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Safety, Tolerability and Efficacy of Indacaterol in Patients With Moderate-to-severe Chronic Obstructive Pulmonary Disease (COPD)

A 26-week Extension to a 26-week Treatment, Multicenter, Randomized, Double-blind, Placebo-controlled, Adaptive, Seamless, Parallel-group Study to Assess Safety, Tolerability and Efficacy of Two Doses of Indacaterol (150 and 300 µg o.d.) in Patients With Chronic Obstructive Pulmonary Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00677807
Enrollment
415
Registered
2008-05-15
Start date
2008-05-31
Completion date
2009-03-31
Last updated
2011-08-22

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

Conditions

COPD

Keywords

COPD, adults, β2-agonist, indacaterol

Brief summary

This study evaluated the 1 year safety, tolerability and efficacy of indacaterol against placebo in the treatment of Chronic Obstructive Pulmonary Disease (COPD) patients

Interventions

DRUGIndacaterol

Indacaterol once-daily (o.d.) via single-dose dry-powder inhaler (SDDPI)

DRUGPlacebo

Placebo once-daily (o.d.) via single-dose dry-powder inhaler (SDDPI)

Sponsors

Novartis
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Patients eligible to participate in the study extension, by definition, will have met the inclusion and

Exclusion criteria

for the core 26 weeks and not met the withdrawal criteria for the core study B2335S at Visit 14 (the last visit of the core study B2335S and the first visit of the extension study B2335SE). * In addition the following inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Blood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Weeks 12, 26, 36, 44 and 52The least squares mean of the blood glucose in mmol/L at weeks 12, 26, 36, 44 and 52. Mixed model used baseline blood glucose as a covariate.
The Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboUp to 52 weeksThe number of participants with newly occurring or worsening clinically notable QTc Interval value at anytime post baseline. The QTc interval is calculated using Fridericia's formula: QTc= QT/cube root RR. QTc is the interval between the Q and T waves corrected for heart rate and RR is the interval between two R waves in milliseconds (ms). Notable QTC interval= \>450 ms for males and \>470 ms for females. The maximum QTC increase from pre to post dose at any time during the study was also tabulated with absolute and relative frequencies for categories 30- 60 ms and \>60 ms.
Serum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Weeks 12, 26, 36, 44 and 52The least squares mean of the serum potassium in mmol/L at weeks 12, 26, 36, 44 and 52. Mixed model used baseline serum potassium as a covariate.
The Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboUp to 52 weeksThe number of participants with newly occurring or worsening clinically notable vital sign: Pulse Rate in beats per minute (bpm) at anytime post baseline (BL) by treatment. Low Pulse Rate was defined as a pulse rate: \<40 bpm or \<= to 50 bpm and a decrease from baseline \>= to 15 bpm. High Pulse Rate was defined as a pulse rate: \>130 bpm or \>= to 120 bpm and an increase from baseline \>= to 15 bpm.
The Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboUp to 52 weeksThe number of participants with newly occurring or worsening clinically notable vital sign: Systolic Blood Pressure (mmHg) at anytime post baseline (BL) by treatment. A Low Systolic Blood Pressure was defined as a systolic blood pressure measurement: \<75 mmHg or \<= to 90 mmHg and a decrease from baseline \>= to 20 mmHg. A High Systolic Blood Pressure was defined as a systolic blood pressure measurement: \>200 mmHg or \>= to 180 mmHg and an increase from baseline \>= to 20 mmHg.
The Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboUp to 52 weeksThe number of participants with newly occurring or worsening clinically notable vital sign: Diastolic Blood Pressure (mmHg) at anytime post baseline (BL) by treatment. A Low Diastolic Blood Pressure was defined as a diastolic blood pressure measurement: \<40 mmHg or \<= to 50 mmHg and a decrease from baseline \>= to 15 mmHg. A High Diastolic Blood Pressure was defined as a diastolic blood pressure measurement: \>115 mmHg or \>= to 105 mmHg and an increase from baseline \>= to 15 mmHg.

Secondary

MeasureTime frameDescription
Quality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Weeks 36, 44 and 52The least squares mean of the SGRQ total score at weeks 36, 44 and 52. Mixed model used for analysis used baseline SGRQ total score as well as FEV1 reversibility components as covariates. SGRQ is a health related quality of life questionnaire consisting of 50 items in three domains: symptoms, activity and impacts. The total score is 0 to 100 with a higher score indicating poorer health. A difference from placebo of -4 in the least squares mean SGRQ total score is considered clinically relevant.
Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 52 of TreatmentWeek 52Spirometry was conducted according to internationally accepted standards. The trough FEV1 was defined as the average of the FEV1 measurements taken at 23 hours 10 minutes and 23 hours 45 minutes post dose at week 52. The mixed model used baseline FEV1 as well as FEV1 reversibility components as covariates.

