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Efficacy and Safety of Ba679BR Powder Inhalation in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Primary Purpose

Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Tiotropium low
Tiotropium high
Placebo MDI
Placebo inhalation capsule
Oxitropium
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:

Diagnosis of COPD (chronic bronchitis, and emphysema) with stable symptoms:

  • Screening FEV1.0 ≤70% of predicted normal vale and screening FEV1.0/FVC ≤70% (the baseline FEV1.0 should also be ≤70% of predicted normal value on the initial day of administration)
  • Smoking history ≥ 10 pack-years (a peak-year is 20 cigarettes per day for one year or equivalent)
  • Male or female patients 40 years of age or older

Exclusion Criteria:

  • History of bronchial asthma
  • History of an atopic disease such as allergic rhinitis
  • Total blood eosinophil count ≥ 600/µL
  • Patient treated with antiallergic drugs or anti-histamine drugs
  • Patients using oral corticosteroid medication at unstable doses (i.e. less than one month on a stable dose) or at a dose in excess of the equivalent of 10 mg of prednisolone per day
  • Patients using inhaled steroid, oral β2 stimulant, theophylline preparation, expectorant or macrolide antibiotic at unstable doses (i.e. less than one month on a stable dose)
  • Patients using an ACE inhibitor at unstable doses (i.e. less than one month on a stable dose)
  • Patients with known narrow-angle glaucoma
  • Patients with known symptomatic prostatic hypertrophy
  • Patients with known hypersensitivity to anticholinergic drugs, lactose or any other components of the inhalation capsule delivery system
  • Patients with significant diseases who in the opinion of the investigator were not eligible for the study
  • Patients with clinically significant abnormal baseline laboratory test values (hematology, blood chemistry, urinalysis). Patients with serum glutamic-oxaloacetic transaminase (SGOT) and serum glutamic-pyruvic transaminase (SGPT) twice the upper limit of the normal range, bilirubin 150% or creatinine 125% of the upper limit of the normal range were excluded
  • Patients with a recent history (i.e. within the 3 months prior to the screening visit) of myocardial infarction or heart failure
  • Patients with any cardiac arrhythmia requiring drug therapy
  • Patients who were treated with Patients who were treated with β-blockers-blockers
  • Patients with regular use of daytime oxygen therapy
  • Patients with known active tuberculosis or with obvious sequela of tuberculosis
  • Patients with a history of cancer within the last 5 years. Patients with treated basal cell carcinoma were allowed
  • Patients with a history of cystic fibrosis or bronchiectasis
  • Patients with upper respiratory tract infection in the past one month prior to the screening visit or during the baseline period
  • Patients who had taken an investigational drug within one month or six half lives (whichever is greater) prior to the screening visit
  • Pregnant or nursing women or women of childbearing potential
  • Other than the above, patients who in the opinion of the investigator were not eligible for the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Arm Label

    Tiotropium low & Placebo

    Tiotropium high & Placebo

    Oxitropium & Placebo

    Arm Description

    Tiotropium 18 µg inhalation capsule and Placebo MDI

    Tiotropium 36 µg inhalation capsule and Placebo MDI

    Oxitropium MDI (100 µg/puff) and Placebo inhalation capsules

    Outcomes

    Primary Outcome Measures

    Trough forced expiratory volume in one second (FEV1.0) response

    Secondary Outcome Measures

    FEV1.0 response at 1 hour after administration
    Trough forced vital capacity (FVC) response
    FVC response at 1 hour after administration
    Peak expiratory flow rate (PEF)
    COPD symptom scores
    Frequency of rescue use of β2 stimulant
    Patient's impression
    Physician's global evaluation
    Occurrence of Adverse Events
    Change from baseline in blood pressure
    Change from baseline in heart rate
    Changes in ECG findings
    Changes from baseline in laboratory values

    Full Information

    First Posted
    June 20, 2014
    Last Updated
    June 20, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02172807
    Brief Title
    Efficacy and Safety of Ba679BR Powder Inhalation in Patients With Chronic Obstructive Pulmonary Disease (COPD)
    Official Title
    A Multiple Dose Comparison of 18 µg, 36 µg of Ba679BR (Tiotropium) Inhalation Capsules and Oxitropium Metered Dose Inhaler (2 Puffs of 100µg) in a 4-week, Double-Blind, Double-Dummy, Safety and Efficacy Study in Patients With Chronic Obstructive Pulmonary Disease (COPD)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    December 2000 (undefined)
    Primary Completion Date
    September 2001 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

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

    4. Oversight

    5. Study Description

    Brief Summary
    Study to investigate the efficacy and safety of Ba679BR powder inhalation during the continuous once/day administration to the patients with COPD using oxitropium bromide (Tersigan® aerosol) as the comparator drug.

