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Efficacy and Safety Study of QVA149 in COPD Patients

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 With Moderate to Severe Airflow Limitation

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02487446
Enrollment
357
Registered
2015-07-01
Start date
2015-07-28
Completion date
2016-09-12
Last updated
2017-12-26

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

Conditions

Chronic Obstructive Pulmonary Disease

Keywords

Chronic Obstructive Pulmonary Disease (COPD)

Brief summary

The purpose of this study is to demonstrate that the efficacy of the combination product QVA149 is similar to the efficacy of the combination product umeclidinium/vilanterol on a pre-specified endpoint of FEV1 AUC0-24h while maintaining an acceptable safety profile.

Interventions

DRUGQVA149

QVA149 capsules for inhalation, delivered via QVA149 single dose dry powder inhaler (SDDPI)

Umeclidinium/vilanterol for inhalation, delivered via ELLIPTA® inhaler

DRUGPlacebo (umeclidinium/vilanterol)

Matching Placebo to umeclidinium/vilanterol for inhalation, delivered via ELLIPTA® inhaler

Matching Placebo to QVA149 capsules for inhalation, delivered via QVA149 SDDPI

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Male or female adults aged ≥40 yrs * Smoking history of at least 10 pack years * Diagnosis of stable Chronic Obstructive Pulmonary Disease (COPD) as classified by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines, 2015) * Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)\< 80% and ≥ 30% of the predicted normal value and post-bronchodilator FEV1/FVC (forced vital capacity) \<70% * Modified Medical Research Council questionnaire grade of 2 or higher

Exclusion criteria

* Patients who have had a respiratory tract infection within 4 weeks prior to Visit 1 * Patients with concomitant pulmonary disease * Patients with a history of asthma * Any patient with lung cancer or a history of lung cancer * Patients with a history of certain cardiovascular co-morbid conditions * Patients with a known history and diagnosis of alpha-1 antitrypsin deficiency * Patients in the active phase of a supervised pulmonary rehabilitation program * Patients contraindicated for inhaled anticholinergic agents and β2 agonists * Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24hbaseline, 0 to 24 hours post-dose at week 12FEV1 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.

Secondary

MeasureTime frameDescription
Change From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose)baseline, 23 hours 15 minutes and 23 hours 45 minutes post previous morning dose at week 12FEV1 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
Change From Baseline in FEV1 AUC 12-24hbaseline, 12 hours to 24 hours post-dose at week 12FEV1 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).
Change From Baseline in FEV1 AUC 0-12hbaseline, 0 to 12 hours post-dose at week 12FEV1 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).
Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24hbaseline, 0 to 24 hours post-dose at week 12FEV1 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.
Change From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose)baseline, 15 minutes and 45 minutes pre morning dose at week 12FEV1 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.
QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 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)FEV1 was measured with spirometry conducted according to internationally accepted standards.
QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 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)FEV1 was measured with spirometry conducted according to internationally accepted standards.
Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24hbaseline, 12 weeksFEV1 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.

Countries

United States

Participant flow

Pre-assignment details

Participants were randomized to 1 of 2 sequences in a 1:1 ratio.

Participants by arm

ArmCount
Overall Participants
Participants received QVA149 27.5/12.5 ug via inhalation twice daily (b.i.d.) for 12 weeks and Umeclidinium/vilanterol 62.5/25 ug via inhalation once daily for 12 weeks.
357
Total357

Withdrawals & dropouts

PeriodReasonFG000FG001
Period 1Adverse Event55
Period 1Lack of Efficacy10
Period 1Lost to Follow-up20
Period 1Physician Decision01
Period 1Protocol deviation32
Period 1Withdrawal by Subject20
Period 2Adverse Event62
Period 2Lost to Follow-up11
Period 2Protocol deviation01
Period 2Withdrawal by Subject11
WashoutAdverse Event22
WashoutLost to Follow-up02
WashoutWithdrawal by Subject14

Baseline characteristics

CharacteristicOverall Participants
Age, Continuous64.1 Years
STANDARD_DEVIATION 8.21
Sex: Female, Male
Female
171 Participants
Sex: Female, Male
Male
186 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
85 / 341104 / 340161 / 356
serious
Total, serious adverse events
13 / 34121 / 34033 / 356

Outcome results

Primary

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.

