Investigate the Impact of Early Treatment Initiation With Tiotropium in Patients Recovering From Hospitalization for an Acute COPD Exacerbation 1

NCT ID: NCT01663987

Last Updated: 2018-10-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

79 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-01

Study Completion Date

2014-05-01

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

A randomized, placebo-controlled, double-blind, parallel group, multi center study to assess the safety and efficacy of tiotropium bromide (18 µg) delivered via the HandiHaler® in Chronic Obstructive Pulmonary Disease (COPD) subjects recovering from hospitalization for an acute exacerbation (Hospital Discharge 1)

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Pulmonary Disease, Chronic Obstructive

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

18 mcg tiotropium

Patient to receive one tiotropium bromide inhalation powder capsule daily (in the morning) via HandiHaler

Group Type ACTIVE_COMPARATOR

tiotropium bromide

Intervention Type DRUG

18 mcg once a day (QD)

Placebo

Patient to receive one placebo capsule daily (in the morning) identical to those containing tiotropium bromide inhalation powder via HandiHaler

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

once a day (QD)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

tiotropium bromide

18 mcg once a day (QD)

Intervention Type DRUG

Placebo

once a day (QD)

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. All subjects must sign an informed consent consistent with the International Conference on Harmonization - Good Clinical Practice (ICH-GCP) guidelines prior to participation in the trial and conducting any study procedures.
2. Male or female subjects 40 years of age or older.
3. Hospitalization for a primary diagnosis of acute COPD exacerbation for =14 days. Determination of accuracy of admission diagnosis will be at the discretion of the investigator.
4. Patient reported hospital length of stay and discharge date (confirmed with hospital discharge summary/hospital records; however, medical record confirmation may occur following randomization).

5. Discharged from the hospital =10 days from date of randomization.
6. All subjects must have a diagnosis of COPD (P12-01205), and have documented airway obstruction with a post-bronchodilator Force expiratory volume in 1 second (FEV1)/Force vital capacity (FVC )\<0.7(See Section 5.1.2, Pulmonary Function Testing). The diagnosis of COPD can be made at Visit 1 if no Pulmonary Function Testing (PFT) data available within the past 12 months.
7. Subjects must be current or ex-smoker with a smoking history of =10 pack-years:

Pack-years = Number of cigarettes/day x years of smoking 20 cigarettes/ pack 8. Subjects must be able to inhale medication in a competent manner from the HandiHaler® device (Appendix 10.1) and from a metered dose inhaler (MDI).

Exclusion Criteria

The following exclusion criterion applies at Visit 0:

1. No more than 30 days of therapy with any long-acting inhaled anticholinergic over preceding 3 months prior to discharge from the hospital, and no therapy with any long acting anticholinergic post discharge (no use between hospital discharge and randomization) or any other restricted concomitant medications

2. Presence of a significant disease (in the opinion of the investigator) which may put the subject at risk because of participation in the study or may influence the subject's ability to participate in the study for up to 2 years.
3. A documented history of myocardial infarction during the hospitalization preceding randomization. Subjects being stable with a history of cardiac stents are permitted.
4. Any unstable or life-threatening cardiac arrhythmia requiring intervention or change in drug therapy during the last year.
5. Subjects with asthma (subject treated for asthma in the last 2 years, history of childhood asthma is permitted), cystic fibrosis, clinical diagnosis of bronchiectasis, interstitial lung disease, pulmonary thromboembolic disease or known active tuberculosis.

7\. Malignancy for which the subject has undergone resection, radiation, chemotherapy or biological treatments within the last two years or is currently on active radiation therapy, chemotherapy or biological treatment. Subjects with treated basal cell carcinoma and non-invasive squamous cell skin carcinoma are allowed.

8\. Hospitalization for cardiac failure (New York Heart Association (NYHA) class III or IV) during the hospitalization preceding randomization.

9\. Known hypersensitivity to anticholinergic drugs, lactose, or any other components of the HandiHaler® or MDI inhalation solution delivery system.

10\. Known moderate to severe renal impairment as judged by the investigator. 11. Known narrow angle glaucoma as judged by the investigator. 12. Significant symptomatic prostatic hyperplasia or bladder-neck obstruction. Subjects whose symptoms are controlled on treatment may be included. 13. Pregnant or nursing women or women of childbearing potential not using a medically approved means of contraception (i.e., oral contraceptives, intrauterine devices, diaphragm or sub dermal implants e.g., Norplant) for at least three months prior to and for the duration of the trial.

14\. Significant alcohol or drug abuse within the past 12 months. 15. Previously randomized in this study or currently participating in another interventional study.

16\. Visual impairment that as judged by the investigator does not allow the subject to independently read and complete the questionnaires and eDiary.

17\. Any significant or new ECG findings at Visit 1 as judged by the investigator, including, but not limited to signs of acute ischemia, arrhythmia.

