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Tiotropium+Olodaterol Fixed Dose Combination (FDC) Versus Tiotropium and Olodaterol in Chronic Obstructive Pulmonary Disease (COPD)

Primary Purpose

Pulmonary Disease, Chronic Obstructive

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
tiotropium + olodaterol
tiotropium
olodaterol
tiotropium
tiotropium + olodaterol
Respimat
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. Diagnosis of chronic obstructive pulmonary disease.
  2. Relatively stable airway obstruction with post FEV1< 80% predicted normal and post FEV1/FVC <70%.
  3. Male or female patients, 40 years of age or older.
  4. Smoking history of more than 10 pack years.

Exclusion criteria:

  1. Significant disease other than COPD
  2. Clinically relevant abnormal lab values.
  3. History of asthma.
  4. Diagnosis of thyrotoxicosis
  5. Diagnosis of paroxysmal tachycardia
  6. History of myocardial infarction within 1 year of screening visit
  7. Unstable or life-threatening cardiac arrhythmia.
  8. Hospitalization for heart failure within the past year.
  9. Known active tuberculosis.
  10. Malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years
  11. History of life-threatening pulmonary obstruction.
  12. History of cystic fibrosis.
  13. Clinically evident bronchiectasis.
  14. History of significant alcohol or drug abuse.
  15. Thoracotomy with pulmonary resection
  16. Oral ß-adrenergics.
  17. Oral corticosteroid medication at unstable doses
  18. Regular use of daytime oxygen therapy for more than one hour per day
  19. Pulmonary rehabilitation program in the six weeks prior to the screening visit
  20. Investigational drug within one month or six half lives (whichever is greater) prior to screening visit
  21. Known hypersensitivity to ß-adrenergic drugs, anticholinergics, BAC, EDTA
  22. Pregnant or nursing women.
  23. Women of childbearing potential not using a highly effective method of birth control
  24. Patients who are unable to comply with pulmonary medication restrictions

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Active Comparator

Active Comparator

Active Comparator

Arm Label

tiotropium+olodaterol low dose FDC

tiotropium+olodaterol high dose FDC

olodaterol

tiotropium low dose

tiotropium high dose

Arm Description

Once daily 2 puffs solution for inhalation Respimat

Once daily 2 puffs solution for inhalation Respimat

Once daily 2 puffs solution for inhalation Respimat

Once daily 2 puffs solution for inhalation Respimat

Once daily 2 puffs solution for inhalation Respimat

Outcomes

Primary Outcome Measures

Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) (0-3h) Response on Day 169.
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the MMRM model in each treatment group.
Trough FEV1 Response on Day 170.
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours) and was calculated as the mean of the 2 FEV1 measurements performed at 23 h and at 23 h 50 min after inhalation of study medication at the clinic visit on the previous day. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an MMRM including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Saint George's Respiratory Questionnaire (SGRQ) Total Score on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
The SGRQ is designed to measure health impairment in patients with COPD. It is divided into 2 parts: part 1 produces the symptoms score, and part 2 the activity and impacts scores. A total score is also produced. Each subscale score is the sum of the weights for the items in the subscale as a percent of the sum of the weights for a patient in the worst possible condition. The total score uses the same calculation except that the weights are summed over the entire questionnaire. The individual subscales as well as the total score can range from 0 to 100 with a lower score denoting a better health status. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.

Secondary Outcome Measures

Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 169 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287) is the key secondary endpoint. The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
FEV1 AUC(0-3h) Response on Day 1
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
FEV1 AUC(0-3h) Response on Day 85
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
FEV1 AUC(0-3h) Response on Day 365
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FEV1 Response on Day 15.
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FEV1 Response on Day 43
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FEV1 Response on Day 85
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FEV1 Response on Day 169
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FEV1 Response on Day 365
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 1
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 85
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC.Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 169
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 365
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FVC Response on Day 15.
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Trough FVC Response on Day 43.
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Trough FVC Response on Day 85.
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Trough FVC Response on Day 170.
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours) and was calculated as the mean of the 2 FVC measurements performed at 23h and at 23h 50 min after inhalation of study medication at the clinic visit on the previous day. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an MMRM including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Trough FVC Response on Day 365.
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
FEV1 AUC(0-12h) Response in the Sub-set of Patients With 12-hour Pulmonary Function Test (PFT) on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
FEV1 AUC(0-12h) was calculated as the area under the FEV1- time curve from 0 to 12 h post-dose using the trapezoidal rule, divided by the duration (12 h) to report in litres. FEV1 AUC(0-12h) response was defined as FEV1 AUC(0-12h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
FEV1 AUC(0-24h) Response in the Sub-set of Patients With 12-h PFTs on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
FEV1 AUC(0-24h) was calculated as the area under the FEV1- time curve from 0 to 24 h post-dose using the trapezoidal rule, divided by the duration (24 h) to report in litres. FEV1 AUC(0-24h) response was defined as FEV1 AUC(0-24h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
FVC AUC(0-12h) Response in the Sub-set of Patients With 12-h PFTs on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
FVC AUC(0-12h) was calculated as the area under the FVC- time curve from 0 to 12 h post-dose using the trapezoidal rule, divided by the duration (12 h) to report in litres. FVC AUC(0-12h) response was defined as FVC AUC(0-12h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
FVC AUC(0-24h) Response in Sub-set of Patients With 24-h PFTs on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
FVC AUC(0-24h) was calculated as the area under the FVC- time curve from 0 to 24 h post-dose using the trapezoidal rule, divided by the duration (24 h) to report in litres. FVC AUC(0-24h) response was defined as FVC AUC(0-24h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
Saint George's Respiratory Questionnaire (SGRQ) Total Score on Day 85 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
The SGRQ is designed to measure health impairment in patients with COPD. It is divided into 2 parts: part 1 produces the symptoms score, and part 2 the activity and impacts scores. A total score is also produced. Each subscale score is the sum of the weights for the items in the subscale as a percent of the sum of the weights for a patient in the worst possible condition. The total score uses the same calculation except that the weights are summed over the entire questionnaire. The individual subscales as well as the total score can range from 0 to 100 with a lower score denoting a better health status. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Saint George's Respiratory Questionnaire (SGRQ) Total Score on Day 365 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
The SGRQ is designed to measure health impairment in patients with COPD. It is divided into 2 parts: part 1 produces the symptoms score, and part 2 the activity and impacts scores. A total score is also produced. Each subscale score is the sum of the weights for the items in the subscale as a percent of the sum of the weights for a patient in the worst possible condition. The total score uses the same calculation except that the weights are summed over the entire questionnaire. The individual subscales as well as the total score can range from 0 to 100 with a lower score denoting a better health status. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 43 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 43 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287). The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 85 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 85 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287). The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 365 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 365 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287). The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.

