugammadex 2 mg/kg | 1.1 |
Part B: Sugammadex 4 mg/kg | 1.3 |
Part B: Neostigmine + (Glycopyrrolate or Atropine) | 3.7 |
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Time to Recovery of Participant TOF Ratio to ≥0.8 [Part B]
The time to recovery of TOF ratio to ≥0.8 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB. (NCT03351608)
Timeframe: Up to 30 minutes post-dose
Intervention | Minutes (Geometric Mean) |
---|
Part B: Sugammadex 2 mg/kg | 1.3 |
Part B: Sugammadex 4 mg/kg | 1.5 |
Part B: Neostigmine + (Glycopyrrolate or Atropine) | 5.0 |
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Plasma Clearance (CL) of Sugammadex [Part A]
The CL of sugammadex, defined as the rate of elimination relative to plasma concentration, was determined in each Part A arm. (NCT03351608)
Timeframe: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Intervention | L/hr (Geometric Mean) |
---|
Part A: Sugammadex 2 mg (2 to <6 Years) | 2.30 |
Part A: Sugammadex 2 mg (6 to <12 Years) | 3.58 |
Part A: Sugammadex 2 mg (12 to <17 Years) | 4.68 |
Part A: Sugammadex 4 mg (2 to <6 Years) | 2.26 |
Part A: Sugammadex 4 mg (6 to <12 Years) | 3.43 |
Part A: Sugammadex 4 mg (12 to <17 Years) | 5.69 |
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Percentage of Participants With ≥1 Adverse Event (AE) [Parts A and B]
The percentage of participants with ≥1 AE(s) for up to 7 days after treatment was determined for each treatment group, pooled according to treatment received. An AE is defined as any unfavorable and unintended medical occurrence, symptom, or disease witnessed in a participant, regardless of whether or not a causal relationship with the study treatment can be demonstrated. (NCT03351608)
Timeframe: Up to 7 days
Intervention | Percentage of Participants (Number) |
---|
Part B: Neostigmine + (Glycopyrrolate or Atropine) | 97.1 |
Parts A and B: Sugammadex 2 mg | 78.4 |
Parts A and B: Sugammadex 4 mg | 74.9 |
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Maximum Plasma Concentration (Cmax) of Sugammadex [Part A]
The Cmax of sugammadex, defined as the maximum plasma concentration, was determined in each Part A arm. (NCT03351608)
Timeframe: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Intervention | µg/mL (Geometric Mean) |
---|
Part A: Sugammadex 2 mg (2 to <6 Years) | 17.5 |
Part A: Sugammadex 2 mg (6 to <12 Years) | 32.2 |
Part A: Sugammadex 2 mg (12 to <17 Years) | 41.3 |
Part A: Sugammadex 4 mg (2 to <6 Years) | 47.1 |
Part A: Sugammadex 4 mg (6 to <12 Years) | 51.6 |
Part A: Sugammadex 4 mg (12 to <17 Years) | 61.9 |
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Area Under the Plasma Concentration-Time Curve (AUC) From Dosing to Infinity (AUC0-∞) of Sugammadex [Part A]
The AUCo-∞ for sugammadex, defined as the area under the plasma concentration versus time plot, was determined in each Part A arm. (NCT03351608)
Timeframe: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Intervention | hr*μg/mL (Geometric Mean) |
---|
Part A: Sugammadex 2 mg (2 to <6 Years) | 14.1 |
Part A: Sugammadex 2 mg (6 to <12 Years) | 18.8 |
Part A: Sugammadex 2 mg (12 to <17 Years) | 27.6 |
Part A: Sugammadex 4 mg (2 to <6 Years) | 26.9 |
Part A: Sugammadex 4 mg (6 to <12 Years) | 38.2 |
Part A: Sugammadex 4 mg (12 to <17 Years) | 49.2 |
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Apparent Volume of Distribution (Vz) of Sugammadex [Part A]
The Vz of sugammadex, defined as the amount of drug administered relative to plasma concentrations, was determined in each Part A arm. (NCT03351608)
Timeframe: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Intervention | Liters (Geometric Mean) |
---|
Part A: Sugammadex 2 mg (2 to <6 Years) | 3.58 |
Part A: Sugammadex 2 mg (6 to <12 Years) | 6.65 |
Part A: Sugammadex 2 mg (12 to <17 Years) | 10.8 |
Part A: Sugammadex 4 mg (2 to <6 Years) | 4.00 |
Part A: Sugammadex 4 mg (6 to <12 Years) | 8.22 |
Part A: Sugammadex 4 mg (12 to <17 Years) | 12.3 |
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Assessment of Self-rated Patient Questionaries' Using S-PSR
"Post-discharge Surgical Recovery Scale (S-PSR) The modified Swedish version S-PSR is based on the Post-discharge Surgical Recovery Scale and is a 14-item questionnaire to assess the recovery post-discharge regarding the patients' health status and activity (see further appendix 2). Each item is rated using a semantic differential scale and the total sum is multiplied by 100. The possible range is 10-100, with higher score indicating a more favourable postoperative recovery." (NCT03357393)
Timeframe: The assessment is done by the patient at home (or at ward if pro-longed hospital stay is necessary) in the evening on the day of bronchoscopy. It takes approximately 2 minutes to complete the questionnaire.
Intervention | units on a scale (Median) |
---|
Midazolam and Morphine-scopolamine | 55 |
PCS (Propofol) With Morphine-scopolamine | 56 |
PCS (Propofol) With Glycopyrronium Bromide | 54 |
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Bronchoscopist Evaluation Using a Likert-type Scale
the bronchoscopist assess their perception of cough, bronchial secretion respectively circumstances for a smooth performance of the bronchoscopy of procedure using the Likert-type scale (1. Very dissatisfied, 2. Dissatisfied, 3. Neither satisfied nor dissatisfied, 4. Satisfied, 5. Very satisfied). (NCT03357393)
Timeframe: Directly after completion of the procedure.
Intervention | units on a scale (Median) |
---|
Midazolam and Morphine-scopolamine | 5 |
PCS (Propofol) With Morphine-scopolamine | 4 |
PCS (Propofol) With Glycopyrronium Bromide | 4 |
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Discharge Assessment Using PADSS After 2 Hours Number of Patients Reaching PADSS Score 10 After 2 Hours
Post Anaesthetic Discharge Scoring System (PADSS).A measurement of the PADSS score is done by pulmonary nurse every 15 min after bronchoscopy is finished (when bronchoscope is removed) for 2 hours. The PADSS is used to clinically assess if the patient is ready to be discharged after anaesthesia/sedation and consist of five criteria: vital signs, ambulation, nausea and/or vomiting, pain and surgical bleeding. Each criterion is given a score ranging from 0 to 2. Only patients who achieve a total score of 10 are considered ready for discharge after 2 hours. (NCT03357393)
Timeframe: 2 hours after bronchoscopy is finished
Intervention | Participants (Count of Participants) |
---|
Midazolam and Morphine-scopolamine | 19 |
PCS (Propofol) With Morphine-scopolamine | 30 |
PCS (Propofol) With Glycopyrronium Bromide | 45 |
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Level of Sedation Using the Observer's Assessment of Alertness/Sedation (OAA/S) Scale
"Level of sedation is assessed every 5th minute during the procedure by the nurse anaesthetist using The Observer's Assessment of Alertness/Sedation (OAA/S) scale whereby a higher score represent a lighter sedation. Below is the scale descriped, Observation/score:~Responds readily to name spoken in normal tone/5 Lethargic response to name spoken in normal tone/4 Responds only after name is called loudly and/or repeatedly/3 Responds only after mild prodding or shaking/2 Does not respond to mild prodding or shaking/1" (NCT03357393)
Timeframe: Assessement are done every 5th minute from procedure start until end of procedure (extraction of bronchoscope), estimated period of time 0-60 minutes.
