Co-administration of Olodaterol Respimat® and Tiotropium Handihaler®
Pulmonary Disease, Chronic Obstructive
About this trial
This is an interventional treatment trial for Pulmonary Disease, Chronic Obstructive
Eligibility Criteria
Inclusion criteria:
- All patients must sign an informed consent consistent with International Conference on Harmonization-Good Clinical Practice (ICH-GCP) guidelines prior to participation in the trial, which includes medication washout and restrictions.
- All patients must have a diagnosis of chronic obstructive pulmonary disease and must meet the following spirometric criteria: Patients must have a relatively stable airway obstruction with a post-bronchodilator FEV1 = 30 % and < 80% of predicted normal and a post-bronchodilator FEV1/FVC <70% at Visit 1.
- Male or female patients, 40 years of age or older.
- Patients must be current or ex-smokers with a smoking history of more than 10 pack years
- Patients must be able to: perform technically acceptable pulmonary function tests, and maintain records(paper diary).
- Patients must be able to inhale medication in a competent manner from the Respimat Inhaler as well as the Handihaler.
Exclusion criteria:
- 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 patients ability to participate in the study.
- Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis; all patients with an AST >x2 ULN, ALT >x2 ULN, bilirubin >x2 ULN or creatinine >x2 ULN will be excluded regardless of clinical condition (a repeat laboratory evaluation will not be conducted in these patients).
- 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. If a patient has a total blood eosinophil count =600/mm3, source documentation is required to verify that the increased eosinophil count is related to a non-asthmatic condition.
- A diagnosis of thyrotoxicosis (due to the known class side effect profile of ß2-agonists).
- A diagnosis of paroxysmal tachycardia (>100 beats per minute) (due to the known class side effect profile of ß2-agonists).
- A history of myocardial infarction within 1 year of screening visit (Visit 1).
- Unstable or life-threatening cardiac arrhythmia.
- Hospitalization for heart failure within the past year.
- Known active tuberculosis.
- A malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years (patients with treated basal cell carcinoma are allowed).
- A history of life-threatening pulmonary obstruction.
- A history of cystic fibrosis.
- Clinically evident bronchiectasis.
- A history of significant alcohol or drug abuse.
- 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).
- Patients being treated with oral or patch ß-adrenergics.
- Patients being treated with oral corticosteroid medication at unstable doses (i.e., less than six weeks on a stable dose) or at doses in excess of the equivalent of 10 mg of prednisone per day or 20 mg every other day.
- Patients who regularly use daytime oxygen therapy for more than one hour per day and in the investigators opinion will be unable to abstain from the use of oxygen therapy during clinic visits.
- Patients who have completed a pulmonary rehabilitation program in the six weeks prior to the screening visit (Visit 1) or patients who are currently in a pulmonary rehabilitation program.
- Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to screening visit (Visit 1).
- Patients with known hypersensitivity to ß-adrenergic drugs, BAC, EDTA, or any other component of the Respimat® inhalation solution.
- Patients with known hypersensitivity to anticholinergic drugs, lactose, or any other components of the HandiHaler®.
- Pregnant or nursing women.
Women of childbearing potential not using a highly effective method of birth control*. Female patients will be considered to be of childbearing potential unless surgically sterilised by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years.
* as per ICH M3(R2) a highly effective method of birth control is defined as those which result in a low failure rate (i.e. less than 1% per year).
- Patients who have previously been randomised in this study or are currently participating in another study.
- Patients who are unable to comply with pulmonary medication restrictions prior to randomisation.
