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CTRI Number  CTRI/2009/091/000179 [Registered on: 14/05/2009]
Last Modified On: 14/07/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Crossover Trial 
Public Title of Study
Modification(s)  
A clinical study to evaluate efficacy and safety of arformoterol inhalation solution delivered by a nebulizer in subjects with chronic obstructive pulmonary disease (COPD). 
Scientific Title of Study
Modification(s)  
A randomized, double blind, prospective, single dose, placebo-controlled, cross over study to evaluate efficacy and safety of arformoterol inhalation solution (R,R-Formoterol) delivered by a nebulizer in subjects with chronic obstructive pulmonary disease (COPD) 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
CP/02/07 Version 2 dated July 4, 2007  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Sundeep Salvi 
Designation  Director 
Affiliation  Chest Research Foundation 
Address  Chest Research Foundation, Marigold Premises, Survey No.15, Vadgaon Sheri, Kalyani Nagar

Pune
MAHARASHTRA
411 014
India 
Phone  09921211000  
Fax  020-27035371  
Email  ssalvi@crfindia.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Jaideep A Gogtay 
Designation  Medical Director 
Affiliation  Cipla Ltd. 
Address  Cipla Ltd., Bellasis Road, Mumbai Central

Mumbai
MAHARASHTRA
400 008
India 
Phone  022-23025412  
Fax  022-25787855  
Email  jgogtay@cipla.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Sundeep Salvi 
Designation  Director 
Affiliation  Chest Research Foundation 
Address  Chest Research Foundation, Marigold Premises, Survey No.15, Vadgaon Sheri, Kalyani Nagar

Pune
MAHARASHTRA
411 014
India 
Phone  09921211000  
Fax  020-27035371  
Email  ssalvi@crfindia.com  
 
Source of Monetary or Material Support
Modification(s)  
Cipla Ltd., Bellasis Road, Mumbai Central, Mumbai 400 008. Phone:(022) 23082891 Fax:(022)25787855 
 
Primary Sponsor
Modification(s)  
Name  Cipla Ltd 
Address  Cipla Ltd., Bellasis Road, Mumbai Central, Mumbai 400 008. Phone:(022) 23082891 Fax:(022)25787855  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr P A Mahesh  Allergy, Asthma & Chest Centre  Consultant in Allergy Asthma, Tuberculosis and Chest Diseases, 1397, 4th Cross,,Krishmurthypuram,-570 004
Mysore
KARNATAKA 
0821-2331546
-
mahesh1971in@yahoo.com 
Dr Manish Jain  Asthma Bhawan  R 3, Sector 6,,Near Cine Star, Vidhydhar Nagar-302023
Jaipur
RAJASTHAN 
0141-2338257
0141-2235005
doctor_manish2003@yahoo.co.in 
Dr S Balamurugan  Chest Research Centre  Chest Research Centre, No. 2, 1st Cross Street, Janaki Nagar Extn.,Valasaravakkam-600 087
Chennai
TAMIL NADU 
9841090860
-
dr.s.bala@gmail.com 
Dr Sundeep Salvi  Chest Research Foundation  Chest Research Foundation, Marigold Premises, Kalyani Nagar,Vadgaon Sheri,-411 014
Pune
MAHARASHTRA 
020-27035361
020-27035371
ssalvi@crfindia.com 
Dr Narender Khippal  Dr. Narender Khippal Clinic  Dept. of Chest & Respiratory Medicine, B5 Durga Vihar, Seeta bari,,Tonk Road,-302018
Jaipur
RAJASTHAN 
9829017619
-
drnkhippal@rediffmail.com 
Dr B S Jayaraj  JSS Medical College Hospital  Department of Pulmonology, Professor & Head, JSS Medical College Hospital, Ramanuja Road,Mysore -570 004
Mysore
KARNATAKA 
0821-2517203
-
drjayarajbs@yahoo.com 
Dr V Nandagopal  Karthik Polyclinic  101- Karunanidhi Nagar,Behind Sungam Chinthamani,Trichy Road, Ramanathapuram,- 641045
Coimbatore
TAMIL NADU 
04222211000
-
dr_nanda@yahoo.com 
Dr K Gowrinath  Kasturba Medical College & Hospital  Department of Tuberculosis & Respiratory Diseases, Professor & HOD, Kasturba Medical College & Hospital, Madhav Nagar,Manipal-576104

