Pulmonary Disease, Chronic ObstructivePhase 3NCT00277264
Spiriva® Assessment of FEV1 (SAFE)
A Phase 3 study testing Tiotropium (Spiriva®) in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 96 sites in Canada.
Trial summary
The objective of this trial is to evaluate whether the effect of one year (48 weeks) treatment with inhaled tiotropium bromide (Spiriva® - 18 µg once daily) on the change in trough FEV1, compared to placebo in patients with COPD, is affected by smoking status. 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 (Spiriva®)
- How many people
- 914 participants
- Where
- 96 sitesCanada
- Study dates
- Jan 2002to May 2004
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
Who may be able to join
- Diagnosis of COPD
- Stable airway obstruction
- FEV1 < or equal to 65% of predicted
- Male or female
- Age > or equal to 40 years
- > or equal to 10 pack year smoking history
- History of exacerbations in the past year
- Able to be trained in the proper use of the HandiHaler®
Who cannot join
- History of asthma
- Allergic rhinitis or atopy
- Unstable use (6 weeks) of OCS (or > 10 mg daily use)
- History of life threatening bronchial obstruction, cystic fibrosis or bronchiectasis
- Patients who had started or stopped an exercise rehabilitation program in the past twelve months
- Thoracotomy with pulmonary resection or lobectomy (LVRS)
Show all 18Show fewer
- Active tuberculosis
- Use of beta-blockers
- Pregnant, nursing women and women of childbearing potential not using a medically approved means of contraception
- 6 months or less history of myocardial infarction
- Intolerance to anticholinergic containing products, and/or to lactose or any other components of the inhalation capsule delivery system
- History of unstable arrhythmia with a life threatening event or change of related therapy during the past year
- History of cancer, other than treated basal cell carcinoma, within the last 12 months
- Clinically relevant abnormal baseline haematology, blood chemistry or urinalysis
- Patients with narrow angle glaucoma
- Patients with symptomatic benign prostatic hypertrophy
- Patients with bladder neck obstruction
- Patients that planned to be out of the country for 8 weeks or more
Trial locations and contacts
96 sites in 1 country.
96 sites in 1 country
Canada96 sites
Boehringer Ingelheim Investigational Site
Abbotsford British Columbia, British Columbia, V2S 6R6
Boehringer Ingelheim Investigational Site
Ajax, Ontario, L1S 2J5
91 Thomas-Chapais
Boucherville, Quebec, J4B 6P3
Respiratory Research, Room 1742
Calgary, Alberta, T1Y 6J4
Boehringer Ingelheim Investigational Site
Calgary, Alberta, T2N 4N1
4A-185, 7007-14 Street SW
Calgary, Alberta, T2V 1P9
305 rue Saint-Vallier
Chicoutimi, Quebec, G7H 5H6
Boehringer Ingelheim Investigational Site
Chilliwack, British Columbia, V2P 4M9
Boehringer Ingelheim Investigational Site
Corunna, Ontario, N0N 1G0
Boehringer Ingelheim Investigational Site
Courtice, Ontario, L1E 3C3
Boehringer Ingelheim Investigational Site
Edmonton, Alberta, T5G 3G6
Boehringer Ingelheim Investigational Site
Gatineau, Quebec, J8P 7H2
4 rue Robinson
Granby, Quebec, J2G 8Z9
Boehringer Ingelheim Investigational Site
Greenfield Park, Quebec, J4V 2G8
169 Main Street East
Grimsby, Ontario, L3M 1P3
237 Barton Street East
Hamilton, Ontario, L8L 2X2
HGH McMaster Clinic
Hamilton, Ontario, L8L 2X2
Boehringer Ingelheim Investigational Site
