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Pulmonary Disease, Chronic ObstructivePhase 3NCT00793624

Safety and Efficacy of BI 1744 CL in Patients With Chronic Obstructive Pulmonary Disease I

A Phase 3 study testing Olodaterol (BI 1744) and Formoterol in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 93 sites in 20 countries.

Completed

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

Official record
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Trial summary

The primary objective of this study is to assess the long-term efficacy and safety of once daily treatment of BI 1744 CL inhalation solution (5 and 10 mcg) delivered via 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?
Olodaterol (BI 1744) and Formoterol
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
906 participants
Where
93 sitesin 20 countries
Study dates
Feb 2009to Dec 2010
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

Who may be able to join

  • All patients must have a diagnosis of chronic obstructive pulmonary disease and must meet the following spirometric criteria:post-bronchodilator FEV1<80% of predicted normal (ECSC) and a post-bronchodilator FEV1/FVC <70% at Visit 1
  • Male or female patients, 40 years of age or older
  • Patients must be current or ex-smokers with a smoking history of more than 10 pack years:

Who cannot join

  • Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis; all patients with an SGOT >x2 ULN, SGPT >x2 ULN, bilirubin >x2 ULN or creatinine >x2 ULN
  • Patients with a history of asthma and/or total blood eosinophil count greater than 600/mm3
  • Patients with thyrotoxicosis, paroxysmal tachycardia (>100 beats per minute)
  • Patients with a 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, a malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years, life-threatening pulmonary obstruction, cystic fibrosis, clinically evident bronchiectasis, significant alcohol or drug abuse
  • Patients who have undergone thoracotomy with pulmonary resection
  • Patients being treated with oral beta-adrenergics or oral corticosteroid medication at unstable doses (i.e., less than six weeks on a stable dose) or at doses in excess of the equivalent of 10 mg of prednisone per day or 20 mg every other day.
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  • Patients who regularly use daytime oxygen therapy for more than one hour per day.
  • Patients who have completed a pulmonary rehabilitation program in the six weeks prior to the screening visit (Visit 1) or patients who are currently in a pulmonary rehabilitation program
  • Pregnant or nursing women
  • Women of childbearing potential not using two effective methods of birth control (one barrier and one non-barrier).

Trial locations and contacts

93 sites in 20 countries.

93 sites in 20 countries

Germany12 sites
  • 1222.13.1502 Boehringer Ingelheim Investigational Site

    Berlin

  • 1222.13.1503 Boehringer Ingelheim Investigational Site

    Berlin

  • 1222.13.1506 Boehringer Ingelheim Investigational Site

    Berlin

  • 1222.13.1501 Boehringer Ingelheim Investigational Site

    Cologne

  • 1222.13.1511 Boehringer Ingelheim Investigational Site

    Dortmund

  • 1222.13.1514 Boehringer Ingelheim Investigational Site

    Essen

  • 1222.13.1509 Boehringer Ingelheim Investigational Site

    Großhansdorf

  • 1222.13.1508 Boehringer Ingelheim Investigational Site

    Hanover

  • 1222.13.1510 Boehringer Ingelheim Investigational Site

    Hanover

  • 1222.13.1512 Boehringer Ingelheim Investigational Site

    Kiel

  • 1222.13.1505 Boehringer Ingelheim Investigational Site

    Reinfeld

  • 1222.13.1507 Boehringer Ingelheim Investigational Site

    Schwerin

Other trials in Germany

Canada11 sites
  • 1222.13.1408 Boehringer Ingelheim Investigational Site

    Calgary, Alberta

  • 1222.13.1407 Boehringer Ingelheim Investigational Site

    Chilliwack, British Columbia

  • 1222.13.1403 Boehringer Ingelheim Investigational Site

    Downsview, Ontario

  • 1222.13.1412 Boehringer Ingelheim Investigational Site

    Hamilton, Ontario

  • 1222.13.1404 Boehringer Ingelheim Investigational Site

    La Malbaie, Quebec

  • 1222.13.1411 Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • 1222.13.1401 Boehringer Ingelheim Investigational Site

    Niagara Falls, Ontario

  • 1222.13.1406 Boehringer Ingelheim Investigational Site

    Point Claire, Quebec

  • 1222.13.1410 Boehringer Ingelheim Investigational Site

    Sarnia, Ontario

  • 1222.13.1402 Boehringer Ingelheim Investigational Site

    Saskatoon, Saskatchewan

  • 1222.13.1413 Boehringer Ingelheim Investigational Site

    Toronto, Ontario

Other trials in Canada

India11 sites
  • 1222.13.2804 Boehringer Ingelheim Investigational Site

    Bangalore

  • 1222.13.2803 Boehringer Ingelheim Investigational Site

    Chennai

  • 1222.13.2806 Boehringer Ingelheim Investigational Site

    Coimbatore

  • 1222.13.2810 Boehringer Ingelheim Investigational Site

    Hyderabad

  • 1222.13.2801 Boehringer Ingelheim Investigational Site

    Indore

  • 1222.13.2807 Boehringer Ingelheim Investigational Site

    Indore

  • 1222.13.2805 Boehringer Ingelheim Investigational Site

    Jaipur

  • 1222.13.2802 Boehringer Ingelheim Investigational Site

    Ludhiana, Punjab

  • 1222.13.2809 Boehringer Ingelheim Investigational Site

    Mumbai

  • 1222.13.2812 Boehringer Ingelheim Investigational Site

    Mumbai

  • 1222.13.2811 Boehringer Ingelheim Investigational Site

    Pune

Other trials in India

South Korea6 sites
  • 1222.13.2701 Boehringer Ingelheim Investigational Site

    Gwangju

  • 1222.13.2702 Boehringer Ingelheim Investigational Site

    Incheon

  • 1222.13.2703 Boehringer Ingelheim Investigational Site

    Seoul

  • 1222.13.2705 Boehringer Ingelheim Investigational Site

    Seoul

  • 1222.13.2706 Boehringer Ingelheim Investigational Site

    Seoul

  • 1222.13.2704 Boehringer Ingelheim Investigational Site

    Suwon

Other trials in South Korea

Spain6 sites
  • 1222.13.1803 Boehringer Ingelheim Investigational Site

    Aranjuez

  • 1222.13.1806 Boehringer Ingelheim Investigational Site

    Elda

  • 1222.13.1802 Boehringer Ingelheim Investigational Site

    els Hostalets de Balenyà

  • 1222.13.1804 Boehringer Ingelheim Investigational Site

    Pozuelo de Alarcón

  • 1222.13.1805 Boehringer Ingelheim Investigational Site

    Valladolid

  • 1222.13.1801 Boehringer Ingelheim Investigational Site

    Vic (Barcelona)

Other trials in Spain

Brazil5 sites
  • 1222.13.2502 Boehringer Ingelheim Investigational Site

    Juiz de Fora

  • 1222.13.2503 Boehringer Ingelheim Investigational Site

    Rio de Janeiro

  • 1222.13.2505 Boehringer Ingelheim Investigational Site

    Rio de Janeiro

  • 1222.13.2501 Boehringer Ingelheim Investigational Site

    São Paulo

  • 1222.13.2504 Boehringer Ingelheim Investigational Site

    São Paulo

Other trials in Brazil

Italy5 sites
  • 1222.13.1704 Boehringer Ingelheim Investigational Site

    Catania

  • 1222.13.1702 Boehringer Ingelheim Investigational Site

    Genova

  • 1222.13.1701 Boehringer Ingelheim Investigational Site

    Pisa

  • 1222.13.1705 Boehringer Ingelheim Investigational Site

    Siena

  • 1222.13.1703 Boehringer Ingelheim Investigational Site

    Trieste

Other trials in Italy

Argentina4 sites
  • 1222.13.2401 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 1222.13.2403 Boehringer Ingelheim Investigational Site