Full Information

First Posted
September 8, 2011
Last Updated
June 19, 2015
Sponsor
Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT01431274
Brief Title
Tiotropium+Olodaterol Fixed Dose Combination (FDC) Versus Tiotropium and Olodaterol in Chronic Obstructive Pulmonary Disease (COPD)
Official Title
A Randomised, Double-blind, Parallel Group Study to Assess the Efficacy and Safety of 52 Weeks of Once Daily Treatment of Orally Inhaled Tiotropium + Olodaterol Fixed Dose Combination (2.5 µg / 5 µg; 5 µg / 5 µg) (Delivered by the Respimat® Inhaler) Compared With the Individual Components (2.5 µg and 5 µg Tiotropium, 5 µg Olodaterol) (Delivered by the Respimat® Inhaler) in Patients With Chronic Obstructive Pulmonary Disease (COPD). [TOnado TM 1]
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
September 2011 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 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 the efficacy and safety of 52 weeks once daily treatment with orally inhaled tiotropium + olodaterol FDC (delivered by the RESPIMAT Inhaler) compared with the individual components ( tiotropium, olodaterol) (delivered by the RESPIMAT Inhaler) in patients with Chronic Obstructive Pulmonary Disease (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
2624 (Actual)

8. Arms, Groups, and Interventions

Arm Title
tiotropium+olodaterol low dose FDC
Arm Type
Experimental
Arm Description
Once daily 2 puffs solution for inhalation Respimat
Arm Title
tiotropium+olodaterol high dose FDC
Arm Type
Experimental
Arm Description
Once daily 2 puffs solution for inhalation Respimat
Arm Title
olodaterol
Arm Type
Active Comparator
Arm Description
Once daily 2 puffs solution for inhalation Respimat
Arm Title
tiotropium low dose
Arm Type
Active Comparator
Arm Description
Once daily 2 puffs solution for inhalation Respimat
Arm Title
tiotropium high dose
Arm Type
Active Comparator
Arm Description
Once daily 2 puffs solution for inhalation Respimat
Intervention Type
Drug
Intervention Name(s)
tiotropium + olodaterol
Intervention Description
fixed dose combination
Intervention Type
Drug
Intervention Name(s)
tiotropium
Intervention Description
low dose
Intervention Type
Drug
Intervention Name(s)
olodaterol
Intervention Description
one dose only
Intervention Type
Drug
Intervention Name(s)
tiotropium
Intervention Description
high dose
Intervention Type
Drug
Intervention Name(s)
tiotropium + olodaterol
Intervention Description
fixed dose combination
Intervention Type
Device
Intervention Name(s)
Respimat
Intervention Description
Respimat inhaler
Primary Outcome Measure Information:
Title
Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) (0-3h) Response on Day 169.
Description
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the MMRM model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 169 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on Day 169.
Title
Trough FEV1 Response on Day 170.
Description
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours) and was calculated as the mean of the 2 FEV1 measurements performed at 23 h and at 23 h 50 min after inhalation of study medication at the clinic visit on the previous day. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an MMRM including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 23 h and at 23 h 50 min after inhalation of study medication on Day 170
Title
Saint George's Respiratory Questionnaire (SGRQ) Total Score on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
The SGRQ is designed to measure health impairment in patients with COPD. It is divided into 2 parts: part 1 produces the symptoms score, and part 2 the activity and impacts scores. A total score is also produced. Each subscale score is the sum of the weights for the items in the subscale as a percent of the sum of the weights for a patient in the worst possible condition. The total score uses the same calculation except that the weights are summed over the entire questionnaire. The individual subscales as well as the total score can range from 0 to 100 with a lower score denoting a better health status. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 169
Secondary Outcome Measure Information:
Title
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 169 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287) is the key secondary endpoint. The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 169
Title
FEV1 AUC(0-3h) Response on Day 1
Description
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on the first day of randomized treatment.
Title
FEV1 AUC(0-3h) Response on Day 85
Description
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 85 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on Day 85.
Title
FEV1 AUC(0-3h) Response on Day 365
Description
FEV1 AUC(0-3h) was calculated as the area under the FEV1- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FEV1 AUC(0-3h) response was defined as FEV1 AUC(0-3h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 365 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on Day 365.
Title
Trough FEV1 Response on Day 15.
Description
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 10 min pre-dose on day 15
Title
Trough FEV1 Response on Day 43
Description
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 10 min pre-dose on day 43.
Title
Trough FEV1 Response on Day 85
Description
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 1 hr and 10 min pre-dose on day 85.
Title
Trough FEV1 Response on Day 169
Description
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 1 hr and 10 min pre-dose on Day 169
Title
Trough FEV1 Response on Day 365
Description
Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FEV1 response was defined as trough FEV1 minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose of randomised treatment at Day1. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 1 hr and 10 min pre-dose on day 365
Title
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 1
Description
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on the first day of randomized treatment.
Title
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 85
Description
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC.Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 85 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on Day 85.
Title
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 169
Description
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 169 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on Day 169.
Title
FVC (Forced Vital Capacity) AUC(0-3h) Response on Day 365
Description
FVC AUC(0-3h) was calculated as the area under the FVC- time curve from 0 to 3 h post-dose using the trapezoidal rule, divided by the duration (3 h) to report in litres. FVC AUC(0-3h) response was defined as FVC AUC(0-3h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 365 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h post-dose on Day 365.
Title
Trough FVC Response on Day 15.
Description
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 10 min pre-dose on day 15
Title
Trough FVC Response on Day 43.