Hamilton, Ontario, L8M 1K7
50 Charlton Avenue East
Hamilton, Ontario, L8N 4A6
Boehringer Ingelheim Investigational Site
Hamilton, Ontario, L8V 1C1
Boehringer Ingelheim Investigational Site
Kelowna, British Columbia, V1W 3T1
Boehringer Ingelheim Investigational Site
Kingston, Ontario, K7L 5E4
Boehringer Ingelheim Investigational Site
Kitchener, Ontario, N2C 2N9
Boehringer Ingelheim Investigational Site
La Malbaie, Quebec, G5A 1W7
Boehringer Ingelheim Investigational Site
Laval, Quebec, H7V 3Y7
Boehringer Ingelheim Investigational Site
Lethbridge, Alberta, T1J 0Z2
Boehringer Ingelheim Investigational Site
London, Ontario, N5W 6A2
Boehringer Ingelheim Investigational Site
London, Ontario, N6A 4G5
Haemolology Division
London, Ontario, N6A 4G5
St Joseph's Healthcare
London, Ontario, N6A 4V2
Boehringer Ingelheim Investigational Site
London, Ontario, N6A 5R9
Boehringer Ingelheim Investigational Site
Maple Ridge, British Columbia, V2X 2L5
Boehringer Ingelheim Investigational Site
Markham, Ontario, L6B 1A1
Boehringer Ingelheim Investigational Site
Medicine Hat, Alberta, T1A 4E4
Boehringer Ingelheim Investigational Site
Mississauga, Ontario, L4W 1N2
300-2338 Hurontario Street
Mississauga, Ontario, L5B 1N1
Boehringer Ingelheim Investigational Site
Mississauga, Ontario, L5M 2V8
Boehringer Ingelheim Investigational Site
Montreal, Quebec, H1V 1X4
2180 rue Fleury E
Montreal, Quebec, H2B 1K3
UHRESS, Pavillon L-C Simard, 10th Floor, Z10904
Montreal, Quebec, H2L 4M1
Boehringer Ingelheim Investigational Site
Montreal, Quebec, H3H 1V4
Boehringer Ingelheim Investigational Site
Montreal, Quebec, H3T 1E2
Hop du Sacre-Coeur de Montreal
Montreal, Quebec, H4J 1C5
Boehringer Ingelheim Investigational Site
Montreal, Quebec, H4N 2W2
Boehringer Ingelheim Investigational Site
Mount Pearl, Newfoundland and Labrador, A1N 2C3
Boehringer Ingelheim Investigational Site
New Glasgow, Nova Scotia, B2H 1K1
220 Royal Avenue
New Westminster, British Columbia, V3L 1H6
Boehringer Ingelheim Investigational Site
Niagara Falls, Ontario, L2G 1J4
Boehringer Ingelheim Investigational Site
North York, Ontario, M2K 2W2
Boehringer Ingelheim Investigational Site
North York, Ontario, M2K 2Z3
Ottawa Hospital - General Campus
Ottawa, Ontario, K1H 8L6
1053 Carling Avenue
Ottawa, Ontario, K1Y 4E9
Boehringer Ingelheim Investigational Site
Ottawa, Ontario, K1Y 4G2
Boehringer Ingelheim Investigational Site
Ottawa, Ontario, K1Y 4P6
Penticton Regional Hospital
Penticton, British Columbia, V2A 3G6
Boehringer Ingelheim Investigational Site
Peterborough, Ontario, K9J 7H8
Boehringer Ingelheim Investigational Site
Pointe-Claire, Quebec, H9R 4S3
1401-18 Rue
Québec, Quebec, G1J 1Z4
Boehringer Ingelheim Investigational Site
Richmond Hill, Ontario, L4C 2N9
Boehringer Ingelheim Investigational Site
Saint John, New Brunswick, E2M 3W5
Boehringer Ingelheim Investigational Site
Saint-Jérôme, Quebec, J7Z 5T3
Boehringer Ingelheim Investigational Site
Sarnia, Ontario, N7T 4X3
Boehringer Ingelheim Investigational Site
Saskatoon, Saskatchewan, S7H 5M3
Boehringer Ingelheim Investigational Site
Saskatoon, Saskatchewan, S7K 0H6
Boehringer Ingelheim Investigational Site
Saskatoon, Saskatchewan, S7K 3H3
Boehringer Ingelheim Investigational Site
Saskatoon, Saskatchewan, S7L 2W1
Boehringer Ingelheim Investigational Site
Scarborough Village, Ontario, M1B 4Z8
3001 12e ave Nord
Sherbrooke, Quebec, J1H 5N4
301-131 First Ave.
