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COPDPhase 4NCT02988869

Tiotropium/Formoterol Via Discair® vs Tiotropium Monotherapy or Tiotropium + Formoterol Free Combination Treatment

A Phase 4 study testing Tiotropium/Formoterol, Tiotropium and Formoterol in people with COPD, run by Neutec Ar-Ge San ve Tic A.Ş at 1 site in Turkey (Türkiye).

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 overall objective is to asses the bronchodilator effect of once daily Tiotropium/Formoterol combination delivered via Discair® by comparing Tiotropium (q.d.) monotherapy delivered via Handihaler and tiotropium (q.d.) delivered via Handihaler + formoterol (b.i.d) delivered via Aerolizer free combination treatment… Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
COPD
What is being tested?
Tiotropium/Formoterol, Tiotropium and Formoterol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
1 siteTurkey (Türkiye)
Study dates
Aug 2016to Aug 2017
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged ≥40 years with COPD diagnosis according to the current GOLD (The Global Initiative for Chronic Obstructive Lung Disease) strategy.
  • Patients who have symptomatic stable moderate to severe COPD diagnosis with post-bronchodilator FEV1/FVC ratio <0.70, and FEV1 <80% of predicted normal at screening visit.
  • Current smokers or ex-smokers with a smoking history of at least 10 pack-years
  • Patients who have no exacerbation within last 4 weeks
  • Female patients with childbearing potential using effective birth control method
  • Patients who signed written informed consent prior to participation
  • Patients who accept to comply with the requirements of the protocol
  • Patients who have a capability of communicate with investigator

Who cannot join

  • History of hypersensitivity to drugs contains anticholinergics, beta-adrenergic, lactose
  • Diagnosis of asthma
  • Patients vaccinated with live attenuated vaccines within 2 weeks prior to screening visit or during run-in period.
  • Patients who had COPD exacerbation or lower respiratory track infections that required antibiotic, oral or parenteral corticosteroid treatment within 4 weeks prior to screening visit or during run-in period.
  • Patients who have a history of myocardial infarction, hearth failure, acute ischemic coroner disease or severe cardiac arrhythmia requiring treatment within least 6 weeks
  • Patients who have lung cancer
Show all 14Show fewer
  • Patients with active tuberculosis
  • Patients who use oxygen therapy
  • Patients who have common interstitial lung diseases like cystic fibrosis, bronchiolitis obliterans
  • Patients with serious liver or renal disease that leads to organ failure
  • Women who are pregnant or nursing
  • History of allergic rhinitis and atopy
  • Known symptomatic prostatic hypertrophy requiring drug therapy or operation
  • Patients with narrow-angle glaucoma requiring drug therapy

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital

    Istanbul, 34020

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of Bronchodilator Efficacy of Tiotropium/Formoterol Combination Treatment Administered (qd) Via Discair® With Tiotropium (qd) Monotherapy or Tiotropium (qd) + Formoterol (Bid) Free Combination Treatment in Patients With Chronic Obstructive Pulmonary Disease (COPD)

The overall objective is to asses the bronchodilator effect of once daily Tiotropium/Formoterol combination delivered via Discair® by comparing Tiotropium (q.d.) monotherapy delivered via Handihaler and tiotropium (q.d.) delivered via Handihaler + formoterol (b.i.d) delivered via Aerolizer free combination treatment in patients with stable moderate to severe COPD.

Spirometric measurements (FEV1, FVC) will be performed for a period of 24 h at 12 different times: pre-treatment (15 min prior to the first dose) and post-treatment (30. min, 60 min [1 hr], 120 min [2 hr], 180 min [3 hr], 240 min [4 hr], 360 min [6 hr], 480 min [8 hr], 600 min [10 hr], 720 min [12 hr], 840 min [14 hr],1440 min [24 hr].

Read the detailed description

The overall objective is to asses the bronchodilator effect of once daily Tiotropium/Formoterol combination delivered via Discair® by comparing Tiotropium (q.d.) monotherapy delivered via Handihaler and tiotropium (q.d.) delivered via Handihaler + formoterol (b.i.d) delivered via Aerolizer free combination treatment in patients with stable moderate to severe COPD.

Patients will be randomly assigned to receive Tiotropium/Formoterol combination as dry powder for inhalation by Discair® (test inhaler, n = 29) or Tiotropium as dry powder capsule for inhalation by HandiHaler or tiotropium dry powder capsule for inhalation by HandiHaler + formoterol as dry powder capsule for inhalation by Aerolizer. Patients will be evaluated at 4 consecutive visits: baseline (enrollment), screening, treatment, and 24h after treatment.

For newly diagnosed and formerly diagnosed patients who are not on COPD medication, the screening visit will be performed on the day of enrollment. For formerly diagnosed patients receiving COPD treatment, the day of the screening visit will be based on the completion of a run-in period, with the length determined by the specific medication. During the run-in period, salbutamol (100 µg inhaler) will be prescribed as a rescue medication.

Spirometric measurements (FEV1, FVC) will be performed for a period of 24 h at 12 different times: pre-treatment (15 min prior to the first dose) and post-treatment (30. min, 60 min [1 hr], 120 min [2 hr], 180 min [3 hr], 240 min [4 hr], 360 min [6 hr], 480 min [8 hr], 600 min [10 hr], 720 min [12 hr], 840 min [14 hr],1440 min [24 hr].

Conditions
COPD
Being tested
Tiotropium/Formoterol, Tiotropium, Formoterol
Keywords
COPD, Tiotropium, Formoterol
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • Tiotropium/FormoterolDrug

    Also called TRITON 18/12 mcg Discair Inhalation Powder

    Tiotropium/Formoterol 18/12 mcg Inhalation Powder (1 puff) once daily via Discair®

  • TiotropiumDrug

    Also called SPIRIVA 18 mcg Inhalation Powder

    Tiotropium 18 mcg Inhalation Powder (1 puff) once daily via Handihaler

  • FormoterolDrug

    Also called FORADIL 12 mcg Inhalation Powder

    Formoterol 12 mcg Inhalation Powder (1 puff) twice daily via Aerolizer

  • TiotropiumDrug

    Also called SPIRIVA Inhalation Powder

    Tiotropium 18 mcg Inhalation Powder (1 puff) once daily via Handihaler

Study groups in NCT02988869
Study groupRoleWhat they receive
Tiotropium/FormoterolExperimentalTiotropium/Formoterol 18/12 mcg Inhalation Powder (1 puff) once daily via Discair®
Receives: Drug: Tiotropium/Formoterol
TiotropiumActive comparatorTiotropium 18 mcg Inhalation Powder (1 puff) once daily via Handihaler
Receives: Drug: Tiotropium
Tiotropium + FormoterolActive comparatorTiotropium 18 mcg Inhalation Powder (1 puff) once daily via Handihaler + Formoterol 12 mcg Inhalation Powder (1 puff) twice daily via Aerolizer
Receives: Drug: Formoterol; Drug: Tiotropium

What is being measured

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

  1. Mean max change (ml) from baseline in FEV1 over a period of 24 h.

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)

  2. Mean % change from baseline in FEV1 over a period of 24 h.

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)

  3. Mean max change (ml) from baseline in FVC over a period of 24 h.

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)

  4. Mean % change from baseline in FVC over a period of 24 h.

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)

  5. FEV1 (AUC0-12) response

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: From pre-treatment (10 minutes prior to the first dose of randomized study medication) to 12 hours post-treatment (Day 1)

  6. FVC (AUC0-12) response

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: From pre-treatment (10 minutes prior to the first dose of randomized study medication) to 12 hours post-treatment (Day 1)

  7. FEV1 (AUC0-24) response

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: From pre-treatment (10 minutes prior to the first dose of randomized study medication) to 24 hours post-treatment (Day 1)

  8. FVC (AUC0-24) response

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: From pre-treatment (10 minutes prior to the first dose of randomized study medication) to 24 hours post-treatment (Day 1)

  9. FEV1 (AUC12-24) response

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: From pre-treatment (10 minutes prior to the first dose of randomized study medication) to 24 hours post-treatment (Day 1)

  10. FVC (AUC12-24) response

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: From pre-treatment (10 minutes prior to the first dose of randomized study medication) to 24 hours post-treatment (Day 1)

Secondary outcomes (3)
  1. The time to onset of bronchodilator effect

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)

  2. The time to onset of maximum effect

    Spirometric measurements will be made at 10 minutes prior to the first dose of randomized study medication and and post-treatment at 30. min, 60 min, 120 min, 180 min, 240 min, 360 min, 480 min, 600 min, 720 min, 840 min, 1440 min.

    Measured: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)

  3. Evaluation of safety (Physical examination, numbers of adverse reactions and abnormal laboratory values related to treatment)

    Measured: Predose and up to 24 hours postdose

Timeline

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

  1. First posted9 Dec 2016 (estimated)
  2. Study startAug 2016
  3. Primary completionAug 2017
  4. Study completionAug 2017

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02988869
Sponsor's protocol ID
NEU-22.12
Status last verified
Dec 2017
First submitted
6 Oct 2016
Last updated
16 Jun 2020
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Yildiz BP, Bayraktaroglu M, Gunen H. Bronchodilator efficacy of tiotropium/formoterol (18/12 microg once daily via a Discair inhaler), tiotropium alone (18 microg by Handihaler) or combined with formoterol (12 microg twice daily by Aerolizer) in adults with moderate-to-severe stable COPD. Curr Med Res Opin. 2019 Dec;35(12):2187-2196. doi: 10.1080/03007995.2019.1654722. Epub 2019 Sep 16.

    PubMed 31397184
  • Yildiz BP, Bayraktaroglu M, Gunen H. Reply: Re: Yildiz BP, Bayraktaroglu M, Gunen H. Bronchodilator efficacy of tiotropium/formoterol (18/12 mug once daily via a discair inhaler), tiotropium alone (18 mug by handihaler) or combined with formoterol (12 mug twice daily by aerolizer) in adults with moderate-to-severe stable COPD. Curr Med Res Opin. 2019;35(12):2187-2196. Curr Med Res Opin. 2020 Jun;36(6):1061-1062. doi: 10.1080/03007995.2020.1754187. Epub 2020 Apr 29. No abstract available.

    PubMed 32270722

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Tiotropium/Formoterol, Tiotropium and Formoterol in people with COPD, run by Neutec Ar-Ge San ve Tic A.Ş at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 14 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 16 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean max change (ml) from baseline in FEV1 over a period of 24 h. (time frame: Pre-treatment (10 minutes prior to the first dose of randomized study medication) and post-treatment (Day 1)). The study lists 10 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 NCT02988869, 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 16 Jun 2020; AzTrials last refreshed its copy on 8 Nov 2026.

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