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Pulmonary Disease, Chronic ObstructivePhase 3NCT00168831

Tiotropium / Respimat One-Year Study

A Phase 3 study testing Tiotropium Inhalation Solution in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 76 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

To evaluate the long term effects of treatment with two doses of Tiotropium delivered by the Respimat inhaler in patients with COPD. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
Tiotropium Inhalation Solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,007 participants
Where
76 sitesin 15 countries
Study dates
Feb 2003to Jun 2005
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Criteria

  • Patients with stable moderate to severe COPD and a smoking history of at least 10 pack years were eligible for inclusion in the study. Patients with significant diseases other than COPD were excluded as were patients with a recent history of myocardial infarction, history of malignancy, unstable or life-threatening cardiac arrhythmia, narrow-angle glaucoma, asthma or other allergic conditions. Patients treated with cromolyn, nedocromil, oral beta-adrenergics or unstable doses of oral corticosteroids were ineligible for inclusion in the study as were patients who had received previous treatment with tiotropium.

Trial locations and contacts

76 sites in 15 countries.

76 sites in 15 countries

United States12 sites
  • Boehringer Ingelheim Investigational Site

    Bay Shore, New York

  • Boehringer Ingelheim Investigational Site

    Birmingham, Alabama

  • Boehringer Ingelheim Investigational Site

    Charleston, South Carolina

  • Boehringer Ingelheim Investigational Site

    Chesterfield, Missouri

  • Boehringer Ingelheim Investigational Site

    Gainesville, Florida

  • Boehringer Ingelheim Investigational Site

    Hallandale, Florida

  • Boehringer Ingelheim Investigational Site

    Hines, Illinois

  • Boehringer Ingelheim Investigational Site

    Houston, Texas

  • Boehringer Ingelheim Investigational Site

    La Jolla, California

  • Boehringer Ingelheim Investigational Site

    Long Beach, California

  • Boehringer Ingelheim Investigational Site

    Richmond, Virginia

  • Boehringer Ingelheim Investigational Site

    San Luis Obispo, California

Other trials in United States

Italy10 sites
  • Boehringer Ingelheim Investigational Site

    Bologna

  • Boehringer Ingelheim Investigational Site

    Bussolengo (vr)

  • Boehringer Ingelheim Investigational Site

    Cava Dei Tirreni (SA)

  • Boehringer Ingelheim Investigational Site

    Crema (CR)

  • Boehringer Ingelheim Investigational Site

    Genova

  • Boehringer Ingelheim Investigational Site

    Milan

  • Boehringer Ingelheim Investigational Site

    Pistoia

  • Boehringer Ingelheim Investigational Site

    Roma

  • Boehringer Ingelheim Investigational Site

    Salerno

  • Boehringer Ingelheim Investigational Site

    Sesto San Giovanni (Milano)

Other trials in Italy

Austria6 sites
  • Boehringer Ingelheim Investigational Site

    Innsbruck

  • Boehringer Ingelheim Investigational Site

    Mittersill

  • Boehringer Ingelheim Investigational Site

    Schwechat

  • Baumgartner Hohe Otto Wagner Spital Wien

    Vienna

  • Boehringer Ingelheim Investigational Site

    Vienna

  • Boehringer Ingelheim Investigational Site

    Wels

Other trials in Austria

France6 sites
  • Boehringer Ingelheim Investigational Site

    Amboise

  • Boehringer Ingelheim Investigational Site

    Chauny

  • Boehringer Ingelheim Investigational Site

    Marseille

  • Boehringer Ingelheim Investigational Site

    Metz

  • Boehringer Ingelheim Investigational Site

    Montpellier

  • Boehringer Ingelheim Investigational Site

    Nantes

Other trials in France

Netherlands6 sites
  • Boehringer Ingelheim Investigational Site

    Arnhem

  • Boehringer Ingelheim Investigational Site

    Eindhoven

  • Boehringer Ingelheim Investigational Site

    Heerenveen

  • Boehringer Ingelheim Investigational Site

    Hoorn

  • Boehringer Ingelheim Investigational Site

    Leeuwarden

  • Boehringer Ingelheim Investigational Site

    Rotterdam

Other trials in Netherlands

United Kingdom6 sites
  • Boehringer Ingelheim Investigational Site

    Babbacombe

  • Boehringer Ingelheim Investigational Site

    Cottingham

  • Boehringer Ingelheim Investigational Site

    Isleworth

  • Boehringer Ingelheim Investigational Site

    Manchester

  • Boehringer Ingelheim Investigational Site

    Plymouth

  • Boehringer Ingelheim Investigational Site

    Sunderland

Other trials in United Kingdom

Canada5 sites
  • Boehringer Ingelheim Investigational Site

    Hamilton, Ontario

  • Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • Boehringer Ingelheim Investigational Site

    Sherbrooke, Quebec

  • Boehringer Ingelheim Investigational Site

    Toronto, Ontario

  • Boehringer Ingelheim Investigational Site

    Winnipeg, Manitoba

Other trials in Canada

Finland5 sites
  • Boehringer Ingelheim Investigational Site

    Espoo

  • Boehringer Ingelheim Investigational Site

    Helsinki

  • Boehringer Ingelheim Investigational Site

    Lahti

  • Boehringer Ingelheim Investigational Site

    Lappeenranta

  • Boehringer Ingelheim Investigational Site

    Lohja

Other trials in Finland

South Africa5 sites
  • Boehringer Ingelheim Investigational Site

    Bellville

  • Boehringer Ingelheim Investigational Site

    Cape Town

  • Boehringer Ingelheim Investigational Site

    George

  • Boehringer Ingelheim Investigational Site

    Johannesburg

  • Boehringer Ingelheim Investigational Site

    Vanderbijlpark

Other trials in South Africa

Greece4 sites
  • Boehringer Ingelheim Investigational Site

    Alexandroupoli

  • Boehringer Ingelheim Investigational Site

    Athens

  • Boehringer Ingelheim Investigational Site

    Mournies-Chania

  • Boehringer Ingelheim Investigational Site

    Trikala

Other trials in Greece

Spain4 sites
  • Boehringer Ingelheim Investigational Site

    Barcelona

  • Boehringer Ingelheim Investigational Site

    Centelles

  • Boehringer Ingelheim Investigational Site

    Murcia

  • Boehringer Ingelheim Investigational Site

    Sant Boi de Llobregat (Barcelona)

Other trials in Spain

Australia3 sites
  • Boehringer Ingelheim Investigational Site

    Adelaide, South Australia

  • Boehringer Ingelheim Investigational Site

    Garran, Australian Capital Territory

  • Boehringer Ingelheim Investigational Site

    Nedlands, Western Australia

Other trials in Australia

New Zealand2 sites
  • Boehringer Ingelheim Investigational Site

    Auckland

  • Boehringer Ingelheim Investigational Site

    Hamilton

Other trials in New Zealand

Ireland1 site
  • Boehringer Ingelheim Investigational Site

    Dublin

Other trials in Ireland

Russia1 site
  • Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

About this study

Official title: A Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Efficacy and Safety Comparison of One-Year Treatment of Two Doses (5mg and 10mg) of Tiotropium Inhalation Solution Delivered by the Respimat Device in Patients With Chronic Obstructive Pulmonary Disease (COPD)

To evaluate the long term effects of treatment with two doses of Tiotropium delivered by the Respimat inhaler in patients with COPD.

Being tested
Tiotropium Inhalation Solution, Placebo
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tiotropium Inhalation SolutionDrug

  • PlaceboOther

Study groups in NCT00168831
Study groupRoleWhat they receive
Tiotropium Respimat 5mcg (Tio R5)OtherNot described
Receives: Drug: Tiotropium Inhalation Solution
Tiotropium Respimat 10mcg (Tio R10)OtherNot described
Receives: Drug: Tiotropium Inhalation Solution
PlaceboOtherNot described
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Trough FEV1 After 48 Weeks

    Change From Baseline in Trough Forced Expiratory Volume in 1 second (FEV1) after 48 weeks

    Measured: 10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication

  2. Saint George's Respiratory Questionnaire (SGRQ) Total Score, Full Analysis Set - Saint George's Respiratory Questionnaire (FAS-QOL)

    Rating scale of 3 domains - symptoms, activities and impact (weighted). Worst score = 100, best score = 0

    Measured: Week 48

  3. TDI Focal Score, Full Analysis Set - Transitional Dyspnoea Index (FAS-TDI) (Combined Studies)

    Rating scale of 3 components - change in functional impairment, change in magnitude of tasks, change in magnitude of efforts. Worst score = -9, best score = +9

    For this endpoint data of twin studies NCT00168844 and NCT00168831 was combined.

