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Co-administration of Olodaterol Respimat® and Tiotropium Handihaler®

Primary Purpose

Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Tiotropium
Placebo matching Olodaterol
Tiotropium
Olodaterol
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pulmonary Disease, Chronic Obstructive

Eligibility Criteria

40 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  1. 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.
  2. 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.
  3. Male or female patients, 40 years of age or older.
  4. Patients must be current or ex-smokers with a smoking history of more than 10 pack years
  5. Patients must be able to: perform technically acceptable pulmonary function tests, and maintain records(paper diary).
  6. Patients must be able to inhale medication in a competent manner from the Respimat Inhaler as well as the Handihaler.

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 patients ability to participate in the study.
  2. 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).
  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. 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.
  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. Hospitalization 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. 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).
  16. Patients being treated with oral or patch ß-adrenergics.
  17. 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.
  18. 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.
  19. 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.
  20. Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to screening visit (Visit 1).
  21. Patients with known hypersensitivity to ß-adrenergic drugs, BAC, EDTA, or any other component of the Respimat® inhalation solution.
  22. Patients with known hypersensitivity to anticholinergic drugs, lactose, or any other components of the HandiHaler®.
  23. Pregnant or nursing women.
  24. 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).

  25. Patients who have previously been randomised in this study or are currently participating in another study.
  26. Patients who are unable to comply with pulmonary medication restrictions prior to randomisation.

Sites / Locations

  • 1222.52.02090 Boehringer Ingelheim Investigational Site
  • 1222.52.02046 Boehringer Ingelheim Investigational Site
  • 1222.52.02014 Boehringer Ingelheim Investigational Site
  • 1222.52.02017 Boehringer Ingelheim Investigational Site
  • 1222.52.02092 Boehringer Ingelheim Investigational Site
  • 1222.52.02072 Boehringer Ingelheim Investigational Site
  • 1222.52.02063 Boehringer Ingelheim Investigational Site
  • 1222.52.02088 Boehringer Ingelheim Investigational Site
  • 1222.52.02012 Boehringer Ingelheim Investigational Site
  • 1222.52.02006 Boehringer Ingelheim Investigational Site
  • 1222.52.02031 Boehringer Ingelheim Investigational Site
  • 1222.52.02011 Boehringer Ingelheim Investigational Site
  • 1222.52.02061 Boehringer Ingelheim Investigational Site
  • 1222.52.02054 Boehringer Ingelheim Investigational Site
  • 1222.52.02001 Boehringer Ingelheim Investigational Site
  • 1222.52.02037 Boehringer Ingelheim Investigational Site
  • 1222.52.02055 Boehringer Ingelheim Investigational Site
  • 1222.52.02094 Boehringer Ingelheim Investigational Site
  • 1222.52.02022 Boehringer Ingelheim Investigational Site
  • 1222.52.02074 Boehringer Ingelheim Investigational Site
  • 1222.52.02016 Boehringer Ingelheim Investigational Site
  • 1222.52.02084 Boehringer Ingelheim Investigational Site
  • 1222.52.02043 Boehringer Ingelheim Investigational Site
  • 1222.52.02009 Boehringer Ingelheim Investigational Site
  • 1222.52.02048 Boehringer Ingelheim Investigational Site
  • 1222.52.02077 Boehringer Ingelheim Investigational Site
  • 1222.52.02040 Boehringer Ingelheim Investigational Site
  • 1222.52.02024 Boehringer Ingelheim Investigational Site
  • 1222.52.02002 Boehringer Ingelheim Investigational Site
  • 1222.52.02008 Boehringer Ingelheim Investigational Site
  • 1222.52.02025 Boehringer Ingelheim Investigational Site
  • 1222.52.02089 Boehringer Ingelheim Investigational Site
  • 1222.52.02005 Boehringer Ingelheim Investigational Site
  • 1222.52.02029 Boehringer Ingelheim Investigational Site
  • 1222.52.02036 Boehringer Ingelheim Investigational Site
  • 1222.52.02015 Boehringer Ingelheim Investigational Site
  • 1222.52.02034 Boehringer Ingelheim Investigational Site
  • 1222.52.02003 Boehringer Ingelheim Investigational Site
  • 1222.52.02020 Boehringer Ingelheim Investigational Site
  • 1222.52.02047 Boehringer Ingelheim Investigational Site
  • 1222.52.02049 Boehringer Ingelheim Investigational Site
  • 1222.52.02079 Boehringer Ingelheim Investigational Site
  • 1222.52.02068 Boehringer Ingelheim Investigational Site
  • 1222.52.02028 Boehringer Ingelheim Investigational Site
  • 1222.52.02053 Boehringer Ingelheim Investigational Site
  • 1222.52.02050 Boehringer Ingelheim Investigational Site
  • 1222.52.02035 Boehringer Ingelheim Investigational Site
  • 1222.52.02030 Boehringer Ingelheim Investigational Site
  • 1222.52.02071 Boehringer Ingelheim Investigational Site
  • 1222.52.02064 Boehringer Ingelheim Investigational Site
  • 1222.52.02087 Boehringer Ingelheim Investigational Site
  • 1222.52.02091 Boehringer Ingelheim Investigational Site
  • 1222.52.02076 Boehringer Ingelheim Investigational Site
  • 1222.52.02010 Boehringer Ingelheim Investigational Site
  • 1222.52.02045 Boehringer Ingelheim Investigational Site
  • 1222.52.02038 Boehringer Ingelheim Investigational Site
  • 1222.52.02051 Boehringer Ingelheim Investigational Site
  • 1222.52.02058 Boehringer Ingelheim Investigational Site
  • 1222.52.02013 Boehringer Ingelheim Investigational Site
  • 1222.52.02062 Boehringer Ingelheim Investigational Site
  • 1222.52.02039 Boehringer Ingelheim Investigational Site
  • 1222.52.02081 Boehringer Ingelheim Investigational Site
  • 1222.52.02093 Boehringer Ingelheim Investigational Site
  • 1222.52.02059 Boehringer Ingelheim Investigational Site
  • 1222.52.02026 Boehringer Ingelheim Investigational Site
  • 1222.52.02097 Boehringer Ingelheim Investigational Site
  • 1222.52.02075 Boehringer Ingelheim Investigational Site
  • 1222.52.02102 Boehringer Ingelheim Investigational Site
  • 1222.52.02080 Boehringer Ingelheim Investigational Site
  • 1222.52.02100 Boehringer Ingelheim Investigational Site
  • 1222.52.02096 Boehringer Ingelheim Investigational Site
  • 1222.52.02085 Boehringer Ingelheim Investigational Site
  • 1222.52.02101 Boehringer Ingelheim Investigational Site
  • 1222.52.02065 Boehringer Ingelheim Investigational Site
  • 1222.52.02042 Boehringer Ingelheim Investigational Site
  • 1222.52.02083 Boehringer Ingelheim Investigational Site
  • 1222.52.02066 Boehringer Ingelheim Investigational Site
  • 1222.52.02095 Boehringer Ingelheim Investigational Site
  • 1222.52.02098 Boehringer Ingelheim Investigational Site
  • 1222.52.02018 Boehringer Ingelheim Investigational Site
  • 1222.52.02086 Boehringer Ingelheim Investigational Site
  • 1222.52.02044 Boehringer Ingelheim Investigational Site
  • 1222.52.02041 Boehringer Ingelheim Investigational Site
  • 1222.52.02027 Boehringer Ingelheim Investigational Site
  • 1222.52.02056 Boehringer Ingelheim Investigational Site
  • 1222.52.02007 Boehringer Ingelheim Investigational Site
  • 1222.52.02060 Boehringer Ingelheim Investigational Site
  • 1222.52.02078 Boehringer Ingelheim Investigational Site
  • 1222.52.02082 Boehringer Ingelheim Investigational Site
  • 1222.52.02057 Boehringer Ingelheim Investigational Site
  • 1222.52.02023 Boehringer Ingelheim Investigational Site
  • 1222.52.02069 Boehringer Ingelheim Investigational Site
  • 1222.52.02019 Boehringer Ingelheim Investigational Site
  • 1222.52.02099 Boehringer Ingelheim Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

Olodaterol andTiotropium

Placebo and Tiotropium

Arm Description

2 puffs Olodaterol from Respimat and one capsule Tiotropium by Handihaler once daily in am, co-administered

2 puffs placebo inhalation solution from Respimat and one capsule Tiotropium by Handihaler once daily in am, co-administered

Outcomes

Primary Outcome Measures

FEV1 AUC0-3h Response at 12 Weeks; Defined as Change From Baseline to Week 12
FEV1 (Forced expiratory volume in 1 second) AUC0-3h (area under the curve) response at 12 weeks; defined as change from baseline to Week 12. AUC was standardized by dividing by time unit.
Trough FEV1 Response at 12 Weeks; Defined as Change From Baseline to Week 12
Trough FEV1 (Forced expiratory volume in 1 second) response at 12 weeks; defined as change from baseline to Week 12

Secondary Outcome Measures

Saint George Respiratory Questionnaire - (Total Score) Based on Combined 1222.51 and 1222.52 Data
The Saint George Respiratory Questionnaire (SGRQ) is designed to measure health impairment in patients with asthma and chronic obstructive pulmonary disease (COPD). It is divided into two parts. Part I produces the Symptoms score (several scales), and Part II the Activity and Impacts scores [dichotomous (true/false) except last question (4-point Likert scale)]. A Total score is also produced with scores ranging from 0 to 100, with higher scores indicating more limitations. Since the SGRQ analysis is based on the combined data from both this study and protocol 1222.51 (NCT01694771), only combined SGRQ results will be included in the latest clinical trial report. Hence there will only be one SGRQ analysis from both studies, which will not appear in the first clinical trial report. For this same reason, another covariate - study - will also be included in the MMRM for SGRQ analysis. The combined data for this outcome measure was pre-specified in both protocols.
Peak FEV1 Response at 12 Weeks - Defined as Change From Baseline
Peak FEV1 (Forced Expiratory Volume in 1 second) response at 12 Weeks - defined as change from baseline. All p-values for these measures are only descriptive.
FVC AUC0-3h Response at 12 Weeks; Defined as Change From Baseline
Forced Vital Capacity (FVC) AUC0-3h response at 12 weeks - defined as change from baseline. AUC was standardized by dividing by time unit.
Peak FVC Response at 12 Weeks; Defined as Change From Baseline
Peak FVC response at 12 weeks - defined as change from baseline.
Trough FVC Response at 12 Weeks; Defined as Change From Baseline
Trough Forced Vital Capacity (FVC) response at 12 weeks- defined as change from baseline.
Rescue Medication Usage - Percentage of Rescue Free Days
Rescue medication usage - the percentage of rescue free days. The percentage of rescue free days is defined as: number of rescue free days divided by total exposure, multiplied by 100%. The baseline for the number of rescue-free days was defined as the number of rescue-free days observed during the last week of the baseline period (i.e., the 7 days prior to administration of the first dose of randomized treatment). Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (552)
Rescue Medication Usage - Mean Weekly Rescue Usage (Total Daily)
Rescue medication usage - mean weekly rescue usage (total daily). The baseline for the rescue use was the mean of the observations during the last week of the baseline period. Administration of rescue medication could occur at any point during the trial as deemed necessary by the patient or the investigator. Open label albuterol metered dose inhaler (MDI) (100 μg per puff) was provided as rescue medication . Daily, between clinic visits, patients recorded the number of puffs of albuterol in a paper diary. Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (555)
Rescue Medication Usage - Mean Weekly Rescue Usage (Daytime)
Rescue medication usage - Mean weekly rescue usage during daytime hours. Administration of rescue medication could occur at any point during the trial as deemed necessary by the patient or the investigator. Open label albuterol MDI (100 μg per puff) was provided as rescue medication by BI, and only the albuterol MDI provided by BI was allowed for rescue medication use. Daily, between clinic visits, patients recorded the number of puffs of albuterol in a paper diary. Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (555)
Rescue Medication Usage - Mean Weekly Rescue Usage (Nighttime)
Rescue medication usage - Mean weekly rescue usage during nighttime hours. Administration of rescue medication could occur at any point during the trial as deemed necessary by the patient or the investigator. Open label albuterol MDI (100 μg per puff) was provided as rescue medication by BI, and only the albuterol MDI provided by BI was allowed for rescue medication use. Daily, between clinic visits, patients recorded the number of puffs of albuterol in a paper diary. Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (555)

Full Information

First Posted
September 26, 2012
Last Updated
November 13, 2014
Sponsor
Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT01696058
Brief Title
Co-administration of Olodaterol Respimat® and Tiotropium Handihaler®
Official Title
A Randomised, Double Blind, Parallel Group Study to Assess the Efficacy and Safety of 12 Weeks of Once Daily, Orally Inhaled, Co-administration of Olodaterol 5µg (Delivered by the Respimat® Inhaler) and Tiotropium 18µg (Delivered by the HandiHaler®) Compared to Once Daily, Orally Inhaled, Co-administration of Placebo (Delivered by the Respimat® Inhaler) and Tiotropium 18µg (Delivered by the HandiHaler®) in Patients With Chronic Obstructive Pulmonary Disease (COPD)[ANHELTO TM 2]
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boehringer Ingelheim

4. Oversight

5. Study Description

Brief Summary
The overall objective of this study is to assess efficacy and safety of 12 weeks, once daily, orally inhaled co-administration of olodaterol 5 µg (delivered by the Respimat® Inhaler) and tiotropium (delivered by the Handihaler® as Spiriva Handihaler®), compared to tiotropium (Spiriva Handihaler®) monotherapy on lung function in patients with COPD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pulmonary Disease, Chronic Obstructive

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
1137 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Olodaterol andTiotropium
Arm Type
Experimental
Arm Description
2 puffs Olodaterol from Respimat and one capsule Tiotropium by Handihaler once daily in am, co-administered
Arm Title
Placebo and Tiotropium
Arm Type
Other
Arm Description
2 puffs placebo inhalation solution from Respimat and one capsule Tiotropium by Handihaler once daily in am, co-administered
Intervention Type
Drug
Intervention Name(s)
Tiotropium
Intervention Description
marketed product
Intervention Type
Drug
Intervention Name(s)
Placebo matching Olodaterol
Intervention Description
one dose
Intervention Type
Drug
Intervention Name(s)
Tiotropium
Intervention Description
marketed product
Intervention Type
Drug
Intervention Name(s)
Olodaterol
Intervention Description
one dose
Primary Outcome Measure Information:
Title
FEV1 AUC0-3h Response at 12 Weeks; Defined as Change From Baseline to Week 12
Description
FEV1 (Forced expiratory volume in 1 second) AUC0-3h (area under the curve) response at 12 weeks; defined as change from baseline to Week 12. AUC was standardized by dividing by time unit.
Time Frame
baseline and 12 weeks
Title
Trough FEV1 Response at 12 Weeks; Defined as Change From Baseline to Week 12
Description
Trough FEV1 (Forced expiratory volume in 1 second) response at 12 weeks; defined as change from baseline to Week 12
Time Frame
baseline and 12 weeks
Secondary Outcome Measure Information:
Title
Saint George Respiratory Questionnaire - (Total Score) Based on Combined 1222.51 and 1222.52 Data
Description
The Saint George Respiratory Questionnaire (SGRQ) is designed to measure health impairment in patients with asthma and chronic obstructive pulmonary disease (COPD). It is divided into two parts. Part I produces the Symptoms score (several scales), and Part II the Activity and Impacts scores [dichotomous (true/false) except last question (4-point Likert scale)]. A Total score is also produced with scores ranging from 0 to 100, with higher scores indicating more limitations. Since the SGRQ analysis is based on the combined data from both this study and protocol 1222.51 (NCT01694771), only combined SGRQ results will be included in the latest clinical trial report. Hence there will only be one SGRQ analysis from both studies, which will not appear in the first clinical trial report. For this same reason, another covariate - study - will also be included in the MMRM for SGRQ analysis. The combined data for this outcome measure was pre-specified in both protocols.
Time Frame
12 weeks
Title
Peak FEV1 Response at 12 Weeks - Defined as Change From Baseline
Description
