Trial Outcomes & Findings for Safety Study Using GSK573719 And Tiotropium In Patients With Chronic Obstructive Pulmonary Disease (NCT NCT00515502)

NCT ID: NCT00515502

Last Updated: 2017-08-22

Results Overview

Resting heart rate was measured at pre-dose and 15 minutes (min), 45min, 1.5 hour (h) 4 h, 8 h, and 24 h post-dose of each treatment period and the maximum value for heart rate (0-4hours) was derived at rest. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

Day 1 of each treatment period (up to Study Day 46)

Results posted on

2017-08-22

Participant Flow

Participants were randomized to receive a sequence of 4 of 5 possible treatments over 4 treatment periods each separated by a washout period of at least 14 days. Participants were randomized to receive treatments in 12 possible sequences.

Participant milestones

Participant milestones
Measure
Seq 1: UMEC 250 µg, UMEC 500 µg, Tiotropium 18 µg, Placebo
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: umeclidinium bromide (UMEC) 250 micrograms (µg), UMEC 500 µg, Tiotropium 18 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 2: UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg, Placebo
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 3: UMEC 250 µg, Placebo, UMEC 500 µg, UMEC 1000 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, UMEC 500 µg and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 4: UMEC 250 µg, UMEC 500 µg, Placebo, UMEC 1000 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, UMEC 500 µg, placebo and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 5: Placebo, UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, UMEC 250 µg, UMEC 500 µg and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 6: UMEC 250 µg, Placebo, Tiotropium 18 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, Tiotropium 18 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 7: Placebo, Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, Tiotropium 18 µg, UMEC 250 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 8: Tiotropium 18 µg, Placebo, UMEC 250 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, placebo, UMEC 250 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 9: Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg, Placebo
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 10: Tiotropium 18 µg, UMEC 250 µg, Placebo, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, UMEC 250 µg, placebo and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 11: Placebo, UMEC 250 µg, Tiotropium 18 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, UMEC 250 µg, Tiotropium 18 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 12: UMEC 250 µg, Placebo, UMEC 500 µg, Tiotropium 18 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, UMEC 500 µg and Tiotropium 18 µg. Treatment periods were seperated by a washout period of at least 14 days.
Treatment Period 1
STARTED
1
4
4
3
3
1
2
1
1
2
1
1
Treatment Period 1
COMPLETED
1
4
4
3
3
1
1
1
0
2
1
0
Treatment Period 1
NOT COMPLETED
0
0
0
0
0
0
1
0
1
0
0
1
Washout Period 1
STARTED
1
4
4
3
3
1
1
1
0
2
1
0
Washout Period 1
COMPLETED
1
4
4
3
3
1
1
1
0
2
1
0
Washout Period 1
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0
0
0
Treatment Period 2
STARTED
1
4
4
3
3
1
1
1
0
2
1
0
Treatment Period 2
COMPLETED
1
3
4
3
3
1
1
1
0
2
1
0
Treatment Period 2
NOT COMPLETED
0
1
0
0
0
0
0
0
0
0
0
0
Washout Period 2
STARTED
1
3
4
3
3
1
1
1
0
2
1
0
Washout Period 2
COMPLETED
1
3
4
3
3
1
1
1
0
2
1
0
Washout Period 2
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0
0
0
Treatment Period 3
STARTED
1
3
4
3
3
1
1
1
0
2
1
0
Treatment Period 3
COMPLETED
1
3
4
3
3
1
1
1
0
2
1
0
Treatment Period 3
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0
0
0
Washout Period 3
STARTED
1
3
4
3
3
1
1
1
0
2
1
0
Washout Period 3
COMPLETED
1
3
4
3
3
1
1
1
0
2
1
0
Washout Period 3
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0
0
0
Treatment Period 4
STARTED
1
3
4
3
3
1
1
1
0
2
1
0
Treatment Period 4
COMPLETED
1
3
4
3
3
1
1
1
0
2
1
0
Treatment Period 4
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Seq 1: UMEC 250 µg, UMEC 500 µg, Tiotropium 18 µg, Placebo
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: umeclidinium bromide (UMEC) 250 micrograms (µg), UMEC 500 µg, Tiotropium 18 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 2: UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg, Placebo
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 3: UMEC 250 µg, Placebo, UMEC 500 µg, UMEC 1000 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, UMEC 500 µg and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 4: UMEC 250 µg, UMEC 500 µg, Placebo, UMEC 1000 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, UMEC 500 µg, placebo and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 5: Placebo, UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, UMEC 250 µg, UMEC 500 µg and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 6: UMEC 250 µg, Placebo, Tiotropium 18 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, Tiotropium 18 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 7: Placebo, Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, Tiotropium 18 µg, UMEC 250 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 8: Tiotropium 18 µg, Placebo, UMEC 250 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, placebo, UMEC 250 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 9: Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg, Placebo
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 10: Tiotropium 18 µg, UMEC 250 µg, Placebo, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, UMEC 250 µg, placebo and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 11: Placebo, UMEC 250 µg, Tiotropium 18 µg, UMEC 500 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, UMEC 250 µg, Tiotropium 18 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 12: UMEC 250 µg, Placebo, UMEC 500 µg, Tiotropium 18 µg
Participants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, UMEC 500 µg and Tiotropium 18 µg. Treatment periods were seperated by a washout period of at least 14 days.
Treatment Period 1
Adverse Event
0
0
0
0
0
0
1
0
1
0
0
1
Treatment Period 2
Adverse Event
0
1
0
0
0
0
0
0
0
0
0
0

Baseline Characteristics

Safety Study Using GSK573719 And Tiotropium In Patients With Chronic Obstructive Pulmonary Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Treatments
n=24 Participants
Participants received a sequence containing 4 of the following 5 possible treatments: placebo, UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg and Tiotropium 18 µg. Participants received each of the treatments in 1 of 4 single dose treatment periods, each of which was followed by a washout period. Treatment periods 1, 2, and 3 were followed by at least a 14-day washout period; Treatment period 4 was followed by a Follow-up visit within 10 days.
Age, Continuous
56.0 Years
STANDARD_DEVIATION 5.32 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
Race/Ethnicity, Customized
White - White/Caucasian/European
24 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From Day 1 of Treatment Period 1until Follow-up (up to 10 weeks)

Population: All Subjects Population: all participants who received at least one dose of study medication.

An AE is defined as any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs and SAEs.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE)
Any AE
6 Participants
9 Participants
8 Participants
4 Participants
3 Participants
Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE)
Any SAE
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Resting heart rate was measured at pre-dose and 15 minutes (min), 45min, 1.5 hour (h) 4 h, 8 h, and 24 h post-dose of each treatment period and the maximum value for heart rate (0-4hours) was derived at rest. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum (0-4 Hours) Heart Rate on Day 1 of Each Treatment Period
69.1 Beats per minute (bpm)
Standard Error 1.01
68.7 Beats per minute (bpm)
Standard Error 1.14
69.5 Beats per minute (bpm)
Standard Error 1.04
71.2 Beats per minute (bpm)
Standard Error 1.54
66.4 Beats per minute (bpm)
Standard Error 1.69

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Resting heart rate was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for heart rate (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Weighted Mean (0-4 Hours) Heart Rate at Day 1 of Each Treatment Period
64.66 Beats per minute (bpm)
Standard Error 0.882
63.88 Beats per minute (bpm)
Standard Error 0.953
65.69 Beats per minute (bpm)
Standard Error 0.894
66.61 Beats per minute (bpm)
Standard Error 1.177
62.93 Beats per minute (bpm)
Standard Error 1.275

