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Pulmonary Disease, Chronic ObstructivePhase 2NCT00824382

Efficacy and Safety of 4 Weeks Treatment With Inhaled BI 1744 CL in Japanese Patients With COPD

A Phase 2 study testing BI 1744 CL 2 µg, BI 1744 CL 5 µg and BI 1744 CL 10 µg in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 48 sites in Japan.

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

The primary objective of this study is to determine the optimum dose(s) of BI 1744 CL inhalation solution delivered by the Respimat inhaler once daily for 4 weeks in Japanese patients with chronic obstructive pulmonary disease (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?
BI 1744 CL 2 µg, BI 1744 CL 5 µg and BI 1744 CL 10 µg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
328 participants
Where
48 sitesJapan
Study dates
Jan 2009to Mar 2010
Phase
Phase 2
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 sign an informed consent consistent with GCP guidelines prior to participation in the trial.
  • All patients must have a diagnosis of chronic obstructive pulmonary disease and must meet the following spirometric criteria: Patients must have relatively stable, moderate to severe airway obstruction with a post-bronchodilator FEV1 >=30% of predicted normal and <80% of predicted normal 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. Pack-Years = [Number of cigarettes/day/20] - years of smoking Patients who have never smoked cigarettes must be excluded.
  • Patients must be able to perform technically acceptable pulmonary function tests (both supervised and unsupervised) and PEFR measurements, and must be able to record a patient diary during the study period as required in the protocol.
  • Patients must be able to inhale medication in a competent manner from the Respimat inhaler and from a MDI.

Who cannot join

  • Patients with a significant disease other than COPD; a significant disease is defined as a disease which, in the opinion of the investigator, may i) put the patient at risk because of participation in the study ii) influence the results of the study, or iii) cause concern regarding the patient's ability to participate in the study
  • Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis; all patients with an AST >80 IU/L, ALT >80 IU/L, bilirubin >1.5 x ULN or creatinine >1.5 x ULN will be excluded regardless of clinical condition (a repeat laboratory evaluation will not be conducted in these patients)
  • Patients with a history of asthma or a total blood eosinophil count >=600/mm3. A repeat eosinophil count will not be conducted in these patients
  • Patients with any of the following conditions:
  • a diagnosis of thyrotoxicosis
  • a diagnosis of paroxysmal tachycardia (>100 beats per minute)
Show all 31Show fewer
  • a marked baseline prolongation of QT/QTc interval (e.g. repeated demonstration of a QTc interval >450 ms) as recommended by ICH E14. For patients who have a QTc interval between 450 ms and 500 ms, as judged by site personnel, there will be a confirmatory reading by centralized evaluation institute. If the confirmatory reading is still greater than 450 ms, patient will be excluded. Patients with a QTc interval >=500 ms will immediately be excluded from the study.
  • a history of additional risk factors for Torsade de Pointes (TdP) (e.g. heart failure, hypokalemia, family history of Long QT Syndrome) as recommended by ICH E14.
  • Patients with any of the following conditions:
  • a history of myocardial infarction within 1 year
  • a diagnosis of clinically relevant cardiac arrhythmia
  • known active tuberculosis
  • a malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last 5 years (patients with treated basal cell carcinoma are allowed)
  • a history of life-threatening pulmonary obstruction
  • a history of cystic fibrosis
  • clinically evident bronchiectasis
  • a history of significant alcohol or drug abuse
  • Patients who have undergone thoracotomy with pulmonary resection (patients with a history of thoracotomy for other reasons should be evaluated as per exclusion criterion No. 1)
  • Patients being treated with any of the following concomitant medications:
  • medications that prolong the QT/QTc interval
  • oral beta-adrenergics and beta-adrenergics patchs
  • beta-blockers (topical beta-blockers for ocular conditions are allowed)
  • oral corticosteroid medication at unstable doses (i.e. less than 6 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.
  • Patients who regularly use daytime oxygen therapy for more than 1 hour per day and in the investigator's opinion will be unable to abstain from the use of oxygen therapy during clinic visits
  • Patients who have completed a pulmonary rehabilitation program in the 6 weeks prior to the screening visit (Visit 1) or patients who are currently in a pulmonary rehabilitation program
  • Patients who have taken an investigational drug within 1 month or 6 half lives (whichever is greater) prior to screening visit
  • Patients with known hypersensitivity to beta-adrenergics drugs, BAC, EDTA or any other component of the Respimat inhalation solution delivery system
  • Pregnant or suspect of pregnant or women who are willing to become pregnant during the study period or nursing women
  • Patients who have previously been participated in this study or are currently participating in another study
  • Patients who are unable to comply with pulmonary medication restrictions prior to randomisation
  • The randomization of patients with any respiratory infection or COPD exacerbation in the 6 weeks prior to the screening visit or during the screening period should be postponed. Patients may be randomised 6 weeks following recovery from the infection or exacerbation

Trial locations and contacts

48 sites in 1 country.