    Capital Federal

  • 1222.13.2402 Boehringer Ingelheim Investigational Site

    Mar del Plata

  • 1222.13.2404 Boehringer Ingelheim Investigational Site

    Monte Grande

Other trials in Argentina

Croatia4 sites
  • 1222.13.3502 Boehringer Ingelheim Investigational Site

    Dubrovnik

  • 1222.13.3503 Boehringer Ingelheim Investigational Site

    Rijeka

  • 1222.13.3504 Boehringer Ingelheim Investigational Site

    Split

  • 1222.13.3501 Boehringer Ingelheim Investigational Site

    Zagreb

Other trials in Croatia

Malaysia4 sites
  • 1222.13.3103 Boehringer Ingelheim Investigational Site

    Batu Caves

  • 1222.13.3101 Boehringer Ingelheim Investigational Site

    Kota Kinabalu

  • 1222.13.3102 Boehringer Ingelheim Investigational Site

    Kuala Lumpur

  • 1222.13.3104 Boehringer Ingelheim Investigational Site

    Kuantan

Other trials in Malaysia

Czechia3 sites
  • 1222.13.3401 Boehringer Ingelheim Investigational Site

    Beroun

  • 1222.13.3403 Boehringer Ingelheim Investigational Site

    Český Těšín

  • 1222.13.3402 Boehringer Ingelheim Investigational Site

    Tábor

Other trials in Czechia

Denmark3 sites
  • 1222.13.2003 Boehringer Ingelheim Investigational Site

    Aalborg

  • 1222.13.2002 Boehringer Ingelheim Investigational Site

    Hvidovre

  • 1222.13.2001 Boehringer Ingelheim Investigational Site

    Silkeborg

Other trials in Denmark

Finland3 sites
  • 1222.13.2103 Boehringer Ingelheim Investigational Site

    Lahti

  • 1222.13.2101 Boehringer Ingelheim Investigational Site

    Tampere

  • 1222.13.2102 Boehringer Ingelheim Investigational Site

    Turku

Other trials in Finland

Philippines3 sites
  • 1222.13.3203 Boehringer Ingelheim Investigational Site

    Cebu

  • 1222.13.3201 Boehringer Ingelheim Investigational Site

    Quezon City

  • 1222.13.3202 Boehringer Ingelheim Investigational Site

    Quezon City

Other trials in Philippines

Thailand3 sites
  • 1222.13.3302 Boehringer Ingelheim Investigational Site

    Bangkok

  • 1222.13.3303 Boehringer Ingelheim Investigational Site

    Bangkok

  • 1222.13.3301 Boehringer Ingelheim Investigational Site

    Chiang Mai

Other trials in Thailand

Ukraine3 sites
  • 1222.13.3602 Boehringer Ingelheim Investigational Site

    Ivano-Frankivsk

  • 1222.13.3601 Boehringer Ingelheim Investigational Site

    Kharkiv

  • 1222.13.3603 Boehringer Ingelheim Investigational Site

    Kiev

Other trials in Ukraine

Norway2 sites
  • 1222.13.2201 Boehringer Ingelheim Investigational Site

    Bergen

  • 1222.13.2202 Boehringer Ingelheim Investigational Site

    Oslo

Other trials in Norway

South Africa2 sites
  • 1222.13.2302 Boehringer Ingelheim Investigational Site

    Durban

  • 1222.13.2301 Boehringer Ingelheim Investigational Site

    Pretoria

Other trials in South Africa

Sweden2 sites
  • 1222.13.1901 Boehringer Ingelheim Investigational Site

    Boden

  • 1222.13.1902 Boehringer Ingelheim Investigational Site

    Sundsvall

Other trials in Sweden

Hong Kong1 site
  • 1222.13.2901 Boehringer Ingelheim Investigational Site

    Kowloon

Other trials in Hong Kong

About this study

Official title: A Randomised, Double-blind, Double-dummy, Placebo-controlled, Parallel Group Study to Assess the Efficacy and Safety of 48 Weeks of Once Daily Treatment of Orally Inhaled BI 1744 CL (5 µg [2 Actuations of 2.5 ug] and 10 ug [2 Actuations of 5 ug]) Delivered by the Respimat® Inhaler, and 48 Weeks of Twice Daily Foradil® (12 µg) Delivered by the Aerolizer® Inhaler, in Patients With Chronic Obstructive Pulmonary Disease (COPD)

The primary objective of this study is to assess the long-term efficacy and safety of once daily treatment of BI 1744 CL inhalation solution (5 and 10 mcg) delivered via the Respimat® inhaler, in patients with COPD.

