Up until about 360, theological debates mainly dealt with the Divinity of Jesus, the 2nd person of the Trinity. However, because the Council of Nicaea had not clarified the divinity of the Holy Spirit, the 3rd person of the Trinity, it became a topic of debate. The Macedonians denied the divinity of the Holy Spirit. This was also known as Pneumatomachianism.
The council affirmed the original Nicene creed of faith as true and an accurate explanation of Scripture. This council also developed a statement of faith which included the language of Nicaea, but expanded the discussion on the Holy Spirit to combat the heresy of the Pneumatomachi. It is called the Nicene Creed of 381 and was a commentary on the original Nicene formula. It expanded the third article of the creed dealing with the Holy Spirit, as well as some other changes. About the Holy Spirit the article of faith said he is "the Lord, the Giver of Life, Who proceeds from the Father, With the Father and the Son he is worshipped and glorified". The statement of proceeding from the Father is seen as significant because it established that the Holy Spirit must be of the same being (ousia) as God the Father.
The Bishop of Constantinople, however, shall have the prerogative of honour after the Bishop of Rome because Constantinople is New Rome.
This canon was a first step in the rising importance of the new imperial capital, just fifty years old, and was notable in that it demoted the patriarchs of Antioch and Alexandria. Jerusalem, as the site of the first Church, retained its place of honor. By 451, in the Council of Chalcedon (Canon IX), Constantinople would be recognized as the ecumenical jurisdiction of highest ecclesiastical appeal.
Baronius maintained the non-authenticity of the third canon, while some medieval Greeks maintained that it did not declare supremacy of the Bishop of Rome, but the primacy; "the first among equals," similar to how they today view the Bishop of Constantinople. Throughout the next several centuries, the Western Church asserted that the Bishop of Rome had supreme authority, and by the time of the Great Schism the Roman Catholic Church based its claim to supremacy on the succession of St. Peter. When the First Council of Constantinople was approved, Rome protested the diminished honor to be afforded the bishops of Antioch and Alexandria. The status of these Eastern patriarchs would be brought up again by the Papal Legates at the Council of Chalcedon. Pope Leo the Great, declared that this canon had never been submitted to Rome and that their lessened honor was a violation of the Nicene order. At the repudiated Fourth Council of Constantinople (869), the Roman legates asserted the place of the bishop of Rome's honor over the bishop of Constantinople's; nine years later, this latrocinium council was replaced.
After the Great Schism (1054), in 1215 at the Fourth Lateran Council, Roman supremacy over the whole world was formally claimed by the new Latin patriarch. The Roman correctores of Gratian, insert the words: "canon hic ex iis est quos apostolica Romana sedes a principio et longo post tempore non recipit."