    Measured: Week 48

  4. COPD Exacerbation Rate, Safety Set (SS) (Combined Studies)

    Number of Chronic Obstructive Pulmonary Disease (COPD) exacerbations per patient year

    For this endpoint data of the twin studies NCT00168844 and NCT00168831 was combined.

    Measured: 48 weeks

Secondary outcomes (54)
  1. Change From Baseline in Heart Rate

    Week 40 pre-dose - baseline

    Measured: Baseline to Week 40 pre-dose

  2. Change From Baseline in PR Interval

    Measured: Baseline to Week 40 pre-dose

  3. Change From Baseline in QRS Interval

    Week 40 pre-dose - baseline

    Measured: Baseline to Week 40 pre-dose

  4. Change From Baseline in QT Interval

    Week 40 pre-dose - baseline

    Measured: Baseline to Week 40 pre-dose

  5. Change From Baseline in QT Interval (Bazett)

    Week 40 pre-dose - baseline

    Measured: Baseline to Week 40 pre-dose

  6. Change From Baseline in QT Interval (Fridericia)

    Week 40 pre-dose - baseline

    Measured: Baseline to Week 40 pre-dose

  7. Change From Baseline in Heart Rate

    Week 40 - baseline

    Measured: Baseline to Week 40

  8. Change From Baseline in Supraventricular Premature Beat (SVPB) Total

    Week 40 - baseline

    Measured: Baseline to Week 40

  9. Change From Baseline in SVPB Run Events

    Week 40 - baseline

    Measured: Baseline to Week 40

  10. Change From Baseline in SVPB Pairs

    Week 40 - baseline

    Measured: Baseline to Week 40

  11. Change From Baseline in Ventricular Premature Beat (VPB) Total

    Week 40 - baseline

    Measured: Baseline to Week 40

  12. Change From Baseline in Ventricular Premature Beat (VPB) Run Events

    Week 40 - baseline

    Measured: Baseline to Week 40

  13. Change From Baseline in VPB Pairs

    Week 40 - baseline

    Measured: Baseline to Week 40

  14. Change From Baseline in Haematocrit, Packed Cell Volume (PCV)

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  15. Change From Baseline in Haemoglobin

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  16. Change From Baseline in Red Blood Cell Count

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  17. Change From Baseline in White Blood Cell Count

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  18. Change From Baseline in Platelets

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  19. Change From Baseline in Neutrophils

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  20. Change From Baseline in Eosinophils

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  21. Change From Baseline in Basophils

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  22. Change From Baseline in Lymphocytes

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  23. Change From Baseline in Monocytes

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  24. Change From Baseline in Neutrophils (Absolute)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  25. Change From Baseline in Eosinophils (Absolute)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  26. Change From Baseline in Basophils (Absolute)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  27. Change From Baseline in Lymphocytes (Absolute)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  28. Change From Baseline in Monocytes (Absolute)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  29. Change From Baseline in Calcium

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  30. Change From Baseline in Phosphate

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  31. Change From Baseline in Aspartate Transaminase/Glutamic-oxaloacetic Transaminase (AST/GOT), Serum Glutamic-oxaloacetic Transaminase (SGOT)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  32. Change From Baseline in Alanine Transaminase/Glutamic Pyruvate Transaminase (ALT/GPT), Serum Glutamate Pyruvate Transaminase (SGPT)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  33. Change From Baseline in Alkaline Phosphatase

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  34. Change From Baseline in Lactic Dehyrogenase (LDH)

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  35. Change From Baseline in Glucose

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  36. Change From Baseline in Urea

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  37. Change From Baseline in Blood Urea Nitrogen

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  38. Change From Baseline in Creatinine

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  39. Change From Baseline in Bilirubin, Total

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  40. Change From Baseline in Uric Acid

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  41. Change From Baseline in Protein, Total

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  42. Change From Baseline in Albumin

    Week 48 - baseline

    Measured: Baseline to Week 48 or at premature discontinuation if before Week 48

  43. Change From Baseline in Trough FEV1 After 2, 8, 16, 24, 32 and 40 Weeks

    Change From Baseline in Trough Forced Expiratory Volume in 1 second (FEV1) after 2, 8, 16, 24, 32 and 40 weeks. The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: 10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication

  44. Change From Baseline in Trough FVC After 2, 8, 16, 24, 32, 40 and 48 Weeks

    Change From Baseline in Trough Forced vital capacity (FVC) after 2, 8, 16, 24, 32, 40 and 48 weeks. The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: 10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication

  45. Change From Baseline in FEV1 AUC0-3 After 2, 8, 16, 24, 32, 40 and 48 Weeks

    FEV1 AUC0-3 represents the Area under Curve over the time interval from 0 to 3 hours after 2, 8, 16, 24, 32, 40 and 48 weeks. The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: 10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication

  46. Change From Baseline in FVC AUC0-3 After 2, 8, 16, 24, 32, 40 and 48 Weeks

    FVC AUC0-3 represents the Area under Curve over the time interval from 0 to 3 hours after 2, 8, 16, 24, 32, 40 and 48 weeks. The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: 10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication

  47. Weekly Mean Morning Pre-dose PEFRs

    Weekly mean morning pre-dose peak expiratory flow rates (PEFRs). The means are adjusted for centre, smoking status at entry, and baseline value.

    Measured: Weeks 2, 8, 16, 24, 32, 40, 48

  48. Weekly Mean Morning Evening PEFRs

    Weekly mean evening peak expiratory flow rates (PEFRs). The means are adjusted for centre, smoking status at entry, and baseline value.

    Measured: Weeks 2, 8, 16, 24, 32, 40, 48

  49. Weekly Mean Number of Puffs of Rescue Medication Per Day

    Weekly mean number of puffs of rescue medication used per day as required (PRN salbutamol). The means are adjusted for centre, smoking status at entry, and baseline value.

    Measured: Weeks 2, 8, 16, 24, 32, 40, 48

  50. Mahler TDI Scores

    Mahler Transitional Dyspnoea Index (TDI) scores measured as change in functional impairment, change in magnitude of tasks and change in magnitude of efforts over the treatment period. The means are adjusted for centre, smoking status at entry and baseline value.

    Worst score = -3, best score = +3

    Measured: Week 48

  51. Saint George's Respiratory Questionnaire (SGRQ) Scores

    Saint George's Respiratory Questionnaire (SGRQ) Scores impacts, activities and symptoms. Worst score = 100, best score = 0.

    The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: Week 48

  52. COPD Symptoms Scores

    COPD symptoms Scores - wheezing, shortness of breath, coughing and tightness of chest over the treatment period.

    Scale: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: Week 48

  53. PGE Scores

    Physician's Global evaluation (PGE) scores over the treatment period. Scale: 1-2 = Poor, 3-4 = Fair, 5-6 = Good, 7-8 = Excellent The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: Week 48

  54. PGR Scores

    Patient's Global rating (PGR) scores over the treatment period. Scale: 1=much better to 7=much worse The means are adjusted for centre, smoking status at entry and baseline value.

    Measured: Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Sep 2005 (estimated)
  2. Study startFeb 2003
  3. Primary completionJun 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
1,007 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00168831
Sponsor's protocol ID
205.255
Status last verified
Sep 2013
First submitted
12 Sep 2005
Last updated
20 May 2014

Publications

  • 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.

    PubMed 32943047
  • Hohlfeld JM, Furtwaengler A, Konen-Bergmann M, Wallenstein G, Walter B, Bateman ED. Cardiac safety of tiotropium in patients with COPD: a combined analysis of Holter-ECG data from four randomised clinical trials. Int J Clin Pract. 2015 Jan;69(1):72-80. doi: 10.1111/ijcp.12596. Epub 2014 Dec 11.

    PubMed 25496316
  • Hodder R, Pavia D, Lee A, Bateman E. Lack of paradoxical bronchoconstriction after administration of tiotropium via Respimat(R) Soft Mist Inhaler in COPD. Int J Chron Obstruct Pulmon Dis. 2011;6:245-51. doi: 10.2147/COPD.S16094. Epub 2011 Apr 26.

    PubMed 21814460

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tiotropium Inhalation Solution in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 76 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in United States, Italy, Austria, France, Netherlands and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Oct 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Trough FEV1 After 48 Weeks (time frame: 10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00168831, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2014.

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