Being tested
Olodaterol (BI 1744), Formoterol, 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.

  • Olodaterol (BI 1744)Drug

    Comparison of low and high doses on efficacy and safety in COPD patients

  • Olodaterol (BI 1744)Drug

    Comparison of low and high doses on efficacy and safety in COPD patients

  • FormoterolDrug

    Active comparator with Olodaterol (BI 1744) on safety and efficacy in COPD patients

  • PlaceboDrug

    Placebo for comparison with Olodaterol (BI 1744) on safety and efficacy in COPD patients

  • PlaceboDrug

    Placebo for comparison Formoterolon safety and efficacy in COPD patients

Study groups in NCT00793624
Study groupRoleWhat they receive
Olodaterol (BI 1744) LowExperimentalLow dose inhaled orally once daily from the Respimat inhaler
Receives: Drug: Olodaterol (BI 1744)
Olodaterol (BI 1744) HighExperimentalHigh dose inhaled orally once daily from the Respimat inhaler
Receives: Drug: Olodaterol (BI 1744)
Formoterol 12mcgActive comparator12mcg inhaled twice daily from the Aerolizer inhaler
Receives: Drug: Formoterol
PlaceboPlacebo comparatorOlodaterol (BI 1744) placebo inhaled once daily from the Respimat inhaler and/or Formoterol placebo inhaled twice daily from the Aerolizer inhaler
Receives: Drug: Placebo

What is being measured

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

  1. Forced Expiratory Volume in One Second (FEV1) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 24 Weeks

    Response was defined as change from baseline. Baseline FEV1 was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FEV1 AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 24

  2. Trough FEV1 Response at Week 24

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 24.

  3. Mahler Transitional Dyspnea Index Focal Score at 24 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 24

  4. Mahler Transitional Dyspnea Index Focal Score at 24 Weeks for Combined Analysis

    This outcome measure describes the combined analysis of the trials NCT00793624 and NCT00796653. Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 24

Secondary outcomes (58)
  1. Saint George's Respiratory Questionnaire (SGRQ) Total Score at 24 Weeks

    Saint George's Respiratory Questionnaire (SGRQ) measures the impact of COPD on overall health, daily life, and perceived well-being ranging from 0 (no limitations) to 100 (most limitations).

    Measured: Baseline, Week 24

  2. Saint George's Respiratory Questionnaire (SGRQ) Total Score at 12 Weeks

    Saint George's Respiratory Questionnaire (SGRQ) measures the impact of COPD on overall health, daily life, and perceived well-being ranging from 0 (no limitations) to 100 (most limitations).

    Measured: Baseline, Week 12

  3. Saint George's Respiratory Questionnaire (SGRQ) Total Score at 48 Weeks

    Saint George's Respiratory Questionnaire (SGRQ) measures the impact of COPD on overall health, daily life, and perceived well-being ranging from 0 (no limitations) to 100 (most limitations).

    Measured: Baseline, Week 48

  4. Saint George's Respiratory Questionnaire (SGRQ) Total Score at 24 Weeks for Combined Analysis

    Saint George's Respiratory Questionnaire (SGRQ) measures the impact of COPD on overall health, daily life, and perceived well-being ranging from 0 (no limitations) to 100 (most limitations). This is a combined analysis of the data from NCT00793624 and NCT00796653 showing adjusted values using a MMRM model.

    Measured: Baseline, Week 24

  5. Forced Expiratory Volume in One Second (FEV1) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 2 Weeks

    Response was defined as change from baseline. Baseline FEV1 was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FEV1 AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 2

  6. Forced Expiratory Volume in One Second (FEV1) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 6 Weeks

    Response was defined as change from baseline. Baseline FEV1 was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FEV1 AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 6

  7. Forced Expiratory Volume in One Second (FEV1) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 12 Weeks

    Response was defined as change from baseline. Baseline FEV1 was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FEV1 AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 12

  8. Forced Expiratory Volume in One Second (FEV1) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 48 Weeks

    Response was defined as change from baseline. Baseline FEV1 was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FEV1 AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 48

  9. Trough FEV1 Response at Week 2

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 2.