Countries

Argentina, Canada, Germany, India, Italy, Spain, Sweden, Turkey (Türkiye), United States

Participant flow

Recruitment details

This is an extension study to core study stage 2: CQAB149B2335S (NCT00463567).

Participants by arm

ArmCount
Indacaterol 150 µg
Indacaterol 150 µg once-daily (o.d.) via single-dose dry-powder inhaler (SDDPI). The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.
144
Indacaterol 300 µg
Indacaterol 300 µg once-daily (o.d.) via SDDPI. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.
146
Placebo
Placebo once-daily (o.d.) via SDDPI. The short acting (beta) β2-agonist (SABA) salbutamol/albuterol was available for rescue use throughout the study.
124
Total414

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdministrative problems112
Overall StudyAdverse Event416
Overall StudyDeath011
Overall StudyLack of Efficacy002
Overall StudyLost to Follow-up222
Overall StudyParticipant no longer needs study drug001
Overall StudyProtocol Deviation130
Overall StudyWithdrawal by Subject1036

Baseline characteristics

CharacteristicIndacaterol 150 µgIndacaterol 300 µgPlaceboTotal
Age Continuous62.5 years
STANDARD_DEVIATION 9.52
62.5 years
STANDARD_DEVIATION 9
62.8 years
STANDARD_DEVIATION 9.18
62.6 years
STANDARD_DEVIATION 9.21
Sex: Female, Male
Female
57 Participants60 Participants43 Participants160 Participants
Sex: Female, Male
Male
87 Participants86 Participants81 Participants254 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
86 / 14491 / 14667 / 124
serious
Total, serious adverse events
15 / 14418 / 14613 / 124

Outcome results

Primary

Blood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52

The least squares mean of the blood glucose in mmol/L at weeks 12, 26, 36, 44 and 52. Mixed model used baseline blood glucose as a covariate.

Time frame: Weeks 12, 26, 36, 44 and 52

Population: Extension safety population consisting of all participants who received at least one dose of study drug in the extension study. n in the categories is the number of participants with data at the given time point for each treatment.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 150 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 44 (n=131, 133, 105)5.70 mmol/LStandard Error 0.189
Indacaterol 150 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 36 (n=134, 136, 111)5.81 mmol/LStandard Error 0.156
Indacaterol 150 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 12 (n=142, 140, 118)5.50 mmol/LStandard Error 0.139
Indacaterol 150 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 26 (n=137, 143, 118)5.93 mmol/LStandard Error 0.169
Indacaterol 150 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 52 (n=123, 131, 99)5.93 mmol/LStandard Error 0.201
Indacaterol 300 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 36 (n=134, 136, 111)5.75 mmol/LStandard Error 0.151
Indacaterol 300 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 12 (n=142, 140, 118)5.59 mmol/LStandard Error 0.134
Indacaterol 300 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 26 (n=137, 143, 118)5.77 mmol/LStandard Error 0.16
Indacaterol 300 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 44 (n=131, 133, 105)5.88 mmol/LStandard Error 0.176
Indacaterol 300 µgBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 52 (n=123, 131, 99)5.70 mmol/LStandard Error 0.189
PlaceboBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 52 (n=123, 131, 99)5.55 mmol/LStandard Error 0.221
PlaceboBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 44 (n=131, 133, 105)5.60 mmol/LStandard Error 0.205
PlaceboBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 12 (n=142, 140, 118)5.18 mmol/LStandard Error 0.15
PlaceboBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 36 (n=134, 136, 111)5.66 mmol/LStandard Error 0.171
PlaceboBlood Glucose (mmol/L) 1 Hour Post Dose at Weeks 12, 26, 36, 44 and 52Week 26 (n=137, 143, 118)5.49 mmol/LStandard Error 0.18
Primary

Serum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52

The least squares mean of the serum potassium in mmol/L at weeks 12, 26, 36, 44 and 52. Mixed model used baseline serum potassium as a covariate.

