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Pulmonary Disease, Chronic ObstructivePhase 3NCT02085161

To Evaluate the Effect of Inhaled Medication Together With Exercise and Activity Training on Exercise Capacity and Daily Activities in Patients With Chronic Lung Disease With Obstruction of Airways

A Phase 3 study testing tiotropium+olodaterol, tiotropium +olodaterol and tiotropium in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 34 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 objectives of the study are to explore the effect of treatment with orally inhaled tiotropium + olodaterol fixed dose combination with and without exercise training, and tiotropium comparing to placebo, on top of behavioural modification in improving exercise capacity in patients with COPD Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
tiotropium+olodaterol, tiotropium +olodaterol and tiotropium
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
304 participants
Where
34 sitesin 11 countries
Study dates
Mar 2014to Oct 2015
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • All patients must sign an informed consent consistent with International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) - Good Clinical Practice (GCP) guidelines prior to participation in the trial, which includes medication washout and restrictions.
  • All patients must have a diagnosis of chronic obstructive pulmonary disease and must meet the following spirometric criteria: Patients must have relatively stable airway obstruction with a post-bronchodilator forced expiratory volume in one second >=30% and <80% of predicted normal; Global Initiative for Chronic Obstructive Lung Disease grade II - III, and a post-bronchodilator Tiffeneau index <70% at Visit 1.
  • Male or female patients, aged >=40 years and <=75 years.
  • Patients must be current or ex-smokers with a smoking history of more than 10 pack years. Patients who have never smoked cigarettes must be excluded.

Who cannot join

  • Patients with a significant disease other than chronic obstructive pulmonary disease.
  • Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis.
  • Patients with a history of asthma.
  • A diagnosis of thyrotoxicosis.
  • A diagnosis of paroxysmal tachycardia (>100 beats per minute).
  • A history of myocardial infarction within 1 year of screening visit.
Show all 26Show fewer
  • Unstable or life-threatening cardiac arrhythmia.
  • Hospitalized 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.
  • A history of life-threatening pulmonary obstruction and patients with chronic respiratory failure.
  • A history of cystic fibrosis.
  • Clinically evident bronchiectasis.
  • A history of significant alcohol or drug abuse.
  • Any contraindications for exercise testing.
  • Patients who have undergone thoracotomy with pulmonary resection.
  • Patients being treated with any oral ß-adrenergics.
  • Patients being treated with 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.
  • Patients who regularly use daytime oxygen therapy for more than one hour per day and in the investigators 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 six weeks prior to the screening visit or patients who are currently in a pulmonary rehabilitation program.
  • Patients who have a limitation of exercise performance as a result of factors other than fatigue or exertional dyspnoea, such as arthritis in the leg, angina pectoris or claudication or morbid obesity.
  • Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to screening visit.
  • Patients with known hypersensitivity to ß-adrenergics drugs, anticholinergic drugs, benzalkonium chloride, disodium edentat, or any other component of the Respimat® inhalation solution delivery system.
  • Pregnant or nursing women.
  • Women of childbearing potential not using highly effective methods of birth control.
  • Patients who have previously been randomized in this study or are currently participating in another study.

Trial locations and contacts

34 sites in 11 countries.

34 sites in 11 countries

Germany9 sites
  • Boehringer Ingelheim Investigational Site

    Berlin

  • Boehringer Ingelheim Investigational Site

    Bochum

  • Boehringer Ingelheim Investigational Site

    Frankfurt

  • Boehringer Ingelheim Investigational Site

    Großhansdorf

  • Boehringer Ingelheim Investigational Site

    Heidelberg

  • Boehringer Ingelheim Investigational Site

    Leverkusen

  • Boehringer Ingelheim Investigational Site

    Solingen

  • Boehringer Ingelheim Investigational Site

    Teuchern

  • Boehringer Ingelheim Investigational Site

    Tübingen

Other trials in Germany

United States3 sites
  • Boehringer Ingelheim Investigational Site

    Hartford, Connecticut

  • Boehringer Ingelheim Investigational Site

    San Diego, California

  • Boehringer Ingelheim Investigational Site

    Torrance, California

Other trials in United States

Belgium3 sites
  • Boehringer Ingelheim Investigational Site

    Genk

  • Boehringer Ingelheim Investigational Site

    Hasselt

  • Boehringer Ingelheim Investigational Site

    Leuven

Other trials in Belgium

Canada3 sites
  • Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • Boehringer Ingelheim Investigational Site

    Saskatoon, Saskatchewan

  • Boehringer Ingelheim Investigational Site

    Ste-Foy, Quebec

Other trials in Canada

Denmark3 sites
  • Boehringer Ingelheim Investigational Site

    København NV

  • Boehringer Ingelheim Investigational Site

    Kolding

  • Boehringer Ingelheim Investigational Site

    Odense

Other trials in Denmark

Poland3 sites
  • Boehringer Ingelheim Investigational Site

    Gdansk

  • Boehringer Ingelheim Investigational Site

    Lodz

  • Boehringer Ingelheim Investigational Site

    Starachowice

Other trials in Poland

Portugal3 sites
  • Boehringer Ingelheim Investigational Site

    Coimbra

  • Boehringer Ingelheim Investigational Site

    Lisbon

  • Boehringer Ingelheim Investigational Site

    Porto

Other trials in Portugal

United Kingdom3 sites
  • Boehringer Ingelheim Investigational Site

    Leicester

  • Boehringer Ingelheim Investigational Site

    Norwich

  • Boehringer Ingelheim Investigational Site

    Sheffield

Other trials in United Kingdom

Australia2 sites
  • Boehringer Ingelheim Investigational Site

    Daw Park, South Australia

  • Boehringer Ingelheim Investigational Site

    Glen Osmond, South Australia

Other trials in Australia

Austria1 site
  • Boehringer Ingelheim Investigational Site

    Salzburg

Other trials in Austria

New Zealand1 site
  • Boehringer Ingelheim Investigational Site

    Greenlane East Auckland NZ

Other trials in New Zealand

About this study

Official title: An Exploratory, 12 Week, Randomised, Partially Double-blinded, Placebo-controlled Parallel Group Trial to Explore the Effects of Once Daily Treatments of Orally Inhaled Tiotropium + Olodaterol Fixed Dose Combination or Tiotropium (Both Delivered by Respimat® Inhaler), Supervised Exercise Training and Behavior Modification on Exercise Capacity and Physical Activity in Patients With Chronic Obstructive Pulmonary Disease (COPD)

The primary objectives of the study are to explore the effect of treatment with orally inhaled tiotropium + olodaterol fixed dose combination with and without exercise training, and tiotropium comparing to placebo, on top of behavioural modification in improving exercise capacity in patients with COPD

Being tested
placebo to tiotropium + olodaterol, tiotropium+olodaterol, tiotropium +olodaterol, tiotropium
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.

  • placebo to tiotropium + olodaterolDrug

    comparator

  • tiotropium+olodaterolDrug

    tiotropium 5 mcg once daily

  • tiotropium +olodaterolDrug

    olodaterol 5 mcg once daily fixed dose combination

  • tiotropiumDrug

    tiotropium 5 mcg once daily fixed dose combination

Study groups in NCT02085161
Study groupRoleWhat they receive
placeboPlacebo comparatorpatient will receive placebo once daily, 2 puffs in the morning
Receives: Drug: placebo to tiotropium + olodaterol
tiotropium + olodaterol high dose with BMExperimentalpatient will receive tiotropium 5 mcg + olodaterol 5 mcg in fixed dose combination once daily, 2 puffs in the morning
Receives: Drug: tiotropium +olodaterol
tiotropiumActive comparatorpatient will receive tiotropium 5 mcg once daily, 2 puffs in the morning
Receives: Drug: tiotropium
tiotropium + olodaterol with exercise training and BMExperimentalpatient will receive tiotropium 5 mcg + olodaterol 5 mcg in fixed dose combination once daily, 2 puffs in the morning
Receives: Drug: tiotropium+olodaterol

What is being measured

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

  1. Endurance Time During Endurance Shuttle Walk Test (ESWT) to Symptom Limitation After 8 Weeks

    Endurance time during ESWT to symptom limitation at walking speed corresponding to 85% of predicted maximum oxygen consumption (VO2 peak) after 8 weeks of pharmacological treatment and non-pharmacological intervention. The numerical value of endurance time in seconds was transformed in log10 scale to correct for skewness and then an analysis of covariance (ANCOVA) was fitted to the log10-transformed data and the least square means (LSMean) and standard error (SE) were obtained. To present the results in a way easier for interpretation, the least square mean from the ANCOVA fitted to the log10-transformed data were transformed back taking 10 to the power of the least square estimate to obtain the geometric mean and the corresponding SE was transformed using delta method to get the corresponding SE of the geometric mean.

    Measured: Week 8

Secondary outcomes (7)
  1. Average Daily Walking Time Measured by the Activity Monitor in the Week Prior to Week 12

    Average daily walking time measured by the activity monitor in the week prior to Week 12.

    Measured: Week 12

  2. Average Daily Walking Intensity Measured by the Activity Monitor in the Week Prior to 12 Weeks of Treatment

    Average daily walking intensity measured by the activity monitor in the week prior to 12 weeks of treatment. The Movement Intensity (MI) is derived from the acceleration signals. Since seismic sensors measure gravitational acceleration (g) in static situations, the acceleration signal is expressed relative to g (1g = 9.81m/s2). To calculate movement intensity (MI) the gravitational acceleration in static situations was removed and the rotation vector of the three accelerometer signals was calculated. The MI gives an indication of the power of movements.

    Measured: Week 12

  3. Perceived Difficulties as Evaluated With Functional Performance Inventory-Short Form (FPI-SF) Total Score at Week 12

    Perceived difficulties as evaluated with FPI-SF. FPI-SF self-report questionnaire has 6 domains: Body care(5 items), Household maintenance(8 items), Physical exercise(5 items), Recreation(5 items), Spiritual activities(4 items) and Social interaction(5 items) with five possible answers on each item: Do with no difficulty - 3, Do with some difficulty - 2, Do with great difficulty - 1, don't do because of health reasons - 0, and don't do because choose not to - 0. Domain scores are expressed as mean values, with at least 6 non-missing items required for the household maintenance domain and at least 3 non-missing items for the other domains. Total score is the mean across the six domains. So total and domain scores range from 0 to 3, with higher scores indicating higher levels of functional activity within and across domains. Respondents engaged in many activities with no difficulty will score high on the FPI, while those who perform few activities with much difficulty will score low.

    Measured: Week 12

  4. Endurance Time During Endurance Shuttle Walk Test (ESWT) to Symptom Limitation After 12 Weeks

    Endurance time during ESWT to symptom limitation at walking speed corresponding to 85% of maximum oxygen consumption (VO2 peak) after 12 weeks of pharmacological treatment and non-pharmacological intervention. The numerical value of endurance time in seconds was transformed in log10 scale to correct for skewness and then the ANCOVA was fitted to the log10-transformed data and the least square means and SE were obtained. To present the results in a way easier for interpretation, the least square mean from the ANCOVA fitted to the log10-transformed data were transformed back taking 10 to the power of the least square estimate to obtain the geometric mean and the corresponding SE was transformed using delta method to get the corresponding SE of the geometric mean.

    Measured: Week 12

  5. One Hour, Post-dose Forced Expiratory Volume in One Second (FEV1) After 8 Weeks of Treatment

    One hour, Post-dose Forced Expiratory Volume in One Second (FEV1) after 8 weeks of treatment.

    Measured: Week 8

  6. One Hour, Post-dose Forced Vital Capacity (FVC) After 8 Weeks of Treatment

    One hour, Post-dose Forced Vital Capacity (FVC) after 8 weeks of treatment.

    Measured: Week 8

  7. Resting Inspiratory Capacity (IC) Measured at 1.5 Hours Post Dose After 8 Weeks of Treatment

    Resting inspiratory capacity (IC) measured at 1.5 hours post dose after 8 weeks of treatment.

    Measured: Week 8

Timeline

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

  1. First posted12 Mar 2014 (estimated)
  2. Study startMar 2014
  3. Primary completionAug 2015
  4. Study completionOct 2015

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
Single blind
Enrolment
304 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02085161
Sponsor's protocol ID
1237.16
Other IDs
2013-002671-18
Status last verified
Nov 2016
First submitted
7 Mar 2014
Last updated
6 Jan 2017

Publications

  • Troosters T, Bourbeau J, Maltais F, Leidy N, Erzen D, De Sousa D, Korducki L, Hamilton A. Enhancing exercise tolerance and physical activity in COPD with combined pharmacological and non-pharmacological interventions: PHYSACTO randomised, placebo-controlled study design. BMJ Open. 2016 Apr 13;6(4):e010106. doi: 10.1136/bmjopen-2015-010106.

    PubMed 27075841
  • Bourbeau J, Lavoie KL, Sedeno M, De Sousa D, Erzen D, Hamilton A, Maltais F, Troosters T, Leidy N. Behaviour-change intervention in a multicentre, randomised, placebo-controlled COPD study: methodological considerations and implementation. BMJ Open. 2016 Apr 4;6(4):e010109. doi: 10.1136/bmjopen-2015-010109.

    PubMed 27044576

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing tiotropium+olodaterol, tiotropium +olodaterol and tiotropium in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 34 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 4 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in Germany, United States, Belgium, Canada, Denmark 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 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 6 Jan 2017). 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?

Endurance Time During Endurance Shuttle Walk Test (ESWT) to Symptom Limitation After 8 Weeks (time frame: Week 8). 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 NCT02085161, 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 6 Jan 2017.

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