Trial Outcomes & Findings for Revefenacin Peak Inspiratory Flow Rate (PIFR) Study in COPD (NCT NCT03095456)

NCT ID: NCT03095456

Last Updated: 2022-02-24

Results Overview

FEV1 = forced expiratory volume at one second

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

207 participants

Primary outcome timeframe

Baseline and Day 29

Results posted on

2022-02-24

Participant Flow

Participant milestones

Participant milestones
Measure
Revefenacin
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Overall Study
STARTED
103
104
Overall Study
COMPLETED
99
96
Overall Study
NOT COMPLETED
4
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Revefenacin Peak Inspiratory Flow Rate (PIFR) Study in COPD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Revefenacin
n=102 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=104 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Total
n=206 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
51 Participants
n=99 Participants
53 Participants
n=107 Participants
104 Participants
n=206 Participants
Age, Categorical
>=65 years
51 Participants
n=99 Participants
51 Participants
n=107 Participants
102 Participants
n=206 Participants
Age, Continuous
65.1 years
STANDARD_DEVIATION 7.94 • n=99 Participants
65.1 years
STANDARD_DEVIATION 8.36 • n=107 Participants
65.1 years
STANDARD_DEVIATION 8.13 • n=206 Participants
Sex: Female, Male
Female
42 Participants
n=99 Participants
40 Participants
n=107 Participants
82 Participants
n=206 Participants
Sex: Female, Male
Male
60 Participants
n=99 Participants
64 Participants
n=107 Participants
124 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=99 Participants
3 Participants
n=107 Participants
8 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
96 Participants
n=99 Participants
101 Participants
n=107 Participants
197 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=99 Participants
9 Participants
n=107 Participants
21 Participants
n=206 Participants
Race (NIH/OMB)
White
90 Participants
n=99 Participants
95 Participants
n=107 Participants
185 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
102 Participants
n=99 Participants
104 Participants
n=107 Participants
206 Participants
n=206 Participants
Smoking history
Current Smoker
46 Participants
n=99 Participants
50 Participants
n=107 Participants
96 Participants
n=206 Participants
Smoking history
Former Smoker
56 Participants
n=99 Participants
54 Participants
n=107 Participants
110 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and Day 29

Population: Intent-to-treat (ITT) analysis set

FEV1 = forced expiratory volume at one second

Outcome measures

Outcome measures
Measure
Revefenacin
n=89 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=90 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Change From Baseline in Trough FEV1 on Day 29
63.0 mL
Standard Error 20.17
47.3 mL
Standard Error 19.06

SECONDARY outcome

Timeframe: Baseline and Day 29

Outcome measures

Outcome measures
Measure
Revefenacin
n=89 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=90 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Change From Baseline Trough FVC (Forced Vital Capacity) on Day 29
125.4 mL
Standard Error 38.75
55.8 mL
Standard Error 36.62

SECONDARY outcome

Timeframe: Baseline and Day 29

Outcome measures

Outcome measures
Measure
Revefenacin
n=82 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=88 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Change From Baseline Trough Inspiratory Capacity (IC) on Day 29
71.4 mL
Standard Error 42.33
84.1 mL
Standard Error 40.02

SECONDARY outcome

Timeframe: Baseline and Day 29 (0-4 hours)

Outcome measures

Outcome measures
Measure
Revefenacin
n=91 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=90 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Change From Baseline Peak FEV1 on Day 29
174.2 mL
Standard Error 18.70
197.7 mL
Standard Error 17.73

SECONDARY outcome

Timeframe: Baseline and Day 29 (0-4 hours)

Outcome measures

Outcome measures
Measure
Revefenacin
n=91 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=90 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Change From Baseline Peak FVC on Day 29
354.2 mL
Standard Error 37.35
340.1 mL
Standard Error 35.49

SECONDARY outcome

Timeframe: 1 Month

Outcome measures

Outcome measures
Measure
Revefenacin
n=101 Participants
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=95 Participants
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Summary of Rescue Medication Use: Puffs Per Day
3.4 puffs per day
Standard Error 0.42
2.9 puffs per day
Standard Error 0.41

Adverse Events

Revefenacin

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Spiriva Handihaler®

Serious events: 1 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Revefenacin
n=103 participants at risk
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=104 participants at risk
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/103 • From signing of ICF through the final follow-up assessment (approximately 1 month).
0.96%
1/104 • Number of events 1 • From signing of ICF through the final follow-up assessment (approximately 1 month).

Other adverse events

Other adverse events
Measure
Revefenacin
n=103 participants at risk
Active Revefenacin and placebo (in place of Spiriva Handihaler®) Revefenacin: Revefenacin administered via nebulization. Placebo for Spiriva Handihaler®: Placebo administered as double blind, double dummy via Spiriva HandiHaler®.
Spiriva Handihaler®
n=104 participants at risk
Active Spiriva Handihaler® and placebo (in place of Revefenacin) Spiriva Handihaler®: Spiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device. Placebo for Revefenacin: Placebo administered as double blind, double dummy via nebulization.
Nervous system disorders
Headache
0.97%
1/103 • Number of events 1 • From signing of ICF through the final follow-up assessment (approximately 1 month).
4.8%
5/104 • Number of events 5 • From signing of ICF through the final follow-up assessment (approximately 1 month).
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.97%
1/103 • Number of events 1 • From signing of ICF through the final follow-up assessment (approximately 1 month).
3.8%
4/104 • Number of events 4 • From signing of ICF through the final follow-up assessment (approximately 1 month).
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
1.9%
2/103 • Number of events 2 • From signing of ICF through the final follow-up assessment (approximately 1 month).
2.9%
3/104 • Number of events 3 • From signing of ICF through the final follow-up assessment (approximately 1 month).
Gastrointestinal disorders
Constipation
0.00%
0/103 • From signing of ICF through the final follow-up assessment (approximately 1 month).
3.8%
4/104 • Number of events 4 • From signing of ICF through the final follow-up assessment (approximately 1 month).
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/103 • From signing of ICF through the final follow-up assessment (approximately 1 month).
3.8%
4/104 • Number of events 4 • From signing of ICF through the final follow-up assessment (approximately 1 month).
Gastrointestinal disorders
Dry Mouth
1.9%
2/103 • Number of events 2 • From signing of ICF through the final follow-up assessment (approximately 1 month).
0.96%
1/104 • Number of events 1 • From signing of ICF through the final follow-up assessment (approximately 1 month).
Infections and infestations
Upper respiratory tract infection
0.00%
0/103 • From signing of ICF through the final follow-up assessment (approximately 1 month).
2.9%
3/104 • Number of events 3 • From signing of ICF through the final follow-up assessment (approximately 1 month).

Additional Information

Head of Clinical Development & Medical Affairs

Theravance Biopharma

Phone: 1-855-633-8479

Results disclosure agreements

  • Principal investigator is a sponsor employee The PI may communicate the trial results generated by the PI, but only after the first publication or presentation of the combined study results generated by all participating sites. The Sponsor can then review trial results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The Sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER