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AsthmaPhase 2NCT01634113

Evaluation of Tiotropium 2.5 and 5 mcg Once Daily Delivered Via the Respimat® Inhaler Compared to Placebo in 1 to 5 Year Old Patients With Persistent Asthma

A Phase 2 study testing tiotropium-bromide in people with Asthma, run by Boehringer Ingelheim at 33 sites in 11 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 trial is to evaluate the safety and efficacy of two doses of tiotropium inhalation solution delivered via the Respimat® inhaler once daily in the afternoon in patients (1 to 5 years old) with persistent asthma on top of inhaled corticosteroid (ICS) treatment. Read more about this study

Who is it for?
Ages 1 year to 5 years
Conditions the study is for
Asthma
What is being tested?
tiotropium-bromide
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
102 participants
Where
33 sitesin 11 countries
Study dates
Jul 2012to Dec 2014
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 1 year to 5 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • All patients' parents (or legal guardians) must sign and date an informed consent consistent with ICH-GCP guidelines and local legislation prior to participation in the trial. Where appropriate, participants should assent to enroll in the study.
  • Male or female patients between 1 and 5 years of age.
  • By a physician documented (at least 6 month) history of persistent asthma symptoms, including (but not limited to) wheezing, cough, and/or shortness of breath. (persistent = need for inhalation corticosteroid maintenance therapy to control asthma symptoms)
  • For patients aged 5 years and capable of performing technically acceptable Pulmonary Function tests (PFTs): documented impaired lung function (i.e. pre-bronchodilator Forced Expiratory Volume in 1 second (FEV1) is smaller or equal to 90% of predicted normal).
  • All patients must have been on maintenance treatment with an inhaled corticosteroid at stable dose, either as mono treatment or in combination with another controller medication, for at least 4 weeks before Visit 1.
  • All patients must be symptomatic (partly controlled) as defined by the Global Initiative for Asthma (GINA) guideline for children aged 5 years and younger in the week prior to Visit 1 (screening) and in the week prior to randomisation (Visit 2).
  • Further inclusion criteria apply.

Who cannot join

  • Patients with a significant disease other than asthma.
  • Patients with clinically relevant abnormal screening haematology or blood chemistry will be excluded if the abnormality defines a significant disease as defined in exclusion criterion 1.
  • Patients with a history of congenital or acquired heart disease, or patients who have been hospitalised for cardiac syncope or failure during the past year.
  • Patients with any unstable or life-threatening cardiac arrhythmia, including cardiac arrhythmia requiring intervention (e.g. pacemaker implantation) or a change in drug therapy within the past year.
  • Patients with a malignancy for which the patient has undergone resection, radiation therapy or chemotherapy.
  • Patients with clinically significant lung diseases other than asthma.
Show all 11Show fewer
  • Alternative causes (other causes than asthma) that can lead to respiratory symptoms of wheeze, cough and shortness of breath.
  • Patients with known active tuberculosis.
  • Patients who have undergone thoracotomy with pulmonary resection.
  • Patients who are currently in a pulmonary rehabilitation program or have completed a pulmonary rehabilitation program in the 6 weeks prior to the screening visit (Visit 1).
  • Further exclusion criteria apply.

Trial locations and contacts

33 sites in 11 countries.

33 sites in 11 countries

Ukraine5 sites
  • 205.443.07003 Boehringer Ingelheim Investigational Site

    Dnipropetrovsk

  • 205.443.07002 Boehringer Ingelheim Investigational Site

    Donetsk

  • 205.443.07005 Boehringer Ingelheim Investigational Site

    Vinnytsia

  • 205.443.07004 Boehringer Ingelheim Investigational Site

    Zaporizhya

  • 205.443.07001 Boehringer Ingelheim Investigational Site

    Zaporizhzhya

Other trials in Ukraine

United States4 sites
  • 205.443.12006 Boehringer Ingelheim Investigational Site

    Charleston, South Carolina

  • 205.443.12003 Boehringer Ingelheim Investigational Site

    Columbia, Missouri

  • 205.443.12005 Boehringer Ingelheim Investigational Site

    Oklahoma City, Oklahoma

  • 205.443.12004 Boehringer Ingelheim Investigational Site

    Summerville, South Carolina

Other trials in United States

Germany4 sites
  • 205.443.03003 Boehringer Ingelheim Investigational Site

    Berlin

  • 205.443.03001 Boehringer Ingelheim Investigational Site

    Bochum

  • 205.443.03002 Boehringer Ingelheim Investigational Site

    Ettenheim

  • 205.443.03010 Boehringer Ingelheim Investigational Site

    Frankfurt

Other trials in Germany

Belgium3 sites
  • 205.443.01004 Boehringer Ingelheim Investigational Site

    Antwerp

  • 205.443.01002 Boehringer Ingelheim Investigational Site

    Brussels

  • 205.443.01001 Boehringer Ingelheim Investigational Site

    Edegem

Other trials in Belgium

Latvia3 sites
  • 205.443.05001 Boehringer Ingelheim Investigational Site

    Balvi

  • 205.443.05003 Boehringer Ingelheim Investigational Site

    Rēzekne

  • 205.443.05002 Boehringer Ingelheim Investigational Site

    Riga

Other trials in Latvia

Malaysia3 sites
  • 205.443.10002 Boehringer Ingelheim Investigational Site

    Kelantan

  • 205.443.10001 Boehringer Ingelheim Investigational Site

    Kuala Lumpur

  • 205.443.10003 Boehringer Ingelheim Investigational Site

    Kuala Pahang

Other trials in Malaysia

South Korea3 sites
  • 205.443.82003 Boehringer Ingelheim Investigational Site

    Guri-si

  • 205.443.82002 Boehringer Ingelheim Investigational Site

    Incheon

  • 205.443.82001 Boehringer Ingelheim Investigational Site

    Seoul

Other trials in South Korea

Finland2 sites
  • 205.443.02002 Boehringer Ingelheim Investigational Site

    Helsinki

  • 205.443.02003 Boehringer Ingelheim Investigational Site

    Turku

Other trials in Finland

Lithuania2 sites
  • 205.443.06002 Boehringer Ingelheim Investigational Site

    Vilnius

  • 205.443.06003 Boehringer Ingelheim Investigational Site

    Vilnius

Other trials in Lithuania

Netherlands2 sites
  • 205.443.04003 Boehringer Ingelheim Investigational Site

    Breda

  • 205.443.04001 Boehringer Ingelheim Investigational Site

    Groningen

Other trials in Netherlands

Philippines2 sites
  • 205.443.09001 Boehringer Ingelheim Investigational Site

    Quezon City

  • 205.443.09002 Boehringer Ingelheim Investigational Site

    Quezon City

Other trials in Philippines

About this study

Official title: A Phase II/III, Randomised, Double-blind, Placebo-controlled, Parallel Group Trial to Evaluate Safety and Efficacy of Tiotropium Inhalation Solution (2.5 µg and 5 µg) Administered Once Daily in the Afternoon Via Respimat® Inhaler for 12 Weeks in Patients 1 to 5 Years Old With Persistent Asthma

The primary objective of this trial is to evaluate the safety and efficacy of two doses of tiotropium inhalation solution delivered via the Respimat® inhaler once daily in the afternoon in patients (1 to 5 years old) with persistent asthma on top of inhaled corticosteroid (ICS) treatment.

Conditions
Asthma
Being tested
tiotropium-bromide, placebo
Medical subject headings
Asthma

What participants receive

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

  • tiotropium-bromideDrug

    IMP

  • tiotropium-bromideDrug

    IMP

  • placeboDrug

    placebo matching tiotropium

Study groups in NCT01634113
Study groupRoleWhat they receive
tiotropium low doseExperimentalOnce daily, delivered with Respimat® inhaler
Receives: Drug: tiotropium-bromide
tiotropium high doseExperimentalOnce daily, delivered with Respimat® inhaler
Receives: Drug: tiotropium-bromide
placeboPlacebo comparatorOnce daily, delivered with Respimat® inhaler
Receives: Drug: placebo

What is being measured

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

  1. Weekly Mean Combined Daytime Asthma Symptom Score

    Change from baseline in the weekly mean combined daytime asthma symptom score as assessed by the Paediatric Asthma Caregivers Diary (PACD) in the last week of the 12 week treatment period.

    The PACD is a diary designed to evaluate daily asthma symptoms in children aged 2-5 years. The diary consists of three questions to be answered each morning, when the child wakes up, and seven questions to be answered each evening, right after the child goes to bed for the night. A week was defined as 7 days.

    The combined daytime score is the average of scores from questions 4 - 7 in the diary which are questions regarding severity of cough, wheezing, trouble breathing and interference with activities, scores for each question range from 0 (best) to 5 (worst). The week 12 weekly mean is the mean of the responses for each day averaged over the 7 days in week 12, so combined daytime asthma symptom scores also range from 0 (best) to 5 (worst).

    The measured values presented are adjusted means.

    Measured: Baseline and 12 weeks

  2. FEV1 Peak (0-3h) Change From Baseline

    Change from baseline in peak Forced expiratory volume in 1 second within the first 3 hours post dosing (FEV1 peak (0-3h)) measured at week 12

    Measured: 10 minutes before drug administration and 30 minutes, 1 hour (h), 2h and 3h after drug administration at baseline and week 12

Secondary outcomes (11)
  1. Weekly Mean Overnight Asthma Symptom Score Response

    Change from baseline in the weekly mean overnight asthma symptom score response as assessed by the PACD in the last week of the 12 week treatment period.

    The overnight score is the score from the following question in the PACD, "How much did your child cough last night after your child was put to bed for the night until he/she awoke this morning?". This endpoint was determined only for patients with 2 or more nights with symptoms per week during the baseline period. In this case, the baseline period is the 7 days used to derive the baseline value. A patient has a night with symptoms if the question was answered with scores 1, 2, 3, 4 or 5 or the patient received β-Agonist at least one time since he/she went to bed. A week was defined as 7 days.

    Scores range from 0 (best) to 4 (worst), a value of 5 indicates severity of symptoms is unknown.

    The measured values presented are adjusted means

    Measured: Baseline and 12 weeks

  2. Weekly Percentage of Days Without Asthma Symptoms

    Weekly Percentage of days without asthma symptoms at week 12.

    A day without asthma symptoms was defined as a day during which the patient experienced no asthma symptoms, did not use rescue medication (salbutamol/albuterol) and had no asthma exacerbation/worsening requiring systemic corticosteroids, or unscheduled visits to a doctor's office, emergency department, or hospital. A week was defined as 7 days.

    The measured values presented are adjusted means

    Measured: 12 weeks

  3. Weekly Percentage of Days With Use of Salbutamol (Albuterol) Rescue Medication

    Weekly percentage of days with use of salbutamol (albuterol) rescue medication at week 12. A week was defined as 7 days.

    Measured: 12 weeks

  4. Weekly Mean Nighttime Awakenings Due to Asthma Symptoms

    Change from baseline in the weekly mean nighttime awakenings due to asthma symptoms as assessed by the PACD, in the last week of the 12 week treatment period.

    The weekly mean was calculated as the average of the weekly scores for the question "Did your child wake up during the night due to his/her asthma?" The question was answered on a 5-point verbal rating scale, with scores ranging from 1 (did not wake up) to 5 (was awake all night). A week was defined as 7 days.

    The measured values presented are adjusted means

    Measured: Baseline and 12 weeks

  5. Trough FEV1 Change From Baseline

    Change from baseline in Trough (pre-dose) Forced expiratory volume in 1 second (FEV1) measured at week 12.

    Measured: Baseline and 12 weeks

  6. FEV1 AUC (0-3h) Change From Baseline

    Change from baseline of area under the curve (AUC) from 0 to 3 h for FEV1 (FEV1 AUC 0-3h) after 12 weeks of treatment. The AUC was calculated by using the trapezoidal rule divided by the observation time (3h).

    Measured: 10 minutes before drug administration and 30 minutes, 1 hour (h), 2h and 3h after drug administration at baseline and week 12

  7. FVC Peak (0-3h) Change From Baseline

    Change from baseline in maximum forced vital capacity (FVC) measured within the first 3 hours after administration of trial medication (FVC peak (0-3h)) after 12 weeks of treatment.

    Measured: 10 minutes before drug administration and 30 minutes, 1 hour (h), 2h and 3h after drug administration at baseline and week 12

  8. Trough FVC Change From Baseline

    Change from baseline of trough (pre-dose) forced vital capacity (FVC) measured 10 min before the administration of trial medication after 12 weeks of treatment.

    Measured: Baseline and 12 weeks

  9. FVC AUC (0-3h) Change From Baseline

    Change from baseline of area under the curve (AUC) from 0 to 3 h for FVC (FVC AUC0-3h) after 12 weeks of treatment. The AUC was calculated by using the trapezoidal rule divided by the observation time (3h).

    Measured: 10 minutes before drug administration and 30 minutes, 1 hour (h), 2h and 3h after drug administration at baseline and week 12

  10. Individual FEV1 Measurements

    Change from baseline in individual FEV1 measurements at each timepoint after 12 weeks

    Measured: Baseline and 12 weeks

  11. Individual FVC Measurements

    Change from baseline in individual FVC measurements at each timepoint after 12 weeks

    Measured: Baseline and 12 weeks

Timeline

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

  1. First posted6 Jul 2012 (estimated)
  2. Study startJul 2012
  3. Primary completionDec 2014
  4. Study completionDec 2014

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
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01634113
Sponsor's protocol ID
205.443
Other IDs
2011-005512-28
Status last verified
Jun 2015
First submitted
16 Apr 2012
Last updated
23 Jun 2015

Publications

  • Wachtel H, Nagel M, Engel M, El Azzi G, Sharma A, Suggett J. In vitro and clinical characterization of the valved holding chamber AeroChamber Plus(R) Flow-Vu(R) for administrating tiotropium Respimat(R) in 1-5-year-old children with persistent asthmatic symptoms. Respir Med. 2018 Apr;137:181-190. doi: 10.1016/j.rmed.2018.03.010. Epub 2018 Mar 7.

    PubMed 29605203
  • Vrijlandt EJLE, El Azzi G, Vandewalker M, Rupp N, Harper T, Graham L, Szefler SJ, Moroni-Zentgraf P, Sharma A, Vulcu SD, Sigmund R, Chawes B, Engel M, Bisgaard H. Safety and efficacy of tiotropium in children aged 1-5 years with persistent asthmatic symptoms: a randomised, double-blind, placebo-controlled trial. Lancet Respir Med. 2018 Feb;6(2):127-137. doi: 10.1016/S2213-2600(18)30012-2. Epub 2018 Jan 18.

    PubMed 29361462

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing tiotropium-bromide in people with Asthma, run by Boehringer Ingelheim at 33 sites in 11 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 7 inclusion and 11 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 23 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in Ukraine, United States, Germany, Belgium, Latvia and 6 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 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 23 Jun 2015). 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?

Weekly Mean Combined Daytime Asthma Symptom Score (time frame: Baseline and 12 weeks). The study lists 2 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 NCT01634113, which also lists 2 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 23 Jun 2015.

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