Effect on Exercise Endurance and Lung Hyperinflation of Tiotropium + Olodaterol in COPD Patients

NCT ID: NCT01533922

Last Updated: 2015-09-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

295 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2013-11-30

Brief Summary

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The primary objective of this trial is to investigate the effect of 6 weeks treatment with tiotropium + olodaterol fixed dose combination inhalation solution on lung hyperinflation and exercise tolerance in patients with COPD

Detailed Description

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Conditions

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Pulmonary Disease, Chronic Obstructive

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

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Tiotropium + olodaterol High dose QD

patient will receive tiotropium 5 mcg + olodaterol 5 mcg in a fixed dose combination once daily

Group Type EXPERIMENTAL

tiotropium + olodaterol

Intervention Type DRUG

tiotropium + olodaterol 5 mcg once daily

Respimat

Intervention Type DEVICE

Respimat inhaler

Tiotropium + olodaterol Low dose QD

patient will receive tiotropium 2.5 mcg + olodaterol 5 mcg in a fixed dose combination once daily

Group Type EXPERIMENTAL

Tiotropium + Olodaterol

Intervention Type DRUG

Tiotropium 2.5 mcg + Olodaterol 5 mcg once daily

Respimat

Intervention Type DEVICE

Respimat inhaler

Tiotropium 5 mcg QD

patient will receive tiotropium 5 mcg once daily

Group Type ACTIVE_COMPARATOR

Tiotropium

Intervention Type DRUG

Tiotropium 5 mcg once daily

Respimat

Intervention Type DEVICE

Respimat inhaler

Olodaterol 5 mcg QD

patient will receive olodaterol 5 mcg once daily

Group Type ACTIVE_COMPARATOR

Olodaterol

Intervention Type DRUG

Olodaterol 5 mcg once daily

Respimat

Intervention Type DEVICE

Respimat inhaler

Placebo QD

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

placebo matching tiotropium + olodaterol FDC

Respimat

Intervention Type DEVICE

Respimat inhaler

Interventions

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Placebo

placebo matching tiotropium + olodaterol FDC

Intervention Type DRUG

Tiotropium

Tiotropium 5 mcg once daily

Intervention Type DRUG

Olodaterol

Olodaterol 5 mcg once daily

Intervention Type DRUG

tiotropium + olodaterol

tiotropium + olodaterol 5 mcg once daily

Intervention Type DRUG

Tiotropium + Olodaterol

Tiotropium 2.5 mcg + Olodaterol 5 mcg once daily

Intervention Type DRUG

Respimat

Respimat inhaler

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. All patients must sign an informed consent consistent with ICH-GCP guidelines prior to participation in the trial, which includes medication washout and restrictions.
2. All patients must have a diagnosis of chronic obstructive pulmonary disease and must meet the following spirometric criteria:

Patients must have relatively stable airway obstruction with a post-bronchodilator FEV1 \<80% of predicted normal and a post-bronchodilator FEV1/FVC \<70% at Visit 1.
3. Male or female patients, between 40 and 75 years of age (inclusive) on day of signing informed consent.
4. Patients must be current or ex-smokers with a smoking history of more than 10 pack years.

Exclusion Criteria

1. Patients with a significant disease other than COPD; a significant disease is defined as a disease which, in the opinion of the investigator, may (i) put the patient at risk because of participation in the study, (ii) influence the results of the study, or (iii) cause concern regarding the patient's ability to participate in the study
2. Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis; all patients with an SGOT \>x2 ULN, SGPT \>x2 ULN, bilirubin \>x2 ULN or creatinine \>x2 ULN will be excluded regardless of clinical condition
3. Patients with a history of asthma. For patients with allergic rhinitis or atopy, source documentation is required to verify that the patient does not have asthma.

Patients with any of the following conditions:
4. A diagnosis of thyrotoxicosis (due to the known class side effect profile of ß2-agonists)
5. A diagnosis of paroxysmal tachycardia (\>100 beats per minute) (due to the known class side effect profile of ß2-agonists)
6. A history of myocardial infarction within 1 year of screening visit (Visit 1)
7. Unstable or life-threatening cardiac arrhythmia
8. Hospitalized for heart failure within the past year
9. Known active tuberculosis
10. A malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years (patients with treated basal cell carcinoma are allowed)
11. A history of life-threatening pulmonary obstruction
12. A history of cystic fibrosis
13. Clinically evident bronchiectasis
14. A history of significant alcohol or drug abuse
15. Any contraindications for exercise testing.
16. Patients who have undergone thoracotomy with pulmonary resection (patients with a history of thoracotomy for other reasons should be evaluated as per exclusion criterion No. 1)
17. Patients being treated with any oral ß-adrenergics
18. Patients being treated with oral corticosteroid medication at unstable doses
19. Patients who regularly use daytime oxygen therapy for more than one hour per day and in the investigator's opinion will be unable to abstain from the use of oxygen therapy during clinic visits
20. Patients who have completed a pulmonary rehabilitation program in the six weeks prior to the screening visit or patients who are currently in a pulmonary rehabilitation program
21. Patients who have a limitation of exercise performance as a result of factors other than fatigue or exertional dyspnoea, such as arthritis in the leg, angina pectoris or claudication or morbid obesity.
22. Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to screening visit
23. Patients with known hypersensitivity to ß-adrenergics drugs, anticholinergic drugs, BAC, EDTA or any other component of the Respimat® inhalation solution delivery system
24. Pregnant or nursing women
25. Women of childbearing potential not using highly effective methods of birth control.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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1237.13.01302 Boehringer Ingelheim Investigational Site

