Assessment | Screening (day 14 to −1) | Randomisation (day 0) | Dose titration (days 14 and 28) | Dose finalisation (day 42) | Clinic visit (day 112) | Clinic visit (day 224) | Wean clinic visit (day 336) | Stop clinic visit (day 350) | Close-out clinic visit (day 364) |
---|---|---|---|---|---|---|---|---|---|
Informed consent | X | ||||||||
Medical history | X | X | X | X | X | X | X | X | X |
Concomitant medications | X | X | X | X | X | X | X | X | X |
Physical examination | X | X | X | X | X | X | X | X | X |
Safety laboratory assessments* | X | ||||||||
Questionnaires† | X | X | X | ||||||
Troponin | X | ||||||||
Pro-NT BNP/CRP/fibrinogen | X | X | |||||||
Urine pregnancy | X | ||||||||
Spirometry‡ | X | X | X | X | X | ||||
ECG | X | X | X | X | X | X | X | ||
6 min walk | X | X | X | ||||||
Randomisation | X | ||||||||
Drug dispensing | X | X | X | X | X | X | |||
Adverse event assessment | X | X | X | X | X | X | X | X | |
Drug return and accountability | X | X | X | X | X | X |
Phone call days 2, 3, 15, 16, 56, 168, 280, 343, 357, 378 for adverse event assessment.
Visit windows ±3 days until dose finalisation visit then ±14 days until Wean visit then ±3 days until close-out visit.
Unscheduled visits will include medical history, adverse event assessment, and ECG and spirometry if during titration period until day 42; after day 42, the ECG and spirometry are at PI discretion.
*Complete blood count, comprehensive metabolic profile including magnesium and liver function tests.
†Modified Medical Research Council Dyspnea Scale, COPD Assessment Test, St George Respiratory Questionnaire, Short Form-36, San Diego Shortness of Breath Questionnaire; Personal HEART Score at screening only.
‡Prebronchodilator and postbronchodilator spirometry at screening, otherwise postbronchodilator only; not done at days 112 and 336 if patient has had an acute exacerbation in the 2 weeks prior.
BNP, brain natriuretic peptide; CRP, C reactive protein.