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NCT01397890: SECURE 1
A Randomised, Parallel-group, Open-label, Multicentre, 3-month Phase IV, Efficacy and Tolerability Study of Budesonide/Formoterol (Symbicort® Turbuhaler® 160/4.5μg/Inhalation, 2 Inhalations Twice Daily) Added to Tiotropium (SpirivaTM 18 μg/Inhalation, 1 Inhalation Once Daily) Compared With Tiotropium (SpirivaTM18 μg/Inhalation, 1 Inhalation Once Daily) Alone in Severe Chronic Obstructive Pulmonary Disease (COPD) Patients
Phase 4 trial testing Budesonide/formoterol (Symbicort® Turbuhaler®) in Chronic Obstructive Pulmonary Disease (COPD) in 793 participants. Completed in 1 June 2013.
1 June 2013
Quick facts
| Lead sponsor | AstraZeneca |
|---|---|
| Phase | Phase 4 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 793 |
| Start date | 1 July 2011 |
| Primary completion | 1 June 2013 |
| Estimated completion | 1 June 2013 |
| Sites | 31 locations across China, Hong Kong, Indonesia, South Korea, Thailand |
Drugs / interventions tested
- Budesonide/formoterol (Symbicort® Turbuhaler®)
- Tiotropium (SpirivaTM) — full drug profile →
Conditions studied
- Chronic Obstructive Pulmonary Disease (COPD) — all drugs for Chronic Obstructive Pulmonary Disease (COPD) →
Sponsor
AstraZeneca — full company profile →
Who can join
40 and older, any sex, with Chronic Obstructive Pulmonary Disease (COPD). Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Pre-dose FEV1
Time frame: Baseline (week 0) and mean in treatment period (weeks 1, 6, 12) measured before inhalation of study drug
Ratio of pre-dose FEV1 (Forced Expiratory Volume in 1 second) in treatment period to baseline value
Sponsor's own description
This is a multicentre study with a randomised, parallel group, open-label, 3-month phase IV design to assess the efficacy and tolerability of Symbicort as an add-on treatment to Spiriva compare with Spiriva alone in patients with severe chronic obstructive pulmonary disease (COPD).
Publications & conference data
7 peer-reviewed publications reference this trial (live from Europe PMC):
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Efficacy and tolerability of budesonide/formoterol added to tiotropium compared with tiotropium alone in patients with severe or very severe COPD: A randomized, multicentre study in East Asia.
Lee SD, Xie CM, Yunus F, Itoh Y, et al · · 2016 · cited 38× · PMID 26394882 · DOI 10.1111/resp.12646 -
Efficacy and Safety of Budesonide/Glycopyrronium/Formoterol Fumarate versus Other Triple Combinations in COPD: A Systematic Literature Review and Network Meta-analysis.
Bourdin A, Molinari N, Ferguson GT, Singh B, et al · · 2021 · cited 21× · PMID 33929661 · DOI 10.1007/s12325-021-01703-z -
Combination inhaled steroid and long-acting beta2-agonist versus tiotropium for chronic obstructive pulmonary disease.
Welsh EJ, Cates CJ, Poole P. · · 2013 · cited 20× · PMID 23728670 · DOI 10.1002/14651858.cd007891.pub3 -
Comparisons of Efficacy and Safety between Triple (Inhaled Corticosteroid/Long-Acting Muscarinic Antagonist/Long-Acting Beta-Agonist) Therapies in Chronic Obstructive Pulmonary Disease: Systematic Review and Bayesian Network Meta-Analysis.
Lee HW, Kim HJ, Jang EJ, Lee CH. · · 2021 · cited 19× · PMID 33971649 · DOI 10.1159/000515133 -
Efficacy of ICS versus Non-ICS Combination Therapy in COPD: A Meta-Analysis of Randomised Controlled Trials.
Ding Y, Sun L, Wang Y, Zhang J, et al · · 2022 · cited 7× · PMID 35547781 · DOI 10.2147/copd.s347588 -
Eligibility of patients with chronic obstructive pulmonary disease for inclusion in randomised control trials investigating triple therapy: a study using routinely collected data.
Whittaker HR, Torkpour A, Quint J. · · 2024 · cited 4× · PMID 38238769 · DOI 10.1186/s12931-024-02672-x -
Different inhaled corticosteroid doses in triple therapy for chronic obstructive pulmonary disease: systematic review and Bayesian network meta-analysis.
Lee HW, Park HM, Jang EJ, Lee CH. · · 2022 · cited 4× · PMID 36127353 · DOI 10.1038/s41598-022-18353-y
Verify or expand the search:
- PubMed search for NCT01397890
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
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Currently open trials in the same condition.
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Other AstraZeneca trials
Trials by the same sponsor.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT01397890 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by AstraZeneca
- Last refreshed: 25 March 2015
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01397890.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing