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A Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via the TWISTHALER® Device in Patients With Chronic Obstructive Pulmonary Disease (COPD)

A Randomized, Multi-center, Parallel Group, Double Blind, Placebo and Formoterol Controlled 14 Day Dose Ranging Trial of 4 Doses of Indacaterol Delivered Via TWISTHALER® Device in Patients With COPD

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00557466
Enrollment
568
Registered
2007-11-14
Start date
2007-10-31
Completion date
2008-05-31
Last updated
2013-01-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

COPD

Keywords

QMF, indacaterol, TWISTHALER® device

Brief summary

This study will evaluate the dose response relationship among four doses of indacaterol as well as placebo delivered via the TWISTHALER® device.

Interventions

DRUGindacaterol

Indacaterol delivered by multiple dose dry powder inhaler (TWISTHALER® device).

DRUGformoterol

Formoterol delivered by oral inhalation via AEROLIZER® inhalation device.

DRUGplacebo to indacaterol

Placebo TWISTHALER® device

Placebo AEROLIZER® device

DRUGshort acting β2- agonist

100 μg / 90 μg salbutamol/albuterol Metered Dose Inhaler (MDI) or equivalent dose of Dry Powder Inhaler (DPI).

Sponsors

Schering-Plough
CollaboratorINDUSTRY
Novartis
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male and female adults aged ≥ 40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure (which include any adjustment to their current COPD treatment) * Cooperative outpatients with a diagnosis of COPD (moderate to severe as classified by the Global Initiative for Obstructive Lung Disease (GOLD) Guidelines, 2006) and: * Smoking history of at least 10 pack years * Post-bronchodilator Forced Expiratory Volume in one second (FEV1) \< 80% and ≥30% of the predicted normal value. * Post-bronchodilator FEV1/Forced vital capacity (FVC) \< 70%

Exclusion criteria

* Pregnant women, nursing mothers, or females of childbearing potential, regardless of whether or not sexually active, if they are not using acceptable methods of contraception. * Patients who have been hospitalized for an exacerbation of their airways disease within 6 weeks prior to Visit 1 or between Visit 1 and Visit 2. * Patients with a history of asthma. * Patients with an acute respiratory tract infection within 4 weeks prior to Visit 1, will be not allowed to enter the study. * Other clinically significant conditions which may interfere with the study conduct or patient safety as specified in the protocol. Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)Baseline (prior to first dose) and Day 15 (24 hours after last dose)FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 14 days of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.

Secondary

MeasureTime frameDescription
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-doseDay 14, pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.FEV1 was measured on Day 14 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.
The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 1Day 1 Baseline (prior to first dose) and 24 hours post-dose.FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 1 day of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 1Day 1; pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.FEV1 was measured on Day 1 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.
Time to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 and Day 14 measured pre-dose and up to 4 hours post-doseFEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Time to peak FEV1 is calculated in minutes from the time of inhalation of study drug to the time of the peak FEV1, which is taken as the maximum FEV1 recorded post-dose.
Change From Baseline in Morning and Evening Peak Expiratory FlowBaseline (recorded during the screening period) and Days 1-14 (treatment period).The Peak Expiratory Flow (PEF) rate is the maximal rate that a person can exhale during a short maximal expiratory effort after fully inhaling. Participants measured their PEF using a peak flow meter prior to taking study medication and recorded measurements in a diary every morning and evening during the study. Change from baseline is the difference between the mean baseline PEF recorded during the screening period until the first day of treatment, and the overall mean PEF from Days 1 to 14.
Number of Participants Using Rescue MedicationOver 14 daysParticipants recorded the use of rescue medications (salbutamol/albuterol) for treatment of asthma symptoms twice a day in a diary during the 14 days of the treatment period.