 
0820-2571202
-
drkgowrinath@yahoo.com 
Dr S Mahadevan  Kovai Medical Centre and Hospital  Department of Pulmonary Medicine,Coimbatore-641 014
Coimbatore
TAMIL NADU 
04222598247
-
drmahadevan2002@yahoo.com 
Dr Srikanth K  PSG Institute of Medical Science & Research  Department of Respiratory Medicine, Associate Professor & Head of Department,PSG Institute of Medical Science & Research, Coimbatore-641004
Coimbatore
TAMIL NADU 
9894257706
-
drsrikanthcbe@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
CLINICOM, Independent Ethics Committee for Dr. Narender Khippal Clinic  Approved 
CLINICOM, Independent Ethics Committee for Dr. S. Balamurugan  Approved 
CLINICOM, Independent Ethics Committee for Karthik Polyclinic-DrVNandagopal  Approved 
Ethics Committee for Allergy Asthma And Chest Center  Approved 
Independent Ethics Committee for Chest Research Foundation-Dr. Sandeep Salvi  Approved 
Institutional Ethics Committee of JSS Medical College for JSS Medical College Hospital-Dr. Jayaraj B.S.  Approved 
Institutional Human Ethics Committee for PSG Institute of Medical Science & Research-Dr. K. Srikanth  Approved 
KMCH Ethics Committee for Kovai Medical Centre and Hospital   Approved 
Manipal University Ethics Committee for Kasturba Medical College & Hospital Manipal- Dr.Gowrinath K  Approved 
Swasthya Kalyan Ethics Committee for Asthma Bhawan-Dr. Manish Jain  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Chronic Obstructive Pulmonary Disease (COPD),  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Arformoterol Nebulized solution  15 mcg/2ml Administered through a nebulizer, single dose over 6 minutes 
Comparator Agent  Placebo Nebulized solution  2ml Administered through a nebulizer, single dose over 6 minutes 
 
Inclusion Criteria
Modification(s)  
Age From  35.00 Year(s)
Age To  99.00 Day(s)
Gender  Both 
Details  1. Subjects willing to give a written informed consent.
2. Subjects aged 35 years and above.
3. Subjects diagnosed with COPD as per GOLD guidelines (FEV1/FVC < 70% and FEV1 < 80% predicted) with FEV1 <65% of predicted normal value and >0.70 L at screening visit.
4. Smoking history of at least 10 pack-years.
 
 
ExclusionCriteria 
Details  1. Subjects requiring continuous supplemental oxygen therapy. The use of supplemental oxygen, not exceeding 2 L/minute, at night time only and/or only during exercise is allowed. 2. Change in dose or type of any medications for COPD within 14 days prior to the screening visit. 3. History of asthma or any chronic respiratory disease other than COPD. 4. Hospitalization for pulmonary exacerbation within the past 2 months. 5. Life-threatening/unstable respiratory status, including upper or lower respiratory tract infection, within the previous 30 days. 6. History of lung resection of more than one full lobe. 7. Using any prescription drug for which concomitant beta-agonist administration is contraindicated (e.g., beta-blockers). 8. Absolute Blood eosinophil count >600 cells/c mm of blood. 9. Have a known sensitivity to formoterol, ipratropium, salbutamol, levosalbutamol or any of the excipients contained in any of these formulations. 10. Treatment with any other investigational drug in last 30 days prior to screening  
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Pre-numbered or coded identical Containers 
Blinding/Masking
Modification(s)  
Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Mean difference in AUC FEV1   From baseline to 12 hrs 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Mean difference in AUC FVC   from baseline to 12 hours 
No. of subjects with > 10 % increase in FEV1 
FEV1 and FVC mean maximum response  From baseline to 12 hours 
Time to maximum response  From baseline to 12 hours 
Time to onset of response (defined as increase in FEV1 by 10%)  From baseline to 12 hours 
 
Target Sample Size
Modification(s)  
Total Sample Size="211"
Sample Size from India="211" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
25/03/2008 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
none yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
This study is a multi-centre randomized, double blind, single dose, placebo-controlled, cross over study to evaluate efficacy and safety of arformoterol inhalation solution delivered by a nebulizer in subjects with chronic obstructive pulmonary disease (COPD). The study was carried out in ten centers in India. Two hundred and twelve patients were enrolled into the study. The primary endpoint is a mean difference in AUC FEV1 from baseline to 12 hrs, and the secondary endpoints would be mean difference in AUC FVC from baseline to 12 hours,.FEV1 and FVC mean maximum response. Time to onset of response (defined as increase in FEV1 by 10%), No. of subjects with > 10 % increase in FEV1, time to maximum response. 
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