Phase 3
N=304
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
Pulmonary Disease, Chronic Obstructive
Bottom Line
View on ClinicalTrials.gov: NCT02085161 ↗Enrolled (actual)
304
Serious AEs
8.6%
Results posted
Jan 2017
Primary outcome: Primary: Endurance Time During Endurance Shuttle Walk Test (ESWT) to Symptom Limitation After 8 Weeks — 244.07; 254.18; 315.32; 355.73 Second — p=0.0002
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- placebo to tiotropium + olodaterol (Drug); tiotropium+olodaterol (Drug); tiotropium +olodaterol (Drug); tiotropium (Drug)
- Age
- Adult, Older Adult · 40+ yrs
- Sex
- All
- Sponsor
- Boehringer Ingelheim
- Primary completion
- Aug 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Endurance Time During Endurance Shuttle Walk Test (ESWT) to Symptom Limitation After 8 Weeks |
244.07; 254.18; 315.32; 355.73 | 0.0002 sig |
| SECONDARY Average Daily Walking Time Measured by the Activity Monitor in the Week Prior to Week 12 |
4670.78; 4145.85; 4831.85; 4338.80 | 0.2639 |
| SECONDARY Average Daily Walking Intensity Measured by the Activity Monitor in the Week Prior to 12 Weeks of Treatment |
0.20; 0.20; 0.20; 0.20 | 0.5186 |
| SECONDARY Perceived Difficulties as Evaluated With Functional Performance Inventory-Short Form (FPI-SF) Total Score at Week 12 |
2.191; 2.207; 2.335; 2.268 | 0.1727 |
| SECONDARY Endurance Time During Endurance Shuttle Walk Test (ESWT) to Symptom Limitation After 12 Weeks |
243.30; 255.67; 302.61; 324.21 | 0.0077 sig |
| SECONDARY One Hour, Post-dose Forced Expiratory Volume in One Second (FEV1) After 8 Weeks of Treatment |
1.375; 1.550; 1.731; 1.705 | <0.0001 sig |
| SECONDARY One Hour, Post-dose Forced Vital Capacity (FVC) After 8 Weeks of Treatment |
2.974; 3.259; 3.504; 3.452 | <0.0001 sig |
| SECONDARY Resting Inspiratory Capacity (IC) Measured at 1.5 Hours Post Dose After 8 Weeks of Treatment |
2.452; 2.627; 2.755; 2.771 | <0.0001 sig |
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
Eligibility Criteria
Inclusion criteria
- 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 =40 years and 100 beats per minute).
- A history of myocardial infarction within 1 year of screening visit.
- 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.
Data sourced from ClinicalTrials.gov (NCT02085161). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.