18\. Treatment with any restricted pulmonary medication. 19. Residing in an assisted living facility.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

205.477.001039 Boehringer Ingelheim Investigational Site

Birmingham, Alabama, United States

Site Status

205.477.001050 Boehringer Ingelheim Investigational Site

Birmingham, Alabama, United States

Site Status

205.477.001021 Boehringer Ingelheim Investigational Site

Florence, Alabama, United States

Site Status

205.477.001046 Boehringer Ingelheim Investigational Site

Fountain Valley, California, United States

Site Status

205.477.001052 Boehringer Ingelheim Investigational Site

Sacramento, California, United States

Site Status

205.477.001059 Boehringer Ingelheim Investigational Site

San Diego, California, United States

Site Status

205.477.001009 Boehringer Ingelheim Investigational Site

Stamford, Connecticut, United States

Site Status

205.477.001040 Boehringer Ingelheim Investigational Site

Waterbury, Connecticut, United States

Site Status

205.477.001051 Boehringer Ingelheim Investigational Site

Brandon, Florida, United States

Site Status

205.477.001044 Boehringer Ingelheim Investigational Site

Clearwater, Florida, United States

Site Status

205.477.001037 Boehringer Ingelheim Investigational Site

Eustis, Florida, United States

Site Status

205.477.001017 Boehringer Ingelheim Investigational Site

Miami, Florida, United States

Site Status

205.477.001063 Boehringer Ingelheim Investigational Site

Miami, Florida, United States

Site Status

205.477.001001 Boehringer Ingelheim Investigational Site

St. Petersburg, Florida, United States

Site Status

205.477.001004 Boehringer Ingelheim Investigational Site

Decatur, Georgia, United States

Site Status

205.477.001012 Boehringer Ingelheim Investigational Site

Duluth, Georgia, United States

Site Status

205.477.001064 Boehringer Ingelheim Investigational Site

Belleville, Illinois, United States

Site Status

205.477.001038 Boehringer Ingelheim Investigational Site

Muncie, Indiana, United States

Site Status

205.477.001007 Boehringer Ingelheim Investigational Site

Baltimore, Maryland, United States

Site Status

205.477.001014 Boehringer Ingelheim Investigational Site

Columbia, Maryland, United States

Site Status

205.477.001018 Boehringer Ingelheim Investigational Site

Livonia, Michigan, United States

Site Status

205.477.001068 Boehringer Ingelheim Investigational Site

Union, New Jersey, United States

Site Status

205.477.001035 Boehringer Ingelheim Investigational Site

Cooperstown, New York, United States

Site Status

205.477.001023 Boehringer Ingelheim Investigational Site

New York, New York, United States

Site Status

205.477.001061 Boehringer Ingelheim Investigational Site

Staten Island, New York, United States

Site Status

205.477.001027 Boehringer Ingelheim Investigational Site

Burlington, North Carolina, United States

Site Status

205.477.001032 Boehringer Ingelheim Investigational Site

Huntersville, North Carolina, United States

Site Status

205.477.001020 Boehringer Ingelheim Investigational Site

Seneca, North Carolina, United States

Site Status

205.477.001034 Boehringer Ingelheim Investigational Site

Cincinnati, Ohio, United States

Site Status

205.477.001053 Boehringer Ingelheim Investigational Site

Columbus, Ohio, United States

Site Status

205.477.001011 Boehringer Ingelheim Investigational Site

Dayton, Ohio, United States

Site Status

205.477.001057 Boehringer Ingelheim Investigational Site

Tulsa, Oklahoma, United States

Site Status

205.477.001006 Boehringer Ingelheim Investigational Site

Portland, Oregon, United States

Site Status

205.477.001083 Boehringer Ingelheim Investigational Site

Downingtown, Pennsylvania, United States

Site Status

205.477.001031 Boehringer Ingelheim Investigational Site

Monroeville, Pennsylvania, United States

Site Status

205.477.001028 Boehringer Ingelheim Investigational Site

Anderson, South Carolina, United States

Site Status

205.477.001019 Boehringer Ingelheim Investigational Site

Charleston, South Carolina, United States

Site Status

205.477.001010 Boehringer Ingelheim Investigational Site

Fort Mill, South Carolina, United States

Site Status

205.477.001025 Boehringer Ingelheim Investigational Site

Gaffney, South Carolina, United States

Site Status

205.477.001002 Boehringer Ingelheim Investigational Site

Rock Hill, South Carolina, United States

Site Status

205.477.001026 Boehringer Ingelheim Investigational Site

Spartanburg, South Carolina, United States

Site Status

205.477.001015 Boehringer Ingelheim Investigational Site

Union, South Carolina, United States

Site Status

205.477.001013 Boehringer Ingelheim Investigational Site

Nashville, Tennessee, United States

Site Status

205.477.001022 Boehringer Ingelheim Investigational Site

Corsicana, Texas, United States

Site Status

205.477.001055 Boehringer Ingelheim Investigational Site

Fort Worth, Texas, United States

Site Status

205.477.001054 Boehringer Ingelheim Investigational Site

Katy, Texas, United States

Site Status

205.477.001062 Boehringer Ingelheim Investigational Site

Tyler, Texas, United States

Site Status

205.477.001030 Boehringer Ingelheim Investigational Site

Abingdon, Virginia, United States

Site Status

205.477.001008 Boehringer Ingelheim Investigational Site

Roanoke, Virginia, United States

Site Status

205.477.001043 Boehringer Ingelheim Investigational Site

San Juan, , Puerto Rico

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Puerto Rico

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

205.477

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Tiotropium In Exercise
NCT00525512 COMPLETED PHASE4