Spruce Grove, Alberta, T7X 2Z8
Boehringer Ingelheim Investigational Site
St-Jean Richelieu, Quebec, J3A 1C3
262 Newfoundland Drive
St. John's, Newfoundland and Labrador, A1A 3R5
300 Prince Philip Drive
St. John's, Newfoundland and Labrador, A1B 3V6
Hopital Laval
Ste-Foy, Quebec, G1V 4G5
Boehringer Ingelheim Investigational Site
Steinbach, Manitoba, R0A 2T3
Boehringer Ingelheim Investigational Site
Surrey, British Columbia, V3V 1N1
Boehringer Ingelheim Investigational Site
Sydney, Nova Scotia, B1P 1P3
Boehringer Ingelheim Investigational Site
Thunder Bay, Ontario, P7E 1G6
Boehringer Ingelheim Investigational Site
Toronto, Ontario, M1P 2T3
Boehringer Ingelheim Investigational Site
Toronto, Ontario, M1S 4V5
Boehringer Ingelheim Investigational Site
Toronto, Ontario, M1W 2R6
Boehringer Ingelheim Investigational Site
Toronto, Ontario, M3C 3G8
825 Coxwell Avenue
Toronto, Ontario, M4C 3E7
Boehringer Ingelheim Investigational Site
Toronto, Ontario, M4M 1J5
600 Sherbourne Street, Suite 402
Toronto, Ontario, M4X 1W4
Boehringer Ingelheim Investigational Site
Toronto, Ontario, M5G 1E2
Toronto General Hospital
Toronto, Ontario, M5G 2C4
76 Grenville Street
Toronto, Ontario, M5S 1B2
Boehringer Ingelheim Investigational Site
Trenton, Ontario, K8V 6H9
Boehringer Ingelheim Investigational Site
Vancouver, British Columbia, V5Z 3J5
Boehringer Ingelheim Investigational Site
Vancouver, British Columbia, V5Z 4E1
Boehringer Ingelheim Investigational Site
Vancouver, British Columbia, V6Z !Y6
Boehringer Ingelheim Investigational Site
Victoria, British Columbia, V8R 6V4
Boehringer Ingelheim Investigational Site
Wetaskiwin, Alberta, T9A 3N3
Boehringer Ingelheim Investigational Site
Windsor, Ontario, N9A 1C9
1095 Concordia Avenue
Winnipeg, Manitoba, R2K 3S8
Boehringer Ingelheim Investigational Site
York, Ontario, M9N 1J4
About this study
Official title: Spiriva® Assessment of FEV1 (SAFE). The Effect of Inhaled Tiotropium Bromide (18 Mcg Once Daily) on the Change in FEV1 During Long-term Treatment in Patients With COPD. A One-year Parallel Group, Double-blind, Randomised, Placebo-controlled Study
The objective of this trial is to evaluate whether the effect of one year (48 weeks) treatment with inhaled tiotropium bromide (Spiriva® - 18 µg once daily) on the change in trough FEV1, compared to placebo in patients with COPD, is affected by smoking status.
Read the detailed description
This was a multi-centre, randomised, double-blind, placebo-controlled study. The duration of subject participation was 48 weeks. There was an initial screening period of up to 2 weeks. The first screening visit consisted of medical history, clinical assessment, safety laboratory assessments and complete pulmonary function testing. The screening period was followed by a randomised treatment period where patients received tiotropium (Spiriva) or placebo in a ratio of 2:1. During the treatment period there were a total of 5 clinic visits (including randomisation and EOT visit). Each visit included lung function measurements and clinical assessments (SQRQ, COPD Symptom scores, physician's global assessment, COPD exacerbations/hospitalisations, vital signs and rescue medication use) in addition to adverse event reporting. The final visit consisted of a telephone contact 2 weeks after the patient completed their trial medication.
Study Hypothesis:
The primary purpose of this trial was to evaluate whether the effect of inhaled tiotropium (Spiriva®) on the change in trough FEV1, compared to placebo, was affected by smoking status. The primary endpoint was defined as the change in trough FEV1 after 48 weeks of treatment. The primary analysis was performed in a sequential fashion; firstly, the analysis was performed for all patients and if a positive signal was seen in this group, the analysis was then performed for both the smoking and ex-smoking groups separately. Patients were defined as smokers or ex-smokers at the screening visit.
Comparison(s):
Tiotropium (Spiriva®) vs placebo
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- Tiotropium (Spiriva®)
- 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 (Spiriva®)Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
The primary efficacy endpoint was the change in trough FEV1 after 48 weeks of treatment.
