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CTRI Number  CTRI/2019/10/021728 [Registered on: 21/10/2019] Trial Registered Prospectively
Last Modified On: 18/10/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study for the uses and side effects of corticosteroids and bronchodilator drugs in people with airway problems 
Scientific Title of Study   A study to evaluate the efficacy and safety profile of inhaled corticosteroid/long acting beta agonist combination among COPD patients 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NA  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR AMRIT PAL KAUR 
Designation  JUNIOR RESIDENT 
Affiliation  GOVERNMENT MEDICAL COLLEGE AND RAJINDRA HOSPITAL 
Address  Department of Pharmacology, Government Medical College, Patiala.

Patiala
PUNJAB
147001
India 
Phone  7696194100  
Fax    
Email  dramrit24@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR VIJAY K SEHGAL  
Designation  HEAD OF DEPARTMENT 
Affiliation  GOVERNMENT MEDICAL COLLEGE AND RAJINDRA HOSPITAL 
Address  Department of Pharmacology, Government Medical College, Patiala

Patiala
PUNJAB
147001
India 
Phone  9872197861  
Fax    
Email  vijayksehgal@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  DR AMRIT PAL KAUR 
Designation  JUNIOR RESIDENT 
Affiliation  GOVERNMENT MEDICAL COLLEGE AND RAJINDRA HOSPITAL 
Address  Department of Pharmacology, Government Medical College, Patiala

Patiala
PUNJAB
147001
India 
Phone  7696194100  
Fax    
Email  dramrit24@gmail.com  
 
Source of Monetary or Material Support  
Government Medical College, Patiala, Punjab. 
 
Primary Sponsor  
Name  DEPARTMENT OF PHARMACOLOGY 
Address  Department of Pharmacology, Government Medical College, Patiala, Punjab. 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR AMRIT PAL KAUR  Government TB Hospital Attached to Government Medical College, Patiala.  OPD Room No. 8, Department of Pulmonary Medicine.
Patiala
PUNJAB 
7696194100

dramrit24@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J449||Chronic obstructive pulmonary disease, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Budesonide Formoterol Combination  Budesonide Formoterol Combination (BFC) in group I in dose of 200/6 or 400/6 microgm 2 puffs OD over a period of 4 weeks. Route - Inhalational 
Comparator Agent  Fluticasone Salmeterol Combination  Fluticasone Salmeterol Combination (FSC) in group II in dose of 250/50 microgm 2 puffs OD over a period of 4 weeks. Route - Inhalational 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1. Patient age more than 40 years.
2. At least 1 inpatient visit with a primary diagnosis for COPD (Spirometry: post bronchodilator- FEV1/FVC < 0.70).
3. At least 1 ED visit with a COPD diagnosis (either primary or secondary).
4. Patient not having an exacerbation for one month prior to study entry.
5. Patient on inhalational therapy – 2-3 weeks. 
 
ExclusionCriteria 
Details  1. Patient diagnosed with asthma or other non-COPD respiratory disorder.
2. Any previous lung volume reduction surgery AND/OR lung transplantation.
3.A requirement for oxygen therapy for at least 12 hours per day.
4. Any exclusionary co-morbid medical condition (cystic fibrosis, bronchiectasis, respiratory cancer, pulmonary fibrosis, pneumoconiosis, sarcoidosis, or any other condition likely to cause death within 3 years.
5. Current use of oral/injectable corticosteroid therapy.
6. Patients (diagnosed with cancer) who received ≥ 180 days of oral corticosteroids (OCS) in the 12-month pre-index period.
7. Patients who initiated both study medications on the same date.
8. Immuno-compromised (HIV +ve) patients 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Change in Spirometric indices (FEV1,FVC and FEV1/FVC) of COPD patients on Budesonide/formoterol combination versus Fluticasone /salmeterol combination.  Baseline and 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the side effects of both Budesonide/formoterol combination and Fluticasone/salmeterol combination.  4 weeks
 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/10/2019 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This is a prospective, open randomized parallel group comparative study to evaluate the efficacy and safety profile of Budesonide Formoterol Combination  versus Fluticasone Salmeterol Combination in Chronic Obstructive Pulmonary Disease patients. The study will be conducted for a duration of one and half year from date of approval from Ethics Committe of Govt. Medical College, Patiala. The study includes 80 patients, 40 patients in each group (group I and group II) coming to Department of Pulmonary Medicine, Government Tb Hospital attached to Government Medical College, Patiala. Patients from each group (BFC and FSC),  diagnosed by GOLD criteria, fulfilling the inclusion criteria and having none of exclusion criteria, will be enrolled in the study after obtaining the written informed consent. In group I, patients will receive Budesonide Formoterol combination (BFC) 200/6 or 400/6 microgm 2 puffs OD. In group II, patients will receive Fluticasone Salmeterol combination (FSC ) 250/50 microgm 2 puffs OD. The therapeutic efficacy of drugs will be evaluated by spirometric indices (FEV1,FVC and FEV1/FVC). Adverse drug reactions will be monitored in patients. Effectiveness of the drugs will be evaluated by change in spirometric indices (FEV1,FVC and FEV1/FVC). All the observations thus made, will be statistically analyzed using appropriate tests. 

 
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