Description
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 10 min pre-dose on day 43
Title
Trough FVC Response on Day 85.
Description
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and on day 85
Title
Trough FVC Response on Day 170.
Description
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours) and was calculated as the mean of the 2 FVC measurements performed at 23h and at 23h 50 min after inhalation of study medication at the clinic visit on the previous day. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted means (SE) were obtained from fitting an MMRM including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and at 23 h and at 23 h 50 min after inhalation of study medication on Day 170
Title
Trough FVC Response on Day 365.
Description
Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours), calculated as the mean of the pre-dose measurements. Trough FVC response was defined as trough FVC minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures (MMRM) model in each treatment group. The adjusted means (SE) were obtained from fitting an Mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment-by-test day interaction, baseline and baseline-by-test day interaction, patient as random effect, and spatial power covariance structure for within-patient errors and Kenward-Roger approximation for denominator degrees of freedom.
Time Frame
1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and on Day 365.
Title
FEV1 AUC(0-12h) Response in the Sub-set of Patients With 12-hour Pulmonary Function Test (PFT) on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
FEV1 AUC(0-12h) was calculated as the area under the FEV1- time curve from 0 to 12 h post-dose using the trapezoidal rule, divided by the duration (12 h) to report in litres. FEV1 AUC(0-12h) response was defined as FEV1 AUC(0-12h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 169 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, 8 h, 10 h, 12 h post-dose on Day 169.
Title
FEV1 AUC(0-24h) Response in the Sub-set of Patients With 12-h PFTs on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
FEV1 AUC(0-24h) was calculated as the area under the FEV1- time curve from 0 to 24 h post-dose using the trapezoidal rule, divided by the duration (24 h) to report in litres. FEV1 AUC(0-24h) response was defined as FEV1 AUC(0-24h) minus baseline FEV1. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 169 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, 8 h, 10 h, 12 h, 23 h, 23 h and 50 min post-dose on Day 169.
Title
FVC AUC(0-12h) Response in the Sub-set of Patients With 12-h PFTs on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
FVC AUC(0-12h) was calculated as the area under the FVC- time curve from 0 to 12 h post-dose using the trapezoidal rule, divided by the duration (12 h) to report in litres. FVC AUC(0-12h) response was defined as FVC AUC(0-12h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 169 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, 8 h, 10 h, 12 h post-dose on Day 169.
Title
FVC AUC(0-24h) Response in Sub-set of Patients With 24-h PFTs on Day 169 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
FVC AUC(0-24h) was calculated as the area under the FVC- time curve from 0 to 24 h post-dose using the trapezoidal rule, divided by the duration (24 h) to report in litres. FVC AUC(0-24h) response was defined as FVC AUC(0-24h) minus baseline FVC. Baseline was defined as the mean of the 2 pre-dose measurements performed 1 h and 10 min prior to administration of the first dose at visit 2 (day 1). The adjusted mean (SE) were obtained from fitting an ANCOVA model with categorical effect of treatment and baseline as covariate. Number of participants analyzed are the number of patients contributing to the ANCOVA model in each treatment group.
Time Frame
1 hour (h) and 10 minutes (min) prior to dose to on the first day of randomized treatment and on Day 169 and 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, 8 h, 10 h, 12 h, 23 h, 23 h and 50 min post-dose on Day 169.
Title
Saint George's Respiratory Questionnaire (SGRQ) Total Score on Day 85 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
The SGRQ is designed to measure health impairment in patients with COPD. It is divided into 2 parts: part 1 produces the symptoms score, and part 2 the activity and impacts scores. A total score is also produced. Each subscale score is the sum of the weights for the items in the subscale as a percent of the sum of the weights for a patient in the worst possible condition. The total score uses the same calculation except that the weights are summed over the entire questionnaire. The individual subscales as well as the total score can range from 0 to 100 with a lower score denoting a better health status. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 85
Title
Saint George's Respiratory Questionnaire (SGRQ) Total Score on Day 365 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
The SGRQ is designed to measure health impairment in patients with COPD. It is divided into 2 parts: part 1 produces the symptoms score, and part 2 the activity and impacts scores. A total score is also produced. Each subscale score is the sum of the weights for the items in the subscale as a percent of the sum of the weights for a patient in the worst possible condition. The total score uses the same calculation except that the weights are summed over the entire questionnaire. The individual subscales as well as the total score can range from 0 to 100 with a lower score denoting a better health status. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 365
Title
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 43 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 43 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287). The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 43
Title
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 85 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 85 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287). The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 85
Title
Mahler Transitional Dyspnoea Index (TDI) Focal Score on Day 365 From the Two Twin Trials, Present 1237.5 (NCT01431274) and 1237.6 (NCT01431287)
Description
Mahler Transitional Dyspnoea Index (TDI) focal score on Day 365 From the Two Twin Trials, present 1237.5 (NCT01431274) and 1237.6 (NCT01431287). The Mahler Dyspnoea questionnaire is an instrument which measures change from the baseline state The TDI focal score was used to measure the effect of Tio+Olo FDC on patients' dyspnoea after 24 weeks of treatment (Day 169). The focal score is the sum of the subscale scores for Functional Impairment, Magnitude of Effort and Magnitude of Task. Scores for each subscale range from -3 to 3 so that the Focal score ranges from -9 to 9. For all subscale scores and the Focal score a higher value indicates a better outcome. Number of participants analyzed are the number of patients contributing to the mixed effect repeated measures model (MMRM) in each treatment group.
Time Frame
Day 365

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Diagnosis of chronic obstructive pulmonary disease. Relatively stable airway obstruction with post FEV1< 80% predicted normal and post FEV1/FVC <70%. Male or female patients, 40 years of age or older. Smoking history of more than 10 pack years. Exclusion criteria: Significant disease other than COPD Clinically relevant abnormal lab values. History of asthma. Diagnosis of thyrotoxicosis Diagnosis of paroxysmal tachycardia History of myocardial infarction within 1 year of screening visit Unstable or life-threatening cardiac arrhythmia. Hospitalization for heart failure within the past year. Known active tuberculosis. Malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years History of life-threatening pulmonary obstruction. History of cystic fibrosis. Clinically evident bronchiectasis. History of significant alcohol or drug abuse. Thoracotomy with pulmonary resection Oral ß-adrenergics. Oral corticosteroid medication at unstable doses Regular use of daytime oxygen therapy for more than one hour per day Pulmonary rehabilitation program in the six weeks prior to the screening visit Investigational drug within one month or six half lives (whichever is greater) prior to screening visit Known hypersensitivity to ß-adrenergic drugs, anticholinergics, BAC, EDTA Pregnant or nursing women. Women of childbearing potential not using a highly effective method of birth control Patients who are unable to comply with pulmonary medication restrictions
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
1237.5.01038 Boehringer Ingelheim Investigational Site
City
Jasper
State/Province
Alabama
Country
United States
Facility Name
1237.5.01036 Boehringer Ingelheim Investigational Site
City
Mobile
State/Province
Alabama
Country
United States
Facility Name
1237.5.01015 Boehringer Ingelheim Investigational Site
City
Boulder
State/Province
Colorado
Country
United States
Facility Name
1237.5.01024 Boehringer Ingelheim Investigational Site
City
Wheat Ridge
State/Province
Colorado
Country
United States
Facility Name
1237.5.01034 Boehringer Ingelheim Investigational Site
City
Stamford
State/Province
Connecticut
Country
United States
Facility Name
1237.5.01003 Boehringer Ingelheim Investigational Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
1237.5.01010 Boehringer Ingelheim Investigational Site
City
Clearwater
State/Province
Florida
Country
United States
Facility Name
1237.5.01027 Boehringer Ingelheim Investigational Site
City
Panama City
State/Province
Florida
Country
United States
Facility Name
1237.5.01031 Boehringer Ingelheim Investigational Site
City
O'Fallon
State/Province
Illinois
Country
United States
Facility Name
1237.5.01035 Boehringer Ingelheim Investigational Site
City
Opelousas
State/Province
Louisiana
Country
United States
Facility Name
1237.5.01004 Boehringer Ingelheim Investigational Site
City
Shreveport
State/Province
Louisiana
Country
United States
Facility Name
1237.5.01017 Boehringer Ingelheim Investigational Site
City
Biddeford
State/Province
Maine
Country
United States
Facility Name
1237.5.01028 Boehringer Ingelheim Investigational Site
City
Columbia
State/Province
Maryland
Country
United States
Facility Name
1237.5.01013 Boehringer Ingelheim Investigational Site
City
Livonia
State/Province
Michigan
Country
United States
Facility Name
1237.5.01019 Boehringer Ingelheim Investigational Site
City
Omaha
State/Province
Nebraska
Country
United States
Facility Name
1237.5.01025 Boehringer Ingelheim Investigational Site
City
Larchmont
State/Province
New York
Country
United States
Facility Name
1237.5.01008 Boehringer Ingelheim Investigational Site
City
Rochester
State/Province
New York
Country
United States
Facility Name
1237.5.01023 Boehringer Ingelheim Investigational Site
City
Raleigh
State/Province
North Carolina
Country
United States
Facility Name
1237.5.01016 Boehringer Ingelheim Investigational Site
City
Tabor City
State/Province
North Carolina
Country
United States
Facility Name
1237.5.01006 Boehringer Ingelheim Investigational Site
City
Cincinnati
State/Province
Ohio
Country
United States
Facility Name
1237.5.01040 Boehringer Ingelheim Investigational Site
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
1237.5.01039 Boehringer Ingelheim Investigational Site
City
Dayton
State/Province
Ohio
Country
United States
Facility Name
1237.5.01037 Boehringer Ingelheim Investigational Site
City
Toledo
State/Province
Ohio
Country
United States
Facility Name
1237.5.01009 Boehringer Ingelheim Investigational Site
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
1237.5.01032 Boehringer Ingelheim Investigational Site
City
Charleston
State/Province
Pennsylvania
Country
United States
Facility Name
1237.5.01005 Boehringer Ingelheim Investigational Site
City
Johnston
State/Province
Rhode Island
Country
United States
Facility Name
1237.5.01021 Boehringer Ingelheim Investigational Site
City
Easley
State/Province
South Carolina
Country
United States
Facility Name
1237.5.01012 Boehringer Ingelheim Investigational Site
City
Gaffney
State/Province
South Carolina
Country
United States
Facility Name
1237.5.01014 Boehringer Ingelheim Investigational Site
City
Spartanburg
State/Province
South Carolina
Country
United States
Facility Name
1237.5.01029 Boehringer Ingelheim Investigational Site
City
Ft. Worth
State/Province
Texas
Country
United States
Facility Name
1237.5.01002 Boehringer Ingelheim Investigational Site
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
1237.5.01026 Boehringer Ingelheim Investigational Site
City
Lynchburg
State/Province
Virginia
Country
United States
Facility Name
1237.5.01007 Boehringer Ingelheim Investigational Site
City
Spokane
State/Province
Washington
Country
United States
Facility Name
1237.5.01033 Boehringer Ingelheim Investigational Site
City
Tacoma
State/Province
Washington
Country
United States
Facility Name
1237.5.01001 Boehringer Ingelheim Investigational Site
City
Morgantown
State/Province
West Virginia
Country
United States
Facility Name
1237.5.54010 Boehringer Ingelheim Investigational Site
City
Buenos Aires
Country
Argentina
Facility Name
1237.5.54013 Boehringer Ingelheim Investigational Site
City
Caba
Country
Argentina
Facility Name
1237.5.54016 Boehringer Ingelheim Investigational Site
City
Caba
Country
Argentina
Facility Name
1237.5.54003 Boehringer Ingelheim Investigational Site
City
Capital Federal
Country
Argentina
Facility Name
1237.5.54002 Boehringer Ingelheim Investigational Site
City
Cuidad Autonoma de Buenos Airess A
Country
Argentina
Facility Name
1237.5.54006 Boehringer Ingelheim Investigational Site
City
Mar del Plata
Country
Argentina
Facility Name
1237.5.54007 Boehringer Ingelheim Investigational Site
City
Mar del Plata
Country
Argentina
Facility Name
1237.5.54009 Boehringer Ingelheim Investigational Site
City
Mendoza
Country
Argentina
Facility Name
1237.5.54012 Boehringer Ingelheim Investigational Site
City
Monte Grande
Country
Argentina
Facility Name
1237.5.54008 Boehringer Ingelheim Investigational Site
City
Quilmes
Country
Argentina
Facility Name
1237.5.54005 Boehringer Ingelheim Investigational Site
City
Rosario
Country
Argentina
Facility Name
1237.5.54011 Boehringer Ingelheim Investigational Site
City
San Miguel de Tucuman
Country
Argentina
Facility Name
1237.5.54004 Boehringer Ingelheim Investigational Site
City
San Miguel de Tucuma
Country
Argentina
Facility Name
1237.5.61001 Boehringer Ingelheim Investigational Site
City
Toorak Gardens
State/Province
South Australia
Country
Australia
Facility Name
1237.5.61002 Boehringer Ingelheim Investigational Site
City
Woodville
State/Province
South Australia
Country
Australia
Facility Name
1237.5.61004 Boehringer Ingelheim Investigational Site
City
Frankston
State/Province
Victoria
Country
Australia
Facility Name
1237.5.35905 Boehringer Ingelheim Investigational Site
City
Plovdiv
Country
Bulgaria
Facility Name
1237.5.35901 Boehringer Ingelheim Investigational Site
City
Rousse
Country
Bulgaria
Facility Name
1237.5.35906 Boehringer Ingelheim Investigational Site
City
Shumen
Country
Bulgaria
Facility Name
1237.5.35902 Boehringer Ingelheim Investigational Site
City
Sofia
Country
Bulgaria
Facility Name
1237.5.35904 Boehringer Ingelheim Investigational Site
City
Sofia
Country
Bulgaria
Facility Name
1237.5.35903 Boehringer Ingelheim Investigational Site
City
Troyan
Country
Bulgaria
Facility Name
1237.5.35908 Boehringer Ingelheim Investigational Site
City
Veliko Tarnovo
Country
Bulgaria
Facility Name
1237.5.02002 Boehringer Ingelheim Investigational Site
City
Calgary
State/Province
Alberta
Country
Canada
Facility Name
1237.5.02001 Boehringer Ingelheim Investigational Site
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
1237.5.02004 Boehringer Ingelheim Investigational Site
City
Winnipeg
State/Province
Manitoba
Country
Canada
Facility Name
1237.5.02005 Boehringer Ingelheim Investigational Site
City
Burlington
State/Province
Ontario
Country
Canada
Facility Name
1237.5.02007 Boehringer Ingelheim Investigational Site
City
Grimsby
State/Province
Ontario
Country
Canada
Facility Name
1237.5.02011 Boehringer Ingelheim Investigational Site
City
Ottawa
State/Province
Ontario
Country
Canada
Facility Name
1237.5.02008 Boehringer Ingelheim Investigational Site
City
Sherbrooke
State/Province
Quebec
Country
Canada
Facility Name
1237.5.02009 Boehringer Ingelheim Investigational Site
City
Saskatoon
State/Province
Saskatchewan
Country
Canada
Facility Name
1237.5.02003 Boehringer Ingelheim Investigational Site
City
Quebec
Country
Canada
Facility Name
1237.5.02006 Boehringer Ingelheim Investigational Site
City
Quebec
Country
Canada
Facility Name
1237.5.86003 Boehringer Ingelheim Investigational Site
City
Beijing
Country
China
Facility Name
1237.5.86004 Boehringer Ingelheim Investigational Site
City
Beijing
Country
China
Facility Name
1237.5.86011 Boehringer Ingelheim Investigational Site
City
Changsha
Country
China
Facility Name
1237.5.86012 Boehringer Ingelheim Investigational Site
City
Changsha
Country
China
Facility Name
1237.5.86014 Boehringer Ingelheim Investigational Site
City
Foshan
Country
China
Facility Name
1237.5.86001 Boehringer Ingelheim Investigational Site
City
Guangzhou
Country
China
Facility Name
1237.5.86015 Boehringer Ingelheim Investigational Site
City
Nan Ning
Country
China
Facility Name
1237.5.86002 Boehringer Ingelheim Investigational Site
City
Shanghai
Country
China
Facility Name
1237.5.86005 Boehringer Ingelheim Investigational Site
City
Shanghai
Country
China
Facility Name
1237.5.86006 Boehringer Ingelheim Investigational Site
City
Shanghai
Country
China
Facility Name
1237.5.86007 Boehringer Ingelheim Investigational Site
City
Shanghai
Country
China
Facility Name
1237.5.86009 Boehringer Ingelheim Investigational Site
City
Shenyang
Country
China
Facility Name
1237.5.86016 Boehringer Ingelheim Investigational Site
City
Wuhan
Country
China
Facility Name
1237.5.86010 Boehringer Ingelheim Investigational Site
City
Xi'An
Country
China
Facility Name
1237.5.86008 Boehringer Ingelheim Investigational Site
City
Yangzhou
Country
China
Facility Name
1237.5.86017 Boehringer Ingelheim Investigational Site
City
Yinchuan
Country
China
Facility Name
1237.5.42004 Boehringer Ingelheim Investigational Site
City
Beroun
Country
Czech Republic
Facility Name
1237.5.42002 Boehringer Ingelheim Investigational Site
City
Cvikov
Country
Czech Republic
Facility Name
1237.5.42001 Boehringer Ingelheim Investigational Site
City
Praha 6
Country
Czech Republic
Facility Name
1237.5.42005 Boehringer Ingelheim Investigational Site
City
Rokycany
Country
Czech Republic
Facility Name
1237.5.42003 Boehringer Ingelheim Investigational Site
City
Znojmo
Country
Czech Republic
Facility Name
1237.5.45002 Boehringer Ingelheim Investigational Site
City
Aalborg
Country
Denmark
Facility Name
1237.5.45009 Boehringer Ingelheim Investigational Site
City
Hvidovre
Country
Denmark
Facility Name
1237.5.45007 Boehringer Ingelheim Investigational Site
City
Kolding
Country
Denmark
Facility Name
1237.5.45001 Boehringer Ingelheim Investigational Site
City
København NV
Country
Denmark
Facility Name
1237.5.45011 Boehringer Ingelheim Investigational Site
City
Næstved
Country
Denmark
Facility Name
1237.5.45006 Boehringer Ingelheim Investigational Site
City
Odense C
Country
Denmark
Facility Name
1237.5.45008 Boehringer Ingelheim Investigational Site
City
Roskilde
Country
Denmark
Facility Name
1237.5.45003 Boehringer Ingelheim Investigational Site
City
Silkeborg
Country
Denmark
Facility Name
1237.5.45005 Boehringer Ingelheim Investigational Site
City
Sønderborg
Country
Denmark
Facility Name
1237.5.45004 Boehringer Ingelheim Investigational Site
City
Vaerløse
Country
Denmark
Facility Name
1237.5.37002 Boehringer Ingelheim Investigational Site
City
Tallin
Country
Estonia
Facility Name
1237.5.37001 Boehringer Ingelheim Investigational Site
City
Tartu
Country
Estonia
Facility Name
1237.5.35801 Boehringer Ingelheim Investigational Site
City
Helsinki
Country
Finland
Facility Name
1237.5.35804 Boehringer Ingelheim Investigational Site
City
Pori
Country
Finland
Facility Name
1237.5.35802 Boehringer Ingelheim Investigational Site
City
Turku
Country
Finland
Facility Name
1237.5.33004 Boehringer Ingelheim Investigational Site
City
Bethune Cedex
Country
France
Facility Name
1237.5.33007 Boehringer Ingelheim Investigational Site
City
Montpellier cedex 5
Country
France
Facility Name
1237.5.33005 Boehringer Ingelheim Investigational Site
City
Nantes
Country
France
Facility Name
1237.5.33006 Boehringer Ingelheim Investigational Site
City
Nîmes cedex 9
Country
France
Facility Name
1237.5.33008 Boehringer Ingelheim Investigational Site
City
Perpignan
Country
France
Facility Name
1237.5.33001 Boehringer Ingelheim Investigational Site
City
Saint Pierre Cedex
Country
France
Facility Name
1237.5.33002 Boehringer Ingelheim Investigational Site
City
Strasbourg
Country
France
Facility Name
1237.5.49006 Boehringer Ingelheim Investigational Site
City
Bamberg
Country
Germany
Facility Name
1237.5.49002 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1237.5.49003 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1237.5.49013 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1237.5.49011 Boehringer Ingelheim Investigational Site
City
Erfurt
Country
Germany
Facility Name
1237.5.49005 Boehringer Ingelheim Investigational Site
City
Hamburg
Country
Germany
Facility Name
1237.5.49010 Boehringer Ingelheim Investigational Site
City
Hamburg
Country
Germany
Facility Name
1237.5.49009 Boehringer Ingelheim Investigational Site
City
Koblenz
Country
Germany
Facility Name
1237.5.49014 Boehringer Ingelheim Investigational Site
City
Neu-Isenburg
Country
Germany
Facility Name
1237.5.49012 Boehringer Ingelheim Investigational Site
City
Oschersleben
Country
Germany
Facility Name
1237.5.49001 Boehringer Ingelheim Investigational Site
City
Rüdersdorf
Country
Germany
Facility Name
1237.5.49004 Boehringer Ingelheim Investigational Site
City
Weinheim
Country
Germany
Facility Name
1237.5.49008 Boehringer Ingelheim Investigational Site
City
Wiesloch
Country
Germany
Facility Name
1237.5.50201 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.50202 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.50203 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.50204 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.50205 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.50206 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.50207 Boehringer Ingelheim Investigational Site
City
Guatemala
Country
Guatemala
Facility Name
1237.5.36005 Boehringer Ingelheim Investigational Site
City
Debrecen
Country
Hungary
Facility Name
1237.5.36001 Boehringer Ingelheim Investigational Site
City
Deszk
Country
Hungary
Facility Name
1237.5.36006 Boehringer Ingelheim Investigational Site
City
Kapuvar
Country
Hungary
Facility Name
1237.5.36003 Boehringer Ingelheim Investigational Site
City
Szombathely
Country
Hungary
Facility Name
1237.5.36002 Boehringer Ingelheim Investigational Site
City
Törökbalint
Country
Hungary
Facility Name
1237.5.91010 Boehringer Ingelheim Investigational Site
City
Ahmedabad
Country
India
Facility Name
1237.5.91002 Boehringer Ingelheim Investigational Site
City
Bangalore
Country
India
Facility Name
1237.5.91007 Boehringer Ingelheim Investigational Site
City
Bangalore
Country
India
Facility Name
1237.5.91004 Boehringer Ingelheim Investigational Site
City
Coimbatore
Country
India
Facility Name
1237.5.91011 Boehringer Ingelheim Investigational Site
City
Hyderabad
Country
India
Facility Name
1237.5.91001 Boehringer Ingelheim Investigational Site
City
Jaipur
Country
India
Facility Name
1237.5.91008 Boehringer Ingelheim Investigational Site
City
Jaipur
Country
India
Facility Name
1237.5.91009 Boehringer Ingelheim Investigational Site
City
Mysore
Country
India
Facility Name
1237.5.91006 Boehringer Ingelheim Investigational Site
City
Pune
Country
India
Facility Name
1237.5.39008 Boehringer Ingelheim Investigational Site
City
Cagliari
Country
Italy
Facility Name
1237.5.39002 Boehringer Ingelheim Investigational Site
City
Genova
Country
Italy
Facility Name
1237.5.39006 Boehringer Ingelheim Investigational Site
City
Montescano (PV)
Country
Italy
Facility Name
1237.5.39009 Boehringer Ingelheim Investigational Site
City
Monza
Country
Italy
Facility Name
1237.5.39004 Boehringer Ingelheim Investigational Site
City
Parma
Country
Italy
Facility Name
1237.5.39001 Boehringer Ingelheim Investigational Site
City
Pisa
Country
Italy
Facility Name
1237.5.81003 Boehringer Ingelheim Investigational Site
City
Aoba-ku, Sendai, Miyagi
Country
Japan
Facility Name
1237.5.81001 Boehringer Ingelheim Investigational Site
City
Asahikawa, Hokkaido
Country
Japan
Facility Name
1237.5.81006 Boehringer Ingelheim Investigational Site
City
Bunkyo-ku, Tokyo
Country
Japan
Facility Name
1237.5.81044 Boehringer Ingelheim Investigational Site
City
Chuo-ku, Kumamoto, Kumamoto
Country
Japan
Facility Name
1237.5.81035 Boehringer Ingelheim Investigational Site
City
Gifu, Gifu
Country
Japan
Facility Name
1237.5.81017 Boehringer Ingelheim Investigational Site
City
Hakata-ku, Fukuoka, Fukuoka
Country
Japan
Facility Name
1237.5.81031 Boehringer Ingelheim Investigational Site
City
Hamamatsushi, Shizuoka
Country
Japan
Facility Name
1237.5.81014 Boehringer Ingelheim Investigational Site
City
Himeji, Hyogo
Country
Japan
Facility Name
1237.5.81037 Boehringer Ingelheim Investigational Site
City
Ikoma, Nara
Country
Japan
Facility Name
1237.5.81024 Boehringer Ingelheim Investigational Site
City
Inashiki-gun, Ibaraki
Country
Japan
Facility Name
1237.5.81008 Boehringer Ingelheim Investigational Site
City
Itabashi-ku, Tokyo
Country
Japan
Facility Name
1237.5.81016 Boehringer Ingelheim Investigational Site
City
Jonan-ku, Fukuoka, Fukuoka
Country
Japan
Facility Name
1237.5.81020 Boehringer Ingelheim Investigational Site
City
Kagoshima, Kagoshima,
Country
Japan
Facility Name
1237.5.81021 Boehringer Ingelheim Investigational Site
City
Kagoshima, Kagoshima
Country
Japan
Facility Name
1237.5.81005 Boehringer Ingelheim Investigational Site
City
Kamogawa, Chiba
Country
Japan
Facility Name
1237.5.81011 Boehringer Ingelheim Investigational Site
City
Kishiwada, Osaka
Country
Japan
Facility Name
1237.5.81018 Boehringer Ingelheim Investigational Site
City
Kitakyusyu,Fukuoka
Country
Japan
Facility Name
1237.5.81042 Boehringer Ingelheim Investigational Site
City
Koga, Fukuoka
Country
Japan
Facility Name
1237.5.81032 Boehringer Ingelheim Investigational Site
City
Komaki, Aichi
Country
Japan
Facility Name
1237.5.81033 Boehringer Ingelheim Investigational Site
City
Komaki, Aichi
Country
Japan
Facility Name
1237.5.81019 Boehringer Ingelheim Investigational Site
City
Koshi, Kumamoto
Country
Japan
Facility Name
1237.5.81027 Boehringer Ingelheim Investigational Site
City
koto-ku, Tokyo
Country
Japan
Facility Name
1237.5.81025 Boehringer Ingelheim Investigational Site
City
Kuki, Saitama
Country
Japan
Facility Name
1237.5.81038 Boehringer Ingelheim Investigational Site
City
Kure, Hiroshima
Country
Japan
Facility Name
1237.5.81015 Boehringer Ingelheim Investigational Site
City
Kurume, Fukuoka
Country
Japan
Facility Name
1237.5.81029 Boehringer Ingelheim Investigational Site
City
Matsumoto, Nagano
Country
Japan
Facility Name
1237.5.81030 Boehringer Ingelheim Investigational Site
City
Matsumoto, Nagano
Country
Japan
Facility Name
1237.5.81010 Boehringer Ingelheim Investigational Site
City
Matsusaka, Mie
Country
Japan
Facility Name
1237.5.81041 Boehringer Ingelheim Investigational Site
City
Minami-ku. Fukuoka, Fukuoka
Country
Japan
Facility Name
1237.5.81002 Boehringer Ingelheim Investigational Site
City
Morioka, Iwate
Country
Japan
Facility Name
1237.5.81034 Boehringer Ingelheim Investigational Site
City
Nagoya, Aichi
Country
Japan
Facility Name
1237.5.81036 Boehringer Ingelheim Investigational Site
City
Nagoya, Aichi
Country
Japan
Facility Name
1237.5.81004 Boehringer Ingelheim Investigational Site
City
Naka-gun, Ibaraki
Country
Japan
Facility Name
1237.5.81022 Boehringer Ingelheim Investigational Site
City
Okinawa, Urasoe
Country
Japan
Facility Name
1237.5.81023 Boehringer Ingelheim Investigational Site
City
Okinawa, Urasoe
Country
Japan
Facility Name
1237.5.81012 Boehringer Ingelheim Investigational Site
City
Sayama, Osaka
Country
Japan
Facility Name
1237.5.81045 Boehringer Ingelheim Investigational Site
City
Sendai, Miyagi
Country
Japan
Facility Name
1237.5.81009 Boehringer Ingelheim Investigational Site
City
Seto, Aichi
Country
Japan
Facility Name
1237.5.81026 Boehringer Ingelheim Investigational Site
City
Shinagawa, Tokyo
Country
Japan
Facility Name
1237.5.81007 Boehringer Ingelheim Investigational Site
City
Shinjyuku-ku, Tokyo
Country
Japan
Facility Name
1237.5.81039 Boehringer Ingelheim Investigational Site
City
Takamatsu, Kagawa
Country
Japan
Facility Name
1237.5.81040 Boehringer Ingelheim Investigational Site
City
Takamatsu, Kagawa
Country
Japan
Facility Name
1237.5.81013 Boehringer Ingelheim Investigational Site
City
Wakayama, Wakayama
Country
Japan
Facility Name
1237.5.81043 Boehringer Ingelheim Investigational Site
City
Yanagawa-shi, Fukuoka,
Country
Japan
Facility Name
1237.5.81028 Boehringer Ingelheim Investigational Site
City
Yokohama, Kanagawa
Country
Japan
Facility Name
1237.5.82004 Boehringer Ingelheim Investigational Site
City
Bucheon
Country
Korea, Republic of
Facility Name
1237.5.82008 Boehringer Ingelheim Investigational Site
City
Daegu
Country
Korea, Republic of
Facility Name
1237.5.82001 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1237.5.82002 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1237.5.82003 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1237.5.82007 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1237.5.82005 Boehringer Ingelheim Investigational Site
City
Suwon
Country
Korea, Republic of
Facility Name
1237.5.82006 Boehringer Ingelheim Investigational Site
City
Wonju
Country
Korea, Republic of
Facility Name
1237.5.52002 Boehringer Ingelheim Investigational Site
City
Hermosillo
Country
Mexico
Facility Name
1237.5.52003 Boehringer Ingelheim Investigational Site
City
Mexico
Country
Mexico
Facility Name
1237.5.52007 Boehringer Ingelheim Investigational Site
City
Monterrey
Country
Mexico
Facility Name
1237.5.52001 Boehringer Ingelheim Investigational Site
City
Tijuana
Country
Mexico
Facility Name
1237.5.31004 Boehringer Ingelheim Investigational Site
City
Almelo
Country
Netherlands
Facility Name
1237.5.31006 Boehringer Ingelheim Investigational Site
City
Breda
Country
Netherlands
Facility Name
1237.5.31001 Boehringer Ingelheim Investigational Site
City
Eindhoven
Country
Netherlands
Facility Name
1237.5.31008 Boehringer Ingelheim Investigational Site
City
Harderwijk
Country
Netherlands
Facility Name
1237.5.31007 Boehringer Ingelheim Investigational Site
City
Heerlen
Country
Netherlands
Facility Name
1237.5.31010 Boehringer Ingelheim Investigational Site
City
Hengelo
Country
Netherlands
Facility Name
1237.5.31009 Boehringer Ingelheim Investigational Site
City
Hoorn
Country
Netherlands
Facility Name
1237.5.31005 Boehringer Ingelheim Investigational Site
City
Nieuwegein
Country
Netherlands
Facility Name
1237.5.31002 Boehringer Ingelheim Investigational Site
City
Veldhoven
Country
Netherlands
Facility Name
1237.5.31003 Boehringer Ingelheim Investigational Site
City
Zutphen
Country
Netherlands
Facility Name
1237.5.64002 Boehringer Ingelheim Investigational Site
City
Dunedin
Country
New Zealand
Facility Name
1237.5.64001 Boehringer Ingelheim Investigational Site
City
Greenlane East Auckland NZ
Country
New Zealand
Facility Name
1237.5.35105 Boehringer Ingelheim Investigational Site
City
Amadora
Country
Portugal
Facility Name
1237.5.35101 Boehringer Ingelheim Investigational Site
City
Coimbra
Country
Portugal
Facility Name
1237.5.35102 Boehringer Ingelheim Investigational Site
City
Lisboa
Country
Portugal
Facility Name
1237.5.35104 Boehringer Ingelheim Investigational Site
City
Lisboa
Country
Portugal
Facility Name
1237.5.35103 Boehringer Ingelheim Investigational Site
City
Porto
Country
Portugal
Facility Name
1237.5.35106 Boehringer Ingelheim Investigational Site
City
Vila Nova de Gaia
Country
Portugal
Facility Name
1237.5.35107 Boehringer Ingelheim Investigational Site
City
Viseu
Country
Portugal
Facility Name
1237.5.07001 Boehringer Ingelheim Investigational Site
City
Gatchina (Leningradskaya oblast)
Country
Russian Federation
Facility Name
1237.5.07003 Boehringer Ingelheim Investigational Site
City
Kazan
Country
Russian Federation
Facility Name
1237.5.07004 Boehringer Ingelheim Investigational Site
City
Moscow
Country
Russian Federation
Facility Name
1237.5.07005 Boehringer Ingelheim Investigational Site
City
Moscow
Country
Russian Federation
Facility Name
1237.5.07002 Boehringer Ingelheim Investigational Site
City
St. Petersburg
Country
Russian Federation
Facility Name
1237.5.38601 Boehringer Ingelheim Investigational Site
City
Golnik
Country
Slovenia
Facility Name
1237.5.38602 Boehringer Ingelheim Investigational Site
City
Golnik
Country
Slovenia
Facility Name
1237.5.90003 Boehringer Ingelheim Investigational Site
City
Istanbul
Country
Turkey
Facility Name
1237.5.90004 Boehringer Ingelheim Investigational Site
City
Istanbul
Country
Turkey
Facility Name
1237.5.90002 Boehringer Ingelheim Investigational Site
City
Izmir
Country
Turkey
Facility Name
1237.5.90005 Boehringer Ingelheim Investigational Site
City
Izmit
Country
Turkey
Facility Name
1237.5.90001 Boehringer Ingelheim Investigational Site
City
Mersin
Country
Turkey