Intervention | units on a scale (Median) |
---|
Midazolam and Morphine-scopolamine | 3 |
PCS (Propofol) With Morphine-scopolamine | 2 |
PCS (Propofol) With Glycopyrronium Bromide | 2 |
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Patients' Satisfaction Using a Likert-type Scale
overall satisfaction with the procedure using the Likert-type scale (1. Very dissatisfied, 2. Dissatisfied, 3. Neither satisfied nor dissatisfied, 4. Satisfied, 5. Very satisfied). The patient may comment any cause which made the satisfaction score high or low and if the patient would like to receive the same method of sedation during a future bronchoscopy. (NCT03357393)
Timeframe: After patient has recovered after bronchoscopy and before discharge home, estimated period of time 0-24 hours.
Intervention | units on a scale (Median) |
---|
Midazolam and Morphine-scopolamine | 5 |
PCS (Propofol) With Morphine-scopolamine | 5 |
PCS (Propofol) With Glycopyrronium Bromide | 5 |
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Quality of Recovery (QoR-23)
"Modified version of Quality of Recovery (QoR-23) Minimum value 23. Maximum value 115. A higher score indicate a better quality of recovery.~The questionnaire Quality of Recovery (QoR-23) is a 23 item questionnaire to assess recovery after day surgery regarding the patients' emotional state, physical comfort and physical independence (see further appendix 4). Each item is rated on a five-point scale (1-5) and the scores are summed." (NCT03357393)
Timeframe: The assessment is done by the patient at home (or at ward if pro-longed hospital stay is necessary) in the morning the day after bronchoscopy. It takes less than 1 minute to complete the assessment.
Intervention | score on a scale (Median) |
---|
Midazolam and Morphine-scopolamine | 100 |
PCS (Propofol) With Morphine-scopolamine | 102 |
PCS (Propofol) With Glycopyrronium Bromide | 100 |
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Oral/Enteral Intake
minutes from completion of scan to oral/enteral intake (NCT03513757)
Timeframe: up to 2 hours
Intervention | minutes (Median) |
---|
Propofol | 33 |
Propofol Dexmedetomidine | 14 |
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Nitrous Oxide
documentation of use (NCT03513757)
Timeframe: up to 10 minutes
Intervention | participants (Number) |
---|
Propofol | 18 |
Propofol Dexmedetomidine | 17 |
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Lidocaine Dose
lidocaine dose (mg/kg) (NCT03513757)
Timeframe: up to 90 minutes
Intervention | mg/kg (Median) |
---|
Propofol | 1.00 |
Propofol Dexmedetomidine | 1.00 |
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Irritability
behavior deemed inappropriate and a deviation from child's normal though parental observation obtained through follow-up phone call (NCT03513757)
Timeframe: up to 48 hours
Intervention | participants (Number) |
---|
Propofol | 3 |
Propofol Dexmedetomidine | 0 |
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Delirium
Pediatric Anesthesia Emergence Delirium (PAED) score greater than 12 as defined by Sikich and Lerman. 0 = no delirium, 20 = worst possible delirium; 5 categories scored from 0-4 additive for a maximum score of 20. Categories 1-3 are scored the same and categories ar scored inversely as described. 1. Child makes contact with caregiver, 2. child's actions are purposeful, 3. child is aware of his surroundings. For each of these category, score 0 for extremely, 1 for very much, 2 for quite a bit, 3 for just a little, 4 for not at all. The other 2 categories 4. Child is restless and 5 Child is inconsolable are scored as 0 for not at all, 1 for just a little, 2 for quite a bit, 3 for very much, 4 for extremely (NCT03513757)
Timeframe: up to 24 hours.