Countries

Argentina, Belgium, Chile, France, Germany, Hungary, Ireland, Italy, Latvia, Lithuania, Norway, Peru, Poland, Romania, South Africa, Turkey (Türkiye), United Kingdom

Participant flow

Participants by arm

ArmCount
Indacaterol 62.5 μg
Indacaterol 62.5 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days.
98
Indacaterol 125 μg
Indacaterol 125 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days.
91
Indacaterol 250 μg
Indacaterol 250 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days.
98
Indacaterol 500 μg
Indacaterol 500 μg delivered by the TWISTHALER® device once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days.
93
Formoterol
Formoterol 12 μg delivered by the AEROLIZER® device twice a day and placebo to indacaterol (placebo TWISTHALER® device) once a day for 14 days.
87
Placebo
Placebo to indacaterol (placebo TWISTHALER® placebo) once a day and placebo to formoterol (placebo AEROLIZER® device) twice a day for 14 days.
89
Total556

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyAbnormal laboratory value(s)120000
Overall StudyAbnormal test procedure results001000
Overall StudyAdministrative problems011000
Overall StudyAdverse Event314124
Overall StudyLost to Follow-up000100
Overall StudyProtocol deviation010200
Overall StudySubject withdrew consent000012

Baseline characteristics

CharacteristicIndacaterol 62.5 μgIndacaterol 125 μgIndacaterol 250 μgIndacaterol 500 μgFormoterolPlaceboTotal
Age Continuous62.1 years
STANDARD_DEVIATION 7.69
61.6 years
STANDARD_DEVIATION 9.51
61.6 years
STANDARD_DEVIATION 8.68
61.9 years
STANDARD_DEVIATION 8.48
63.3 years
STANDARD_DEVIATION 8.36
62.2 years
STANDARD_DEVIATION 8.84
62.1 years
STANDARD_DEVIATION 8.58
Sex: Female, Male
Female
33 Participants23 Participants27 Participants20 Participants29 Participants25 Participants157 Participants
Sex: Female, Male
Male
65 Participants68 Participants71 Participants73 Participants58 Participants64 Participants399 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
4 / 985 / 923 / 1014 / 966 / 908 / 91
serious
Total, serious adverse events
1 / 980 / 921 / 1012 / 961 / 901 / 91

Outcome results

Primary

The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)

FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 14 days of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.

Time frame: Baseline (prior to first dose) and Day 15 (24 hours after last dose)

Population: The intent-to-treat population (ITT) population consisted of all randomized patients who had a baseline and at least one post-dose FEV1 measurement. The analysis only includes patients with non-missing data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 62.5 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)0.051 litersStandard Error 0.0207
Indacaterol 125 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)0.073 litersStandard Error 0.0217
Indacaterol 250 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)0.076 litersStandard Error 0.021
Indacaterol 500 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)0.121 litersStandard Error 0.0211
FormoterolThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)0.098 litersStandard Error 0.0219
PlaceboThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1)0.005 litersStandard Error 0.0223
Secondary

Change From Baseline in Morning and Evening Peak Expiratory Flow

The Peak Expiratory Flow (PEF) rate is the maximal rate that a person can exhale during a short maximal expiratory effort after fully inhaling. Participants measured their PEF using a peak flow meter prior to taking study medication and recorded measurements in a diary every morning and evening during the study. Change from baseline is the difference between the mean baseline PEF recorded during the screening period until the first day of treatment, and the overall mean PEF from Days 1 to 14.

Time frame: Baseline (recorded during the screening period) and Days 1-14 (treatment period).