Peak FEV1 (Forced Expiratory Volume in 1 second) response at 12 Weeks - defined as change from baseline. All p-values for these measures are only descriptive.
Time Frame
baseline and 12 weeks
Title
FVC AUC0-3h Response at 12 Weeks; Defined as Change From Baseline
Description
Forced Vital Capacity (FVC) AUC0-3h response at 12 weeks - defined as change from baseline. AUC was standardized by dividing by time unit.
Time Frame
baseline and 12 Weeks
Title
Peak FVC Response at 12 Weeks; Defined as Change From Baseline
Description
Peak FVC response at 12 weeks - defined as change from baseline.
Time Frame
baseline and 12 weeks
Title
Trough FVC Response at 12 Weeks; Defined as Change From Baseline
Description
Trough Forced Vital Capacity (FVC) response at 12 weeks- defined as change from baseline.
Time Frame
baseline and 12 weeks
Title
Rescue Medication Usage - Percentage of Rescue Free Days
Description
Rescue medication usage - the percentage of rescue free days. The percentage of rescue free days is defined as: number of rescue free days divided by total exposure, multiplied by 100%. The baseline for the number of rescue-free days was defined as the number of rescue-free days observed during the last week of the baseline period (i.e., the 7 days prior to administration of the first dose of randomized treatment). Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (552)
Time Frame
over 12 weeks
Title
Rescue Medication Usage - Mean Weekly Rescue Usage (Total Daily)
Description
Rescue medication usage - mean weekly rescue usage (total daily). The baseline for the rescue use was the mean of the observations during the last week of the baseline period. Administration of rescue medication could occur at any point during the trial as deemed necessary by the patient or the investigator. Open label albuterol metered dose inhaler (MDI) (100 μg per puff) was provided as rescue medication . Daily, between clinic visits, patients recorded the number of puffs of albuterol in a paper diary. Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (555)
Time Frame
over 12 weeks
Title
Rescue Medication Usage - Mean Weekly Rescue Usage (Daytime)
Description
Rescue medication usage - Mean weekly rescue usage during daytime hours. Administration of rescue medication could occur at any point during the trial as deemed necessary by the patient or the investigator. Open label albuterol MDI (100 μg per puff) was provided as rescue medication by BI, and only the albuterol MDI provided by BI was allowed for rescue medication use. Daily, between clinic visits, patients recorded the number of puffs of albuterol in a paper diary. Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (555)
Time Frame
over 12 weeks
Title
Rescue Medication Usage - Mean Weekly Rescue Usage (Nighttime)
Description
Rescue medication usage - Mean weekly rescue usage during nighttime hours. Administration of rescue medication could occur at any point during the trial as deemed necessary by the patient or the investigator. Open label albuterol MDI (100 μg per puff) was provided as rescue medication by BI, and only the albuterol MDI provided by BI was allowed for rescue medication use. Daily, between clinic visits, patients recorded the number of puffs of albuterol in a paper diary. Results are from non-MMRM ANCOVA models by week with LOCF up to each week. Fixed effects include treatment and baseline. Number of patients contributing to models: Tio+Placebo (559), Tio+Olo 5ug (555)
Time Frame
over 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Boehringer Ingelheim
Organizational Affiliation
Boehringer Ingelheim
Official's Role
Study Chair
Facility Information:
Facility Name
1222.52.02090 Boehringer Ingelheim Investigational Site
City
Anniston
State/Province
Alabama
Country
United States
Facility Name
1222.52.02046 Boehringer Ingelheim Investigational Site
City
Birmingham
State/Province
Alabama
Country
United States
Facility Name
1222.52.02014 Boehringer Ingelheim Investigational Site
City
Mobile
State/Province
Alabama
Country
United States