Intervention | participants (Number) |
---|
Propofol | 0 |
Propofol Dexmedetomidine | 0 |
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Dexmedetomidine Dose
dexmedetomidine dose (mcg/kg) (NCT03513757)
Timeframe: up to 90 minutes
Intervention | mcg/kg (Median) |
---|
Propofol | 0 |
Propofol Dexmedetomidine | 0.70 |
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Discharge Ready
minutes from completion of scan to discharge ready (NCT03513757)
Timeframe: up to 2 hours
Intervention | minutes (Median) |
---|
Propofol | 40 |
Propofol Dexmedetomidine | 17 |
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Efficiency of Propofol Dexmedetomidine Sedation Compared With Propofol Infusion
Time (minutes) from anesthesia start to readiness for discharge from the department to home or clinic. (NCT03513757)
Timeframe: through study completion, an average of 2 hours
Intervention | minutes (Median) |
---|
Propofol | 98 |
Propofol Dexmedetomidine | 77 |
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Eye Opening
minutes from completion of scan to spontaneous eye opening (NCT03513757)
Timeframe: up to 90 minutes
Intervention | minutes (Median) |
---|
Propofol | 28 |
Propofol Dexmedetomidine | 3 |
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Glycopyrrolate Dose
glycopyrrolate dose (mcg/kg) (NCT03513757)
Timeframe: 5 minutes
Intervention | mcg/kg (Median) |
---|
Propofol | 0 |
Propofol Dexmedetomidine | 4.2 |
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Total Propofol Administered
total propofol administered (mg/kg) (NCT03513757)
Timeframe: up to 90 minutes
Intervention | mg/kg (Median) |
---|
Propofol | 10.6 |
Propofol Dexmedetomidine | 3.0 |
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Sevoflurane
sevoflurane induction time of 5 minutes (NCT03513757)
Timeframe: sevoflurane induction time up to 10 minutes
Intervention | participants (Number) |
---|
Propofol | 18 |
Propofol Dexmedetomidine | 17 |
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Sleep Pattern
parental observation of deviation from child's normal habit obtained through follow-up phone call (NCT03513757)
Timeframe: up to 48 hours
Intervention | participants (Number) |
---|
Propofol | 3 |
Propofol Dexmedetomidine | 2 |
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Frequency of Congruence of Nerve Integrity and Vocal Cord Functions
"Frequency of congruence - IOVL used in conjunction with routine intraoperative nerve monitoring to provide additional data on nerve integrity and vocal cord functions for patients undergoing neck procedures that place the recurrent and superior laryngeal nerves at risk for injury or postoperative dysfunction.~Video-captured vocal cord movement as well as the Nerveana Power Index (NPI) audio signal were recorded. Loss of signal was considered any NPI value <100, which corresponds to loss of audio signal. The NPI is specific to the Nerveana machine, and is an index of the nerve/muscle response power (or area under the curve) as a percentage of the threshold level of response. Thus, positive EMG signal (EMG+) was an NPI value >100. Positive IOVL (IOVL+) correlated with observed vocal cord movement on nerve stimulation; negative IOVL indicated no visible vocal cord movement. Discordances were considered to be contradictory IOVL and EMG (e.g., IOVL+ EMG-) findings for a particular nerve." (NCT03742141)
Timeframe: up to 3 months post-resection
Intervention | nerves at risk (Count of Units) |
---|
| EMG+ IOVL+ | EMG+ IOVL- | EMG- IOVL- | EMG- IOVL+ |
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Intraoperative Video Laryngoscopy | 68 | 13 | 17 | 10 |
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Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically-measured Sweat Production From Baseline at Week 2
Gravimetrically measured sweat production is based on the mean of the right and left hand measurements; confidence interval represents difference between vehicle and active group (NCT03880266)
Timeframe: Baseline, Week 2
Intervention | Participants (Count of Participants) |
---|
Group 1 Active | 1 |
Group 1 Vehicle | 1 |
Group 2 Active | 3 |
Group 2 Vehicle | 2 |
Group 3 Active | 4 |
Group 3 Vehicle | 0 |
Group 4 Active | 2 |
Group 4 Vehicle | 3 |