Torrance, California, United States

Site Status

1237.13.01308 Boehringer Ingelheim Investigational Site

Hartford, Connecticut, United States

Site Status

1237.13.01304 Boehringer Ingelheim Investigational Site

Livonia, Michigan, United States

Site Status

1237.13.01307 Boehringer Ingelheim Investigational Site

Pittsburgh, Pennsylvania, United States

Site Status

1237.13.01305 Boehringer Ingelheim Investigational Site

Easley, South Carolina, United States

Site Status

1237.13.01301 Boehringer Ingelheim Investigational Site

Greenville, South Carolina, United States

Site Status

1237.13.01303 Boehringer Ingelheim Investigational Site

Spartanburg, South Carolina, United States

Site Status

1237.13.01306 Boehringer Ingelheim Investigational Site

Richmond, Virginia, United States

Site Status

1237.13.54301 Boehringer Ingelheim Investigational Site

Capital Federal, , Argentina

Site Status

1237.13.54302 Boehringer Ingelheim Investigational Site

Mar del Plata, , Argentina

Site Status

1237.13.61306 Boehringer Ingelheim Investigational Site

Concord, New South Wales, Australia

Site Status

1237.13.61301 Boehringer Ingelheim Investigational Site

Daw Park, South Australia, Australia

Site Status

1237.13.61305 Boehringer Ingelheim Investigational Site

Toorak Gardens, South Australia, Australia

Site Status

1237.13.61304 Boehringer Ingelheim Investigational Site

Footscray, Victoria, Australia

Site Status

1237.13.61302 Boehringer Ingelheim Investigational Site

Prahran, Victoria, Australia

Site Status

1237.13.43303 Boehringer Ingelheim Investigational Site

Linz, , Austria

Site Status

1237.13.43301 Boehringer Ingelheim Investigational Site

Thalheim bei Wels, , Austria

Site Status

1237.13.32302 Boehringer Ingelheim Investigational Site

Brussels, , Belgium

Site Status

1237.13.32303 Boehringer Ingelheim Investigational Site

Edegem, , Belgium

Site Status

1237.13.32305 Boehringer Ingelheim Investigational Site

Jambes, , Belgium

Site Status

1237.13.32304 Boehringer Ingelheim Investigational Site

Lanaken, , Belgium

Site Status

1237.13.32301 Boehringer Ingelheim Investigational Site

Leuven, , Belgium

Site Status

1237.13.11302 Boehringer Ingelheim Investigational Site

Hamilton, Ontario, Canada

Site Status

1237.13.11303 Boehringer Ingelheim Investigational Site

Kingston, Ontario, Canada

Site Status

1237.13.11304 Boehringer Ingelheim Investigational Site

Saskatoon, Saskatchewan, Canada

Site Status

1237.13.56301 Boehringer Ingelheim Investigational Site

Chile, , Chile

Site Status

1237.13.56302 Boehringer Ingelheim Investigational Site

Santiago, , Chile

Site Status

1237.13.49302 Boehringer Ingelheim Investigational Site

Berlin, , Germany

Site Status

1237.13.49307 Boehringer Ingelheim Investigational Site

Dortmund, , Germany

Site Status

1237.13.49304 Boehringer Ingelheim Investigational Site

Frankfurt, , Germany

Site Status

1237.13.49301 Boehringer Ingelheim Investigational Site

Halle, , Germany

Site Status

1237.13.49303 Boehringer Ingelheim Investigational Site

Hanover, , Germany

Site Status

1237.13.49305 Boehringer Ingelheim Investigational Site

Lübeck, , Germany

Site Status

1237.13.39302 Boehringer Ingelheim Investigational Site

Genova, , Italy

Site Status

1237.13.39304 Boehringer Ingelheim Investigational Site

Parma, , Italy

Site Status

1237.13.39303 Boehringer Ingelheim Investigational Site

Pavia, , Italy

Site Status

1237.13.39305 Boehringer Ingelheim Investigational Site

Pavullo Nel Frignano (mo), , Italy

Site Status

1237.13.39301 Boehringer Ingelheim Investigational Site

Pisa, , Italy

Site Status

1237.13.39312 Boehringer Ingelheim Investigational Site

Pisa, , Italy

Site Status

1237.13.39310 Boehringer Ingelheim Investigational Site

Roma, , Italy

Site Status

1237.13.39308 Boehringer Ingelheim Investigational Site

Sesto S. Giovanni (mi), , Italy

Site Status

1237.13.39306 Boehringer Ingelheim Investigational Site

Trieste, , Italy

Site Status

1237.13.64302 Boehringer Ingelheim Investigational Site

Christchurch, , New Zealand

Site Status

1237.13.64301 Boehringer Ingelheim Investigational Site

Greenlane East Auckland NZ, , New Zealand

Site Status

Countries

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United States Argentina Australia Austria Belgium Canada Chile Germany Italy New Zealand

References

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O'Donnell DE, Casaburi R, Frith P, Kirsten A, De Sousa D, Hamilton A, Xue W, Maltais F. Effects of combined tiotropium/olodaterol on inspiratory capacity and exercise endurance in COPD. Eur Respir J. 2017 Apr 19;49(4):1601348. doi: 10.1183/13993003.01348-2016. Print 2017 Apr.

Reference Type DERIVED
PMID: 28424359 (View on PubMed)

Other Identifiers

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2011-004659-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1237.13

Identifier Type: -

Identifier Source: org_study_id

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