Time frame: baseline, 0 to 24 hours post-dose at week 12

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time point were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h0.2321 LitersStandard Error 0.01133
Umeclidinium/VilanterolChange From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h0.2436 LitersStandard Error 0.0113
Comparison: Ho: QVA149 27.5/12.5 μg b.i.d. is inferior to umeclidinium/vilanterol 62.5/25 μg q.d; Ha: QVA149 27.5/12.5 μg b.i.d. is non-inferior to umeclidinium/vilanterol 62.5/25 μg q.d.p-value: 0.13995% CI: [-0.0269, 0.0038]Linear Mixed Model
Secondary

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).

Time frame: baseline, 0 to 12 hours post-dose at week 12

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time point were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in FEV1 AUC 0-12h0.2543 LiterStandard Error 0.01031
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-12h0.2848 LiterStandard Error 0.01026
Secondary

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.

Time frame: baseline, 12 weeks

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time points were included in the analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h0-4h0.3223 LiterStandard Error 0.01087
QVA149Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h8-12h0.1911 LiterStandard Error 0.01069
QVA149Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h12-16h0.2594 LiterStandard Error 0.01241
QVA149Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h16-20h0.1914 LiterStandard Error 0.01247
QVA149Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h20-24h (n=310,314)0.1722 LiterStandard Error 0.01136
QVA149Change From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h4-8h0.2399 LiterStandard Error 0.01051
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h20-24h (n=310,314)0.1821 LiterStandard Error 0.01133
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h0-4h0.3289 LiterStandard Error 0.0108
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h16-20h0.1875 LiterStandard Error 0.01244
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h8-12h0.2411 LiterStandard Error 0.01062
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h4-8h0.2831 LiterStandard Error 0.01045
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 0-4h, AUC 4-8h, AUC 8-12h, AUC 12-16h, AUC 16-20h and AUC 20-24h12-16h0.2349 LiterStandard Error 0.01236
Secondary

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).

Time frame: baseline, 12 hours to 24 hours post-dose at week 12

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time point were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in FEV1 AUC 12-24h0.2076 LitersStandard Error 0.01159
Umeclidinium/VilanterolChange From Baseline in FEV1 AUC 12-24h0.2025 LitersStandard Error 0.01156
95% CI: [-0.0108, 0.0209]
Secondary

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.

Time frame: baseline, 0 to 24 hours post-dose at week 12

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and post-baseline time point were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h0.2321 LitersStandard Error 0.01133
Umeclidinium/VilanterolChange From Baseline in Forced Expiratory Volume (FEV1) Area Under the Curve (AUC) 0-24h0.2436 LitersStandard Error 0.0113
Comparison: Ho: QVA149 27.5/12.5 μg b.i.d. is inferior to umeclidinium/vilanterol 62.5/25 μg q.d; Ha: QVA149 27.5/12.5 μg b.i.d. is non-inferior to umeclidinium/vilanterol 62.5/25 μg q.d.95% CI: [-0.0269, 0.0038]
Secondary

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.

Time frame: baseline, 15 minutes and 45 minutes pre morning dose at week 12

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time point were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose)0.2302 LiterStandard Error 0.01138
Umeclidinium/VilanterolChange From Baseline in Pre-dose Trough FEV1 (Mean of 15 Minutes and 45 Minutes Pre Morning Dose)0.2450 LiterStandard Error 0.01135
Secondary

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

Time frame: baseline, 23 hours 15 minutes and 23 hours 45 minutes post previous morning dose at week 12

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time point were included in the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
QVA149Change From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose)0.1891 LitersStandard Error 0.0107
Umeclidinium/VilanterolChange From Baseline in Trough FEV1 (Mean of 23h 15 Minutes and 23 h 45 Minutes Post Previous Morning Dose)0.2043 LitersStandard Error 0.01069
95% CI: [-0.0361, 0.0056]
Secondary

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.