Measured: after 48 weeks of treatment
Secondary outcomes (12)
The change from baseline FEV1 at interim visits
Measured: at Week 2, 11, 30 and 48
The change from baseline FVC
Measured: at Week 2, 11, 30 and 48
The change from baseline FEV6 (at selected sites)
Measured: at Week 2, 11, 30 and 48
Incidence, severity and duration of COPD exacerbations
Measured: at Week 2, 11, 30, 48 and 50
Incidence and duration of hospitalisations due to COPD exacerbations
Measured: at Week 2, 11, 30, 48 and 50
Use of rescue medication (day-time and night-time) during treatment period
Measured: week 1 until week 48
Number of short courses of steroids/antibiotics during treatment period
Measured: week 1 until week 48
Assessment of COPD symptoms
Measured: at Week 2, 11, 30 and 48
Physician's Global Evaluation
Measured: baseline and week 48
Quality of life questionnaire (SGRQ)
Measured: at week 30 and 48
Adverse events
Measured: 27 months
Vital Signs
Measured: 27 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jan 2006 (estimated)
- Study startJan 2002
- Primary completionMay 2004
- Study completionMay 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pulmonary Disease, Chronic ObstructiveStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 914 participants
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Boehringer Ingelheim Study Coordinator, Study chair, B.I. Canada Ltd.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00277264
- Sponsor's protocol ID
- 205.259
- Status last verified
- Nov 2013
- First submitted
- 9 Jan 2006
- Last updated
- 6 Nov 2013
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Spiriva® Assessment of FEV1 (SAFE). The Effect of Inhaled Tiotropium Bromide (18 Mcg Once Daily) on the Change in FEV1 During Long-term Treatment in Patients With COPD. A One-year Parallel Group, Double-blind, Randomised, Placebo-controlled Study
- ClinicalTrials.gov ID
- NCT00277264
- Acronym / sponsor ID
- 205.259
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 914 participants
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- Jan 2002
- Primary completion
- May 2004 (actual)
- Study completion
- May 2004
- First posted
- 16 Jan 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this trial is to evaluate whether the effect of one year (48 weeks) treatment with inhaled tiotropium bromide (Spiriva® - 18 µg once daily) on the change in trough FEV1, compared to placebo in patients with COPD, is affected by smoking status.
Detailed description
This was a multi-centre, randomised, double-blind, placebo-controlled study. The duration of subject participation was 48 weeks. There was an initial screening period of up to 2 weeks. The first screening visit consisted of medical history, clinical assessment, safety laboratory assessments and complete pulmonary function testing. The screening period was followed by a randomised treatment period where patients received tiotropium (Spiriva) or placebo in a ratio of 2:1. During the treatment period there were a total of 5 clinic visits (including randomisation and EOT visit). Each visit included lung function measurements and clinical assessments (SQRQ, COPD Symptom scores, physician's global assessment, COPD exacerbations/hospitalisations, vital signs and rescue medication use) in addition to adverse event reporting. The final visit consisted of a telephone contact 2 weeks after the patient completed their trial medication.
Study Hypothesis:
The primary purpose of this trial was to evaluate whether the effect of inhaled tiotropium (Spiriva®) on the change in trough FEV1, compared to placebo, was affected by smoking status. The primary endpoint was defined as the change in trough FEV1 after 48 weeks of treatment. The primary analysis was performed in a sequential fashion; firstly, the analysis was performed for all patients and if a positive signal was seen in this group, the analysis was then performed for both the smoking and ex-smoking groups separately. Patients were defined as smokers or ex-smokers at the screening visit.
Comparison(s):
Tiotropium (Spiriva®) vs placebo
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Diagnosis of COPD
- Stable airway obstruction
- FEV1 < or equal to 65% of predicted
- Male or female
- Age > or equal to 40 years
Key exclusion criteria (18 listed)
- History of asthma
- Allergic rhinitis or atopy
- Unstable use (6 weeks) of OCS (or > 10 mg daily use)
- History of life threatening bronchial obstruction, cystic fibrosis or bronchiectasis
- Patients who had started or stopped an exercise rehabilitation program in the past twelve months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tiotropium (Spiriva®) | Drug | – |
Primary outcome
The primary efficacy endpoint was the change in trough FEV1 after 48 weeks of treatment.
Time frame: after 48 weeks of treatment
12 secondary outcomes
The change from baseline FEV1 at interim visits
Time frame: at Week 2, 11, 30 and 48
The change from baseline FVC
Time frame: at Week 2, 11, 30 and 48
The change from baseline FEV6 (at selected sites)
Time frame: at Week 2, 11, 30 and 48
Incidence, severity and duration of COPD exacerbations
Time frame: at Week 2, 11, 30, 48 and 50
Incidence and duration of hospitalisations due to COPD exacerbations
Time frame: at Week 2, 11, 30, 48 and 50
Use of rescue medication (day-time and night-time) during treatment period
Time frame: week 1 until week 48
Number of short courses of steroids/antibiotics during treatment period
Time frame: week 1 until week 48
Assessment of COPD symptoms
Time frame: at Week 2, 11, 30 and 48
Physician's Global Evaluation
Time frame: baseline and week 48
Quality of life questionnaire (SGRQ)
Time frame: at week 30 and 48
Adverse events
Time frame: 27 months
Vital Signs
Time frame: 27 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Nov 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim Study Coordinator study chair
B.I. Canada Ltd.
96 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tiotropium (Spiriva®) in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 96 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 18 exclusion criteria. 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 6 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 96 sites in Canada. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
The primary efficacy endpoint was the change in trough FEV1 after 48 weeks of treatment. (time frame: after 48 weeks of treatment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Nov 2013.