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Phase 4 Completed N=62 Randomized Quadruple-blind Treatment

Effect of QVA149 (Indacaterol Maleate/Glycopyrronium Bromide) on Cardiac Function in COPD Patients

Source: ClinicalTrials.gov NCT02442206 ↗
Enrolled (actual)
62
Serious AEs
2.8%
Results posted
Dec 2018
Primary outcomePrimary: Change in Left Ventricular End-diastolic Volume (LVEDV) — 11.873; -0.954 ML — p=<0.0001
◆ Published Evidence
Highly cited
182citations · ~23 / year
Effect of lung deflation with indacaterol plus glycopyrronium on ventricular filling in patients with hyperinflation and COPD (CLAIM): a double-blind, randomised, crossover, placebo-controlled, single-centre trial.
The Lancet. Respiratory medicine · 2018 · Likely link

Summary

This mechanistic study is a single-center, randomized, double-blind, placebo-controlled, cross-over study to evaluate the effect of dual bronchodilation with QVA149 on cardiac and lung function parameters in hyperinflated COPD patients.

Linked Publications (2)

  • Effect of lung deflation with indacaterol plus glycopyrronium on ventricular filling in patients with hyperinflation and COPD (CLAIM): a double-blind, randomised, crossover, placebo-controlled, single-centre trial.
    The Lancet. Respiratory medicine · 2018 · 182 citations · Likely link
  • Effect of Indacaterol/Glycopyrronium on Pulmonary Perfusion and Ventilation in Hyperinflated Patients with Chronic Obstructive Pulmonary Disease (CLAIM). A Double-Blind, Randomized, Crossover Trial.
    American journal of respiratory and critical care medicine · 2019 · 80 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Left Ventricular End-diastolic Volume (LVEDV)
11.873; -0.954 <0.0001 sig
SECONDARY
Change in Forced Expiratory Volume in One Second (FEV1).
0.42; -0.01 <0.0001 sig
SECONDARY
Change in Forced Vital Capacity (FVC).
0.67; 0.00 <0.0001 sig
SECONDARY
Change in Inspiratory Capacity (IC) at Each Time-point
0.475; 0.014 <0.0001 sig
SECONDARY
Change in Total Lung Capacity (TLC)
-0.181; -0.001 0.0017 sig
SECONDARY
Change in Residual Volume (RVol)
-0.757; 0.012 <0.0001 sig
SECONDARY
Change in Specific Airway Resistance (sRaw)
-1.887; 0.037 <0.0001 sig
SECONDARY
Change in Functional Residual Capacity (FRC)
-0.656; -0.015 <0.0001 sig
SECONDARY
Change in Right Ventricular (RV) and Left Ventricular (LV) Ejection Fraction (EF)
1.893; 1.313; 2.046; 0.361 0.1420
SECONDARY
Change in Left and Right Ventricular End-systolic Volume
1.898; -2.283; 2.183; 0.133 0.0437 sig
SECONDARY
Change in Right Ventricular Enddiastolic Volume
12.323; 1.758 0.0002 sig
SECONDARY
Cardiac Output at Each Time-point, Left and Right Ventricular Cardiac Output (LVCO and RVCO)
0.504; 0.119; 0.517; 0.144 0.0032 sig

Eligibility Criteria

Inclusion Criteria

  • Patients with airflow limitation indicated by a post-bronchodilator FEV1 135% predicted

Exclusion Criteria

  • Patients on LABA or LAMA treatment at Visit 1.
  • History of one COPD exacerbation that required treatment with antibiotics, systemic steroids (oral or intravenous) or hospitalization 3 months prior to Visit 2.
  • More than one COPD exacerbation that required treatment with antibiotics, systemic steroids (oral or intravenous) or hospitalization within 6 months prior to Visit 2.
  • Patients who have clinically significant cardiovascular abnormalities, which could interfere with the assessment of the study treatment (such as but not limited to cardiac arrhythmias, heart failure with left ventricular ejection fraction 450 ms for males and >470 ms for females

Additional study-specific inclusion and exclusion criteria may apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02442206) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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