Time frame: 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)

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time points were included in the analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 5 minutes0.1112 LiterStandard Error 0.01011
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 15 minutes0.1509 LiterStandard Error 0.01046
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 30 minutes0.1602 LiterStandard Error 0.01071
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 1 hour0.1755 LiterStandard Error 0.01105
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 2 hours0.1840 LiterStandard Error 0.01161
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 4 hours0.1432 LiterStandard Error 0.01107
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 8 hours0.0815 LiterStandard Error 0.01054
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 11 hours 55 minutes0.0699 LiterStandard Error 0.01153
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 23 hours 15 minutes0.1498 LiterStandard Error 0.01078
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 23 hours 45 minutes0.1579 LiterStandard Error 0.01103
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 6, -45 minutes0.2122 LiterStandard Error 0.01143
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 6, -15 minutes0.2378 LiterStandard Error 0.01181
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 5 minutes0.2879 LiterStandard Error 0.01029
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 15 minutes0.3187 LiterStandard Error 0.01079
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 30 minutes0.3346 LiterStandard Error 0.01103
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 1 hour0.3426 LiterStandard Error 0.01128
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 2 hours0.3343 LiterStandard Error 0.01188
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 4 hours0.2760 LiterStandard Error 0.01137
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 8 hours0.2033 LiterStandard Error 0.01078
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 11 hours 55 minutes0.1764 LiterStandard Error 0.01189
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 12 hours 5 minutes0.2343 LiterStandard Error 0.01257
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 12 hours 15 minutes0.2465 LiterStandard Error 0.01291
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 12 hours 30 minutes0.2695 LiterStandard Error 0.01307
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 13 hours0.2749 LiterStandard Error 0.01305
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 14 hours0.2667 LiterStandard Error 0.01331
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 16 hours0.2230 LiterStandard Error 0.01306
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 20 hours0.1622 LiterStandard Error 0.01281
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 23 hours 15 minutes (n=299,305)0.1791 LiterStandard Error 0.01095
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 23 hours 45 minutes0.2048 LiterStandard Error 0.01122
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, -45 minutes0.2225 LiterStandard Error 0.01149
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, -15 minutes0.2390 LiterStandard Error 0.01182
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 12 hours 30 minutes0.2350 LiterStandard Error 0.01302
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 5 minutes0.1201 LiterStandard Error 0.01007
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 1 hour0.3334 LiterStandard Error 0.01119
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 15 minutes0.1682 LiterStandard Error 0.01048
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 20 hours0.1629 LiterStandard Error 0.01273
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 30 minutes0.1945 LiterStandard Error 0.01073
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 2 hours0.3445 LiterStandard Error 0.01175
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 1 hour0.2230 LiterStandard Error 0.011
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 13 hours0.2448 LiterStandard Error 0.01294
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 2 hours0.2329 LiterStandard Error 0.01157
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 4 hours0.3137 LiterStandard Error 0.01126
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 4 hours0.2270 LiterStandard Error 0.01105
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 23 hours 45 minutes0.2117 LiterStandard Error 0.01118
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 8 hours0.1861 LiterStandard Error 0.01056
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 8 hours0.2545 LiterStandard Error 0.01071
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 11 hours 55 minutes0.1674 LiterStandard Error 0.01138
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 14 hours0.2355 LiterStandard Error 0.01314
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 23 hours 15 minutes0.1764 LiterStandard Error 0.01063
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 11 hours 55 minutes0.2311 LiterStandard Error 0.01151
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointDay 1, 23 hours 45 minutes0.1932 LiterStandard Error 0.0109
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 23 hours 15 minutes (n=299,305)0.1981 LiterStandard Error 0.01088
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 6, -45 minutes0.2469 LiterStandard Error 0.01141
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 12 hours 5 minutes0.2218 LiterStandard Error 0.01242
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 6, -15 minutes0.2668 LiterStandard Error 0.01179
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, -15 minutes0.2538 LiterStandard Error 0.01179
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 16 hours0.2197 LiterStandard Error 0.01296
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 5 minutes0.2831 LiterStandard Error 0.01027
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 12 hours 15 minutes0.2324 LiterStandard Error 0.01282
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 15 minutes0.3074 LiterStandard Error 0.01074
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, -45 minutes0.2378 LiterStandard Error 0.01146
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in FEV1 at Any Time PointWeek 12, 30 minutes0.3258 LiterStandard Error 0.01091
Secondary

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.