Time frame: Weeks 12, 26, 36, 44 and 52

Population: Extension safety population consisting of all participants who received at least one dose of study drug in the extension study. n in the categories is the number of participants with data at the given time point for each treatment.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 150 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 44 (n=129, 130, 103)4.52 mmol/LStandard Error 0.05
Indacaterol 150 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 36 (n=132, 133, 109)4.46 mmol/LStandard Error 0.051
Indacaterol 150 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 12 (n=140, 138, 115)4.45 mmol/LStandard Error 0.045
Indacaterol 150 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 26 (n=135, 141, 114)4.53 mmol/LStandard Error 0.049
Indacaterol 150 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 52 (n=121, 129, 97)4.42 mmol/LStandard Error 0.053
Indacaterol 300 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 36 (n=132, 133, 109)4.49 mmol/LStandard Error 0.05
Indacaterol 300 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 12 (n=140, 138, 115)4.50 mmol/LStandard Error 0.044
Indacaterol 300 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 26 (n=135, 141, 114)4.53 mmol/LStandard Error 0.047
Indacaterol 300 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 44 (n=129, 130, 103)4.51 mmol/LStandard Error 0.048
Indacaterol 300 µgSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 52 (n=121, 129, 97)4.54 mmol/LStandard Error 0.05
PlaceboSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 52 (n=121, 129, 97)4.49 mmol/LStandard Error 0.059
PlaceboSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 44 (n=129, 130, 103)4.55 mmol/LStandard Error 0.055
PlaceboSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 12 (n=140, 138, 115)4.45 mmol/LStandard Error 0.05
PlaceboSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 36 (n=132, 133, 109)4.55 mmol/LStandard Error 0.057
PlaceboSerum Potassium (mmol/L) 1 Hour Post-dose at Weeks 12, 26, 36, 44 and 52Week 26 (n=135, 141, 114)4.55 mmol/LStandard Error 0.053
Primary

The Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to Placebo

The number of participants with newly occurring or worsening clinically notable vital sign: Diastolic Blood Pressure (mmHg) at anytime post baseline (BL) by treatment. A Low Diastolic Blood Pressure was defined as a diastolic blood pressure measurement: \<40 mmHg or \<= to 50 mmHg and a decrease from baseline \>= to 15 mmHg. A High Diastolic Blood Pressure was defined as a diastolic blood pressure measurement: \>115 mmHg or \>= to 105 mmHg and an increase from baseline \>= to 15 mmHg.

Time frame: Up to 52 weeks

Population: Extension safety population consisting of all participants who received at least one dose of study drug in the extension study.

ArmMeasureGroupValue (NUMBER)
Indacaterol 150 µgThe Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Diastolic Blood Pressure6 participants
Indacaterol 150 µgThe Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Diastolic Blood Pressure1 participants
Indacaterol 300 µgThe Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Diastolic Blood Pressure3 participants
Indacaterol 300 µgThe Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Diastolic Blood Pressure0 participants
PlaceboThe Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Diastolic Blood Pressure2 participants
PlaceboThe Number of Participants With a Clinically Notable Diastolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Diastolic Blood Pressure2 participants
Primary

The Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to Placebo

The number of participants with newly occurring or worsening clinically notable vital sign: Pulse Rate in beats per minute (bpm) at anytime post baseline (BL) by treatment. Low Pulse Rate was defined as a pulse rate: \<40 bpm or \<= to 50 bpm and a decrease from baseline \>= to 15 bpm. High Pulse Rate was defined as a pulse rate: \>130 bpm or \>= to 120 bpm and an increase from baseline \>= to 15 bpm.

Time frame: Up to 52 weeks

Population: Extension safety population consisting of all participants who received at least one dose of study drug in the extension study.

ArmMeasureGroupValue (NUMBER)
Indacaterol 150 µgThe Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Pulse Rate3 Participants
Indacaterol 150 µgThe Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Pulse Rate0 Participants
Indacaterol 300 µgThe Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Pulse Rate3 Participants
Indacaterol 300 µgThe Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Pulse Rate1 Participants
PlaceboThe Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Pulse Rate2 Participants
PlaceboThe Number of Participants With a Clinically Notable Pulse Rate During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Pulse Rate0 Participants
Primary

The Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to Placebo

The number of participants with newly occurring or worsening clinically notable QTc Interval value at anytime post baseline. The QTc interval is calculated using Fridericia's formula: QTc= QT/cube root RR. QTc is the interval between the Q and T waves corrected for heart rate and RR is the interval between two R waves in milliseconds (ms). Notable QTC interval= \>450 ms for males and \>470 ms for females. The maximum QTC increase from pre to post dose at any time during the study was also tabulated with absolute and relative frequencies for categories 30- 60 ms and \>60 ms.

Time frame: Up to 52 weeks

Population: Extension safety population consisting of all participants who received at least one dose of study drug in the extension study.