48 sites in 1 country

Japan48 sites
  • 1222.22.048 Boehringer Ingelheim Investigational Site

    Asahikawa, Hokkaido

  • 1222.22.044 Boehringer Ingelheim Investigational Site

    Bunkyo-ku, Tokyo

  • 1222.22.008 Boehringer Ingelheim Investigational Site

    Chiba, Chiba

  • 1222.22.002 Boehringer Ingelheim Investigational Site

    Fukuoka, Fukuoka

  • 1222.22.041 Boehringer Ingelheim Investigational Site

    Fukuoka, Fukuoka

  • 1222.22.027 Boehringer Ingelheim Investigational Site

    Himeji, Hyogo

  • 1222.22.028 Boehringer Ingelheim Investigational Site

    Himeji, Hyogo

  • 1222.22.018 Boehringer Ingelheim Investigational Site

    Hiroshima, Hiroshima

  • 1222.22.021 Boehringer Ingelheim Investigational Site

    Hitachi, Ibaraki

  • 1222.22.010 Boehringer Ingelheim Investigational Site

    Inashiki-gun, Ibaraki

  • 1222.22.012 Boehringer Ingelheim Investigational Site

    Itabashi-ku, Tokyo

  • 1222.22.009 Boehringer Ingelheim Investigational Site

    Kamogawa, Chiba

  • 1222.22.023 Boehringer Ingelheim Investigational Site

    Kawasaki, Kanagawa

  • 1222.22.025 Boehringer Ingelheim Investigational Site

    Kawasaki, Kanagawa

  • 1222.22.017 Boehringer Ingelheim Investigational Site

    Kishiwada, Osaka

  • 1222.22.004 Boehringer Ingelheim Investigational Site

    Kitakyusyu, Fukuoka

  • 1222.22.020 Boehringer Ingelheim Investigational Site

    Koga, Fukuoka

  • 1222.22.014 Boehringer Ingelheim Investigational Site

    Komaki, Aichi

  • 1222.22.032 Boehringer Ingelheim Investigational Site

    Kumamoto, Kumamoto

  • 1222.22.005 Boehringer Ingelheim Investigational Site

    Kurume, Fukuoka

  • 1222.22.029 Boehringer Ingelheim Investigational Site

    Kurume, Fukuoka

  • 1222.22.033 Boehringer Ingelheim Investigational Site

    Kyoto, Kyoto

  • 1222.22.050 Boehringer Ingelheim Investigational Site

    Kyoto, Kyoto

  • 1222.22.022 Boehringer Ingelheim Investigational Site

    Matsumoto, Nagano

  • 1222.22.015 Boehringer Ingelheim Investigational Site

    Nagoya, Aichi

  • 1222.22.043 Boehringer Ingelheim Investigational Site

    Nagoya, Aichi

  • 1222.22.001 Boehringer Ingelheim Investigational Site

    Naka-gun, Ibaraki

  • 1222.22.007 Boehringer Ingelheim Investigational Site

    Niigata, Niigata

  • 1222.22.040 Boehringer Ingelheim Investigational Site

    Obihiro, Hokkaido

  • 1222.22.042 Boehringer Ingelheim Investigational Site

    Okinawa, Okinawa

  • 1222.22.045 Boehringer Ingelheim Investigational Site

    Osaka-sayama, Osaka

  • 1222.22.034 Boehringer Ingelheim Investigational Site

    Osaka, Osaka

  • 1222.22.038 Boehringer Ingelheim Investigational Site

    Osaka, Osaka

  • 1222.22.049 Boehringer Ingelheim Investigational Site

    Osaka, Osaka

  • 1222.22.019 Boehringer Ingelheim Investigational Site

    Sakai, Oasaka

  • 1222.22.006 Boehringer Ingelheim Investigational Site

    Sapporo, Hokkaido

  • 1222.22.051 Boehringer Ingelheim Investigational Site

    Sashima-gun, Ibaraki

  • 1222.22.031 Boehringer Ingelheim Investigational Site

    Sendai, Miyagi

  • 1222.22.013 Boehringer Ingelheim Investigational Site

    Seto, Aichi

  • 1222.22.024 Boehringer Ingelheim Investigational Site

    Shibata-gun, Miyagi

  • 1222.22.003 Boehringer Ingelheim Investigational Site

    Takarazuka, Hyogo

  • 1222.22.026 Boehringer Ingelheim Investigational Site

    Tsukuba, Ibaraki

  • 1222.22.030 Boehringer Ingelheim Investigational Site

    Ube, Yamaguchi

  • 1222.22.037 Boehringer Ingelheim Investigational Site

    Uji, Kyoto

  • 1222.22.047 Boehringer Ingelheim Investigational Site

    Wakayama, Wakayama

  • 1222.22.016 Boehringer Ingelheim Investigational Site

    Yamagata, Yamagata

  • 1222.22.036 Boehringer Ingelheim Investigational Site

    Yao, Osaka

  • 1222.22.011 Boehringer Ingelheim Investigational Site

    Yokohama, Kanagawa

Other trials in Japan

About this study

Official title: Randomised, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Efficacy and Safety of 4 Weeks of Once Daily Treatment of Orally Inhaled BI 1744 CL Delivered by the Respimat Inhaler in Japanese Patients With COPD

The primary objective of this study is to determine the optimum dose(s) of BI 1744 CL inhalation solution delivered by the Respimat inhaler once daily for 4 weeks in Japanese patients with chronic obstructive pulmonary disease (COPD). The selection of the optimum dose(s) will be based on bronchodilator efficacy, safety evaluations and pharmacokinetic evaluations.

Being tested
BI 1744 CL 2 µg, BI 1744 CL 5 µg, BI 1744 CL 10 µg, 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.

  • BI 1744 CL 2 µgDrug

    2 puffs of 1 µg/actuation delivered by the Respimat® inhaler

  • BI 1744 CL 5 µgDrug

    2 puffs of 2.5 µg/actuation delivered by the Respimat® inhaler

  • BI 1744 CL 10 µgDrug

    2 puffs of 5 µg/actuation delivered by Respimat®

  • PlaceboDrug

    2 puffs delivered by the Respimat® inhaler

Study groups in NCT00824382
Study groupRoleWhat they receive
BI 1744 CL 5 µgExperimental2 puffs of 2.5 µg/actuation
Receives: Drug: BI 1744 CL 5 µg
BI 1744 CL 10 µgExperimental2 puffs of 5 µg/actuation
Receives: Drug: BI 1744 CL 10 µg
PlaceboPlacebo comparator2 puffs
Receives: Drug: Placebo
BI 1744 CL 2 µgExperimental2 puffs of 1 µg/actuation
Receives: Drug: BI 1744 CL 2 µg

What is being measured

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

  1. Trough FEV1 Response at Week 4

    The change from baseline in trough FEV1 after 4 weeks of treatment. Trough FEV1 is defined as the mean of the two FEV1 values (performed at -1 hour and -10 minutes prior to next test-drug inhalation) at the end of the dosing interval, 24 hours post-drug administration. Trough FEV1 response is defined as the change from baseline . Baseline trough FEV1 is the mean of the two pre-treatment FEV1 values measured at Visit 2 prior to administration of the first dose of study medication.

    Measured: baseline and after 4 weeks treatment

Secondary outcomes (17)
  1. Trough FEV1 Response at Week 2

    Trough FEV1 is defined as the mean of the two FEV1 values (performed at -1 hour and -10 minutes prior to next test-drug inhalation) at the end of the dosing interval, 24 hours post-drug administration. Trough FEV1 response is defined as the change from baseline in trough FEV1. Baseline trough FEV1 is the mean of the two pre-treatment FEV1 values measured at Visit 2 prior to administration of the first dose of study medication

    Measured: baseline and after 2 weeks treatment

  2. FEV1 AUC(0-3) Response at 4 Weeks

    The change from baseline in FEV1 AUC(0-3) after 4 weeks of treatment. 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 liters.

    Due to normalization the unit is liters.

    Measured: baseline and after 4 weeks treatment

  3. FEV1 Peak(0-3) Response at 4 Weeks

    The change from baseline in FEV1 peak(0-3) after 4 weeks of treatment.

    Measured: baseline and after 4 weeks treatment

  4. Trough FVC Response at Week 4

    The change from baseline in Trough FVC after 4 weeks of treatment

    Measured: baseline and after 4 weeks treatment

  5. FVC AUC(0-3) Response

    The change from baseline in FVC AUC(0-3) response after 4 weeks of treatment. 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 liters.

    Due to normalization the unit is liters.