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Resting systolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for systolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum (0-4 Hours) Systolic Blood Pressure at Day 1 of Each Treatment Period
129.7 Millimeters of mercury (mmHg)
Standard Error 1.59
129.0 Millimeters of mercury (mmHg)
Standard Error 1.84
126.2 Millimeters of mercury (mmHg)
Standard Error 1.65
133.0 Millimeters of mercury (mmHg)
Standard Error 2.41
131.0 Millimeters of mercury (mmHg)
Standard Error 2.78

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Resting systolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for systolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Weighted Mean (0-4 Hours) Systolic Blood Pressure at Day 1 of Each Treatment Period
124.49 Millimeters of mercury (mmHg)
Standard Error 1.445
122.07 Millimeters of mercury (mmHg)
Standard Error 1.670
122.61 Millimeters of mercury (mmHg)
Standard Error 1.503
125.61 Millimeters of mercury (mmHg)
Standard Error 2.190
124.80 Millimeters of mercury (mmHg)
Standard Error 2.517

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Resting diastolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for diastolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum (0-4 Hours) Diastolic Blood Pressure at Day 1 of Each Treatment Period
82.7 Millimeters of mercury (mmHg)
Standard Error 0.96
80.2 Millimeters of mercury (mmHg)
Standard Error 1.14
80.6 Millimeters of mercury (mmHg)
Standard Error 1.01
86.0 Millimeters of mercury (mmHg)
Standard Error 1.46
80.3 Millimeters of mercury (mmHg)
Standard Error 1.63

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Resting diastolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for diastolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Weighted Mean (0-4 Hours) Diastolic Blood Pressure at Day 1 of Each Treatment Period
79.21 Millimeters of mercury (mmHg)
Standard Error 0.759
76.23 Millimeters of mercury (mmHg)
Standard Error 0.902
77.69 Millimeters of mercury (mmHg)
Standard Error 0.798
81.42 Millimeters of mercury (mmHg)
Standard Error 1.156
75.89 Millimeters of mercury (mmHg)
Standard Error 1.293

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Twelve-lead ECGs (electrocardiograms) were performed to measure QT interval corrected according to Bazzet's formula (QTcB) at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for QTcB (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum (0-4 Hours) QTcB at Day 1 of Each Treatment Period
402.79 Milliseconds (msec)
Standard Error 2.263
399.48 Milliseconds (msec)
Standard Error 2.621
404.48 Milliseconds (msec)
Standard Error 2.396
401.25 Milliseconds (msec)
Standard Error 3.579
397.62 Milliseconds (msec)
Standard Error 3.867

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Twelve-lead ECGs were performed to measure QTcB at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for QTcB (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Weighted Mean (0-4 Hours) QTcB at Day 1 of Each Treatment Period
391.266 Milliseconds (msec)
Standard Error 1.7582
390.968 Milliseconds (msec)
Standard Error 2.0079
392.332 Milliseconds (msec)
Standard Error 1.8401
389.204 Milliseconds (msec)
Standard Error 2.7044
391.628 Milliseconds (msec)
Standard Error 2.9378

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Twelve-lead ECGs were performed to measure QT interval corrected according to Fredericia's formula (QTcF) at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for QTcF (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum (0-4 Hours) QTcF at Day 1 of Each Treatment Period
394.25 Milliseconds (msec)
Standard Error 1.699
394.34 Milliseconds (msec)
Standard Error 1.977
395.60 Milliseconds (msec)
Standard Error 1.802
393.10 Milliseconds (msec)
Standard Error 2.604
393.93 Milliseconds (msec)
Standard Error 2.873

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Twelve-lead ECGs were performed to measure QTcF at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for QTcF (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Weighted Mean (0-4 Hours) QTcF at Day 1 of Each Treatment Period
386.501 Milliseconds (msec)
Standard Error 1.3698
387.965 Milliseconds (msec)
Standard Error 1.5869
386.750 Milliseconds (msec)
Standard Error 1.4414
383.856 Milliseconds (msec)
Standard Error 2.1160
389.086 Milliseconds (msec)
Standard Error 2.3515

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Twenty-four hour Holter monitoring was conducted to measure heart rate for the 24-hour period following dosing at each treatment period and the maximum value for heart rate (0-24 hours) was derived. Analysis was performed using a mixed model of period and treatment group fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum (0-24 Hours) Heart Rate as Measured From Holter Monitoring at Day 1 of Each Treatment Period
116.7 Beats per minute (bpm)
Standard Error 2.92
111.5 Beats per minute (bpm)
Standard Error 3.06
112.1 Beats per minute (bpm)
Standard Error 2.96
109.0 Beats per minute (bpm)
Standard Error 3.53
111.4 Beats per minute (bpm)
Standard Error 3.79

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. All participants with \>=1 post-Baseline assessment and non-missing covariate data are included in the analysis. The number of participants represents participants who provided data at Day 1.

Twenty-four-hour Holter monitoring was conducted to measure heart rate for the 24-h period following dosing of each treatment period and the mean value for heart rate (0-24 hours) was derived. Analysis was performed using a mixed model of period and treatment group fitted as fixed effects and participant as a random effect.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Mean (0-24 Hours) Heart Rate as Measured From Holter Monitoring at Day 1 of Each Treatment Period
77.1 Beats per minute (bpm)
Standard Error 1.61
75.3 Beats per minute (bpm)
Standard Error 1.66
76.8 Beats per minute (bpm)
Standard Error 1.62
75.5 Beats per minute (bpm)
Standard Error 1.80
76.1 Beats per minute (bpm)
Standard Error 1.89

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, and total neutrophils at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Basophils, Pre-dose
0.65 Percentage
Standard Deviation 0.284
0.73 Percentage
Standard Deviation 0.366
0.74 Percentage
Standard Deviation 0.396
0.87 Percentage
Standard Deviation 0.275
0.71 Percentage
Standard Deviation 0.314
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Basophils, 24 h Post-dose
0.70 Percentage
Standard Deviation 0.434
0.65 Percentage
Standard Deviation 0.313
0.56 Percentage
Standard Deviation 0.292
0.58 Percentage
Standard Deviation 0.344
0.76 Percentage
Standard Deviation 0.558
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Eosinophils, Pre-dose
3.30 Percentage
Standard Deviation 2.336
3.46 Percentage
Standard Deviation 2.249
3.67 Percentage
Standard Deviation 2.813
4.03 Percentage
Standard Deviation 2.679
3.05 Percentage
Standard Deviation 1.562
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Eosinophils, 24 h Post-dose
3.34 Percentage
Standard Deviation 1.914
3.25 Percentage
Standard Deviation 1.839
3.30 Percentage
Standard Deviation 2.164
3.49 Percentage
Standard Deviation 2.437
3.38 Percentage
Standard Deviation 1.552
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Lymphocytes, Pre-dose
29.23 Percentage
Standard Deviation 6.820
30.66 Percentage
Standard Deviation 7.355
28.91 Percentage
Standard Deviation 9.279
33.70 Percentage
Standard Deviation 7.161
27.99 Percentage
Standard Deviation 7.637
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Lymphocytes, 24 h Post-dose
31.60 Percentage
Standard Deviation 6.387
30.86 Percentage
Standard Deviation 6.749
30.99 Percentage
Standard Deviation 6.558
31.72 Percentage
Standard Deviation 4.920
30.86 Percentage
Standard Deviation 6.298
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Monocytes, Pre-dose
8.53 Percentage
Standard Deviation 1.842
8.50 Percentage
Standard Deviation 2.467
8.60 Percentage
Standard Deviation 2.179
8.10 Percentage
Standard Deviation 1.626
9.33 Percentage
Standard Deviation 2.582
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Monocytes, 24 h Post-dose
8.10 Percentage
Standard Deviation 1.975
7.62 Percentage
Standard Deviation 1.934
8.23 Percentage
Standard Deviation 1.985
7.45 Percentage
Standard Deviation 1.406
9.40 Percentage
Standard Deviation 2.084
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Total neutrophils, Pre-dose
58.30 Percentage
Standard Deviation 8.159
56.64 Percentage
Standard Deviation 9.081
58.10 Percentage
Standard Deviation 10.941
53.32 Percentage
Standard Deviation 7.825
58.88 Percentage
Standard Deviation 9.403
Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Total neutrophils, 24 h Post-dose
56.26 Percentage
Standard Deviation 7.166
57.62 Percentage
Standard Deviation 7.740
56.94 Percentage
Standard Deviation 7.164
56.78 Percentage
Standard Deviation 6.204
55.63 Percentage
Standard Deviation 7.699