Facility Name
1222.52.02017 Boehringer Ingelheim Investigational Site
City
Montgomery
State/Province
Alabama
Country
United States
Facility Name
1222.52.02092 Boehringer Ingelheim Investigational Site
City
Anchorage
State/Province
Alaska
Country
United States
Facility Name
1222.52.02072 Boehringer Ingelheim Investigational Site
City
Chandler
State/Province
Arizona
Country
United States
Facility Name
1222.52.02063 Boehringer Ingelheim Investigational Site
City
Glendale
State/Province
Arizona
Country
United States
Facility Name
1222.52.02088 Boehringer Ingelheim Investigational Site
City
Peoria
State/Province
Arizona
Country
United States
Facility Name
1222.52.02012 Boehringer Ingelheim Investigational Site
City
Phoenix
State/Province
Arizona
Country
United States
Facility Name
1222.52.02006 Boehringer Ingelheim Investigational Site
City
Huntington Beach
State/Province
California
Country
United States
Facility Name
1222.52.02031 Boehringer Ingelheim Investigational Site
City
San Jose
State/Province
California
Country
United States
Facility Name
1222.52.02011 Boehringer Ingelheim Investigational Site
City
Torrance
State/Province
California
Country
United States
Facility Name
1222.52.02061 Boehringer Ingelheim Investigational Site
City
Boulder
State/Province
Colorado
Country
United States
Facility Name
1222.52.02054 Boehringer Ingelheim Investigational Site
City
Fort Collins
State/Province
Colorado
Country
United States
Facility Name
1222.52.02001 Boehringer Ingelheim Investigational Site
City
Hartford
State/Province
Connecticut
Country
United States
Facility Name
1222.52.02037 Boehringer Ingelheim Investigational Site
City
Norwalk
State/Province
Connecticut
Country
United States
Facility Name
1222.52.02055 Boehringer Ingelheim Investigational Site
City
Waterbury
State/Province
Connecticut
Country
United States
Facility Name
1222.52.02094 Boehringer Ingelheim Investigational Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
1222.52.02022 Boehringer Ingelheim Investigational Site
City
Fort Lauderdale
State/Province
Florida
Country
United States
Facility Name
1222.52.02074 Boehringer Ingelheim Investigational Site
City
Orlando
State/Province
Florida
Country
United States
Facility Name
1222.52.02016 Boehringer Ingelheim Investigational Site
City
Ponte Verda
State/Province
Florida
Country
United States
Facility Name
1222.52.02084 Boehringer Ingelheim Investigational Site
City
St. Petersberg
State/Province
Florida
Country
United States
Facility Name
1222.52.02043 Boehringer Ingelheim Investigational Site
City
Tampa
State/Province
Florida
Country
United States
Facility Name
1222.52.02009 Boehringer Ingelheim Investigational Site
City
Blue Ridge
State/Province
Georgia
Country
United States
Facility Name
1222.52.02048 Boehringer Ingelheim Investigational Site
City
Duluth
State/Province
Georgia
Country
United States
Facility Name
1222.52.02077 Boehringer Ingelheim Investigational Site
City
Gainsville
State/Province
Georgia
Country
United States
Facility Name
1222.52.02040 Boehringer Ingelheim Investigational Site
City
Rincon
State/Province
Georgia
Country
United States
Facility Name
1222.52.02024 Boehringer Ingelheim Investigational Site
City
O'Fallon
State/Province
Illinois
Country
United States
Facility Name
1222.52.02002 Boehringer Ingelheim Investigational Site
City
Muncie
State/Province
Indiana
Country
United States
Facility Name
1222.52.02008 Boehringer Ingelheim Investigational Site
City
Fort Mitchell
State/Province
Kentucky
Country
United States
Facility Name
1222.52.02025 Boehringer Ingelheim Investigational Site
City
Louisville
State/Province
Kentucky
Country
United States
Facility Name
1222.52.02089 Boehringer Ingelheim Investigational Site
City
New Orleans
State/Province
Louisiana
Country
United States
Facility Name
1222.52.02005 Boehringer Ingelheim Investigational Site
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
1222.52.02029 Boehringer Ingelheim Investigational Site
City
Columbia
State/Province
Maryland
Country
United States
Facility Name
