Spiolto® Respimat® (Tiotropium/Olodaterol) Versus Triple Combination Therapy in Everyday Clinical Treatment Practice for Chronic Obstructive Pulmonary Disease (EVELUT®)

NCT ID: NCT03954132

Last Updated: 2024-04-24

Study Results

Results available

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

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

469 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-07

Study Completion Date

2021-09-30

Brief Summary

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Open-label comparative multicentric cohort study in COPD patients with LABA/ICS, switched to either tiotropium/olodaterol and observed for 12 weeks approximately.

Detailed Description

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COPD patients on LABA/ICS maintenance therapy with dyspnea (mMRC ≥ 1) and other symptoms (CATTM ≥ 10), who are switched to either Spiolto® Respimat® in the new reusable inhaler or any triple therapy (LAMA + LABA + ICS) as an open or fixed combination according to approved SmPCs at baseline at the discretion of their attending physician.

Conditions

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Pulmonary Disease, Chronic Obstructive

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Spiolto® Respimat®

Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to Spiolto® Respimat® inhaler by their attending physician in an real-world setting.

Spiolto® Respimat®

Intervention Type DRUG

Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to Spiolto® Respimat® inhaler by their attending physician in an real-world setting.

Triple-Therapy (LAMA/LABA/ICS)

Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to any triple therapy Long-acting muscarinic antagonist + Long-acting beta2 adrenoceptor agonist + Inhalative Corticosteroids (LAMA + LABA + ICS) by their attending physician in an real-world setting.

Triple-Therapy (LAMA/LABA/ICS)

Intervention Type DRUG

Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to any triple therapy Long-acting muscarinic antagonist + Long-acting beta2 adrenoceptor agonist + Inhalative Corticosteroids (LAMA + LABA + ICS) by their attending physician in an real-world setting.

Interventions

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Spiolto® Respimat®

Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to Spiolto® Respimat® inhaler by their attending physician in an real-world setting.

Intervention Type DRUG

Triple-Therapy (LAMA/LABA/ICS)

Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to any triple therapy Long-acting muscarinic antagonist + Long-acting beta2 adrenoceptor agonist + Inhalative Corticosteroids (LAMA + LABA + ICS) by their attending physician in an real-world setting.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients can be included if all of the following criteria are met:

* Diagnosis of COPD
* Symptomatic (with regard to dyspnea (mMRC Dyspnea score ≥1) AND with regard to symptoms (CAT Score ≥10) at the same time)
* Patients on LABA/ICS maintenance therapy who are switched to Spiolto® Respimat® in the new reusable inhaler or a free/fixed triple combination of LABA + LAMA + ICS at Visit 1 at the discretion of the treating physician.
* Adults who are contractually capable and mentally able to understand and follow the instructions of the study personnel
* Male or female
* Patients aged ≥40 years of age
* Written informed consent prior to study participation
* The patient is willing and able to follow the procedures outlined in the protocol

Exclusion Criteria

* Patients with contraindications acc. to SmPC
* Patients not on LABA/ICS maintenance treatment at visit 1, e.g., mono or dual bronchodilation only, ICS only, or a triple combination of LAMA + LABA + ICS (either as a fixed combination product or as separate components)
* Lack of informed consent
* Pregnant and/or lactating females
* Acute exacerbation of COPD (within 4 weeks prior to Visit 1)
* Frequently exacerbating patients, i. e. patients with ≥2 moderate exacerbations within the last 12 months or ≥1 exacerbation leading to hospitalization within the last 12 months
* Acute respiratory failure (pH \<7,35 and/ or respiratory rate \>30/min within 3 months prior to Visit 1)
* History or current diagnosis of asthma
* History or current diagnosis of asthma-COPD overlap
* History or current diagnosis of allergic rhinitis within the last 5 years
* History or current diagnosis of lung cancer within the last 5 years
* Participation in a parallel interventional clinical trial
* mild exacerbation: additional use of short-acting bronchodilators and treated by the patient without consulting a physician
* moderate exacerbation: treatment includes medical prescription of a systemic corticosteroid and/or antibiotic
* severe exacerbation: exacerbation leading to hospitalization
Minimum Eligible Age

40 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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Andrea Marseille, 0049613277141881

Role: STUDY_CHAIR

[email protected]

Locations

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Dr. Graubner

Bad Sachsa, , Germany

Site Status

Dr. Junggeburth

Bad Wörishofen, , Germany

Site Status

Dr. Heinz

Bergisch Gladbach, , Germany

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Praxis E. Hossbach

Berkatal, , Germany

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Praxis an der Oper

Berlin, , Germany

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Dr. Urban

Berlin, , Germany

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Praxis A.Sahan/S. Erbil-Sahan

