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Pulmonary Disease, Chronic ObstructivePhase 4NCT03240575

The ENERGITO® 2 Study Compares 2 Inhaled Medicines for Chronic Obstructive Pulmonary Disease (COPD). One Medicine is a Combination of Tiotropium and Olodaterol (Stiolto®) Taken Using the Respimat® Inhaler and the Other Medicine is a Combination of Fluticasone and Salmeterol Taken Using the Diskus

A Phase 4 study testing Tiotropium, Olodaterol and Fluticasone propionate in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 45 sites in United States.

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 the trial is to show superiority in lung function of once daily (2 inhalations) treatment with orally inhaled tiotropium+olodaterol fixed dose combination to twice daily (one inhalation) treatment with fluticasone propionate+salmeterol fixed dose combination over 12 weeks in patients with… 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?
Tiotropium, Olodaterol and Fluticasone propionate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
302 participants
Where
45 sitesUnited States
Study dates
14 Aug 2017to 6 May 2019
Phase
Phase 4
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 FDA regulations 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 with a post-bronchodilator 30% ≤ Forced Expiratory Volume in one second (FEV1) <80% of predicted normal (European Coal and Steel Community( ECSC)); and a post-bronchodilator FEV1/Forced Vital Capacity (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. Patients who have never smoked cigarettes must be excluded.
  • Patients must be able to perform, according to investigator's judgment, all trial related procedures including:
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  • Technically acceptable pulmonary function tests (spirometry)
  • Completion of study questionnaires
  • Patients must be able to inhale medication in a competent manner (in the opinion of the investigator) from the Respimat® and Diskus® inhalers and from a metered dose inhaler (MDI).

Who cannot join

  • Patients with a significant disease other than Chronic Obstructive Pulmonary Disease (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 who have had a COPD exacerbation that required treatment with antibiotics, systemic steroids (oral or intravenous) or hospitalization in the last 3 months prior to Visit 1 and/or between Visit 1 and Visit 2.
  • Patients with a history of asthma. For patients with allergic rhinitis or atopy, source documentation is required to verify that the patient does not have asthma. If a patient has a total blood eosinophil count ≥ 600/mm3, source documentation is required to verify that the increased eosinophil count is related to a nonasthmatic condition.
  • Patients with any of the following conditions:
  • A diagnosis of thyrotoxicosis (due to the known class side effect profile of ß2-agonists).
  • A diagnosis of paroxysmal tachycardia (>100 beats per minute) (due to the known class side effect profile of ß2-agonists).
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  • A history of myocardial infarction within 1 year of screening visit (Visit 1).
  • 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 (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 the first exclusion criterion).
  • Patients being treated with oral or patch β-adrenergics.
  • Patients being treated with oral corticosteroid medication within 6 weeks prior to Visit 1.
  • Patients who regularly use daytime oxygen therapy for more than one 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 six 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 one month, six half-lives or within the wash out period (whichever is greater) prior to screening visit (Visit 1).
  • Patients with known hypersensitivity to β-adrenergic drugs, BAC, EDTA, or any other component of the Respimat® inhalation solution. In addition, patients with known hypersensitivity to Lactose monohydrate (which contains milk proteins).
  • Pregnant or nursing women.
  • Women of childbearing potential not using a method of birth control classified at least as "acceptable". Female patients will be considered to be of childbearing potential unless surgically sterilized by hysterectomy, bilateral salpingectomy, bilateral oophorectomy, or post-menopausal (defined as no menses for 12 months without an alternative medical cause). Tubal ligation is NOT a method of permanent sterilisation.
  • Patients who have previously been randomized in this study or are currently participating in another study.
  • Patients who are unable to comply with pulmonary medication restrictions prior to randomization.

Trial locations and contacts

45 sites in 1 country.

45 sites in 1 country

United States45 sites
  • Johns Hopkins Hospital

    Baltimore, Maryland, 21224

  • IMMUNOe Research Centers

    Centennial, Colorado, 80112

  • Lowcountry Lung and Critical Care

    Charleston, South Carolina, 29406

  • Bernstein Clinical Rsrch Ctr

    Cincinnati, Ohio, 45231

  • Clinical Research of West Florida, Inc.

    Clearwater, Florida, 33765

  • Aventiv Research Inc.

    Columbus, Ohio, 43213

  • Aventiv Research Inc.