ArmMeasureGroupValue (NUMBER)
Indacaterol 150 µgThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboQTc increase from BL: 30-60 ms28 participant
Indacaterol 150 µgThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboNotable QTc10 participant
Indacaterol 150 µgThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboQTc increase from BL: >60 ms1 participant
Indacaterol 300 µgThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboQTc increase from BL: 30-60 ms30 participant
Indacaterol 300 µgThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboNotable QTc9 participant
Indacaterol 300 µgThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboQTc increase from BL: >60 ms1 participant
PlaceboThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboNotable QTc11 participant
PlaceboThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboQTc increase from BL: >60 ms1 participant
PlaceboThe Number of Participants With a Clinically Notable QTc Interval Value During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboQTc increase from BL: 30-60 ms30 participant
Primary

The Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to Placebo

The number of participants with newly occurring or worsening clinically notable vital sign: Systolic Blood Pressure (mmHg) at anytime post baseline (BL) by treatment. A Low Systolic Blood Pressure was defined as a systolic blood pressure measurement: \<75 mmHg or \<= to 90 mmHg and a decrease from baseline \>= to 20 mmHg. A High Systolic Blood Pressure was defined as a systolic blood pressure measurement: \>200 mmHg or \>= to 180 mmHg and an increase from baseline \>= to 20 mmHg.

Time frame: Up to 52 weeks

Population: Extension safety population consisting of all participants who received at least one dose of study drug in the extension study.

ArmMeasureGroupValue (NUMBER)
Indacaterol 150 µgThe Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Systolic Blood Pressure2 participants
Indacaterol 150 µgThe Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Systolic Blood Pressure1 participants
Indacaterol 300 µgThe Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Systolic Blood Pressure2 participants
Indacaterol 300 µgThe Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Systolic Blood Pressure2 participants
PlaceboThe Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboLow Systolic Blood Pressure2 participants
PlaceboThe Number of Participants With a Clinically Notable Systolic Blood Pressure During 52 Weeks of Treatment With Indacaterol 150 µg or 300 µg Compared to PlaceboHigh Systolic Blood Pressure2 participants
Secondary

Quality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52

The least squares mean of the SGRQ total score at weeks 36, 44 and 52. Mixed model used for analysis used baseline SGRQ total score as well as FEV1 reversibility components as covariates. SGRQ is a health related quality of life questionnaire consisting of 50 items in three domains: symptoms, activity and impacts. The total score is 0 to 100 with a higher score indicating poorer health. A difference from placebo of -4 in the least squares mean SGRQ total score is considered clinically relevant.

Time frame: Weeks 36, 44 and 52

Population: Extension Intent-to-treat population consisting of all participants who received at least one dose of study drug. n in each of the categories is the number of participants with data at the given time point. Missing data were imputed using LOCF but not by more than 14 weeks and not by carrying forward scores within 4 weeks of treatment start.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 150 µgQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 44 (n= 128, 133, 109)35.98 Score on a ScaleStandard Error 1.883
Indacaterol 150 µgQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 36 (n=138, 137, 113)36.62 Score on a ScaleStandard Error 1.767
Indacaterol 150 µgQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 52 (n=126, 132, 104)35.97 Score on a ScaleStandard Error 1.826
Indacaterol 300 µgQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 44 (n= 128, 133, 109)36.18 Score on a ScaleStandard Error 1.739
Indacaterol 300 µgQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 36 (n=138, 137, 113)36.37 Score on a ScaleStandard Error 1.695
Indacaterol 300 µgQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 52 (n=126, 132, 104)37.49 Score on a ScaleStandard Error 1.721
PlaceboQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 36 (n=138, 137, 113)39.56 Score on a ScaleStandard Error 1.913
PlaceboQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 52 (n=126, 132, 104)39.19 Score on a ScaleStandard Error 2.004
PlaceboQuality of Life Assessment With St George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 36, 44 and 52Week 44 (n= 128, 133, 109)41.67 Score on a ScaleStandard Error 2.001
Secondary

Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 52 of Treatment

Spirometry was conducted according to internationally accepted standards. The trough FEV1 was defined as the average of the FEV1 measurements taken at 23 hours 10 minutes and 23 hours 45 minutes post dose at week 52. The mixed model used baseline FEV1 as well as FEV1 reversibility components as covariates.

Time frame: Week 52

Population: Participants from the Extension Intent-to-treat population (consisting of all participants who received at least one dose of study drug) for whom data was available for this Outcome Measure. Missing data was imputed Last Observation Carried Forward.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Indacaterol 150 µgTrough Forced Expiratory Volume in 1 Second (FEV1) at Week 52 of Treatment1.44 LitersStandard Error 0.034
Indacaterol 300 µgTrough Forced Expiratory Volume in 1 Second (FEV1) at Week 52 of Treatment1.45 LitersStandard Error 0.032
PlaceboTrough Forced Expiratory Volume in 1 Second (FEV1) at Week 52 of Treatment1.27 LitersStandard Error 0.037

Source: ClinicalTrials.gov · Data processed: Mar 29, 2026