1222.52.02036 Boehringer Ingelheim Investigational Site
City
Hollywood
State/Province
Maryland
Country
United States
Facility Name
1222.52.02015 Boehringer Ingelheim Investigational Site
City
Townson
State/Province
Maryland
Country
United States
Facility Name
1222.52.02034 Boehringer Ingelheim Investigational Site
City
North Dartmouth
State/Province
Massachusetts
Country
United States
Facility Name
1222.52.02003 Boehringer Ingelheim Investigational Site
City
Chelsea
State/Province
Michigan
Country
United States
Facility Name
1222.52.02020 Boehringer Ingelheim Investigational Site
City
Kalamazoo
State/Province
Michigan
Country
United States
Facility Name
1222.52.02047 Boehringer Ingelheim Investigational Site
City
Minneapolis
State/Province
Minnesota
Country
United States
Facility Name
1222.52.02049 Boehringer Ingelheim Investigational Site
City
Minneapolis
State/Province
Minnesota
Country
United States
Facility Name
1222.52.02079 Boehringer Ingelheim Investigational Site
City
Plymouth
State/Province
Minnesota
Country
United States
Facility Name
1222.52.02068 Boehringer Ingelheim Investigational Site
City
Chesterfield
State/Province
Missouri
Country
United States
Facility Name
1222.52.02028 Boehringer Ingelheim Investigational Site
City
St. Louis
State/Province
Missouri
Country
United States
Facility Name
1222.52.02053 Boehringer Ingelheim Investigational Site
City
St. Louis
State/Province
Missouri
Country
United States
Facility Name
1222.52.02050 Boehringer Ingelheim Investigational Site
City
Billings
State/Province
Montana
Country
United States
Facility Name
1222.52.02035 Boehringer Ingelheim Investigational Site
City
Henderson
State/Province
Nevada
Country
United States
Facility Name
1222.52.02030 Boehringer Ingelheim Investigational Site
City
Marlton
State/Province
New Jersey
Country
United States
Facility Name
1222.52.02071 Boehringer Ingelheim Investigational Site
City
Albuquerque
State/Province
New Mexico
Country
United States
Facility Name
1222.52.02064 Boehringer Ingelheim Investigational Site
City
Johnson City
State/Province
New York
Country
United States
Facility Name
1222.52.02087 Boehringer Ingelheim Investigational Site
City
New Windsor
State/Province
New York
Country
United States
Facility Name
1222.52.02091 Boehringer Ingelheim Investigational Site
City
Syracuse
State/Province
New York
Country
United States
Facility Name
1222.52.02076 Boehringer Ingelheim Investigational Site
City
Calabash
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02010 Boehringer Ingelheim Investigational Site
City
Huntersville
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02045 Boehringer Ingelheim Investigational Site
City
Raleigh
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02038 Boehringer Ingelheim Investigational Site
City
Salisbury
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02051 Boehringer Ingelheim Investigational Site
City
Shelby
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02058 Boehringer Ingelheim Investigational Site
City
Tabor City
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02013 Boehringer Ingelheim Investigational Site
City
Winston Salem
State/Province
North Carolina
Country
United States
Facility Name
1222.52.02062 Boehringer Ingelheim Investigational Site
City
Cincinnati
State/Province
Ohio
Country
United States
Facility Name
1222.52.02039 Boehringer Ingelheim Investigational Site
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
1222.52.02081 Boehringer Ingelheim Investigational Site
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
1222.52.02093 Boehringer Ingelheim Investigational Site
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
1222.52.02059 Boehringer Ingelheim Investigational Site
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
1222.52.02026 Boehringer Ingelheim Investigational Site
City
Medford
State/Province
Oregon
Country
United States
Facility Name
1222.52.02097 Boehringer Ingelheim Investigational Site
City
Medford
State/Province
Oregon
Country
United States