12. IPD Sharing Statement

Citations:
PubMed Identifier
33175291
Citation
Rabe KF, Chalmers JD, Miravitlles M, Kocks JWH, Tsiligianni I, de la Hoz A, Xue W, Singh D, Ferguson GT, Wedzicha J. Tiotropium/Olodaterol Delays Clinically Important Deterioration Compared with Tiotropium Monotherapy in Patients with Early COPD: a Post Hoc Analysis of the TONADO(R) Trials. Adv Ther. 2021 Jan;38(1):579-593. doi: 10.1007/s12325-020-01528-2. Epub 2020 Nov 11.
Results Reference
derived
PubMed Identifier
32943047
Citation
Singh D, Wedzicha JA, Siddiqui S, de la Hoz A, Xue W, Magnussen H, Miravitlles M, Chalmers JD, Calverley PMA. Blood eosinophils as a biomarker of future COPD exacerbation risk: pooled data from 11 clinical trials. Respir Res. 2020 Sep 17;21(1):240. doi: 10.1186/s12931-020-01482-1.
Results Reference
derived
PubMed Identifier
32848380
Citation
Andreas S, Bothner U, de la Hoz A, Kloer I, Trampisch M, Alter P. No Influence on Cardiac Arrhythmia or Heart Rate from Long-Term Treatment with Tiotropium/Olodaterol versus Monocomponents by Holter ECG Analysis in Patients with Moderate-to-Very-Severe COPD. Int J Chron Obstruct Pulmon Dis. 2020 Aug 10;15:1945-1953. doi: 10.2147/COPD.S246350. eCollection 2020.
Results Reference
derived
PubMed Identifier
32848379
Citation
Andreas S, McGarvey L, Bothner U, Trampisch M, de la Hoz A, Flezar M, Buhl R, Alter P. Absence of Adverse Effects of Tiotropium/Olodaterol Compared with the Monocomponents on Long-Term Heart Rate and Blood Pressure in Patients with Moderate-to-Very-Severe COPD. Int J Chron Obstruct Pulmon Dis. 2020 Aug 10;15:1935-1944. doi: 10.2147/COPD.S246348. eCollection 2020.
Results Reference
derived
PubMed Identifier
32776202
Citation
Wedzicha JA, Buhl R, Singh D, Vogelmeier CF, de la Hoz A, Xue W, Anzueto A, Calverley PMA. Tiotropium/Olodaterol Decreases Exacerbation Rates Compared with Tiotropium in a Range of Patients with COPD: Pooled Analysis of the TONADO(R)/DYNAGITO(R) Trials. Adv Ther. 2020 Oct;37(10):4266-4279. doi: 10.1007/s12325-020-01438-3. Epub 2020 Aug 10.
Results Reference
derived
PubMed Identifier
32671684
Citation
Buhl R, de la Hoz A, Xue W, Singh D, Ferguson GT. Efficacy of Tiotropium/Olodaterol Compared with Tiotropium as a First-Line Maintenance Treatment in Patients with COPD Who Are Naive to LAMA, LABA and ICS: Pooled Analysis of Four Clinical Trials. Adv Ther. 2020 Oct;37(10):4175-4189. doi: 10.1007/s12325-020-01411-0. Epub 2020 Jul 15.
Results Reference
derived
PubMed Identifier
32462607
Citation
Buhl R, Singh D, de la Hoz A, Xue W, Ferguson GT. Benefits of Tiotropium/Olodaterol Compared with Tiotropium in Patients with COPD Receiving only LAMA at Baseline: Pooled Analysis of the TONADO(R) and OTEMTO(R) Studies. Adv Ther. 2020 Aug;37(8):3485-3499. doi: 10.1007/s12325-020-01373-3. Epub 2020 May 27.
Results Reference
derived
PubMed Identifier
30261995
Citation
Ferguson GT, Buhl R, Bothner U, Hoz A, Voss F, Anzueto A, Calverley PMA. Safety of tiotropium/olodaterol in chronic obstructive pulmonary disease: pooled analysis of three large, 52-week, randomized clinical trials. Respir Med. 2018 Oct;143:67-73. doi: 10.1016/j.rmed.2018.08.012. Epub 2018 Aug 28.
Results Reference
derived
PubMed Identifier
29355547
Citation
Maltais F, Buhl R, Koch A, Amatto VC, Reid J, Gronke L, Bothner U, Voss F, McGarvey L, Ferguson GT. beta-Blockers in COPD: A Cohort Study From the TONADO Research Program. Chest. 2018 Jun;153(6):1315-1325. doi: 10.1016/j.chest.2018.01.008. Epub 2018 Jan 31.
Results Reference
derived
PubMed Identifier
27993292
Citation
Buhl R, Magder S, Bothner U, Tetzlaff K, Voss F, Loaiza L, Vogelmeier CF, McGarvey L. Long-term general and cardiovascular safety of tiotropium/olodaterol in patients with moderate to very severe chronic obstructive pulmonary disease. Respir Med. 2017 Jan;122:58-66. doi: 10.1016/j.rmed.2016.11.011. Epub 2016 Nov 14.
Results Reference
derived
PubMed Identifier
26112656
Citation
Ferguson GT, Flezar M, Korn S, Korducki L, Gronke L, Abrahams R, Buhl R. Efficacy of Tiotropium + Olodaterol in Patients with Chronic Obstructive Pulmonary Disease by Initial Disease Severity and Treatment Intensity: A Post Hoc Analysis. Adv Ther. 2015 Jun;32(6):523-36. doi: 10.1007/s12325-015-0218-0. Epub 2015 Jun 26.
Results Reference
derived
PubMed Identifier
25573406
Citation
Buhl R, Maltais F, Abrahams R, Bjermer L, Derom E, Ferguson G, Flezar M, Hebert J, McGarvey L, Pizzichini E, Reid J, Veale A, Gronke L, Hamilton A, Korducki L, Tetzlaff K, Waitere-Wijker S, Watz H, Bateman E. Tiotropium and olodaterol fixed-dose combination versus mono-components in COPD (GOLD 2-4). Eur Respir J. 2015 Apr;45(4):969-79. doi: 10.1183/09031936.00136014. Epub 2015 Jan 8. Erratum In: Eur Respir J. 2015 Jun;45(6):1763.
Results Reference
derived
Links:
URL
http://trials.boehringer-ingelheim.com/
Description
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Tiotropium+Olodaterol Fixed Dose Combination (FDC) Versus Tiotropium and Olodaterol in Chronic Obstructive Pulmonary Disease (COPD)

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