Trial Outcomes & Findings for OTIVACTO Regional Center Vienna (RCV) Non-Interventional Study (NIS) (NCT NCT02719639)

NCT ID: NCT02719639

Last Updated: 2019-01-09

Results Overview

The therapeutic success was defined as a minimum of 10- point increase in the Physical Functioning (PF-10) score between visit 1 (baseline visit at the start of the study) and visit 2 (final visit approximately 6 weeks after visit 1), having approximately time period of 6 weeks between the evaluated questionnaires. PF-10 score measures changes in physical functioning - serving as a surrogate for physical activity and exercise capacity - in COPD patients.

Recruitment status

COMPLETED

Target enrollment

7443 participants

Primary outcome timeframe

Approximately 6 weeks

Results posted on

2019-01-09

Participant Flow

This is an open label observational study in Chronic Obstructive Pulmonary Disease (COPD) patients from 534 investigational sites in 9 countries.

All subjects were screened for eligibility to participate in the trial. Subjects attended specialist sites which would then ensure that all subjects met all inclusion/exclusion criteria. Subjects were not to be entered to trial if any one of the specific entry criteria were not met.

Participant milestones

Participant milestones
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Overall Study
STARTED
7443
Overall Study
COMPLETED
7443
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Treated set (TS): All patients enrolled, registered and received at least one dose were included in the treated set.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7443 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Age, Continuous
65.07 Years
STANDARD_DEVIATION 9.33 • n=7443 Participants • Treated set (TS): All patients enrolled, registered and received at least one dose were included in the treated set.
Sex: Female, Male
Female
2349 Participants
n=7443 Participants • Treated set (TS): All patients enrolled, registered and received at least one dose were included in the treated set.
Sex: Female, Male
Male
5094 Participants
n=7443 Participants • Treated set (TS): All patients enrolled, registered and received at least one dose were included in the treated set.

PRIMARY outcome

Timeframe: Approximately 6 weeks

Population: Full analysis set (FAS): All patients who received treatment with Spiolto® Respimat® and had visits 1 and 2 documented as well as filled in all questionnaires were included in the full analysis set.

The therapeutic success was defined as a minimum of 10- point increase in the Physical Functioning (PF-10) score between visit 1 (baseline visit at the start of the study) and visit 2 (final visit approximately 6 weeks after visit 1), having approximately time period of 6 weeks between the evaluated questionnaires. PF-10 score measures changes in physical functioning - serving as a surrogate for physical activity and exercise capacity - in COPD patients.

Outcome measures

Outcome measures
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7218 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Percentage of Patients With Therapeutic Success After Approximately 6 Weeks.
67.76 Percentage of participants (%)
Interval 66.67 to 68.84

SECONDARY outcome

Timeframe: Baseline and week 6

Population: Full analysis set (FAS): All patients who received treatment with Spiolto® Respimat® and had visits 1 and 2 documented as well as filled in all questionnaires were included in the full analysis set.

Change in PF-10 score was determined by taking into account the individual change of each patient between visit 1 and visit 2. The PF-10 used for assessing the primary outcome is a sub-domain of the validated Short Form (SF)-36 quality of life questionnaire and consists of 10 questions evaluating the experienced restrictions while conducting usual activities. Each question of the PF-10 may be answered with "yes, limited a lot", "yes, limited a little", or "No, not limited at all", with a score of 1, 2, or 3, respectively. The scores will be summed up between 10 and 30. The final sum of the individual scores was standardized to a range of 0 to 100 using the formula: 100\*(sum-10)/20. The lower the score the more disability. The higher the score the less disability. If less than half of the scale items were missing, missing values were replaced with the mean of the other values. If half or more than half was missing, no score was calculated.

Outcome measures

Outcome measures
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7218 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Change in the Physical Functioning (PF-10) Score From Baseline (visit1) to Approximately 6 Weeks (visit2)
16.62 Score on scale
Standard Deviation 17.87

SECONDARY outcome

Timeframe: Baseline and week 6

Population: Full analysis set (FAS): All patients who received treatment with Spiolto® Respimat® and had visits 1 and 2 documented as well as filled in all questionnaires were included in the full analysis set.

This outcome measures general condition of the patient evaluated by the physician (PGE score) at visit 1 (baseline visit at the start of the study) and visit 2 (final visit approximately 6 weeks after visit 1) evaluated on an 8-point scale with the scores "Poor (1,2)", "Satisfactory (3, 4)", "Good (5, 6)" and "Excellent (7, 8)". More the score, the better is the general condition of patient.