Sites / Locations
- 1222.51.01055 Boehringer Ingelheim Investigational Site
- 1222.51.01087 Boehringer Ingelheim Investigational Site
- 1222.51.01066 Boehringer Ingelheim Investigational Site
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- 1222.51.01041 Boehringer Ingelheim Investigational Site
- 1222.51.01094 Boehringer Ingelheim Investigational Site
- 1222.51.01015 Boehringer Ingelheim Investigational Site
- 1222.51.01052 Boehringer Ingelheim Investigational Site
- 1222.51.01010 Boehringer Ingelheim Investigational Site
- 1222.51.01042 Boehringer Ingelheim Investigational Site
- 1222.51.01070 Boehringer Ingelheim Investigational Site
- 1222.51.01006 Boehringer Ingelheim Investigational Site
- 1222.51.01021 Boehringer Ingelheim Investigational Site
- 1222.51.01082 Boehringer Ingelheim Investigational Site
- 1222.51.01065 Boehringer Ingelheim Investigational Site
- 1222.51.01051 Boehringer Ingelheim Investigational Site
- 1222.51.01092 Boehringer Ingelheim Investigational Site
- 1222.51.01081 Boehringer Ingelheim Investigational Site
- 1222.51.01054 Boehringer Ingelheim Investigational Site
- 1222.51.01062 Boehringer Ingelheim Investigational Site
- 1222.51.01088 Boehringer Ingelheim Investigational Site
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- 1222.51.01027 Boehringer Ingelheim Investigational Site
- 1222.51.01048 Boehringer Ingelheim Investigational Site
- 1222.51.01044 Boehringer Ingelheim Investigational Site
- 1222.51.01043 Boehringer Ingelheim Investigational Site
- 1222.51.01090 Boehringer Ingelheim Investigational Site
- 1222.51.01023 Boehringer Ingelheim Investigational Site
- 1222.51.01071 Boehringer Ingelheim Investigational Site
- 1222.51.01050 Boehringer Ingelheim Investigational Site
- 1222.51.01049 Boehringer Ingelheim Investigational Site
- 1222.51.01025 Boehringer Ingelheim Investigational Site
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- 1222.51.01039 Boehringer Ingelheim Investigational Site
- 1222.51.01045 Boehringer Ingelheim Investigational Site
- 1222.51.01018 Boehringer Ingelheim Investigational Site
- 1222.51.01014 Boehringer Ingelheim Investigational Site
- 1222.51.01077 Boehringer Ingelheim Investigational Site
- 1222.51.01056 Boehringer Ingelheim Investigational Site
- 1222.51.01032 Boehringer Ingelheim Investigational Site
- 1222.51.01011 Boehringer Ingelheim Investigational Site
- 1222.51.01005 Boehringer Ingelheim Investigational Site
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- 1222.51.01030 Boehringer Ingelheim Investigational Site
- 1222.51.01009 Boehringer Ingelheim Investigational Site
- 1222.51.01036 Boehringer Ingelheim Investigational Site
- 1222.51.01061 Boehringer Ingelheim Investigational Site
- 1222.51.01038 Boehringer Ingelheim Investigational Site
- 1222.51.01046 Boehringer Ingelheim Investigational Site
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- 1222.51.01063 Boehringer Ingelheim Investigational Site
- 1222.51.01013 Boehringer Ingelheim Investigational Site
- 1222.51.01024 Boehringer Ingelheim Investigational Site
- 1222.51.01012 Boehringer Ingelheim Investigational Site
- 1222.51.01008 Boehringer Ingelheim Investigational Site
- 1222.51.01035 Boehringer Ingelheim Investigational Site
- 1222.51.01028 Boehringer Ingelheim Investigational Site
- 1222.51.01083 Boehringer Ingelheim Investigational Site
- 1222.51.01085 Boehringer Ingelheim Investigational Site
- 1222.51.01073 Boehringer Ingelheim Investigational Site
- 1222.51.01003 Boehringer Ingelheim Investigational Site
- 1222.51.01058 Boehringer Ingelheim Investigational Site
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- 1222.51.01091 Boehringer Ingelheim Investigational Site
- 1222.51.01002 Boehringer Ingelheim Investigational Site
- 1222.51.01001 Boehringer Ingelheim Investigational Site
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Olodaterol and Tiotropium
Placebo and Tiotropium
2 puffs olodaterol from Respimat and one capsule tiotropium from Handihaler once daily in am, co-administered
2 puffs placebo inhalation solution from Respimat and one capsule tiotropium from Handihaler once daily in am, co-administered