Facility Name
1222.52.02075 Boehringer Ingelheim Investigational Site
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
1222.52.02102 Boehringer Ingelheim Investigational Site
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
1222.52.02080 Boehringer Ingelheim Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
1222.52.02100 Boehringer Ingelheim Investigational Site
City
Charleston
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02096 Boehringer Ingelheim Investigational Site
City
Easley
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02085 Boehringer Ingelheim Investigational Site
City
Greenville
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02101 Boehringer Ingelheim Investigational Site
City
Greenville
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02065 Boehringer Ingelheim Investigational Site
City
Hodges
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02042 Boehringer Ingelheim Investigational Site
City
Myrtle Beach
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02083 Boehringer Ingelheim Investigational Site
City
Rock Hill
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02066 Boehringer Ingelheim Investigational Site
City
Spartanburg
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02095 Boehringer Ingelheim Investigational Site
City
Spartanburg
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02098 Boehringer Ingelheim Investigational Site
City
Union
State/Province
South Carolina
Country
United States
Facility Name
1222.52.02018 Boehringer Ingelheim Investigational Site
City
Brentwood
State/Province
Tennessee
Country
United States
Facility Name
1222.52.02086 Boehringer Ingelheim Investigational Site
City
Arlington
State/Province
Texas
Country
United States
Facility Name
1222.52.02044 Boehringer Ingelheim Investigational Site
City
Austin
State/Province
Texas
Country
United States
Facility Name
1222.52.02041 Boehringer Ingelheim Investigational Site
City
El Paso
State/Province
Texas
Country
United States
Facility Name
1222.52.02027 Boehringer Ingelheim Investigational Site
City
Fort Worth
State/Province
Texas
Country
United States
Facility Name
1222.52.02056 Boehringer Ingelheim Investigational Site
City
Houston
State/Province
Texas
Country
United States
Facility Name
1222.52.02007 Boehringer Ingelheim Investigational Site
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
1222.52.02060 Boehringer Ingelheim Investigational Site
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
1222.52.02078 Boehringer Ingelheim Investigational Site
City
Sugar Land
State/Province
Texas
Country
United States
Facility Name
1222.52.02082 Boehringer Ingelheim Investigational Site
City
Waco
State/Province
Texas
Country
United States
Facility Name
1222.52.02057 Boehringer Ingelheim Investigational Site
City
Midvale
State/Province
Utah
Country
United States
Facility Name
1222.52.02023 Boehringer Ingelheim Investigational Site
City
Richmond
State/Province
Virginia
Country
United States
Facility Name
1222.52.02069 Boehringer Ingelheim Investigational Site
City
Selah
State/Province
Washington
Country
United States
Facility Name
1222.52.02019 Boehringer Ingelheim Investigational Site
City
Tacoma
State/Province
Washington
Country
United States
Facility Name
1222.52.02099 Boehringer Ingelheim Investigational Site
City
Morgantown
State/Province
West Virginia
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
25342898
Citation
ZuWallack R, Allen L, Hernandez G, Ting N, Abrahams R. Efficacy and safety of combining olodaterol Respimat((R)) and tiotropium HandiHaler((R)) in patients with COPD: results of two randomized, double-blind, active-controlled studies. Int J Chron Obstruct Pulmon Dis. 2014 Oct 14;9:1133-44. doi: 10.2147/COPD.S72482. eCollection 2014.
Results Reference
derived
Links:
URL
http://trials.boehringer-ingelheim.com/
Description
Related Info

Learn more about this trial

Co-administration of Olodaterol Respimat® and Tiotropium Handihaler®

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