    Measured: baseline and after 4 weeks treatment

  6. FVC Peak(0-3) Response

    The change from baseline in FVC peak(0-3) response after 4 weeks of treatment.

    Measured: baseline and after 4 weeks treatment

  7. Forced Expiratory Volume in 1 Second (FEV1) (Unsupervised) Area Under Curve 0-6h (AUC 0-6h) Response After 4 Weeks

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose of randomized treatment. Means are adjusted using a model with treatment (trt), baseline as fixed effects and centre as random effect.

    FEV1 AUC 0-6h was calculated from 0-6 hours post-dose using the trapezoidal rule, divided by the observation time (6h) to report in liters.

    Measured: baseline and after 4weeks treatment

  8. Forced Expiratory Volume in 1 Second (FEV1) (Unsupervised) Area Under Curve 6-12 h (AUC 6-12h) Response After 4 Weeks

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose of randomized treatment. Means are adjusted using a model with treatment (trt), baseline as fixed effects and centre as random effect.

    FEV1 AUC 6-12h was calculated from 6-12 hours post-dose using the trapezoidal rule, divided by the observation time (6h) to report in liters.

    Measured: Baseline and after 4weeks treatment

  9. Weekly Mean Pre-dose Morning Peak Expiratory Flow Rate (PEFR) After 4 Weeks

    PEFR measurements were recorded by means of a patient diary on a daily basis. This diary was used to record the twice daily PEFs,

    Morning measurements were performed immediately upon arising before administration of trial and/or rescue medication.The highest of three readings for each measurement were recorded.

    Measured: Week 4

  10. Weekly Mean Evening PEFR After 4 Weeks

    PEFR measurements were recorded by means of a patient diary on a daily basis. This diary was used to record the twice daily PEFs,

    Evening measurements were performed at bedtime.The highest of three readings for each measurement were recorded.

    Measured: Week 4

  11. Weekly Mean Number of Occasions of Rescue Therapy After 4 Weeks

    Weekly mean number of occasions of rescue therapy used per day (PRN salbutamol )

    Measured: Week 4

  12. Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis, ECG and Physical Examination

    Clinical relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis, ECG and Physical examination. New abnormal findings or worsenings of baseline conditions were reported as Adverse Events related to treatment (cardiac disorders and investigations).

    Measured: 4 weeks

  13. Difference From Baseline in Potassium

    Difference from baseline in Potassium (normalized values). Normalization means that the values from different laboratories are transformed in such a way that they are directly comparable.

    Measured: Baseline, Week 4

  14. Cmax (Maximum Measured Concentration of the Analyte in Plasma)

    Cmax only calculated if >1/3 of the patients have available pharmacokinetic parameters,thus not applicable for the Olodaterol 2 mcg

    Measured: after first inhalated administration

  15. Cmax,ss (Maximum Measured Concentration of the Analyte in Plasma at Steady State)

    Cmax,ss only calculated if >1/3 of the patients have available pharmacokinetic parameters, thus not applicable for the Olodaterol 2 mcg

    Measured: visit at week 4

  16. AUC0-1

    Area under the concentration curve from 0 to 1 hour using trapezoid rule, only calculated if >1/3 of the patients have available pharmacokinetic parameters,thus not applicable for Olodaterol 2mcg group

    Measured: after first inhalated administration

  17. AUC0-1,ss

    Area under the concentration curve from 0 to 1 hour at steady state using trapezoid rule, only calculated if >1/3 of the patients have available pharmacokinetic parameters, thus not applicable for Olodaterol 2mcg group

    Measured: visit at week 4

Timeline

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

  1. First posted16 Jan 2009 (estimated)
  2. Study startJan 2009
  3. Primary completionMar 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
328 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00824382
Sponsor's protocol ID
1222.22
Status last verified
May 2014
First submitted
15 Jan 2009
Last updated
27 Jun 2014

Publications

  • Ichinose M, Takizawa A, Izumoto T, Tadayasu Y, Hamilton AL, Kunz C, Fukuchi Y. Efficacy and safety of the long-acting beta2-agonist olodaterol over 4 weeks in Japanese patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2015 Aug 20;10:1673-83. doi: 10.2147/COPD.S86002. eCollection 2015.

    PubMed 26316741

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 1744 CL 2 µg, BI 1744 CL 5 µg and BI 1744 CL 10 µg in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 48 sites in Japan.

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 6 inclusion and 31 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 48 sites in Japan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 10 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?

Trough FEV1 Response at Week 4 (time frame: baseline and after 4 weeks treatment). 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 NCT00824382, which also lists 1 linked publication.

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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