  10. Trough FEV1 Response at Week 6

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 6.

  11. Trough FEV1 Response at Week 12

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 12.

  12. Trough FEV1 Response at Week 18

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 18.

  13. Trough FEV1 Response at Week 32

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 32.

  14. Trough FEV1 Response at Week 40

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 40.

  15. Trough FEV1 Response at Week 48

    Response was defined as change from baseline. Baseline trough FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FEV1 is defined as the FEV1 performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FEV1s if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 48.

  16. Peak FEV1 (0-3h) Response After 2 Weeks

    Response was defined as change from baseline. Baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of randomized treatment. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 2 weeks

  17. Peak FEV1 (0-3h) Response After 6 Weeks

    Response was defined as change from baseline. Baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of randomized treatment. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 6 weeks

  18. Peak FEV1 (0-3h) Response After 12 Weeks

    Response was defined as change from baseline. Baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of randomized treatment. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 12 weeks

  19. Peak FEV1 (0-3h) Response After 24 Weeks

    Response was defined as change from baseline. Baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of randomized treatment. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 24 weeks

  20. Peak FEV1 (0-3h) Response After 48 Weeks

    Response was defined as change from baseline. Baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of randomized treatment. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 48 weeks

  21. Forced Vital Capacity (FVC) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 2 Weeks

    Response was defined as change from baseline. Baseline FVC was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FVC AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 2

  22. Forced Vital Capacity (FVC) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 6 Weeks

    Response was defined as change from baseline. Baseline FVC was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FVC AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 6

  23. Forced Vital Capacity (FVC) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 12 Weeks

    Response was defined as change from baseline. Baseline FVC was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FVC AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 12

  24. Forced Vital Capacity (FVC) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 24 Weeks

    Response was defined as change from baseline. Baseline FVC was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FVC AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 24

  25. Forced Vital Capacity (FVC) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 48 Weeks

    Response was defined as change from baseline. Baseline FVC was defined as the mean of the -1 h and -10 min measurements performed just prior to administration of the first am dose of randomized treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit interaction as fixed categorical effects, baseline and baseline-by-visit interaction as fixed continuous covariates and patient as random effect. FVC AUC 0-3h was calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time (3h) to report in litres.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 48

  26. Trough FVC Response at Week 2

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 2.

  27. Trough FVC Response at Week 6

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 6.

  28. Trough FVC Response at Week 12

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 12.

  29. Trough FVC Response at Week 18

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 18.

  30. Trough FVC Response at Week 24

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 24.

  31. Trough FVC Response at Week 32

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 32.

  32. Trough FVC Response at Week 48

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 48.

  33. Trough FVC Response at Week 40

    Response was defined as change from baseline. Baseline trough FVC was defined as the mean of the -1 hour and -10 minute measurements performed just prior to first dose of randomized treatment. Trough FVC is defined as the FVC performed at -10 mins prior to study drug inhalation as the end of the dosing interval or the mean of -1h and -10 min FVCs if both available. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 h and 10 min prior to dose on the first day of randomized treatment (baseline) and -1 h (if available) and - 10 mins prior to study drug at week 40.

  34. Peak FVC (0-3h) Response After 2 Weeks

    Response was defined as change from baseline. Baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of randomized treatment. Peak FVC (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 2 weeks

  35. Peak FVC (0-3h) Response After 6 Weeks

    Response was defined as change from baseline. Baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of randomized treatment. Peak FVC (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 6 weeks

  36. Peak FVC (0-3h) Response After 12 Weeks

    Response was defined as change from baseline. Baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of randomized treatment. Peak FVC (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 12 weeks

  37. Peak FVC (0-3h) Response After 24 Weeks

    Response was defined as change from baseline. Baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of randomized treatment. Peak FVC (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 24 weeks

  38. Peak FVC (0-3h) Response After 48 Weeks

    Response was defined as change from baseline. Baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of randomized treatment. Peak FVC (0-3h) values were obtained within 0 - 3 hours after treatment. Means are adjusted using a mixed effects model with treatment (trt), tio stratum, visit, trt-by-visit as fixed categorical effects, baseline and baseline-by-visit as fixed continuous covariates and patient as random effect.