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of hemoglobin, MCHC, albumin and total protein at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Albumin, Pre-dose
39.16 Grams per liter (G/L)
Standard Deviation 2.020
39.24 Grams per liter (G/L)
Standard Deviation 2.109
39.33 Grams per liter (G/L)
Standard Deviation 1.955
39.10 Grams per liter (G/L)
Standard Deviation 1.545
39.49 Grams per liter (G/L)
Standard Deviation 2.775
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Albumin, 24 h Post-dose
39.36 Grams per liter (G/L)
Standard Deviation 1.682
38.75 Grams per liter (G/L)
Standard Deviation 1.742
38.76 Grams per liter (G/L)
Standard Deviation 1.744
39.30 Grams per liter (G/L)
Standard Deviation 1.750
38.38 Grams per liter (G/L)
Standard Deviation 2.930
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Total protein, Pre-dose
66.05 Grams per liter (G/L)
Standard Deviation 4.120
66.04 Grams per liter (G/L)
Standard Deviation 4.245
66.19 Grams per liter (G/L)
Standard Deviation 3.987
66.15 Grams per liter (G/L)
Standard Deviation 3.576
65.35 Grams per liter (G/L)
Standard Deviation 2.931
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Total protein, 24 h Post-dose
66.37 Grams per liter (G/L)
Standard Deviation 3.584
65.40 Grams per liter (G/L)
Standard Deviation 3.933
65.62 Grams per liter (G/L)
Standard Deviation 2.945
66.44 Grams per liter (G/L)
Standard Deviation 3.448
64.14 Grams per liter (G/L)
Standard Deviation 3.349
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Hemoglobin, Pre-dose
146.1 Grams per liter (G/L)
Standard Deviation 11.80
146.6 Grams per liter (G/L)
Standard Deviation 10.31
145.4 Grams per liter (G/L)
Standard Deviation 11.27
143.8 Grams per liter (G/L)
Standard Deviation 12.34
152.0 Grams per liter (G/L)
Standard Deviation 7.23
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Hemoglobin, 24 h Post-dose
147.0 Grams per liter (G/L)
Standard Deviation 12.53
145.5 Grams per liter (G/L)
Standard Deviation 11.01
144.1 Grams per liter (G/L)
Standard Deviation 10.97
143.5 Grams per liter (G/L)
Standard Deviation 14.77
148.9 Grams per liter (G/L)
Standard Deviation 5.59
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
MCHC, Pre-dose
347.2 Grams per liter (G/L)
Standard Deviation 7.03
343.3 Grams per liter (G/L)
Standard Deviation 5.78
344.1 Grams per liter (G/L)
Standard Deviation 7.87
346.8 Grams per liter (G/L)
Standard Deviation 4.62
343.0 Grams per liter (G/L)
Standard Deviation 5.04
Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
MCHC, 24 h Post-dose
344.9 Grams per liter (G/L)
Standard Deviation 6.35
344.0 Grams per liter (G/L)
Standard Deviation 7.02
344.9 Grams per liter (G/L)
Standard Deviation 8.50
345.2 Grams per liter (G/L)
Standard Deviation 6.57
342.9 Grams per liter (G/L)
Standard Deviation 3.91

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of hematocrit at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Hematocrit Values at the Indicated Time Points on Day 1 of Each Treatment Period
Pre-dose
0.421 Proportion of red blood cells in blood
Standard Deviation 0.0335
0.428 Proportion of red blood cells in blood
Standard Deviation 0.0321
0.423 Proportion of red blood cells in blood
Standard Deviation 0.0326
0.416 Proportion of red blood cells in blood
Standard Deviation 0.0345
0.445 Proportion of red blood cells in blood
Standard Deviation 0.0193
Hematocrit Values at the Indicated Time Points on Day 1 of Each Treatment Period
24 h Post-dose
0.427 Proportion of red blood cells in blood
Standard Deviation 0.0352
0.424 Proportion of red blood cells in blood
Standard Deviation 0.0361
0.418 Proportion of red blood cells in blood
Standard Deviation 0.0322
0.417 Proportion of red blood cells in blood
Standard Deviation 0.0419
0.434 Proportion of red blood cells in blood
Standard Deviation 0.0192

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of the mean corpuscle hemoglobin at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Mean Corpuscle Hemoglobin Values at the Indicated Time Points on Day 1 of Each Treatment Period
Pre-dose
32.56 picograms/cell (pg)
Standard Deviation 1.402
32.36 picograms/cell (pg)
Standard Deviation 1.365
32.36 picograms/cell (pg)
Standard Deviation 1.513
32.29 picograms/cell (pg)
Standard Deviation 1.393
32.86 picograms/cell (pg)
Standard Deviation 0.971
Mean Corpuscle Hemoglobin Values at the Indicated Time Points on Day 1 of Each Treatment Period
24 Hour Post-dose
32.41 picograms/cell (pg)
Standard Deviation 1.354
32.36 picograms/cell (pg)
Standard Deviation 1.208
32.36 picograms/cell (pg)
Standard Deviation 1.359
32.15 picograms/cell (pg)
Standard Deviation 1.309
32.79 picograms/cell (pg)
Standard Deviation 1.018

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of the mean corpuscle volume at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Mean Corpuscle Volume Values at the Indicated Time Points on Day 1 of Each Treatment Period
Pre-dose
93.78 Femtoliters (FL)
Standard Deviation 3.701
94.23 Femtoliters (FL)
Standard Deviation 3.547
94.04 Femtoliters (FL)
Standard Deviation 3.734
93.11 Femtoliters (FL)
Standard Deviation 3.840
95.83 Femtoliters (FL)
Standard Deviation 3.310
Mean Corpuscle Volume Values at the Indicated Time Points on Day 1 of Each Treatment Period
24 h Post-dose
93.99 Femtoliters (FL)
Standard Deviation 3.597
94.09 Femtoliters (FL)
Standard Deviation 3.763
93.85 Femtoliters (FL)
Standard Deviation 3.955
93.15 Femtoliters (FL)
Standard Deviation 3.652
95.65 Femtoliters (FL)
Standard Deviation 2.946

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of the red blood cells count at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Red Blood Cells Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
Pre-dose
4.493 10^12 cells per liter (TI/L)
Standard Deviation 0.3992
4.537 10^12 cells per liter (TI/L)
Standard Deviation 0.3487
4.498 10^12 cells per liter (TI/L)
Standard Deviation 0.3758
4.456 10^12 cells per liter (TI/L)
Standard Deviation 0.3987
4.625 10^12 cells per liter (TI/L)
Standard Deviation 0.2469
Red Blood Cells Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
24 h Post-dose
4.539 10^12 cells per liter (TI/L)
Standard Deviation 0.3960
4.498 10^12 cells per liter (TI/L)
Standard Deviation 0.3760
4.457 10^12 cells per liter (TI/L)
Standard Deviation 0.3614
4.464 10^12 cells per liter (TI/L)
Standard Deviation 0.4511
4.543 10^12 cells per liter (TI/L)
Standard Deviation 0.2232

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of platelets count and WBC count at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Platelets Count and White Blood Cells (WBC) Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
Platelets count, Pre-dose
247.2 10^9 cells per liter (GI/L)
Standard Deviation 70.84
245.0 10^9 cells per liter (GI/L)
Standard Deviation 71.33
250.7 10^9 cells per liter (GI/L)
Standard Deviation 69.06
235.9 10^9 cells per liter (GI/L)
Standard Deviation 47.15
243.4 10^9 cells per liter (GI/L)
Standard Deviation 104.43
Platelets Count and White Blood Cells (WBC) Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
Platelets count, 24 h Post-dose
248.8 10^9 cells per liter (GI/L)
Standard Deviation 69.53
245.4 10^9 cells per liter (GI/L)
Standard Deviation 76.18
250.3 10^9 cells per liter (GI/L)
Standard Deviation 63.51
237.9 10^9 cells per liter (GI/L)
Standard Deviation 46.30
237.6 10^9 cells per liter (GI/L)
Standard Deviation 101.59
Platelets Count and White Blood Cells (WBC) Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
WBC count, Pre-dose
7.623 10^9 cells per liter (GI/L)
Standard Deviation 1.7271
7.130 10^9 cells per liter (GI/L)
Standard Deviation 1.6116
7.560 10^9 cells per liter (GI/L)
Standard Deviation 1.6860
7.121 10^9 cells per liter (GI/L)
Standard Deviation 1.2807
6.763 10^9 cells per liter (GI/L)
Standard Deviation 1.0249
Platelets Count and White Blood Cells (WBC) Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
WBC count, 24 h Post-dose
7.520 10^9 cells per liter (GI/L)
Standard Deviation 1.3103
7.385 10^9 cells per liter (GI/L)
Standard Deviation 1.7548
7.218 10^9 cells per liter (GI/L)
Standard Deviation 1.4426
7.999 10^9 cells per liter (GI/L)
Standard Deviation 1.6531
6.623 10^9 cells per liter (GI/L)
Standard Deviation 1.2366

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X, X in the category titles). Different participants may have been summarized for different parameters/at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

Blood samples were collected for the measurement of ALP, ALT, AST, CPK, and GGT at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
ALP, Pre-dose, n=21, 22, 21, 13, 8
67.04 International units per liter (IU/L)
Standard Deviation 17.260
65.32 International units per liter (IU/L)
Standard Deviation 12.687
66.60 International units per liter (IU/L)
Standard Deviation 13.127
63.37 International units per liter (IU/L)
Standard Deviation 13.469
71.06 International units per liter (IU/L)
Standard Deviation 19.304
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
ALP, 24 h Post-dose, n=21, 22, 21, 13, 8
67.20 International units per liter (IU/L)
Standard Deviation 18.388
65.04 International units per liter (IU/L)
Standard Deviation 15.289
64.96 International units per liter (IU/L)
Standard Deviation 14.933
61.76 International units per liter (IU/L)
Standard Deviation 12.253
71.84 International units per liter (IU/L)
Standard Deviation 21.099
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
ALT, Pre-dose,n=21, 22, 21, 13, 8
23.6 International units per liter (IU/L)
Standard Deviation 11.67
24.1 International units per liter (IU/L)
Standard Deviation 9.80
21.3 International units per liter (IU/L)
Standard Deviation 8.37
26.2 International units per liter (IU/L)
Standard Deviation 10.53
19.1 International units per liter (IU/L)
Standard Deviation 5.36
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
ALT, 24 h Post-dose,n=21, 22, 21, 13, 8
23.3 International units per liter (IU/L)
Standard Deviation 12.29
23.0 International units per liter (IU/L)
Standard Deviation 9.36
20.5 International units per liter (IU/L)
Standard Deviation 7.56
25.6 International units per liter (IU/L)
Standard Deviation 9.69
17.8 International units per liter (IU/L)
Standard Deviation 5.39
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
AST, Pre-dose, n=21, 22, 20, 13, 8
21.98 International units per liter (IU/L)
Standard Deviation 7.525
24.55 International units per liter (IU/L)
Standard Deviation 6.689
22.13 International units per liter (IU/L)
Standard Deviation 5.358
23.03 International units per liter (IU/L)
Standard Deviation 6.923
22.09 International units per liter (IU/L)
Standard Deviation 4.995
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
AST, 24 h Post-dose, n=21, 22, 21, 13, 8
21.68 International units per liter (IU/L)
Standard Deviation 8.625
22.01 International units per liter (IU/L)
Standard Deviation 7.048
20.58 International units per liter (IU/L)
Standard Deviation 5.761
20.75 International units per liter (IU/L)
Standard Deviation 6.947
19.23 International units per liter (IU/L)
Standard Deviation 5.473
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
CPK, Pre-dose, n=21, 22, 21, 13, 8
124.33 International units per liter (IU/L)
Standard Deviation 89.568
101.88 International units per liter (IU/L)
Standard Deviation 49.410
104.39 International units per liter (IU/L)
Standard Deviation 42.381
100.16 International units per liter (IU/L)
Standard Deviation 44.497
117.08 International units per liter (IU/L)
Standard Deviation 61.189
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
CPK, 24 h Post-dose, n=21, 22, 21, 13, 8
99.97 International units per liter (IU/L)
Standard Deviation 61.307
82.81 International units per liter (IU/L)
Standard Deviation 30.913
83.77 International units per liter (IU/L)
Standard Deviation 29.233
87.78 International units per liter (IU/L)
Standard Deviation 37.566
109.36 International units per liter (IU/L)
Standard Deviation 90.411
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
GGT, Pre-dose, n=21, 22, 21, 13, 8
27.81 International units per liter (IU/L)
Standard Deviation 18.287
26.41 International units per liter (IU/L)
Standard Deviation 14.704
26.41 International units per liter (IU/L)
Standard Deviation 17.573
29.86 International units per liter (IU/L)
Standard Deviation 21.391
19.94 International units per liter (IU/L)
Standard Deviation 6.369
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
GGT, 24 h Post-dose, n=21, 22, 21, 13, 8
27.14 International units per liter (IU/L)
Standard Deviation 16.806
25.33 International units per liter (IU/L)
Standard Deviation 13.962
25.89 International units per liter (IU/L)
Standard Deviation 18.218
29.38 International units per liter (IU/L)
Standard Deviation 19.277
19.59 International units per liter (IU/L)
Standard Deviation 6.431

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population

Blood samples were collected for the measurement of total bilirubin, creatinine, and uric acid at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Total bilirubin, 24 h Post-dose
8.70 Micromoles per liter (µmol/L)
Standard Deviation 2.602
8.26 Micromoles per liter (µmol/L)
Standard Deviation 2.955
9.48 Micromoles per liter (µmol/L)
Standard Deviation 3.523
10.27 Micromoles per liter (µmol/L)
Standard Deviation 3.086
6.83 Micromoles per liter (µmol/L)
Standard Deviation 2.036
Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Creatinine, Pre-dose
78.55 Micromoles per liter (µmol/L)
Standard Deviation 7.589
80.50 Micromoles per liter (µmol/L)
Standard Deviation 8.012
80.24 Micromoles per liter (µmol/L)
Standard Deviation 10.079
78.64 Micromoles per liter (µmol/L)
Standard Deviation 8.296
79.79 Micromoles per liter (µmol/L)
Standard Deviation 8.333
Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Creatinine, 24 h Post-dose
78.02 Micromoles per liter (µmol/L)
Standard Deviation 6.451
79.08 Micromoles per liter (µmol/L)
Standard Deviation 8.324
78.14 Micromoles per liter (µmol/L)
Standard Deviation 9.684
76.44 Micromoles per liter (µmol/L)
Standard Deviation 7.241
76.29 Micromoles per liter (µmol/L)
Standard Deviation 8.999
Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Uric acid, Pre-dose
295.86 Micromoles per liter (µmol/L)
Standard Deviation 64.155
301.24 Micromoles per liter (µmol/L)
Standard Deviation 77.192
303.18 Micromoles per liter (µmol/L)
Standard Deviation 77.389
317.09 Micromoles per liter (µmol/L)
Standard Deviation 76.125
281.19 Micromoles per liter (µmol/L)
Standard Deviation 67.657
Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Uric acid, 24 h Post-dose
285.55 Micromoles per liter (µmol/L)
Standard Deviation 63.350
293.21 Micromoles per liter (µmol/L)
Standard Deviation 65.637
296.28 Micromoles per liter (µmol/L)
Standard Deviation 70.307
306.26 Micromoles per liter (µmol/L)
Standard Deviation 72.701
268.64 Micromoles per liter (µmol/L)
Standard Deviation 61.525
Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Total bilirubin, Pre-dose
7.92 Micromoles per liter (µmol/L)
Standard Deviation 2.457
8.33 Micromoles per liter (µmol/L)
Standard Deviation 2.234
8.66 Micromoles per liter (µmol/L)
Standard Deviation 3.387
8.68 Micromoles per liter (µmol/L)
Standard Deviation 2.238
7.69 Micromoles per liter (µmol/L)
Standard Deviation 1.549

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X, X in the category titles). Different participants may have been analyzed for different parameters/at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

Blood samples were collected for the measurement of the calcium, bicarbonate, chloride, glucose, IP, potassium, sodium, and urea at pre-dose and 24 hour (h) post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Calcium, Pre-dose, n=21, 22, 21, 13, 8
2.283 Millimoles per liter (mmol/L)
Standard Deviation 0.0729
2.277 Millimoles per liter (mmol/L)
Standard Deviation 0.0861
2.267 Millimoles per liter (mmol/L)
Standard Deviation 0.0809
2.242 Millimoles per liter (mmol/L)
Standard Deviation 0.0625
2.278 Millimoles per liter (mmol/L)
Standard Deviation 0.0547
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Bicarbonate, 24 h Post-dose, n=21, 22, 21, 13, 7
22.98 Millimoles per liter (mmol/L)
Standard Deviation 2.414
22.62 Millimoles per liter (mmol/L)
Standard Deviation 2.995
23.30 Millimoles per liter (mmol/L)
Standard Deviation 2.600
23.80 Millimoles per liter (mmol/L)
Standard Deviation 2.822
25.14 Millimoles per liter (mmol/L)
Standard Deviation 2.738
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Potassium, Pre-dose, n=21, 22, 21, 13, 8
4.283 Millimoles per liter (mmol/L)
Standard Deviation 0.3178
4.177 Millimoles per liter (mmol/L)
Standard Deviation 0.2537
4.209 Millimoles per liter (mmol/L)
Standard Deviation 0.2255
4.248 Millimoles per liter (mmol/L)
Standard Deviation 0.2717
4.193 Millimoles per liter (mmol/L)
Standard Deviation 0.1896
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Potassium, 24 h Post-dose, n=21, 22, 21, 13, 8
4.270 Millimoles per liter (mmol/L)
Standard Deviation 0.2340
4.274 Millimoles per liter (mmol/L)
Standard Deviation 0.3311
4.266 Millimoles per liter (mmol/L)
Standard Deviation 0.3065
4.279 Millimoles per liter (mmol/L)
Standard Deviation 0.3587
4.359 Millimoles per liter (mmol/L)
Standard Deviation 0.3642
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Sodium, Pre-dose,n=21, 22, 21, 13, 8
140.45 Millimoles per liter (mmol/L)
Standard Deviation 2.253
140.95 Millimoles per liter (mmol/L)
Standard Deviation 1.932
140.84 Millimoles per liter (mmol/L)
Standard Deviation 1.551
141.07 Millimoles per liter (mmol/L)
Standard Deviation 0.825
140.86 Millimoles per liter (mmol/L)
Standard Deviation 2.458
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Calcium, 24 h Post-dose, n=21, 22, 21, 13, 8
2.270 Millimoles per liter (mmol/L)
Standard Deviation 0.0891
2.290 Millimoles per liter (mmol/L)
Standard Deviation 0.0713
2.265 Millimoles per liter (mmol/L)
Standard Deviation 0.0704
2.244 Millimoles per liter (mmol/L)
Standard Deviation 0.0864
2.280 Millimoles per liter (mmol/L)
Standard Deviation 0.0428
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Chloride, Pre-dose, n=21, 22, 21, 13, 8
106.88 Millimoles per liter (mmol/L)
Standard Deviation 2.727
107.11 Millimoles per liter (mmol/L)
Standard Deviation 1.972
106.42 Millimoles per liter (mmol/L)
Standard Deviation 1.857
107.26 Millimoles per liter (mmol/L)
Standard Deviation 2.738
106.49 Millimoles per liter (mmol/L)
Standard Deviation 2.255
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Chloride, 24 h Post-dose, n=21, 22, 21, 13, 8
107.18 Millimoles per liter (mmol/L)
Standard Deviation 1.875
107.10 Millimoles per liter (mmol/L)
Standard Deviation 2.457
106.94 Millimoles per liter (mmol/L)
Standard Deviation 2.002
107.17 Millimoles per liter (mmol/L)
Standard Deviation 2.830
106.59 Millimoles per liter (mmol/L)
Standard Deviation 1.460
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Glucose, Pre-dose, n=21, 22, 21, 13, 8
5.225 Millimoles per liter (mmol/L)
Standard Deviation 0.5294
5.046 Millimoles per liter (mmol/L)
Standard Deviation 0.5583
5.082 Millimoles per liter (mmol/L)
Standard Deviation 0.5882
5.098 Millimoles per liter (mmol/L)
Standard Deviation 0.4362
5.326 Millimoles per liter (mmol/L)
Standard Deviation 0.6739
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Glucose, 24 h Post-dose, n=21, 22, 21, 13, 8
5.278 Millimoles per liter (mmol/L)
Standard Deviation 0.5800
5.203 Millimoles per liter (mmol/L)
Standard Deviation 0.6391
5.224 Millimoles per liter (mmol/L)
Standard Deviation 0.5500
5.031 Millimoles per liter (mmol/L)
Standard Deviation 0.3691
5.291 Millimoles per liter (mmol/L)
Standard Deviation 0.5350
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Bicarbonate, Pre-dose, n=21, 22, 21, 13, 8
22.41 Millimoles per liter (mmol/L)
Standard Deviation 2.609
22.95 Millimoles per liter (mmol/L)
Standard Deviation 2.295
23.28 Millimoles per liter (mmol/L)
Standard Deviation 2.698
23.08 Millimoles per liter (mmol/L)
Standard Deviation 2.401
22.98 Millimoles per liter (mmol/L)
Standard Deviation 4.179
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Sodium, 24 h Post-dose, n=21, 22, 21, 13, 8
140.90 Millimoles per liter (mmol/L)
Standard Deviation 1.674
140.68 Millimoles per liter (mmol/L)
Standard Deviation 1.864
140.93 Millimoles per liter (mmol/L)
Standard Deviation 1.610
141.13 Millimoles per liter (mmol/L)
Standard Deviation 1.165
140.56 Millimoles per liter (mmol/L)
Standard Deviation 1.749
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
IP, Pre-dose, n=21, 22, 21, 13, 8
1.153 Millimoles per liter (mmol/L)
Standard Deviation 0.1271
1.095 Millimoles per liter (mmol/L)
Standard Deviation 0.1026
1.135 Millimoles per liter (mmol/L)
Standard Deviation 0.1406
1.105 Millimoles per liter (mmol/L)
Standard Deviation 0.1490
1.161 Millimoles per liter (mmol/L)
Standard Deviation 0.1763
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
IP, 24 h Post-dose, n=21, 22, 21, 13, 8
1.131 Millimoles per liter (mmol/L)
Standard Deviation 0.1455
1.118 Millimoles per liter (mmol/L)
Standard Deviation 0.1391
1.143 Millimoles per liter (mmol/L)
Standard Deviation 0.1486
1.121 Millimoles per liter (mmol/L)
Standard Deviation 0.1735
1.158 Millimoles per liter (mmol/L)
Standard Deviation 0.1179
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Urea, Pre-dose, n=21, 22, 21, 13, 8
4.905 Millimoles per liter (mmol/L)
Standard Deviation 1.2041
4.629 Millimoles per liter (mmol/L)
Standard Deviation 0.9289
5.002 Millimoles per liter (mmol/L)
Standard Deviation 1.1933
4.904 Millimoles per liter (mmol/L)
Standard Deviation 0.9358
4.820 Millimoles per liter (mmol/L)
Standard Deviation 1.2474
Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Urea, 24 h Post-dose, n=21, 22, 21, 13, 8
4.700 Millimoles per liter (mmol/L)
Standard Deviation 0.8093
4.721 Millimoles per liter (mmol/L)
Standard Deviation 0.9688
4.710 Millimoles per liter (mmol/L)
Standard Deviation 0.9958
4.579 Millimoles per liter (mmol/L)
Standard Deviation 0.8701
4.764 Millimoles per liter (mmol/L)
Standard Deviation 1.6021

PRIMARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X, X in the category titles). Different participants may have been summarized for different parameters/at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

FEV1 and FVC are measures of lung function. FEV1 is defined as the maximal amount of air that can be forcefully exhaled in one second. FVC is defined as the amount of air that can be forcibly exhaled from the lungs after taking the deepest breath possible. FEV1 and FVC measurements were taken at pre-dose and 1 hour (h), 2 h, 6 h, 9 h, 12 h and 24 h post-dose of each treatment period.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, Pre-dose, n= 21, 22, 21, 13, 8
1.637 Liters
Standard Deviation 0.3991
1.559 Liters
Standard Deviation 0.2867
1.589 Liters
Standard Deviation 0.2871
1.732 Liters
Standard Deviation 0.2080
1.400 Liters
Standard Deviation 0.2545
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, 1h, n=21, 20, 21, 13, 8
1.670 Liters
Standard Deviation 0.4130
1.874 Liters
Standard Deviation 0.3414
1.905 Liters
Standard Deviation 0.3574
1.966 Liters
Standard Deviation 0.3781
1.663 Liters
Standard Deviation 0.3250
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, 2h, n= 21, 20, 21, 13, 8
1.689 Liters
Standard Deviation 0.4172
1.969 Liters
Standard Deviation 0.3760
2.015 Liters
Standard Deviation 0.3512
2.123 Liters
Standard Deviation 0.3757
1.696 Liters
Standard Deviation 0.3311
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, 6h, n=21, 22, 21, 13, 8
1.700 Liters
Standard Deviation 0.4055
2.000 Liters
Standard Deviation 0.4251
2.073 Liters
Standard Deviation 0.3343
2.198 Liters
Standard Deviation 0.3329
1.841 Liters
Standard Deviation 0.4372
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, 9h, n=21, 19, 21, 13, 7
1.754 Liters
Standard Deviation 0.3664
1.984 Liters
Standard Deviation 0.3554
2.010 Liters
Standard Deviation 0.3113
2.135 Liters
Standard Deviation 0.2850
1.767 Liters
Standard Deviation 0.4555
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, 12h, n=21, 22, 21, 13,8
1.688 Liters
Standard Deviation 0.3797
1.933 Liters
Standard Deviation 0.3756
1.988 Liters
Standard Deviation 0.3463
2.103 Liters
Standard Deviation 0.3633
1.619 Liters
Standard Deviation 0.4182
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FEV1, 24h, =21, 22, 21, 13, 8
1.612 Liters
Standard Deviation 0.3189
1.830 Liters
Standard Deviation 0.4033
1.817 Liters
Standard Deviation 0.3569
1.978 Liters
Standard Deviation 0.3416
1.454 Liters
Standard Deviation 0.3135
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, Pre-dose, n=21, 22, 21, 13, 8
3.438 Liters
Standard Deviation 0.8138
3.247 Liters
Standard Deviation 0.7574
3.337 Liters
Standard Deviation 0.7139
3.640 Liters
Standard Deviation 0.7869
3.080 Liters
Standard Deviation 0.6682
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, 1h, n=21, 20, 21, 13, 8
3.490 Liters
Standard Deviation 0.8721
3.751 Liters
Standard Deviation 0.8688
3.845 Liters
Standard Deviation 0.7974
4.006 Liters
Standard Deviation 0.9430
3.631 Liters
Standard Deviation 0.7223
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, 2h, n=21, 20, 21, 13, 8
3.545 Liters
Standard Deviation 0.8796
3.877 Liters
Standard Deviation 0.9571
3.976 Liters
Standard Deviation 0.8479
4.205 Liters
Standard Deviation 0.9935
3.674 Liters
Standard Deviation 0.7766
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, 6h, n=21, 22, 21, 13, 8
3.572 Liters
Standard Deviation 0.8555
3.940 Liters
Standard Deviation 0.9583
4.064 Liters
Standard Deviation 0.8822
4.257 Liters
Standard Deviation 1.0390
3.780 Liters
Standard Deviation 0.8023
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, 9h, n=21, 19, 21, 13, 7
3.662 Liters
Standard Deviation 0.8436
4.015 Liters
Standard Deviation 0.8461
3.969 Liters
Standard Deviation 0.8783
4.184 Liters
Standard Deviation 0.9694
3.544 Liters
Standard Deviation 0.7176
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, 12h, n=21, 22, 21, 13, 8
3.595 Liters
Standard Deviation 0.8178
3.841 Liters
Standard Deviation 0.9190
3.923 Liters
Standard Deviation 0.8966
4.130 Liters
Standard Deviation 1.0544
3.563 Liters
Standard Deviation 0.7816
Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
FVC, 24h, n=21, 22, 21, 13, 8
3.389 Liters
Standard Deviation 0.7272
3.712 Liters
Standard Deviation 0.9878
3.705 Liters
Standard Deviation 0.8597
3.993 Liters
Standard Deviation 0.9759
3.280 Liters
Standard Deviation 0.6741

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: Pharmacokinetic (PK) Population:all participants in the All Subjects Population for whom a PK sample was obtained and analyzed.