    Dublin, Ohio, 43016

  • Duluth Biomedical Research

    Duluth, Georgia, 30096

  • VitaLink Research - Easley

    Easley, South Carolina, 29640

  • Minnesota Lung Center and Sleep Institute

    Edina, Minnesota, 55435

  • OK Clinical Research, LLC

    Edmond, Oklahoma, 73034

  • Pulmonary Rsrch Inst of SE MI

    Farmington Hills, Michigan, 48336

  • Clinical Trial Connection

    Flagstaff, Arizona, 86001

  • California Research Medical Group, Inc.

    Fullerton, California, 92835

  • VitaLink Research -Gaffney

    Gaffney, South Carolina, 29340

  • Gastonia Pharmaceutical Research, LLC

    Gastonia, North Carolina, 28054

  • VitaLink Research

    Greenville, South Carolina, 29615

  • Hendersonville Pharmaceutical Research

    Hendersonville, North Carolina, 28739

  • Centex Studies, Inc.

    Houston, Texas, 77058

  • Allergy and Asthma Specialists Medical Group

    Huntington Beach, California, 92647

  • Jasper Summit Research, LLC

    Jasper, Alabama, 35501

  • DC Pulmonary Medicine

    Marietta, Georgia, 30060

  • Clinical Research Institute Inc

    Minneapolis, Minnesota, 55402

  • Morgantown Pulmonary ClinRsrch

    Morgantown, West Virginia, 26505

  • Northwell Health

    New Hyde Park, New York, 11040

  • New Orleans Center for Clinical Research

    New Orleans, Louisiana, 70119

  • California Medical Research Associates Inc.

    Northridge, California, 91324

  • IPS Research Company

    Oklahoma City, Oklahoma, 73103

  • Bioclinica Research

    Orlando, Florida, 32806

  • IMIC, Inc

    Palmetto Bay, Florida, 33157

  • Arcuri Clinical Research, LLC

    Philadelphia, Pennsylvania, 19142

  • Advanced Clinical Research Associates

    Plano, Texas, 75093

  • North Carolina Clinical Research

    Raleigh, North Carolina, 27607

  • Pulmonary Associates of Richmond, Inc.

    Richmond, Virginia, 23225

  • Pulmonary Associates of Richmond, Inc.

    Richmond, Virginia, 23229

  • Vita Link Research- Rock Hill

    Rock Hill, South Carolina, 29732

  • Sherman Clinical Research

    Sherman, Texas, 75092

  • South Carolina Pharma Rsrch

    Spartanburg, South Carolina, 29303

  • Spartanburg Medical Research

    Spartanburg, South Carolina, 29303

  • The Clinical Research Center, LLC

    St Louis, Missouri, 63141

  • MultiCare Institute for Research and Innovation

    Tacoma, Washington, 98405

  • Clinical Research of West Florida, Inc.

    Tampa, Florida, 33603

  • DM Clinical Research

    Tomball, Texas, 77375

  • Southeastern Research Center

    Winston-Salem, North Carolina, 27103

  • Minnesota Lung Center

    Woodbury, Minnesota, 55125

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Double-dummy, Active-controlled, Multi-center, Parallel Group Study to Show the Superiority in Lung Function of 12 Weeks Once Daily Treatment With Orally Inhaled Tiotropium+Olodaterol Fixed Dose Combination Delivered by the Respimat® Inhaler vs. 12 Weeks Twice Daily Treatment With Fluticasone Propionate+Salmeterol Fixed Dose Combination Delivered by the Diskus® in Patients With Chronic Obstructive Pulmonary Disease (COPD) [ENERGITO® 2]

The primary objective of the trial is to show superiority in lung function of once daily (2 inhalations) treatment with orally inhaled tiotropium+olodaterol fixed dose combination to twice daily (one inhalation) treatment with fluticasone propionate+salmeterol fixed dose combination over 12 weeks in patients with Chronic Obstructive Pulmonary Disease (COPD).

A Digital Health (DH) exploratory study has been integrated into the main study as a site specific study. The DH exploratory study will be performed at a single site; the site is also participating in the main study. The DH exploratory study site will enter (randomize) approximately 20 patients (subjects) (in addition to the patients to be enrolled in the main study at this site). The patients enrolled in the DH exploratory study are not considered to be part of the main study (i.e. data collected in the DH exploratory study will be analyzed separately from the data collected in the main study).

Being tested
Tiotropium, Olodaterol, Fluticasone propionate, Salmeterol
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.