Time frame: 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)

Population: The full analysis, which included all randomized patients who received at least one dose of double-blind treatment, was considered for the analysis. Only participants with a value at both baseline and the post-baseline time points were included in the analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 5 minutes0.2177 LiterStandard Error 0.01732
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 15 minutes0.2566 LiterStandard Error 0.01818
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 30 minutes0.2811 LiterStandard Error 0.01846
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 1 hour0.2944 LiterStandard Error 0.01912
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 2 hours0.3109 LiterStandard Error 0.01966
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 4 hours0.2788 LiterStandard Error 0.04347
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 8 hours0.1681 LiterStandard Error 0.01816
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 11 hours 55 minutes0.1406 LiterStandard Error 0.01915
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 23 hours 15 minutes0.2565 LiterStandard Error 0.01777
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 23 hours 45 minutes0.2737 LiterStandard Error 0.01903
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 6, -45 minutes0.2914 LiterStandard Error 0.01853
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 6, -15 minutes0.3390 LiterStandard Error 0.01922
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, -45 minutes0.3044 LiterStandard Error 0.01864
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, -15 minutes0.3344 LiterStandard Error 0.01923
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 5 minutes0.3960 LiterStandard Error 0.0176
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 15 minutes0.4378 LiterStandard Error 0.01865
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 30 minutes0.4602 LiterStandard Error 0.01892
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 1 hour0.4649 LiterStandard Error 0.01948
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 2 hours0.4405 LiterStandard Error 0.02006
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 4 hours0.3872 LiterStandard Error 0.0449
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 8 hours0.2714 LiterStandard Error 0.01856
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 11 hours 55 minutes0.2306 LiterStandard Error 0.01977
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 12 hours 5 minutes (n=294,305)0.3455 LiterStandard Error 0.02063
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 12 hours 15 minutes0.3409 LiterStandard Error 0.02086
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 12 hours 30 minutes0.3688 LiterStandard Error 0.02196
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 13 hours0.3760 LiterStandard Error 0.02123
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 14 hours0.3681 LiterStandard Error 0.02192
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 16 hours0.3129 LiterStandard Error 0.02205
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 20 hours0.2175 LiterStandard Error 0.0218
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 23 hours 15 minutes0.2237 LiterStandard Error 0.01804
QVA149QVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 23 hours 45 minutes (n=300,303)0.2607 LiterStandard Error 0.01935
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 15 minutes0.4169 LiterStandard Error 0.01857
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 5 minutes0.2218 LiterStandard Error 0.01726
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 12 hours 15 minutes0.3235 LiterStandard Error 0.0207
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 15 minutes0.2927 LiterStandard Error 0.01821
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 30 minutes0.4480 LiterStandard Error 0.01875
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 30 minutes0.3325 LiterStandard Error 0.01849
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 16 hours0.3279 LiterStandard Error 0.02189
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 1 hour0.3534 LiterStandard Error 0.01904
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 1 hour0.4647 LiterStandard Error 0.01934
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 2 hours0.3687 LiterStandard Error 0.0196
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 12 hours 30 minutes0.3326 LiterStandard Error 0.02187
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 4 hours0.4237 LiterStandard Error 0.04339
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 2 hours0.4853 LiterStandard Error 0.01987
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 8 hours0.3237 LiterStandard Error 0.01818
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 23 hours 15 minutes0.2750 LiterStandard Error 0.01792
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 11 hours 55 minutes0.2910 LiterStandard Error 0.01889
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 4 hours0.4343 LiterStandard Error 0.04435
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 23 hours 15 minutes0.2747 LiterStandard Error 0.01753
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 13 hours0.3361 LiterStandard Error 0.02104
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointDay 1, 23 hours 45 minutes0.3001 LiterStandard Error 0.01883
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 8 hours0.3555 LiterStandard Error 0.01844
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 6, -45 minutes0.3513 LiterStandard Error 0.01851
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 20 hours0.2353 LiterStandard Error 0.02167
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 6, -15 minutes0.3732 LiterStandard Error 0.01919
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 11 hours 55 minutes0.3231 LiterStandard Error 0.01911
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, -45 minutes0.3442 LiterStandard Error 0.01859
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 14 hours0.3371 LiterStandard Error 0.02162
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, -15 minutes0.3566 LiterStandard Error 0.01919
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 12 hours 5 minutes (n=294,305)0.3112 LiterStandard Error 0.02038
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 5 minutes0.3861 LiterStandard Error 0.01756
Umeclidinium/VilanterolQVA149 Compared to Umeclidinium/Vilanterol in Terms of Change From Baseline in Forced Vital Capacity (FVC) at Any Time PointWeek 12, 23 hours 45 minutes (n=300,303)0.2728 LiterStandard Error 0.01928

Source: ClinicalTrials.gov · Data processed: Mar 8, 2026