Blood samples were collected to determine the plasma concentrations of UMEC from pre-dose up to 24 hour post-dose of each treatment period to derive the AUC(0-2) and AUC(0-t). Blood samples for PK analysis of UMEC were obtained on Day 1at pre-dose and 5 minutes (min), 15 min, 30 min, 1 hour (h), 2 h, 4 h, 6 h, 8 h, 12 h, 16 h, and 24 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Area Under Concentration-time Curve From Time 0 to 2 Hours [AUC(0-2)] and Area Under Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration [AUC(0-t)] of UMEC
AUC(0-2)
0.10264 hr * nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 58.9
0.27099 hr * nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 58.5
0.71522 hr * nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 21.8
Area Under Concentration-time Curve From Time 0 to 2 Hours [AUC(0-2)] and Area Under Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration [AUC(0-t)] of UMEC
AUC(0-t)
0.10271 hr * nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 70.0
0.35491 hr * nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 65.2
0.96100 hr * nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 27.7

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: PK Population

Blood samples were collected to determine the plasma concentrations of UMEC from pre-dose up to 24 hour post-dose of each treatment period to derive the Cmax. Blood samples for PK analysis of UMEC were obtained on Day 1at pre-dose and 5 minutes (min), 15 min, 30 min, 1 hour (h), 2 h, 4 h, 6 h, 8 h, 12 h, 16 h, and 24 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Maximum Observed Plasma Concentration (Cmax) of UMEC
0.12615 ng/mL
Geometric Coefficient of Variation 43.4
0.30389 ng/mL
Geometric Coefficient of Variation 40.7
0.83228 ng/mL
Geometric Coefficient of Variation 22.9

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: PK Population. Only those participants with non-missing observations (including non-calculable values) were analyzed (represented by n=X, X, X in the category titles). Different participants may have been analyzed for different parameters/at different time points, so the overall number of participants analyzed reflects everyone in the PK Population

Blood samples were collected to determine the plasma concentrations of UMEC from pre-dose up to 24 hour post-dose of each treatment period to derive tmax, tlast and t1/2. Blood samples for PK analysis of UMEC were obtained on Day 1at pre-dose and 5 minutes (min), 15 min, 30 min, 1 hour (h), 2 h, 4 h, 6 h, 8 h, 12 h, 16 h, and 24 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Time of Maximum Observed Plasma Concentration (Tmax), Last Time Point Where the Concentration is Above the Limit of Quantification (Tlast), and Plasma Half-life (t1/2) of UMEC
tmax, n=22, 21, 13
0.090 Hours
Interval 0.08 to 0.5
0.100 Hours
Interval 0.07 to 0.27
0.250 Hours
Interval 0.08 to 0.28
Time of Maximum Observed Plasma Concentration (Tmax), Last Time Point Where the Concentration is Above the Limit of Quantification (Tlast), and Plasma Half-life (t1/2) of UMEC
tlast, n=22, 21, 13
1.975 Hours
Interval 0.47 to 4.07
4.030 Hours
Interval 1.0 to 24.0
6.000 Hours
Interval 4.0 to 15.95
Time of Maximum Observed Plasma Concentration (Tmax), Last Time Point Where the Concentration is Above the Limit of Quantification (Tlast), and Plasma Half-life (t1/2) of UMEC
t1/2, n=22, 21, 13
NA Hours
Due to the large amount of non-quantifiable (NQ) data in the distribution and elimination phase at 250mcg dose level, all t½ values could not be calculated and median and the confidence interval (CI) could not be estimated.
1.24490 Hours
Interval 0.7079 to 3.6743
1.19780 Hours
Interval 0.7889 to 20.2309

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: PK Population

Urine samples were collected to determine the urine concentrations of UMEC from 0 min up to 48 hours post-dose of each treatment period to derive Ae(0-2), Ae(0-8), Ae(0-12), Ae(0-24), Ae(0-48), AUER(0-18) and AUER(0-36). Urine samples for PK analysis of UMEC were obtained on Day 1; a single sample was collected at each of the following timepoints: 0-2 h, 2-8 h, 8-12 h, 12-24 h and 24-48 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
Ae(0-2)
734.525 ng
Geometric Coefficient of Variation 56.0
1793.951 ng
Geometric Coefficient of Variation 40.5
4456.582 ng
Geometric Coefficient of Variation 43.5
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
Ae(0-8)
1676.101 ng
Geometric Coefficient of Variation 54.7
4146.206 ng
Geometric Coefficient of Variation 50.6
9935.792 ng
Geometric Coefficient of Variation 33.4
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
Ae(0-12)
1987.910 ng
Geometric Coefficient of Variation 50.0
4712.376 ng
Geometric Coefficient of Variation 50.1
10983.771 ng
Geometric Coefficient of Variation 34.5
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
Ae(0-24)
2352.662 ng
Geometric Coefficient of Variation 47.5
5486.724 ng
Geometric Coefficient of Variation 48.3
12401.722 ng
Geometric Coefficient of Variation 33.7
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
Ae(0-48)
2729.434 ng
Geometric Coefficient of Variation 45.0
6361.233 ng
Geometric Coefficient of Variation 47.0
13671.981 ng
Geometric Coefficient of Variation 34.7
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
AUER(0-18)
2119.916 ng
Geometric Coefficient of Variation 48.4
4830.401 ng
Geometric Coefficient of Variation 47.9
10919.838 ng
Geometric Coefficient of Variation 34.6
Amount of Drug Excreted Unchanged in Urine From Time Zero to: 2h [Ae(0-2)] , 8h [Ae(0-8)], 12h [Ae(0-12)], 24h [Ae(0-24)], and 48h [Ae(0-48)]; and Area Under the Excretion Rate Curve From Time Zero to: 18h [AUER(0-18)] and 36h [AUER(0-36)] for UMEC
AUER(0-36)
2487.288 ng
Geometric Coefficient of Variation 48.8
5752.880 ng
Geometric Coefficient of Variation 49.3
12363.246 ng
Geometric Coefficient of Variation 35.0

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: PK Population

The CLr is defined as the apparent total clearance of the drug from plasma after oral administration. Blood samples for PK analysis of UMEC were obtained on Day 1at pre-dose and 5 minutes (min), 15 min, 30 min, 1 hour (h), 2 h, 4 h, 6 h, 8 h, 12 h, 16 h, and 24 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Renal Clearance (CLr) of UMEC Following Dose Administration on Day 1
5.317 Liters per hour (L/hr)
Geometric Coefficient of Variation 56.2
6.395 Liters per hour (L/hr)
Geometric Coefficient of Variation 36.9
6.831 Liters per hour (L/hr)
Geometric Coefficient of Variation 56.8

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: PK Population

The terminal half-life (t1/2) of UMEC is defined as the time required for the urine concentration of UMEC to reach half of its original concentration. Urine samples for PK analysis of UMEC were obtained on Day 1; a single sample was collected at each of the following timepoints: 0-2 h, 2-8 h, 8-12 h, 12-24 h and 24-48 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Half-life for Renal Excretion of UMEC on Day 1
10.679 Hours
Geometric Coefficient of Variation 37.2
12.023 Hours
Geometric Coefficient of Variation 44.9
10.821 Hours
Geometric Coefficient of Variation 32.8

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: PK Population

Urine samples were collected to determine the urine concentrations of UMEC from 0 min up to 48 hours post-dose of each treatment period to derive Fe(0-24) and Fe(0-48). Urine samples for PK analysis of UMEC were obtained on Day 1; a single sample was collected at each of the following timepoints: 0-2 h, 2-8 h, 8-12 h, 12-24 h and 24-48 h post UMEC dose administration.

Outcome measures

Outcome measures
Measure
Placebo
n=22 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Fraction of Dose Excreted Unchanged in Urine From Time Zero to: 24 Hours [Fe(0-24)] and 48 Hours [Fe(0-48)] for UMEC
Fe(0-24)
0.993 Percentage of total dose administered
Interval 0.32 to 2.56
1.253 Percentage of total dose administered
Interval 0.46 to 2.73
1.360 Percentage of total dose administered
Interval 0.68 to 1.94
Fraction of Dose Excreted Unchanged in Urine From Time Zero to: 24 Hours [Fe(0-24)] and 48 Hours [Fe(0-48)] for UMEC
Fe(0-48)
1.142 Percentage of total dose administered
Interval 0.42 to 2.88
1.413 Percentage of total dose administered
Interval 0.48 to 2.95
1.512 Percentage of total dose administered
Interval 0.77 to 2.1

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X, X in the category titles). Different participants may have been summarized for different parameters/at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

Serial spirometry assessments were conducted on Day 1 of each treatment period over the course of 24 hours and were taken at 1 hour (h), 2 h, 6 h, 9 h, 12 h and 24 h post-dose. The maximum of the 3 FEV1 measurements for each participant, treatment period and timepoint were used in the calculation of the mean for each treatment group at each timepoint.