Population: Intent to treat population. The analysis only includes patients with non-missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Indacaterol 62.5 μgChange From Baseline in Morning and Evening Peak Expiratory FlowMorning [N=56, 63, 59, 54, 54, 55]3.10 liters/minuteStandard Deviation 29.709
Indacaterol 62.5 μgChange From Baseline in Morning and Evening Peak Expiratory FlowEvening [N=56, 58, 56, 49, 48, 52]-2.72 liters/minuteStandard Deviation 28.816
Indacaterol 125 μgChange From Baseline in Morning and Evening Peak Expiratory FlowMorning [N=56, 63, 59, 54, 54, 55]19.91 liters/minuteStandard Deviation 34.06
Indacaterol 125 μgChange From Baseline in Morning and Evening Peak Expiratory FlowEvening [N=56, 58, 56, 49, 48, 52]13.42 liters/minuteStandard Deviation 30.5
Indacaterol 250 μgChange From Baseline in Morning and Evening Peak Expiratory FlowMorning [N=56, 63, 59, 54, 54, 55]23.63 liters/minuteStandard Deviation 30.707
Indacaterol 250 μgChange From Baseline in Morning and Evening Peak Expiratory FlowEvening [N=56, 58, 56, 49, 48, 52]19.00 liters/minuteStandard Deviation 24.004
Indacaterol 500 μgChange From Baseline in Morning and Evening Peak Expiratory FlowMorning [N=56, 63, 59, 54, 54, 55]11.11 liters/minuteStandard Deviation 36.787
Indacaterol 500 μgChange From Baseline in Morning and Evening Peak Expiratory FlowEvening [N=56, 58, 56, 49, 48, 52]5.92 liters/minuteStandard Deviation 43.49
FormoterolChange From Baseline in Morning and Evening Peak Expiratory FlowMorning [N=56, 63, 59, 54, 54, 55]16.06 liters/minuteStandard Deviation 31.544
FormoterolChange From Baseline in Morning and Evening Peak Expiratory FlowEvening [N=56, 58, 56, 49, 48, 52]14.97 liters/minuteStandard Deviation 40.355
PlaceboChange From Baseline in Morning and Evening Peak Expiratory FlowMorning [N=56, 63, 59, 54, 54, 55]-4.24 liters/minuteStandard Deviation 31.357
PlaceboChange From Baseline in Morning and Evening Peak Expiratory FlowEvening [N=56, 58, 56, 49, 48, 52]-2.75 liters/minuteStandard Deviation 35.034
Secondary

Number of Participants Using Rescue Medication

Participants recorded the use of rescue medications (salbutamol/albuterol) for treatment of asthma symptoms twice a day in a diary during the 14 days of the treatment period.

Time frame: Over 14 days

Population: Intent to treat

ArmMeasureGroupValue (NUMBER)
Indacaterol 62.5 μgNumber of Participants Using Rescue MedicationNight72 participants
Indacaterol 62.5 μgNumber of Participants Using Rescue MedicationDay74 participants
Indacaterol 125 μgNumber of Participants Using Rescue MedicationDay61 participants
Indacaterol 125 μgNumber of Participants Using Rescue MedicationNight60 participants
Indacaterol 250 μgNumber of Participants Using Rescue MedicationNight67 participants
Indacaterol 250 μgNumber of Participants Using Rescue MedicationDay73 participants
Indacaterol 500 μgNumber of Participants Using Rescue MedicationNight59 participants
Indacaterol 500 μgNumber of Participants Using Rescue MedicationDay65 participants
FormoterolNumber of Participants Using Rescue MedicationDay65 participants
FormoterolNumber of Participants Using Rescue MedicationNight67 participants
PlaceboNumber of Participants Using Rescue MedicationDay70 participants
PlaceboNumber of Participants Using Rescue MedicationNight72 participants
Secondary

Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose

FEV1 was measured on Day 14 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.

Time frame: Day 14, pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.

Population: The intent-to-treat population (ITT) population consisted of all randomized patients who had a baseline and at least one post-dose FEV1 measurement. Observed data only.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 62.5 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose1.407 litersStandard Error 0.0193
Indacaterol 125 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose1.461 litersStandard Error 0.0202
Indacaterol 250 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose1.441 litersStandard Error 0.0196
Indacaterol 500 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose1.500 litersStandard Error 0.0198
FormoterolStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose1.541 litersStandard Error 0.0206
PlaceboStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose1.315 litersStandard Error 0.0208
Secondary

Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 1

FEV1 was measured on Day 1 pre-dose and up to 4 hours post-dose. The Area Under the Curve (AUC) for FEV1 was analyzed using Analysis of Covariance adjusting for treatment and region with baseline FEV1 as a covariate.