    Measured: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose after 48 weeks

  39. Peak Expiratory Flow Rate (PEFR) at Week 24

    Weekly mean pre-dose morning and evening PEFR. Results are from non-MMRM ANCOVA models by week, with Last observation carried forward (LOCF) up to each week. Fixed effects include treatment, tiotropium, strata and baseline.

    Measured: Week 24

  40. Use of Rescue Medication at Week 24

    Mean number of puffs of rescue medication used per day (daytime/nighttime/total)

    Measured: Week 24

  41. Patient's Global Rating (PGR) at 6 Weeks

    Patient's Global Rating (PGR) was a patient assessment of their health (respiratory condition) at each visit (compared to the day before they started study drug) and ranged from 1 (very much better) to 7 (very much worse).

    Measured: Week 6

  42. Patient's Global Rating (PGR) at 12 Weeks

    Patient's Global Rating (PGR) was a patient assessment of their health (respiratory condition) at each visit (compared to the day before they started study drug) and ranged from 1 (very much better) to 7 (very much worse).

    Measured: Week 12

  43. Patient's Global Rating (PGR) at 24 Weeks

    Patient's Global Rating (PGR) was a patient assessment of their health (respiratory condition) at each visit (compared to the day before they started study drug) and ranged from 1 (very much better) to 7 (very much worse).

    Measured: Week 24

  44. Patient's Global Rating (PGR) at 48 Weeks

    Patient's Global Rating (PGR) was a patient assessment of their health (respiratory condition) at each visit (compared to the day before they started study drug) and ranged from 1 (very much better) to 7 (very much worse).

    Measured: Week 48

  45. Mahler Transitional Dyspnea Index Focal Score at 6 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 6

  46. Mahler Transitional Dyspnea Index Focal Score at 12 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 12

  47. Mahler Transitional Dyspnea Index Focal Score at 18 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 18

  48. Mahler Transitional Dyspnea Index Focal Score at 32 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 32

  49. Mahler Transitional Dyspnea Index Focal Score at 40 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 40

  50. Mahler Transitional Dyspnea Index Focal Score at 48 Weeks

    Mahler Transitional Dyspnea Index (TDI) focal score measures 3 components of dyspnea that evoke dyspnea in daily living: Functional Impairment, Magnitude of Task, and Magnitude of Effort. The TDI measures the change from the baseline assessment ranging from -9 (most deterioration) to +9 (most improvement).

    Measured: Baseline, Week 48

  51. Time to First Chronic Obstructive Pulmonary Disease (COPD) Exacerbation

    Qualifying events of COPD were specifically pre-defined in the protocol. Other respiratory related events were evaluated by the investigator to see if they met the pre-defined criteria. Time to event was measured from the beginning of treatment. Cox regression analysis of treatment effect using tiotropium stratum as a stratification factor.

    Measured: Baseline to end of study at 48 weeks.

  52. Time to First Chronic Obstructive Pulmonary Disease (CPOD) Exacerbation Leading to Hospitalization

    Qualifying events of COPD were specifically pre-defined in the protocol. Other respiratory related events were evaluated by the investigator to see if they met the pre-defined criteria. These exacerbations required hospitalization. Time to event was measured from the beginning of treatment. Cox regression analysis of treatment effect using tiotropium stratum as a stratification factor.

    Measured: Baseline to end of study at 48 weeks.