    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
    201 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Tiotropium low & Placebo
    Arm Type
    Experimental
    Arm Description
    Tiotropium 18 µg inhalation capsule and Placebo MDI
    Arm Title
    Tiotropium high & Placebo
    Arm Type
    Experimental
    Arm Description
    Tiotropium 36 µg inhalation capsule and Placebo MDI
    Arm Title
    Oxitropium & Placebo
    Arm Type
    Active Comparator
    Arm Description
    Oxitropium MDI (100 µg/puff) and Placebo inhalation capsules
    Intervention Type
    Drug
    Intervention Name(s)
    Tiotropium low
    Intervention Description
    Tiotropium 18 µg inhalation capsule
    Intervention Type
    Drug
    Intervention Name(s)
    Tiotropium high
    Intervention Description
    Tiotropium 36 µg inhalation capsule
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo MDI
    Intervention Description
    Placebo metered dose inhaler (MDI)
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo inhalation capsule
    Intervention Type
    Drug
    Intervention Name(s)
    Oxitropium
    Other Intervention Name(s)
    Tersigan®
    Intervention Description
    Oxitropium MDI (100 µg/puff)
    Primary Outcome Measure Information:
    Title
    Trough forced expiratory volume in one second (FEV1.0) response
    Time Frame
    Day 1, week 2 and 4
    Secondary Outcome Measure Information:
    Title
    FEV1.0 response at 1 hour after administration
    Time Frame
    Day 1, week 2 and 4
    Title
    Trough forced vital capacity (FVC) response
    Time Frame
    Day 1, week 2 and 4
    Title
    FVC response at 1 hour after administration
    Time Frame
    Day 1, week 2 and 4
    Title
    Peak expiratory flow rate (PEF)
    Time Frame
    in the morning and at evening every day until week 4
    Title
    COPD symptom scores
    Time Frame
    until week 4
    Title
    Frequency of rescue use of β2 stimulant
    Time Frame
    until week 4
    Title
    Patient's impression
    Time Frame
    week 4
    Title
    Physician's global evaluation
    Time Frame
    week 4
    Title
    Occurrence of Adverse Events
    Time Frame
    up to 4 weeks
    Title
    Change from baseline in blood pressure
    Time Frame
    Baseline, week 4
    Title
    Change from baseline in heart rate
    Time Frame
    Baseline, week 4
    Title
    Changes in ECG findings
    Time Frame
    Baseline, week 4
    Title
    Changes from baseline in laboratory values
    Time Frame
    Baseline, week 4

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Diagnosis of COPD (chronic bronchitis, and emphysema) with stable symptoms: Screening FEV1.0 ≤70% of predicted normal vale and screening FEV1.0/FVC ≤70% (the baseline FEV1.0 should also be ≤70% of predicted normal value on the initial day of administration) Smoking history ≥ 10 pack-years (a peak-year is 20 cigarettes per day for one year or equivalent) Male or female patients 40 years of age or older Exclusion Criteria: History of bronchial asthma History of an atopic disease such as allergic rhinitis Total blood eosinophil count ≥ 600/µL Patient treated with antiallergic drugs or anti-histamine drugs Patients using oral corticosteroid medication at unstable doses (i.e. less than one month on a stable dose) or at a dose in excess of the equivalent of 10 mg of prednisolone per day Patients using inhaled steroid, oral β2 stimulant, theophylline preparation, expectorant or macrolide antibiotic at unstable doses (i.e. less than one month on a stable dose) Patients using an ACE inhibitor at unstable doses (i.e. less than one month on a stable dose) Patients with known narrow-angle glaucoma Patients with known symptomatic prostatic hypertrophy Patients with known hypersensitivity to anticholinergic drugs, lactose or any other components of the inhalation capsule delivery system Patients with significant diseases who in the opinion of the investigator were not eligible for the study Patients with clinically significant abnormal baseline laboratory test values (hematology, blood chemistry, urinalysis). Patients with serum glutamic-oxaloacetic transaminase (SGOT) and serum glutamic-pyruvic transaminase (SGPT) twice the upper limit of the normal range, bilirubin 150% or creatinine 125% of the upper limit of the normal range were excluded Patients with a recent history (i.e. within the 3 months prior to the screening visit) of myocardial infarction or heart failure Patients with any cardiac arrhythmia requiring drug therapy Patients who were treated with Patients who were treated with β-blockers-blockers Patients with regular use of daytime oxygen therapy Patients with known active tuberculosis or with obvious sequela of tuberculosis Patients with a history of cancer within the last 5 years. Patients with treated basal cell carcinoma were allowed Patients with a history of cystic fibrosis or bronchiectasis Patients with upper respiratory tract infection in the past one month prior to the screening visit or during the baseline period Patients who had taken an investigational drug within one month or six half lives (whichever is greater) prior to the screening visit Pregnant or nursing women or women of childbearing potential Other than the above, patients who in the opinion of the investigator were not eligible for the study

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/205/205.226.pdf
    Description
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    Efficacy and Safety of Ba679BR Powder Inhalation in Patients With Chronic Obstructive Pulmonary Disease (COPD)

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