Time frame: Day 1; pre-dose and at 5, 20, 30 minutes and 1, 2, 3, and 4 hours post-dose.

Population: The intent-to-treat population (ITT) population consisted of all randomized patients who had a baseline and at least one post-dose FEV1 measurement. Observed data only.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 62.5 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 11.371 litersStandard Error 0.0111
Indacaterol 125 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 11.422 litersStandard Error 0.0116
Indacaterol 250 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 11.427 litersStandard Error 0.0112
Indacaterol 500 μgStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 11.438 litersStandard Error 0.0116
FormoterolStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 11.535 litersStandard Error 0.0118
PlaceboStandardized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Between Baseline (Predose) and 4 Hours Post-dose on Day 11.321 litersStandard Error 0.0118
Secondary

The Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 1

FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Change from baseline to 24 hour post dose trough FEV1 after 1 day of treatment was analyzed using Analysis of Covariance (ANCOVA) adjusting for treatment and region with baseline FEV1 as a covariate.

Time frame: Day 1 Baseline (prior to first dose) and 24 hours post-dose.

Population: The intent-to-treat population (ITT) population consisted of all randomized patients who had a baseline and at least one post-dose FEV1 measurement. The analysis only includes patients with non-missing data.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 62.5 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 10.028 litersStandard Error 0.0152
Indacaterol 125 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 10.054 litersStandard Error 0.0158
Indacaterol 250 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 10.060 litersStandard Error 0.0151
Indacaterol 500 μgThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 10.073 litersStandard Error 0.0156
FormoterolThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 10.140 litersStandard Error 0.016
PlaceboThe Mean Change From Baseline to 24 Hour Post-dose (Trough) Forced Expiratory Volume in 1 Second (FEV1) on Day 1-0.009 litersStandard Error 0.016
Secondary

Time to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14

FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation. Time to peak FEV1 is calculated in minutes from the time of inhalation of study drug to the time of the peak FEV1, which is taken as the maximum FEV1 recorded post-dose.

Time frame: Day 1 and Day 14 measured pre-dose and up to 4 hours post-dose

Population: The intent-to-treat population (ITT) population consisted of all randomized patients who had a baseline and at least one post-dose FEV1 measurement. The analysis only includes patients with non-missing data, indicated by N.

ArmMeasureGroupValue (MEAN)Dispersion
Indacaterol 62.5 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 14 [N=93, 86, 90, 89, 83, 82]91.3 minutesStandard Deviation 81.2
Indacaterol 62.5 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 [N=98, 91, 97, 91, 87, 87]80.9 minutesStandard Deviation 76.01
Indacaterol 125 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 14 [N=93, 86, 90, 89, 83, 82]105.6 minutesStandard Deviation 82.53
Indacaterol 125 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 [N=98, 91, 97, 91, 87, 87]84.4 minutesStandard Deviation 77.74
Indacaterol 250 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 14 [N=93, 86, 90, 89, 83, 82]104.7 minutesStandard Deviation 75.96
Indacaterol 250 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 [N=98, 91, 97, 91, 87, 87]101.4 minutesStandard Deviation 83.44
Indacaterol 500 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 14 [N=93, 86, 90, 89, 83, 82]116.4 minutesStandard Deviation 85.03
Indacaterol 500 μgTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 [N=98, 91, 97, 91, 87, 87]105.3 minutesStandard Deviation 81.85
FormoterolTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 [N=98, 91, 97, 91, 87, 87]115.0 minutesStandard Deviation 81.59
FormoterolTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 14 [N=93, 86, 90, 89, 83, 82]89.1 minutesStandard Deviation 72.91
PlaceboTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 1 [N=98, 91, 97, 91, 87, 87]85.7 minutesStandard Deviation 81.44
PlaceboTime to Peak Forced Expiratory Volume in 1 Second (FEV1) on Day 1 and Day 14Day 14 [N=93, 86, 90, 89, 83, 82]68.0 minutesStandard Deviation 70.38

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026