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Percentage of Subjects Who Have a ≥2 Grade Improvement in HDSS (Hyperhidrosis Disease Severity Scale) From Baseline at Week 2
"Hyperhidrosis Disease Severity Scale (HDSS) is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities.~1 (better), 2, 3, 4 (worse)" (NCT03880266)
Timeframe: Baseline, Week 2
Intervention | Participants (Count of Participants) |
---|
Group 1 Active | 3 |
Group 1 Vehicle | 0 |
Group 2 Active | 1 |
Group 2 Vehicle | 2 |
Group 3 Active | 1 |
Group 3 Vehicle | 2 |
Group 4 Active | 3 |
Group 4 Vehicle | 2 |
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Mean Percent Change From Baseline in Gravimetrically-measured Sweat Production at Week 2
Gravimetrically measured sweat production is based on the mean of the right and left hand measurements; calculation of percentage difference in sweat production at week 2 compared to baseline sweat production (NCT03880266)
Timeframe: Baseline, Week 2
Intervention | Percent change (Mean) |
---|
Group 1 Active | -17.1 |
Group 1 Vehicle | 16.5 |
Group 2 Active | -7.5 |
Group 2 Vehicle | -31.8 |
Group 3 Active | -26.8 |
Group 3 Vehicle | 11.4 |
Group 4 Active | -17.7 |
Group 4 Vehicle | 21.7 |
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Mean Change From Baseline to Week 2 in Hand Sweating Severity Score
The Hand Sweat Severity Score is a patient reported outcome, designed to measure the severity of palmar hyperhidrosis [score on a scale from 0 (better) -10 (worse)]. (NCT03880266)
Timeframe: Baseline, Week 2
Intervention | score on a scale (Mean) |
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Group 1 Active | -2.14 |
Group 1 Vehicle | -0.56 |
Group 2 Active | -1.64 |
Group 2 Vehicle | -3.03 |
Group 3 Active | -2.53 |
Group 3 Vehicle | -2.20 |
Group 4 Active | -1.30 |
Group 4 Vehicle | -1.34 |
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Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 2
Gravimetrically measured sweat production is based on the mean of the right and left hand measurements; average of the change in the gravimetric measurement of sweat produced at baseline compared with Week 2 (NCT03880266)
Timeframe: Baseline, Week 2
Intervention | mg (Mean) |
---|
Group 1 Active | -69.8 |
Group 1 Vehicle | 136.7 |
Group 2 Active | -15.3 |
Group 2 Vehicle | -159.4 |
Group 3 Active | -113.5 |
Group 3 Vehicle | 38.1 |
Group 4 Active | -58.6 |
Group 4 Vehicle | 102.0 |
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Heart Rate
Heart rate post-reversal prior to extubation (NCT03939923)
Timeframe: 0 minutes to 2 hours after study drug administration
Intervention | beats per minute (Mean) |
---|
Neostigmine/Glycopyrrolate | 81.5385 |
Sugammadex | 81.1622 |
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Blood Pressure (First Measurement of Systolic Blood Pressure Post Reversal)
Blood pressure; measure of systolic blood pressure of subject is obtained post-reversal prior to extubation of trachea (NCT03939923)
Timeframe: 0 minutes to 2 hours after study drug administration
Intervention | mmHg (Mean) |
---|
Neostigmine/Glycopyrrolate | 105.6 |
Sugammadex | 112.1 |
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Peak Flow Rate
Peak flow rate - measured by peak flow meter post-extubation at 30-60 mins (NCT03939923)
Timeframe: 30-60 minutes post-extubation
Intervention | L/min (Mean) |
---|
Neostigmine/Glycopyrrolate | 1.4609 |
Sugammadex | 1.416 |
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Tidal Volume
Tidal volume post-reversal prior to extubation (NCT03939923)
Timeframe: between 30 minutes to 1 hour after extubation
Intervention | Liters (Mean) |
---|
Neostigmine/Glycopyrrolate | 1.16 |
Sugammadex | 1.0975 |
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Time to Extubation
"Time to extubation: West Virginia University Hospitals use an electronic medical record (EMR) to chart procedure stop. The definition for time to extubation is from the time the investigators chart procedure stop to the time of extubation." (NCT03939923)
Timeframe: 0 minutes of study drug to 3 days after study drug administration
Intervention | Minutes (Mean) |
---|
Neostigmine/Glycopyrrolate | 10.4 |
Sugammadex | 6 |
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