Outcome measures

Outcome measures
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7218 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 1 at visit 1
96 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 2 at visit 1
754 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 3 at visit 1
1907 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 4 at visit 1
2159 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 5 at visit 1
1317 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 6 at visit 1
743 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 7 at visit 1
203 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 8 at visit 1
39 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 1 at visit 2
0 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 2 at visit 2
53 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 3 at visit 2
261 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 4 at visit 2
887 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 5 at visit 2
1772 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 6 at visit 2
2458 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 7 at visit 2
1451 Participants
General Condition of the Patients Evaluated by the Physician, (Physician's Global Evaluation (PGE) Score) at Baseline (visit1) and Approximately 6 Weeks (visit2).
Score 8 at visit 2
335 Participants

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: Full analysis set (FAS): All patients who received treatment with Spiolto® Respimat® and had visits 1 and 2 documented as well as filled in all questionnaires were included in the full analysis set.

At visit 2 patients were asked for their overall satisfaction with the Spiolto® Respimat® device. The patients were given range of responses from very satisfied to very dissatisfied and responses were recorded including unanswered cases.

Outcome measures

Outcome measures
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7218 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Very satisfied
2847 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Satisfied
2998 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Rather satisfied
890 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Neither satisfied nor dissatisfied
307 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Rather dissatisfied
93 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Dissatisfied
52 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Very dissatisfied
26 Participants
Patient's Overall Satisfaction With Treatment Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Not answered
5 Participants

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: Full analysis set (FAS): All patients who received treatment with Spiolto® Respimat® and had visits 1 and 2 documented as well as filled in all questionnaires were included in the full analysis set.

At visit 2 patients were asked how satisfied they were with inhaling from the Spiolto® Respimat® device. The patients were given range of responses from very satisfied to very dissatisfied and responses were recorded including unanswered cases.

Outcome measures

Outcome measures
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7218 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Very satisfied
3143 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Satisfied
3021 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Rather satisfied
716 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Neither satisfied nor dissatisfied
228 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Rather dissatisfied
48 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Dissatisfied
34 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Very dissatisfied
11 Participants
Patient's Satisfaction With Inhaling From Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Not answered
17 Participants

SECONDARY outcome

Timeframe: Approximately 6 weeks

Population: Full analysis set (FAS): All patients who received treatment with Spiolto® Respimat® and had visits 1 and 2 documented as well as filled in all questionnaires were included in the full analysis set.

At visit 2 patients were asked how satisfied they were with handling the Spiolto® Respimat® device. The patients were given range of responses from very satisfied to very dissatisfied and responses were recorded including unanswered cases.

Outcome measures

Outcome measures
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7218 Participants
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Very satisfied
3086 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Satisfied
2988 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Rather satisfied
794 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Neither satisfied nor dissatisfied
239 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Rather dissatisfied
55 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Dissatisfied
30 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Very dissatisfied
9 Participants
Patient's Satisfaction With Handling Inhalation Device Spiolto® Respimat® at Visit 2 (Approximately 6 Weeks)
Not answered
17 Participants

Adverse Events

Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram

Serious events: 5 serious events
Other events: 0 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
Spiolto® Respimat® 2.5 Microgram/ 2.5 Microgram
n=7443 participants at risk
Patients with Chronic Obstructive Pulmonary Disease (COPD) included in this group were treated with Spiolto® Respimat®, Tiotropium/ Olodaterol 2.5 microgram/ 2.5 microgram, inhalation solution for 6 weeks.
Cardiac disorders
Atrial fibrillation
0.01%
1/7443 • From first dose adminstration until 21 days after permanently discontinuation of therapy or end of the study.
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Analysis of adverse events were done on Treated set, which includes all patients enrolled, registered and received at least one dose.
Infections and infestations
Pneumonia
0.01%
1/7443 • From first dose adminstration until 21 days after permanently discontinuation of therapy or end of the study.
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Analysis of adverse events were done on Treated set, which includes all patients enrolled, registered and received at least one dose.
Infections and infestations
Sepsis
0.01%
1/7443 • From first dose adminstration until 21 days after permanently discontinuation of therapy or end of the study.
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Analysis of adverse events were done on Treated set, which includes all patients enrolled, registered and received at least one dose.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm
0.01%
1/7443 • From first dose adminstration until 21 days after permanently discontinuation of therapy or end of the study.
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Analysis of adverse events were done on Treated set, which includes all patients enrolled, registered and received at least one dose.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm progression
0.01%
1/7443 • From first dose adminstration until 21 days after permanently discontinuation of therapy or end of the study.
An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Analysis of adverse events were done on Treated set, which includes all patients enrolled, registered and received at least one dose.

Other adverse events

Adverse event data not reported

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place