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Ipratropium or Salbutamol Sulphate Alone or Combination Therapy Salbutamol and Ipratropium in Patients With COPD

Primary Purpose

Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Ipratropium bromide 500 µg/salbutamol sulphate 3 mg
Ipratropium 500 µg
Salbutamol sulphate 3 mg
Salbutamol sulphate 6 mg
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:

  • Male and female patients with moderate to severe stable COPD:

    • Patients with a diagnosis of chronic bronchitis and/or emphysema
    • FEV1 <65% of predicted value without regard to prior treatment
    • Forced expiratory ration (FER = FEV1/VC) <70% of predicted value without regard to prior treatment
    • Patients must not have had a respiratory infection or an exacerbation of COPD during the four weeks immediately prior to entering the trial
    • Patients must not have changed their normal treatment for COPD during the four weeks immediately prior to entering the trial
  • Patient aged ≥40 years
  • Patients with a smoking history of ≥15 pack-years
  • Patients must have given informed consent to participate in the trial

Exclusion Criteria:

  • Patients with a diagnosis of asthma, bronchiectasis, cystic fibrosis or bronchiolitis obliterans
  • Patients with any of the following:

    • untreated angle closure glaucoma
    • hypertrophic obstructive cardiomyopathy
    • tachyarrhythmia
    • recent myocardial infarction (within six months of screening visit)
    • severe organic cardiac or vascular disorder
    • untreated hyperthyroidism
    • diabetes mellitus (after approval of Protocol Amendment 1, the inclusion of well controlled diabetic patients was allowed)
  • Patients who are pregnant, or who are planning a pregnancy, and nursing mothers
  • Patients known to be hypersensitive to anticholinergic drugs or to β2 agonists
  • Patients known to abuse drugs or alcohol
  • Patients, who in the opinion of the investigator, are likely not to co-operate with any of the requirements of the trial
  • Patients with a PaO2 (arterial carbon dioxide tension) <56 mmHg (7.5 kPa) at rest while breathing air without regard to prior treatment
  • Patients with a SaO2 ≤85% at rest while breathing air without regard to prior treatment
  • Patients who are taking part in another investigation, and patients who have participated in another clinical trial during the three months immediately preceding entry to this trial
  • Patients on home oxygen concentrator therapy
  • Patients who have previously participated in the randomised phase of this trial

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Ipratropium bromide/salbutamol sulphate

    Arm Description

    Randomised sequence of four different treatments Ipratropium bromide 500 µg/salbutamol sulphate 3 mg Ipratropium 500 µg Salbutamol sulphate 3 mg Salbutamol sulphate 6 mg

    Outcomes

    Primary Outcome Measures

    Area under the curve of arterial oxygen saturation (SaO2)

    Secondary Outcome Measures

    Forced expiratory volume in the first second of expiration (FEV1)
    Relaxed (expiratory) vital capacity (VC)
    Forced (expiratory) vital capacity (FVC)
    Forced expiratory ratio (FER)

    Full Information

    First Posted
    July 4, 2014
    Last Updated
    July 4, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02182856
    Brief Title
    Ipratropium or Salbutamol Sulphate Alone or Combination Therapy Salbutamol and Ipratropium in Patients With COPD
    Official Title
    A Randomised, Double-blind, Active-controlled, Within-patient Trial Comparing the Effect of Single Doses of Nebulised Ipratropium 500µg, Salbutamol Sulphate 3mg, Salbutamol 6mg and the Combination Therapy Salbutamol Sulphate 3 mg Plus Ipratropium 500µg on Arterial Oxygen Saturation in Patients With Stable, Moderate to Severe Chronic Obstructive Pulmonary Disease
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    February 1998 (undefined)
    Primary Completion Date
    July 2000 (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 compare the effects of nebulised salbutamol or ipratropium alone in patients with COPD with those of combined salbutamol and ipratropium nebuliser solution on arterial oxygen saturation (SaO2) and to characterise patients with COPD (chronic obstructive pulmonary disease) at risk of significant arterial oxygen desaturation following nebulised salbutamol.

    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 4
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    33 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Ipratropium bromide/salbutamol sulphate
    Arm Type
    Experimental
    Arm Description
    Randomised sequence of four different treatments Ipratropium bromide 500 µg/salbutamol sulphate 3 mg Ipratropium 500 µg Salbutamol sulphate 3 mg Salbutamol sulphate 6 mg
    Intervention Type
    Drug
    Intervention Name(s)
    Ipratropium bromide 500 µg/salbutamol sulphate 3 mg
    Other Intervention Name(s)
    Combivent® UDVs®
    Intervention Type
    Drug
    Intervention Name(s)
    Ipratropium 500 µg
    Intervention Type
    Drug
    Intervention Name(s)
    Salbutamol sulphate 3 mg
    Intervention Type
    Drug
    Intervention Name(s)
    Salbutamol sulphate 6 mg
    Primary Outcome Measure Information:
    Title
    Area under the curve of arterial oxygen saturation (SaO2)
    Time Frame
    over 70 min observation period from each start of nebulisation
    Secondary Outcome Measure Information:
    Title
    Forced expiratory volume in the first second of expiration (FEV1)
    Time Frame
    up to 60 min after end of nebulisation
    Title
    Relaxed (expiratory) vital capacity (VC)
    Time Frame
    up to 60 min after end of nebulisation
    Title
    Forced (expiratory) vital capacity (FVC)
    Time Frame
    up to 60 min after end of nebulisation
    Title
    Forced expiratory ratio (FER)
    Time Frame
    up to 60 min after end of nebulisation

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male and female patients with moderate to severe stable COPD: Patients with a diagnosis of chronic bronchitis and/or emphysema FEV1 <65% of predicted value without regard to prior treatment Forced expiratory ration (FER = FEV1/VC) <70% of predicted value without regard to prior treatment Patients must not have had a respiratory infection or an exacerbation of COPD during the four weeks immediately prior to entering the trial Patients must not have changed their normal treatment for COPD during the four weeks immediately prior to entering the trial Patient aged ≥40 years Patients with a smoking history of ≥15 pack-years Patients must have given informed consent to participate in the trial Exclusion Criteria: Patients with a diagnosis of asthma, bronchiectasis, cystic fibrosis or bronchiolitis obliterans Patients with any of the following: untreated angle closure glaucoma hypertrophic obstructive cardiomyopathy tachyarrhythmia recent myocardial infarction (within six months of screening visit) severe organic cardiac or vascular disorder untreated hyperthyroidism diabetes mellitus (after approval of Protocol Amendment 1, the inclusion of well controlled diabetic patients was allowed) Patients who are pregnant, or who are planning a pregnancy, and nursing mothers Patients known to be hypersensitive to anticholinergic drugs or to β2 agonists Patients known to abuse drugs or alcohol Patients, who in the opinion of the investigator, are likely not to co-operate with any of the requirements of the trial Patients with a PaO2 (arterial carbon dioxide tension) <56 mmHg (7.5 kPa) at rest while breathing air without regard to prior treatment Patients with a SaO2 ≤85% at rest while breathing air without regard to prior treatment Patients who are taking part in another investigation, and patients who have participated in another clinical trial during the three months immediately preceding entry to this trial Patients on home oxygen concentrator therapy Patients who have previously participated in the randomised phase of this trial

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com/content/dam/internet/opu/clinicaltrial/com_EN/results/1012/1012.39_U01-1283.pdf
    Description
    Related Info

    Learn more about this trial

    Ipratropium or Salbutamol Sulphate Alone or Combination Therapy Salbutamol and Ipratropium in Patients With COPD

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