Berlin, , Germany

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Dr. Kopf

Berlin, , Germany

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Dres. Pabst/Schlünz

Bonn, , Germany

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Dr. Schwittay

Böhlen B Leipzig, , Germany

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Dres. Bartels/Bartels

Breuberg, , Germany

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Dr. Grimm-Sachs

Bruchsal, , Germany

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Praxis B. Metzlaff

Büchen, , Germany

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Ambulantes Zentrum

Cottbus, , Germany

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Lungenzentrum Darmstadt

Darmstadt, , Germany

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Hausarzt Deggingen

Deggingen, , Germany

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Dres. Tietjens

Dortmund, , Germany

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Dr. Schwiese

Duisburg, , Germany

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Schwerpunktpraxis

Düsseldorf, , Germany

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Dr. Schmorell

Forchheim, Oberfr, , Germany

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Praxis A. Xanthopoulos

Fürstenwalde, , Germany

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Dr. Sommer

Garmisch-Partenkirchen, , Germany

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Dres. Ern/Trilling

Gelsenkirchen, , Germany

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Dr. Birkner

Gelsenkirchen, , Germany

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Praxis C. Staack/Z. Zadrozny

Gelsenkirchen, , Germany

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Das HausarztZentrum

Grafenrheinfeld, , Germany

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Dres. Coesfeld/Gams/Gams

Gütersloh, , Germany

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Pneumologicum Halle

Halle, , Germany

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MVZ Martha-Maria gGmbH

Halle, , Germany

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Dr. Knolinski

Hamburg, , Germany

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Dres. Kaase/Lepinat

Hamburg, , Germany

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Dr. Abenhardt

Heidelberg, Neckar, , Germany

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Dr. Koch

Heilbad Heiligenstadt, , Germany

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Dres Stolpe/ Roß

Ibbenbueren, , Germany

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Dres. Lehmann/Schulze und Partner

Jerichow, , Germany

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Dr. Beckmann

Kamen, Westf, , Germany

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Praxis G. Mohanty

Kamp-Lintfort, , Germany

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Dr. Auge

Koblenz Am Rhein, , Germany

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Dres. Lehmann/Schulze und Partner

Köthen, , Germany

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Dr. Pfitzer

Kronach, Oberfr, , Germany

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Dres. Alshut/Weberling

Lahnau, , Germany

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Dr. Einenkel

Leipzig, , Germany

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Dr. Geßner

Leipzig, , Germany

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Dr. Pitule

Ludwigshafen am Rhein, , Germany

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Dr. Hladik

Ludwigshafen am Rhein, , Germany

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Dr. Saur

Mannheim, , Germany

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Dres. Jerrentrup/Mronga

Marburg, , Germany

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Dr. Jansen

Menden (Sauerland), , Germany

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Dr. Ingerl

Mosbach, Baden, , Germany

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Dr. Feimer

München, , Germany

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Thoraxzentrum Bez. Unterfranken

Münnerstadt, , Germany

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Praxis Th. Hagen

Neumarkt in der Oberpfalz, , Germany

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Praxis W. Wuttke

Nuremberg, , Germany

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Dr. Laser

Nürnberg, Mittelfr, , Germany

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MVZ OB-Sterkrade GmbH

Oberhausen, Rheinl, , Germany

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Dr. Müller

Potsdam, , Germany

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Dres. Hennig/Mikes

Radebeul, , Germany

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Dr. Dinh

Rathenow, , Germany

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Zentrum für Onkologie

Rostock, , Germany

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Lungenfachzentrum Rhein-Main

Rüsselsheim am Main, , Germany

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Lungenzentrum Schleswig

Schleswig, , Germany

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Dres. Korupp/Rose

Schweinfurt, , Germany

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Dr. Theuer

Seelow, , Germany

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Praxis S. Schmidt

Siegen, , Germany

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Dres. Knöbel und Partner

Straubing, , Germany

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Dr. Rother

Strausberg, , Germany

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Marienhospital Stuttgart

Stuttgart, , Germany

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Dr. Schmidt-Reinwald

Trier, , Germany

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Lungenzentrum Ulm

Ulm, Donau, , Germany

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Dres. Günther/Günther

Viernheim, , Germany

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Dres. Waltert/Esselmann

Warendorf, , Germany

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Dres. Herold/Kaa

Weißenburg I Bay, , Germany

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Dres. Fried/Rubin

Wiesbaden, , Germany

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Dr. Franz

Witten, , Germany

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Dr. Weber

Witten, , Germany

Site Status

Countries

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Germany

References

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Buhl R, Dreher M, Mattiucci-Guehlke M, Emerson-Stadler R, Eckhardt S, Taube C, Vogelmeier CF. EVELUT(R): A Real-World, Observational Study Assessing Dyspnoea and Symptom Burden in COPD Patients Switched from LABA/ICS to LAMA/LABA or LAMA/LABA/ICS. Adv Ther. 2023 Jul;40(7):3263-3278. doi: 10.1007/s12325-023-02524-y. Epub 2023 May 31.

Reference Type DERIVED
PMID: 37256536 (View on PubMed)

Buhl R, Dreher M, Korn S, Taube C, Stock C, Zehendner CM, Kondla A, Vogelmeier CF. A Non-Interventional Study of Tiotropium/Olodaterol versus Any Triple Combination Therapy for Chronic Obstructive Pulmonary Disease: The EVELUT(R) Study Protocol. Int J Chron Obstruct Pulmon Dis. 2020 Oct 22;15:2601-2608. doi: 10.2147/COPD.S262746. eCollection 2020.

Reference Type DERIVED
PMID: 33122898 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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1237-0087

Identifier Type: -

Identifier Source: org_study_id

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