  • TiotropiumDrug

    Also called INSPIOLTO, SPIOLTO, STIOLTO, VAHELVA, YANIMO

    Fixed Dose Combination

  • OlodaterolDrug

    Also called INSPIOLTO, SPIOLTO, STIOLTO, VAHELVA, YANIMO

    Fixed Dose Combination

  • Fluticasone propionateDrug

    Fixed Dose Combination

  • SalmeterolDrug

    Fixed Dose Combination

Study groups in NCT03240575
Study groupRoleWhat they receive
Tiotropium + Olodaterol fixed dose combinationExperimentalNot described
Receives: Drug: Tiotropium; Drug: Olodaterol
Fluticasone propionate + Salmeterol fixed dose combinationActive comparatorNot described
Receives: Drug: Fluticasone propionate; Drug: Salmeterol

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 the Curve From 0 to 24 Hours (AUC0-24) Response (Change From Baseline) [L] After 12 Weeks of Treatment

    Forced Expiratory Volume in one second (FEV1) Area under the Curve from 0 to 24 hours (AUC0-24) response (change from baseline) [L] after 12 weeks of treatment. FEV1 AUC0-24 was calculated as the area under the FEV1-time curve from 0-24 hours post-dose using the trapezoidal rule, divided by the duration (24 hours) and reported in liters. FEV1 AUC0-24 response (change from baseline) was defined as FEV1 AUC0-24 mius baseline FEV1.

    Measured: 1 hours (h) and 10 minutes (min) before first dose at day1 of weeks 1 for baseline.10 min before and 30 min, 1 h, 2h, 3h, 4h, 6h, 8h, 10h, 11h 50min, 12h 30 min, 13h, 14h, 22h, 23h, and 24h post morning dose at week 12.

Secondary outcomes (3)
  1. Forced Expiratory Volume in One Second (FEV1) Area Under the Curve From 0 to 12 Hours (AUC0-12) Response (Change From Baseline) [L] After 12 Weeks of Treatment

    Forced Expiratory Volume in one second (FEV1) Area under the Curve from 0 to 12 hours (AUC0-12) response (change from baseline) [L] after 12 weeks of treatment.

    FEV1 AUC0-12 was calculated as the area under the FEV1-time curve from 0-12 hours post-dose using the trapezoidal rule, divided by the duration (12 hours) and reported in liters. FEV1 AUC0-12 response (change from baseline) was defined as FEV1 AUC0-12 minus baseline FEV1.

    Measured: 1 hours (h) and 10 minutes (min) before first dose at day1 of weeks 1 for baseline. 10 min before and 30 min, 1 h, 2h, 3h, 4h, 6h, 8h, 10h, 11h 50min post morning dose at week 12.

  2. Trough Forced Expiratory Volume in One Second (FEV1) Response (Change From Baseline) [L] After 12 Weeks Treatment

    Trough Forced Expiratory Volume in one second (FEV1) response (change from baseline) [L] after 12 weeks treatment. Trough FEV1 was defined as the mean of the FEV1 value measured at 23 hours and at 24 hours after the trial medication administration. Through FEV1 response (change from baseline) was defined as trough FEV1 minus baseline FEV1.

    Measured: At 23 h and 24 h post dose at baseline and at 23h and 24 h post dose at week 12.

  3. Peak 0-3 Hours Forced Expiratory Volume in One Second (FEV1) Response (Change From Baseline) [L] After 12 Weeks Treatment

    Peak 0-3 hours Forced Expiratory Volume in one second (FEV1) response (change from baseline) [L] after 12 weeks treatment. Peak 0-3h was defined as the maximum value measured within the first three hours post doing.

    Measured: 30 minutes, 1 h, 2h and 3h post dose at baseline and week 12.

Timeline

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

  1. First posted7 Aug 2017
  2. Study start14 Aug 2017
  3. Primary completion8 Apr 2019
  4. Study completion6 May 2019

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
Double blind
Who is masked
Participant, Investigator
Enrolment
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03240575
Sponsor's protocol ID
1237-0063
Status last verified
Apr 2020
First submitted
27 Jul 2017
Last updated
16 Apr 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Tiotropium, Olodaterol and Fluticasone propionate in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 45 sites in United States.

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 9 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 16 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States. 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?

Yes. Results are posted in the registry (first posted 16 Apr 2020). 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 the Curve From 0 to 24 Hours (AUC0-24) Response (Change From Baseline) [L] After 12 Weeks of Treatment (time frame: 1 hours (h) and 10 minutes (min) before first dose at day1 of weeks 1 for baseline.10 min before and 30 min, 1 h, 2h, 3h, 4h, 6h, 8h, 10h, 11h 50min, 12h 30 min, 13h, 14h, 22h, 23h, and 24h post morning dose at week 12.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Apr 2020; AzTrials last refreshed its copy on 1 Nov 2026.

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