  53. Time to First Moderate Chronic Obstructive Pulmonary Disease (CPOD) Exacerbation

    Qualifying events of COPD were specifically pre-defined in the protocol. Other respiratory related events were evaluated by the investigator to see if they met the pre-defined criteria. These exacerbations did not lead to hospitalization but included treatment with antibiotics and/or systemic steroids. Time to event was measured from the beginning of treatment. Cox regression analysis of treatment effect using tiotropium stratum as a stratification factor.

    Measured: Baseline to end of study at 48 weeks.

  54. Number of COPD Exacerbations

    Qualifying events of COPD were specifically pre-defined in the protocol. Other respiratory related events were evaluated by the investigator to see if they met the pre-defined criteria.

    Measured: Baseline to end of study at week 48 visit

  55. Number of COPD Exacerbations Requiring Hospitalization

    Qualifying events of COPD were specifically pre-defined in the protocol. Other respiratory related events were evaluated by the investigator to see if they met the pre-defined criteria. These exacerbations required hospitalization.

    Measured: Baseline to end of study at week 48 visit

  56. Number of Moderate Chronic Obstructive Pulmonary Disease (CPOD) Exacerbations

    Qualifying events of COPD were specifically pre-defined in the protocol. Other respiratory related events were evaluated by the investigator to see if they met the pre-defined criteria. These exacerbations did not lead to hospitalization but included treatment with antibiotics and/or systemic steroids.

    Measured: Baseline to end of study at 48 weeks.

  57. Absolute Plasma Concentrations

    Absolute plasma concentrations of Olodaterol. Values presented are across visits and summarised into geometric means.

    Measured: within 2 hours before first drug administration and 10 minutes post-dose at week 6, 12 and 18

  58. Changes in Safety Parameters Related to Treatment

    Occurence of cardiac disorders and investigations related to treatment.

    Measured: 48 weeks

Timeline

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

  1. First posted19 Nov 2008 (estimated)
  2. Study startFeb 2009
  3. Primary completionDec 2010

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
906 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00793624
Sponsor's protocol ID
1222.13
Other IDs
2008-001933-84, 2008
Status last verified
Jun 2014
First submitted
18 Nov 2008
Last updated
27 Jun 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
  • Andreas S, Bothner U, de la Hoz A, Kloer I, Trampisch M, Alter P. A Post Hoc Holter ECG Analysis of Olodaterol and Formoterol in Moderate-to-Very-Severe COPD. Int J Chron Obstruct Pulmon Dis. 2020 Aug 10;15:1955-1965. doi: 10.2147/COPD.S246353. eCollection 2020.

    PubMed 32848381
  • Andreas S, Bothner U, Trampisch M, Haensel M, Buhl R, Alter P. Effect of long-acting beta2-agonists olodaterol and formoterol on heart rate and blood pressure in chronic obstructive pulmonary disease patients. Pulm Pharmacol Ther. 2018 Oct;52:1-6. doi: 10.1016/j.pupt.2018.08.002. Epub 2018 Aug 2.

    PubMed 30077810
  • Koch A, Pizzichini E, Hamilton A, Hart L, Korducki L, De Salvo MC, Paggiaro P. Lung function efficacy and symptomatic benefit of olodaterol once daily delivered via Respimat(R) versus placebo and formoterol twice daily in patients with GOLD 2-4 COPD: results from two replicate 48-week studies. Int J Chron Obstruct Pulmon Dis. 2014 Jul 5;9:697-714. doi: 10.2147/COPD.S62502. eCollection 2014.

    PubMed 25045258

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Olodaterol (BI 1744) and Formoterol in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 93 sites in 20 countries.

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 3 inclusion and 10 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 27 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 93 sites in Germany, Canada, India, South Korea, Spain and 15 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. Some participants in this study may receive a placebo. 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 5 Jun 2014). 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?

Forced Expiratory Volume in One Second (FEV1) Area Under Curve 0-3 Hour (h) (AUC 0-3h) Response at 24 Weeks (time frame: 1 hour (h) and 10 minutes (min) prior to dose on the first day of randomized treatment (baseline) to -10 min, 5 min, 15 min, 30 min, 1 h, 2 h, and 3 h relative to dose on Week 24). 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 NCT00793624, which also lists 4 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 27 Jun 2014.

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