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Mean Serial FEV1over 24 Hours After Dosing on Day 1 of Each Treatment Period
FEV1, 1 h, n= 21, 20, 21, 13, 8
1.638 Liters
Standard Error 0.0410
1.861 Liters
Standard Error 0.0437
1.915 Liters
Standard Error 0.0408
1.834 Liters
Standard Error 0.0542
1.880 Liters
Standard Error 0.0644
Mean Serial FEV1over 24 Hours After Dosing on Day 1 of Each Treatment Period
FEV1, 2h, n= 21, 20, 21, 13, 8
1.654 Liters
Standard Error 0.0433
1.951 Liters
Standard Error 0.0456
2.027 Liters
Standard Error 0.0431
1.992 Liters
Standard Error 0.0570
1.910 Liters
Standard Error 0.0684
Mean Serial FEV1over 24 Hours After Dosing on Day 1 of Each Treatment Period
FEV1, 6h, n=21, 22, 21, 13, 8
1.669 Liters
Standard Error 0.0497
1.991 Liters
Standard Error 0.0510
2.083 Liters
Standard Error 0.0492
2.070 Liters
Standard Error 0.0648
2.050 Liters
Standard Error 0.0793
Mean Serial FEV1over 24 Hours After Dosing on Day 1 of Each Treatment Period
FEV1, 9h, n=21, 19, 21, 13, 7
1.721 Liters
Standard Error 0.0418
1.938 Liters
Standard Error 0.0446
2.021 Liters
Standard Error 0.0416
2.024 Liters
Standard Error 0.0553
1.927 Liters
Standard Error 0.0673
Mean Serial FEV1over 24 Hours After Dosing on Day 1 of Each Treatment Period
FEV1, 12h, n=21, 22, 21, 13, 7
1.662 Liters
Standard Error 0.0501
1.917 Liters
Standard Error 0.0514
1.996 Liters
Standard Error 0.0497
1.988 Liters
Standard Error 0.0654
1.812 Liters
Standard Error 0.0801
Mean Serial FEV1over 24 Hours After Dosing on Day 1 of Each Treatment Period
FEV1, 24h, n=21, 22, 21, 13, 8
1.583 Liters
Standard Error 0.0411
1.818 Liters
Standard Error 0.0431
1.827 Liters
Standard Error 0.0410
1.856 Liters
Standard Error 0.0544
1.655 Liters
Standard Error 0.0646

SECONDARY outcome

Timeframe: Day 1 of each treatment period (up to Study Day 46)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X, X in the category titles). Different participants may have been summarized for different parameters/at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

sGaw is the specific airways resistance (mid) which was assessed by whole body plethysmography. Values used were the mean of the 3 readings recorded at each timepoint. sGaw measurements were taken at 2 hour (h), 6 h, 12 h and 24 h post-dose of each treatment period. 1/kPa.s=1(the inverses)/kPa (kilopascal).s (second)

Outcome measures

Outcome measures
Measure
Placebo
n=21 Participants
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 micrograms (µg) via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 Participants
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 Participants
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Mean Serial Specific Airway Resistance (sGaw) Over 24 Hours After Dosing on Day 1 of Each Treatment Period
sGaw, 12h, n=21, 21, 21, 13, 8
0.403 1/kPa*s
Standard Error 0.0661
0.637 1/kPa*s
Standard Error 0.0692
0.735 1/kPa*s
Standard Error 0.0665
0.730 1/kPa*s
Standard Error 0.0836
0.550 1/kPa*s
Standard Error 0.1008
Mean Serial Specific Airway Resistance (sGaw) Over 24 Hours After Dosing on Day 1 of Each Treatment Period
sGaw, 24h, n=21, 21, 21, 13, 8
0.379 1/kPa*s
Standard Error 0.0627
0.514 1/kPa*s
Standard Error 0.0662
0.501 1/kPa*s
Standard Error 0.0630
0.514 1/kPa*s
Standard Error 0.0790
0.440 1/kPa*s
Standard Error 0.0945
Mean Serial Specific Airway Resistance (sGaw) Over 24 Hours After Dosing on Day 1 of Each Treatment Period
sGaw, 2h, n= 21, 20, 21, 13, 8
0.400 1/kPa*s
Standard Error 0.0598
0.652 1/kPa*s
Standard Error 0.0631
0.699 1/kPa*s
Standard Error 0.0602
0.714 1/kPa*s
Standard Error 0.0753
0.648 1/kPa*s
Standard Error 0.0893
Mean Serial Specific Airway Resistance (sGaw) Over 24 Hours After Dosing on Day 1 of Each Treatment Period
sGaw, 6h, n=21, 21, 21, 13, 8
0.426 1/kPa*s
Standard Error 0.0574
0.734 1/kPa*s
Standard Error 0.0603
0.806 1/kPa*s
Standard Error 0.0578
0.778 1/kPa*s
Standard Error 0.0720
0.711 1/kPa*s
Standard Error 0.0848

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

UMEC 250 µg

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

UMEC 500 µg

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

UMEC 1000 µg

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Tiotropium 18 µg

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=21 participants at risk
Participants received a single inhaled dose of matching placebo via a dry powder inhaler (DPI) in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 250 µg
n=22 participants at risk
Participants received a single inhaled dose of a dry powder formulation of UMEC 250 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 500 µg
n=21 participants at risk
Participants received a single inhaled dose of a dry powder formulation of UMEC 500 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
UMEC 1000 µg
n=13 participants at risk
Participants received a single inhaled dose of a dry powder formulation of UMEC 1000 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Tiotropium 18 µg
n=8 participants at risk
Participants received a single inhaled dose of a dry powder formulation of tiotropium 18 µg via a DPI in one of the 4 treatment periods, separated by a washout period of at least 14 days.
Nervous system disorders
Headache
19.0%
4/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
18.2%
4/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
19.0%
4/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
7.7%
1/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Nervous system disorders
Dizziness
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
9.5%
2/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
7.7%
1/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Nervous system disorders
Tension headache
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Infections and infestations
Nasopharyngitis
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Infections and infestations
Respiratory tract infection
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Infections and infestations
Urinary tract infection
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
12.5%
1/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Infections and infestations
Infected insect bite
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Infections and infestations
Sinusitis
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
15.4%
2/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Respiratory, thoracic and mediastinal disorders
Respiratory distress
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
12.5%
1/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Cardiac disorders
Atrial fibrillation
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
7.7%
1/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Cardiac disorders
Supraventricular tachycardia
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
12.5%
1/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Cardiac disorders
Ventricular tachycardia
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Gastrointestinal disorders
Dyspepsia
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Gastrointestinal disorders
Gingivitis
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Gastrointestinal disorders
Tooth loss
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Gastrointestinal disorders
Vomiting
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.5%
1/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
7.7%
1/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
General disorders
Asthenia
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gammopathy
4.8%
1/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/22 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/21 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/13 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.
0.00%
0/8 • Serious adverse events (SAEs) and non-serious AEs were collected from Day 1 of Treatment Period 1 until Follow-up visit (up to 10 weeks)
AEs and SAEs were collected in the members of All Subjects Population comprised of all participants who received at least one dose of study medication.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER