Pulmonary Disease, Chronic ObstructivePhase 4NCT00563381
Tiotropium Once Daily 18 Mcg Versus Salmeterol Twice Daily 50 Mcg on Time to First Exacerbation in COPD Patients.
A Phase 4 study testing Tiotropium bromide and Salmeterol in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 752 sites in 25 countries.
Trial summary
This is a randomised, double-blind, double-dummy, multinational, multicentre, parallel group trial comparing tiotropium (18 mcg) inhalation capsule via HandiHaler and salmeterol (50 mcg) via MDI in patients with COPD. There will be a two-week run-in period followed by a 52-week randomised treatment phase. 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 bromide and Salmeterol
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 7,376 participants
- Where
- 752 sitesin 25 countries
- Study dates
- Jan 2008to Apr 2010
- 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 have a diagnosis of chronic obstructive pulmonary disease (COPD) and must meet the following criteria at Visit 1:
- Patients must have relatively stable, moderate to very severe airway obstruction with a post-bronchodilator FEV1 <=70% of predicted normal and FEV1 <=70% of FVC post-bronchodilator (i.e. 30 minutes after inhalation of 4 puffs of 100 µg salbutamol or equivalent SABA). Predicted normal values will be calculated according to ECSC.
- For Height measured in inches Males: FEV1 predicted (L) = 4.30 x (height (inches) / 39.37)-0.029 x age (yrs) - 2.49 Females:FEV1 predicted (L) = 3.95 x (height (inches) / 39.37)-0.025 x age (yrs) - 2.60 For Height measured in metres Males: FEV1 predicted (L) = 4.30 x (height (metres)) - 0.029 x age (years) - 2.49 Females: FEV1 predicted (L) = 3.95 x (height (metres)) - 0.025 x age (years) - 2.60
- All patients must sign an informed consent consistent with ICH-GCP guidelines prior to participation in the trial.
- Male or female patients 40 years of age or older.
- Patients with a history of at least one exacerbation within the past year requiring treatment with either antibiotics and/or systemic steroids and/or hospitalisation.
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- Patients must be current or ex-smokers with a smoking history of >= 10 pack-years. (Patients who have never smoked cigarettes must be excluded.)
- Patients must be able to perform all study-related procedures including technically acceptable pulmonary function tests (PFTs).
- Patients must be able to inhale medication in a competent manner from the HandiHaler and a metered dose inhaler (MDI).
- Patients must be able to maintain records (patient daily diary card) during the study period as required in the protocol.
Who cannot join
- Significant diseases other than COPD. A significant disease is defined as a disease or condition which, in the opinion of the investigator, may put the patient at risk because of participation in the study or may influence either the results of the study or the patients' ability to participate in the study.
- Patients with a diagnosis of asthma.
- Patients with a life-threatening pulmonary obstruction, or a history of cystic fibrosis.
- Patients with known active tuberculosis.
- Patients with a known symptomatic prostatic hyperplasia or bladder neck obstruction. Patients with symptomatically-controlled prostatic hyperplasia on medication may be included and should continue their medication.
- Patients with known narrow-angle glaucoma.
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- Patients with a history of myocardial infarction within the year prior to Visit 1.
- Patients with a history of hospital admission for heart failure within the year prior to Visit 1.
- Patients with cardiac arrhythmia requiring medical or surgical treatment.
- Patients with severe cardiovascular disorders.
- Patients with a known hypersensitivity to anticholinergic drugs, beta-adrenergics, lactose or any other component of the medication delivery system.
- Patients with known moderate or severe renal insufficiency (known creatinine clearance of <= 50 mL/min).
- Patients with untreated known hypokalaemia.
- Patients with untreated known thyrotoxicosis.
- Patients with brittle/unstable diabetes mellitus.
- Patients with a history of and/or active significant alcohol or drug abuse. See exclusion criterion 1.
- Patients who have taken an investigational drug within 30 days or six half-lives (whichever is greater) prior to Screening Visit (Visit 1).
- Use of systemic corticosteroid medication at unstable doses (i.e less than six weeks on stable dose) or at doses in excess of the equivalent of 10 mg prednisolone per day or 20 mg every other day.
- Pregnant or nursing women or women of childbearing potential not using a medically approved means of contraception (i.e oral contraceptives, intrauterine devices, diaphragm or subdermal implants e.g Norplant) for at least three months prior to, and for the duration of the trial.
- Previous participation (receipt of randomised treatment) in this study.
- Patients who are currently participating in another study.
- Patients with any respiratory infection or COPD exacerbation in the four weeks prior to the Screening Visit (Visit 1) or during the run-in period should be postponed. In the case of a respiratory infection or COPD exacerbation during the run-in period, the latter may be extended up to four weeks.
Trial locations and contacts
752 sites in 25 countries.
752 sites in 25 countries
Germany164 sites
205.389.1741 Boehringer Ingelheim Investigational Site
Aachen
205.389.1857 Boehringer Ingelheim Investigational Site
Aalen
205.389.1934 Boehringer Ingelheim Investigational Site
Auerbach
205.389.1868 Boehringer Ingelheim Investigational Site
Augsburg
205.389.1887 Boehringer Ingelheim Investigational Site
Augsburg
205.389.1707 Boehringer Ingelheim Investigational Site
Bad Lippspringe
205.389.1722 Boehringer Ingelheim Investigational Site
Bad Pymont
205.389.1850 Boehringer Ingelheim Investigational Site
Bad Wörishofen
205.389.1765 Boehringer Ingelheim Investigational Site
Bahrdorf
205.389.1792 Boehringer Ingelheim Investigational Site
Beckum
205.389.1801 Boehringer Ingelheim Investigational Site
Bensheim
205.389.1946 Boehringer Ingelheim Investigational Site
Bensheim
205.389.1824 Boehringer Ingelheim Investigational Site
Bergisch Gladbach
205.389.1709 Boehringer Ingelheim Investigational Site
Bergkamen
205.389.1750 Boehringer Ingelheim Investigational Site
Berkatal-Frankershausen
205.389.1701 Boehringer Ingelheim Investigational Site
Berlin
205.389.1743 Boehringer Ingelheim Investigational Site
Berlin
205.389.1769 Boehringer Ingelheim Investigational Site
Berlin
205.389.1789 Boehringer Ingelheim Investigational Site
Berlin
205.389.1790 Boehringer Ingelheim Investigational Site
Berlin
205.389.1847 Boehringer Ingelheim Investigational Site
Berlin
205.389.1855 Boehringer Ingelheim Investigational Site
Berlin
205.389.1861 Boehringer Ingelheim Investigational Site
Berlin
205.389.1862 Boehringer Ingelheim Investigational Site
Berlin
205.389.1867 Boehringer Ingelheim Investigational Site
Berlin
205.389.1903 Boehringer Ingelheim Investigational Site
Berlin
205.389.1931 Boehringer Ingelheim Investigational Site
Berlin
205.389.1932 Boehringer Ingelheim Investigational Site
Berlin
205.389.1937 Boehringer Ingelheim Investigational Site
Berlin
205.389.1960 Boehringer Ingelheim Investigational Site
Berlin
205.389.1969 Boehringer Ingelheim Investigational Site
Berlin
205.389.1981 Boehringer Ingelheim Investigational Site
Berlin
205.389.1983 Boehringer Ingelheim Investigational Site
Berlin
205.389.1984 Boehringer Ingelheim Investigational Site
Berlin
205.389.1747 Boehringer Ingelheim Investigational Site
Bocholt
205.389.1808 Boehringer Ingelheim Investigational Site
Bochum
205.389.1811 Boehringer Ingelheim Investigational Site
Bochum
205.389.1828 Boehringer Ingelheim Investigational Site
Bonn
205.389.1870 Boehringer Ingelheim Investigational Site
Bonn
205.389.1705 Boehringer Ingelheim Investigational Site
Borna
205.389.1809 Boehringer Ingelheim Investigational Site
Brandenburg/Havel
205.389.1859 Boehringer Ingelheim Investigational Site
Bruchsal
205.389.1734 Boehringer Ingelheim Investigational Site
Camburg
205.389.1923 Boehringer Ingelheim Investigational Site
Celle
205.389.1892 Boehringer Ingelheim Investigational Site
Cologne
205.389.1974 Boehringer Ingelheim Investigational Site
Cologne
205.389.1901 Boehringer Ingelheim Investigational Site
Coswig
205.389.1891 Boehringer Ingelheim Investigational Site
Cottbus
205.389.1858 Boehringer Ingelheim Investigational Site
Deggendorf
205.389.1784 Boehringer Ingelheim Investigational Site
Donaueschingen
205.389.1713 Boehringer Ingelheim Investigational Site
Dortmund
205.389.1706 Boehringer Ingelheim Investigational Site
Dresden
205.389.1967 Boehringer Ingelheim Investigational Site
Düren
205.389.1814 Boehringer Ingelheim Investigational Site
Engelskirchen
205.389.1773 Boehringer Ingelheim Investigational Site
Ense
205.389.1727 Boehringer Ingelheim Investigational Site
Eppelborn-Bubach
205.389.1864 Boehringer Ingelheim Investigational Site
Erfurt
205.389.1940 Boehringer Ingelheim Investigational Site
Erlangen
205.389.1900 Boehringer Ingelheim Investigational Site
Eschwege
205.389.1758 Boehringer Ingelheim Investigational Site
Essen
205.389.1975 Boehringer Ingelheim Investigational Site
Essen
205.389.1982 Boehringer Ingelheim Investigational Site
Essen
205.389.1724 Boehringer Ingelheim Investigational Site
Ettlingen
205.389.1806 Boehringer Ingelheim Investigational Site
Feldkirchen-Westerham
205.389.1943 Boehringer Ingelheim Investigational Site
Föhren
205.389.1976 Boehringer Ingelheim Investigational Site
Forchheim
205.389.1795 Boehringer Ingelheim Investigational Site
Frankenberg
205.389.1905 Boehringer Ingelheim Investigational Site
Frankfurt am Main
205.389.1752 Boehringer Ingelheim Investigational Site
Fuldatal-Ihringshausen
205.389.1971 Boehringer Ingelheim Investigational Site
Fürth
205.389.1766 Boehringer Ingelheim Investigational Site
Gars
205.389.1977 Boehringer Ingelheim Investigational Site
Gelsenkirchen
205.389.1744 Boehringer Ingelheim Investigational Site
Georgensgmünd
205.389.1875 Boehringer Ingelheim Investigational Site
Giessen
205.389.1836 Boehringer Ingelheim Investigational Site
Gifhorn
205.389.1914 Boehringer Ingelheim Investigational Site
Goch
205.389.1751 Boehringer Ingelheim Investigational Site
Göttingen
205.389.1886 Boehringer Ingelheim Investigational Site
Greiz
205.389.1768 Boehringer Ingelheim Investigational Site
Grünberg
205.389.1831 Boehringer Ingelheim Investigational Site
Hagen
205.389.1827 Boehringer Ingelheim Investigational Site
Halle
205.389.1917 Boehringer Ingelheim Investigational Site
Hamburg
205.389.1924 Boehringer Ingelheim Investigational Site
Hamburg
205.389.1925 Boehringer Ingelheim Investigational Site
Hamburg
205.389.1980 Boehringer Ingelheim Investigational Site
Hamburg
205.389.1716 Boehringer Ingelheim Investigational Site
Hammah
205.389.1702 Boehringer Ingelheim Investigational Site
Hammelburg
205.389.1802 Boehringer Ingelheim Investigational Site
Hanover
205.389.1712 Boehringer Ingelheim Investigational Site
Harsewinkel
205.389.1738 Boehringer Ingelheim Investigational Site
Hauzenberg
205.389.1860 Boehringer Ingelheim Investigational Site
Hemmingen
205.389.1949 Boehringer Ingelheim Investigational Site
Höchstädt
205.389.1726 Boehringer Ingelheim Investigational Site
Ingelheim
205.389.1704 Boehringer Ingelheim Investigational Site
Käbschütztal-Krögis
205.389.1873 Boehringer Ingelheim Investigational Site
Karlsruhe
205.389.1838 Boehringer Ingelheim Investigational Site
Kaufbeuren
205.389.1839 Boehringer Ingelheim Investigational Site
Koblenz
205.389.1813 Boehringer Ingelheim Investigational Site
Köthen
205.389.1881 Boehringer Ingelheim Investigational Site
Krefeld
205.389.1786 Boehringer Ingelheim Investigational Site
Krumpa
205.389.1902 Boehringer Ingelheim Investigational Site
Landsberg
205.389.1837 Boehringer Ingelheim Investigational Site
Leipzig
205.389.1841 Boehringer Ingelheim Investigational Site
Leipzig
205.389.1894 Boehringer Ingelheim Investigational Site
Leipzig
205.389.1908 Boehringer Ingelheim Investigational Site
Leipzig
205.389.1874 Boehringer Ingelheim Investigational Site
Leonberg
205.389.1955 Boehringer Ingelheim Investigational Site
Limburg
205.389.1904 Boehringer Ingelheim Investigational Site
Lorch
205.389.1877 Boehringer Ingelheim Investigational Site
Lübeck
205.389.1823 Boehringer Ingelheim Investigational Site
Lützen
205.389.1879 Boehringer Ingelheim Investigational Site
Magdeburg
205.389.1840 Boehringer Ingelheim Investigational Site
Mannheim
205.389.1978 Boehringer Ingelheim Investigational Site
Mannheim
205.389.1866 Boehringer Ingelheim Investigational Site
Marburg
205.389.1871 Boehringer Ingelheim Investigational Site
Marburg
205.389.1926 Boehringer Ingelheim Investigational Site
Marburg
205.389.1776 Boehringer Ingelheim Investigational Site
Marl
205.389.1779 Boehringer Ingelheim Investigational Site
Merrbusch
205.389.1799 Boehringer Ingelheim Investigational Site
München
205.389.1815 Boehringer Ingelheim Investigational Site
München
205.389.1817 Boehringer Ingelheim Investigational Site
München
205.389.1843 Boehringer Ingelheim Investigational Site
München
205.389.1952 Boehringer Ingelheim Investigational Site
Neubrandenburg
205.389.1805 Boehringer Ingelheim Investigational Site
Neuötting
205.389.1948 Boehringer Ingelheim Investigational Site
Neuss
205.389.1958 Boehringer Ingelheim Investigational Site
Neuwied
205.389.1830 Boehringer Ingelheim Investigational Site
Niesky
205.389.1711 Boehringer Ingelheim Investigational Site
Nußbach
205.389.1781 Boehringer Ingelheim Investigational Site
Oberdorla
205.389.1753 Boehringer Ingelheim Investigational Site
Paderborn
205.389.1810 Boehringer Ingelheim Investigational Site
Paderborn
205.389.1854 Boehringer Ingelheim Investigational Site
Paderborn
205.389.1756 Boehringer Ingelheim Investigational Site
Pirmasens
205.389.1794 Boehringer Ingelheim Investigational Site
Potsdam
205.389.1899 Boehringer Ingelheim Investigational Site
Potsdam
205.389.1842 Boehringer Ingelheim Investigational Site
Radebeul
205.389.1897 Boehringer Ingelheim Investigational Site
Rathenow
205.389.1950 Boehringer Ingelheim Investigational Site
Raubach
205.389.1783 Boehringer Ingelheim Investigational Site
Riesa
205.389.1826 Boehringer Ingelheim Investigational Site
Riesa
205.389.1742 Boehringer Ingelheim Investigational Site
Rostock
205.389.1816 Boehringer Ingelheim Investigational Site
Rüdersdorf
205.389.1883 Boehringer Ingelheim Investigational Site
Rüsselsheim am Main
205.389.1878 Boehringer Ingelheim Investigational Site
Saarlouis
205.389.1833 Boehringer Ingelheim Investigational Site
Schmallenberg-Grafschaft
205.389.1973 Boehringer Ingelheim Investigational Site
Schmölln
205.389.1979 Boehringer Ingelheim Investigational Site
Schwetzingen
205.389.1856 Boehringer Ingelheim Investigational Site
Simmern
205.389.1918 Boehringer Ingelheim Investigational Site
Solingen
205.389.1822 Boehringer Ingelheim Investigational Site
Steinfurt
205.389.1728 Boehringer Ingelheim Investigational Site
Sulzbach
205.389.1717 Boehringer Ingelheim Investigational Site
Templin
205.389.1882 Boehringer Ingelheim Investigational Site
Treuenbrietzen
205.389.1745 Boehringer Ingelheim Investigational Site
Wallerfing
205.389.1800 Boehringer Ingelheim Investigational Site
Wardenburg
205.389.1885 Boehringer Ingelheim Investigational Site
Weißenhorn
205.389.1927 Boehringer Ingelheim Investigational Site
Westerstede
205.389.1825 Boehringer Ingelheim Investigational Site
Weyhe
205.389.1863 Boehringer Ingelheim Investigational Site
Wiesbaden
205.389.1968 Boehringer Ingelheim Investigational Site
Wilhelmshaven
205.389.1807 Boehringer Ingelheim Investigational Site
Wilster
205.389.1754 Boehringer Ingelheim Investigational Site
Wolfsburg
205.389.1919 Boehringer Ingelheim Investigational Site
Wuppertal
205.389.1898 Boehringer Ingelheim Investigational Site
Zerbst
Poland93 sites
205.389.2708 Boehringer Ingelheim Investigational Site
Bialystok
205.389.2744 Boehringer Ingelheim Investigational Site
Bialystok
205.389.2762 Boehringer Ingelheim Investigational Site
Bialystok
205.389.2765 Boehringer Ingelheim Investigational Site
Bialystok
205.389.2778 Boehringer Ingelheim Investigational Site
Bielsko-Biala
205.389.2706 Boehringer Ingelheim Investigational Site
Bieńkówka
205.389.2750 Boehringer Ingelheim Investigational Site
Brzesko
205.389.2758 Boehringer Ingelheim Investigational Site
Bydgoszcz
205.389.2773 Boehringer Ingelheim Investigational Site
Bystra
205.389.2800 Boehringer Ingelheim Investigational Site
Chodzież
205.389.2712 Boehringer Ingelheim Investigational Site
Częstochowa
205.389.2774 Boehringer Ingelheim Investigational Site
Częstochowa
205.389.2815 Boehringer Ingelheim Investigational Site
Działdowo
205.389.2787 Boehringer Ingelheim Investigational Site
Elblag
205.389.2715 Boehringer Ingelheim Investigational Site
Gdansk
205.389.2723 Boehringer Ingelheim Investigational Site
Gdansk
205.389.2743 Boehringer Ingelheim Investigational Site
Gdansk
205.389.2764 Boehringer Ingelheim Investigational Site
Gdansk
205.389.2802 Boehringer Ingelheim Investigational Site
Gdansk
205.389.2801 Boehringer Ingelheim Investigational Site
Gorzow Wlkp
205.389.2805 Boehringer Ingelheim Investigational Site
Iława
205.389.2791 Boehringer Ingelheim Investigational Site
Inowrocław
205.389.2705 Boehringer Ingelheim Investigational Site
Katowice
205.389.2749 Boehringer Ingelheim Investigational Site
Katowice
205.389.2771 Boehringer Ingelheim Investigational Site
Katowice
205.389.2759 Boehringer Ingelheim Investigational Site
Koszalin
205.389.2711 Boehringer Ingelheim Investigational Site
Krakow
205.389.2722 Boehringer Ingelheim Investigational Site
Krakow
205.389.2747 Boehringer Ingelheim Investigational Site
Krakow
205.389.2748 Boehringer Ingelheim Investigational Site
Krakow
205.389.2753 Boehringer Ingelheim Investigational Site
Krakow
205.389.2798 Boehringer Ingelheim Investigational Site
Krakow
205.389.2757 Boehringer Ingelheim Investigational Site
Kutno
205.389.2727 Boehringer Ingelheim Investigational Site
Leszno
205.389.2701 Boehringer Ingelheim Investigational Site
Lodz
205.389.2709 Boehringer Ingelheim Investigational Site
Lodz
205.389.2716 Boehringer Ingelheim Investigational Site
Lodz
205.389.2724 Boehringer Ingelheim Investigational Site
Lodz
205.389.2732 Boehringer Ingelheim Investigational Site
Lodz
205.389.2746 Boehringer Ingelheim Investigational Site
Lodz
205.389.2751 Boehringer Ingelheim Investigational Site
Lodz
205.389.2804 Boehringer Ingelheim Investigational Site
Łomża
205.389.2741 Boehringer Ingelheim Investigational Site
Lublin
205.389.2776 Boehringer Ingelheim Investigational Site
Lublin
205.389.2817 Boehringer Ingelheim Investigational Site
Lublin
205.389.2760 Boehringer Ingelheim Investigational Site
Oława
205.389.2756 Boehringer Ingelheim Investigational Site
Olsztyn
205.389.2816 Boehringer Ingelheim Investigational Site
Olsztyn
205.389.2702 Boehringer Ingelheim Investigational Site
Ostrow Wielkopolska
205.389.2726 Boehringer Ingelheim Investigational Site
Pabianice
205.389.2795 Boehringer Ingelheim Investigational Site
Pławno
205.389.2730 Boehringer Ingelheim Investigational Site
Płock
205.389.2703 Boehringer Ingelheim Investigational Site
Poznan
205.389.2719 Boehringer Ingelheim Investigational Site
Poznan
205.389.2737 Boehringer Ingelheim Investigational Site
Poznan
205.389.2766 Boehringer Ingelheim Investigational Site
Poznan
205.389.2769 Boehringer Ingelheim Investigational Site
Poznan
205.389.2813 Boehringer Ingelheim Investigational Site
Poznan
205.389.2763 Boehringer Ingelheim Investigational Site
Proszowice
205.389.2767 Boehringer Ingelheim Investigational Site
Pruszków
205.389.2768 Boehringer Ingelheim Investigational Site
Radom
205.389.2792 Boehringer Ingelheim Investigational Site
Sandomierz
205.389.2781 Boehringer Ingelheim Investigational Site
Sieradz
205.389.2725 Boehringer Ingelheim Investigational Site
Skierniewice
205.389.2718 Boehringer Ingelheim Investigational Site
Szczecin
205.389.2739 Boehringer Ingelheim Investigational Site
Szczecin
205.389.2772 Boehringer Ingelheim Investigational Site
Szczecin
205.389.2777 Boehringer Ingelheim Investigational Site
Szczecin - Zdunowo
205.389.2782 Boehringer Ingelheim Investigational Site
Szczecin - Zdunowo
205.389.2738 Boehringer Ingelheim Investigational Site
Tarnów
205.389.2799 Boehringer Ingelheim Investigational Site
Tarnów
205.389.2810 Boehringer Ingelheim Investigational Site
Tczew
205.389.2775 Boehringer Ingelheim Investigational Site
Torun
205.389.2754 Boehringer Ingelheim Investigational Site
Tranow
205.389.2806 Boehringer Ingelheim Investigational Site
Turek
205.389.2803 Boehringer Ingelheim Investigational Site
Wabrzenzo
205.389.2707 Boehringer Ingelheim Investigational Site
Warsaw
205.389.2714 Boehringer Ingelheim Investigational Site
Warsaw
205.389.2728 Boehringer Ingelheim Investigational Site
Warsaw
205.389.2734 Boehringer Ingelheim Investigational Site
Warsaw
205.389.2812 Boehringer Ingelheim Investigational Site
Warsaw
205.389.2818 Boehringer Ingelheim Investigational Site
Warsaw
205.389.2710 Boehringer Ingelheim Investigational Site
Wodzisław Śląski
205.389.2721 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2731 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2736 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2752 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2761 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2780 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2793 Boehringer Ingelheim Investigational Site
Wroclaw
205.389.2783 Boehringer Ingelheim Investigational Site
Zabrze
205.389.2735 Boehringer Ingelheim Investigational Site
Zakopane
205.389.2770 Boehringer Ingelheim Investigational Site
Zgierz
Russia92 sites
205.389.3174 Boehringer Ingelheim Investigational Site
Arkhangelsk
205.389.3113 Boehringer Ingelheim Investigational Site
Barnaul
205.389.3131 Boehringer Ingelheim Investigational Site
Barnaul
205.389.3105 Boehringer Ingelheim Investigational Site
Chelyabinsk
205.389.3182 Boehringer Ingelheim Investigational Site
Chelyabinsk
205.389.3183 Boehringer Ingelheim Investigational Site
Chelyabinsk
205.389.3184 Boehringer Ingelheim Investigational Site
Chelyabinsk
205.389.3186 Boehringer Ingelheim Investigational Site
Gatchina (Leningradskaya Oblast)
205.389.3193 Boehringer Ingelheim Investigational Site
Kaliningrad
205.389.3104 Boehringer Ingelheim Investigational Site
Kazan'
205.389.3111 Boehringer Ingelheim Investigational Site
Kemerovo
205.389.3120 Boehringer Ingelheim Investigational Site
Kirov
205.389.3170 Boehringer Ingelheim Investigational Site
Krasnodar
205.389.3132 Boehringer Ingelheim Investigational Site
Krasnoyarsk
205.389.3103 Boehringer Ingelheim Investigational Site
Moscow
205.389.3106 Boehringer Ingelheim Investigational Site
Moscow
205.389.3107 Boehringer Ingelheim Investigational Site
Moscow
205.389.3108 Boehringer Ingelheim Investigational Site
Moscow
205.389.3109 Boehringer Ingelheim Investigational Site
Moscow
205.389.3125 Boehringer Ingelheim Investigational Site
Moscow
205.389.3127 Boehringer Ingelheim Investigational Site
Moscow
205.389.3128 Boehringer Ingelheim Investigational Site
Moscow
205.389.3130 Boehringer Ingelheim Investigational Site
Moscow
205.389.3134 Boehringer Ingelheim Investigational Site
Moscow
205.389.3136 Boehringer Ingelheim Investigational Site
Moscow
205.389.3139 Boehringer Ingelheim Investigational Site
Moscow
205.389.3140 Boehringer Ingelheim Investigational Site
Moscow
205.389.3143 Boehringer Ingelheim Investigational Site
Moscow
205.389.3149 Boehringer Ingelheim Investigational Site
Moscow
205.389.3151 Boehringer Ingelheim Investigational Site
Moscow
205.389.3156 Boehringer Ingelheim Investigational Site
Moscow
205.389.3157 Boehringer Ingelheim Investigational Site
Moscow
205.389.3163 Boehringer Ingelheim Investigational Site
Moscow
205.389.3164 Boehringer Ingelheim Investigational Site
Moscow
205.389.3167 Boehringer Ingelheim Investigational Site
Moscow
205.389.3168 Boehringer Ingelheim Investigational Site
Moscow
205.389.3171 Boehringer Ingelheim Investigational Site
Moscow
205.389.3196 Boehringer Ingelheim Investigational Site
Moscow
205.389.3188 Boehringer Ingelheim Investigational Site
Murmansk
205.389.3169 Boehringer Ingelheim Investigational Site
Nizhny Novgorod
205.389.3953 Boehringer Ingelheim Investigational Site
Nizhny Novgorod
205.389.3112 Boehringer Ingelheim Investigational Site
Novosibirsk
205.389.3114 Boehringer Ingelheim Investigational Site
Novosibirsk
205.389.3129 Boehringer Ingelheim Investigational Site
Novosibirsk
205.389.3141 Boehringer Ingelheim Investigational Site
Novosibirsk
205.389.3153 Boehringer Ingelheim Investigational Site
Novosibirsk
205.389.3175 Boehringer Ingelheim Investigational Site
Novosibirsk
205.389.3126 Boehringer Ingelheim Investigational Site
Orenburg
205.389.3185 Boehringer Ingelheim Investigational Site
Perm
205.389.3192 Boehringer Ingelheim Investigational Site
Petrozavodsk
205.389.3179 Boehringer Ingelheim Investigational Site
Pskov
205.389.3190 Boehringer Ingelheim Investigational Site
Pskov
205.389.3199 Boehringer Ingelheim Investigational Site
Pyatigorsk
205.389.3159 Boehringer Ingelheim Investigational Site
Rostov-on-Don
205.389.3197 Boehringer Ingelheim Investigational Site
Ryazan
205.389.3117 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3119 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3121 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3122 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3123 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3135 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3137 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3145 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3146 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3147 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3152 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3160 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3161 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3176 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3177 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3178 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3180 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3181 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3189 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3191 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3195 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3198 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3950 Boehringer Ingelheim Investigational Site
Saint Petersburg
205.389.3110 Boehringer Ingelheim Investigational Site
Saratov
205.389.3951 Boehringer Ingelheim Investigational Site
Saratov
205.389.3165 Boehringer Ingelheim Investigational Site
St.Peterburg
205.389.3101 Boehringer Ingelheim Investigational Site
Tomsk
205.389.3102 Boehringer Ingelheim Investigational Site
Tomsk
205.389.3133 Boehringer Ingelheim Investigational Site
Tomsk
205.389.3144 Boehringer Ingelheim Investigational Site
Tomsk
205.389.3194 Boehringer Ingelheim Investigational Site
Velikiy Novgorod
205.389.3118 Boehringer Ingelheim Investigational Site
Yaroslavl
205.389.3155 Boehringer Ingelheim Investigational Site
Yaroslavl
205.389.3116 Boehringer Ingelheim Investigational Site
Yekaterinburg
205.389.3138 Boehringer Ingelheim Investigational Site
Yekaterinburg
205.389.3148 Boehringer Ingelheim Investigational Site
Yekaterinburg
205.389.3166 Boehringer Ingelheim Investigational Site
Yekaterinburg
Ukraine52 sites
205.389.3521 Boehringer Ingelheim Investigational Site
AR Crimea
205.389.3516 Boehringer Ingelheim Investigational Site
Cherkassy
205.389.3549 Boehringer Ingelheim Investigational Site
Chernivtsi
205.389.3509 Boehringer Ingelheim Investigational Site
Dnipropetrovsk
205.389.3510 Boehringer Ingelheim Investigational Site
Dnipropetrovsk
205.389.3511 Boehringer Ingelheim Investigational Site
Dnipropetrovsk
205.389.3523 Boehringer Ingelheim Investigational Site
Dnipropetrovsk
205.389.3514 Boehringer Ingelheim Investigational Site
Donetsk
205.389.3524 Boehringer Ingelheim Investigational Site
Donetsk
205.389.3533 Boehringer Ingelheim Investigational Site
Ivano-Frankivsk
205.389.3506 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3507 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3508 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3520 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3522 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3532 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3539 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3541 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3543 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3555 Boehringer Ingelheim Investigational Site
Kharkiv
205.389.3501 Boehringer Ingelheim Investigational Site
Kiev
205.389.3502 Boehringer Ingelheim Investigational Site
Kiev
205.389.3503 Boehringer Ingelheim Investigational Site
Kiev
205.389.3550 Boehringer Ingelheim Investigational Site
Kiev
205.389.3552 Boehringer Ingelheim Investigational Site
Kiev
205.389.3553 Boehringer Ingelheim Investigational Site
Kiev
205.389.3504 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3525 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3526 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3528 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3534 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3535 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3536 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3538 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3551 Boehringer Ingelheim Investigational Site
Kyiv
205.389.3545 Boehringer Ingelheim Investigational Site
Luhansk
205.389.3512 Boehringer Ingelheim Investigational Site
Lviv
205.389.3530 Boehringer Ingelheim Investigational Site
Lviv
205.389.3540 Boehringer Ingelheim Investigational Site
Lviv
205.389.3554 Boehringer Ingelheim Investigational Site
Lviv
205.389.3556 Boehringer Ingelheim Investigational Site
m.Donetsk
205.389.3513 Boehringer Ingelheim Investigational Site
m.Odesa
205.389.3519 Boehringer Ingelheim Investigational Site
Odesa
205.389.3527 Boehringer Ingelheim Investigational Site
Odesa
205.389.3542 Boehringer Ingelheim Investigational Site
Odesa
205.389.3531 Boehringer Ingelheim Investigational Site
Poltava
205.389.3517 Boehringer Ingelheim Investigational Site
Simferopil
205.389.3518 Boehringer Ingelheim Investigational Site
Ternopil
205.389.3529 Boehringer Ingelheim Investigational Site
Vinnitsa
205.389.3515 Boehringer Ingelheim Investigational Site
Zaporizhzhya
205.389.3547 Boehringer Ingelheim Investigational Site
Zaporizhzhya
205.389.3548 Boehringer Ingelheim Investigational Site
Zaporizhzhya
France50 sites
205.389.1607 Boehringer Ingelheim Investigational Site
Baugé
205.389.1525 Boehringer Ingelheim Investigational Site
Beauvais
205.389.1523 Boehringer Ingelheim Investigational Site
Béthune
205.389.1571 Boehringer Ingelheim Investigational Site
Cestas
205.389.1561 Boehringer Ingelheim Investigational Site
Charry Le Rouet
205.389.1507 Boehringer Ingelheim Investigational Site
Cholet
205.389.1606 Boehringer Ingelheim Investigational Site
Écouflant
205.389.1554 Boehringer Ingelheim Investigational Site
Ermont
205.389.1597 Boehringer Ingelheim Investigational Site
La Barre-de-Monts
205.389.1581 Boehringer Ingelheim Investigational Site
La Jubaudière
205.389.1536 Boehringer Ingelheim Investigational Site
La Roche-sur-Yon
205.389.1598 Boehringer Ingelheim Investigational Site
La Roche-sur-Yon
205.389.1501 Boehringer Ingelheim Investigational Site
Le Kremlin-Bicêtre
205.389.1503 Boehringer Ingelheim Investigational Site
Le Mans
205.389.1586 Boehringer Ingelheim Investigational Site
Le Pradet
205.389.1528 Boehringer Ingelheim Investigational Site
Marseille
205.389.1530 Boehringer Ingelheim Investigational Site
Marseille
205.389.1558 Boehringer Ingelheim Investigational Site
Marseille
205.389.1564 Boehringer Ingelheim Investigational Site
Marseille
205.389.1565 Boehringer Ingelheim Investigational Site
Marseille
205.389.1539 Boehringer Ingelheim Investigational Site
Montfermeil
205.389.1608 Boehringer Ingelheim Investigational Site
Nantes
205.389.1526 Boehringer Ingelheim Investigational Site
Nice
205.389.1504 Boehringer Ingelheim Investigational Site
Nîmes
205.389.1502 Boehringer Ingelheim Investigational Site
Ollioules
205.389.1541 Boehringer Ingelheim Investigational Site
Orléans
205.389.1527 Boehringer Ingelheim Investigational Site
Perpignan
205.389.1532 Boehringer Ingelheim Investigational Site
Pierre Benite Cédex
205.389.1553 Boehringer Ingelheim Investigational Site
Rennes
205.389.1567 Boehringer Ingelheim Investigational Site
Saint Orens de Cameville
205.389.1555 Boehringer Ingelheim Investigational Site
Saint-Dié
205.389.1514 Boehringer Ingelheim Investigational Site
Saint-Etienne
205.389.1575 Boehringer Ingelheim Investigational Site
Saint-Germain-du-Puch
205.389.1572 Boehringer Ingelheim Investigational Site
Saint-Laurent
205.389.1547 Boehringer Ingelheim Investigational Site
Saint-Laurent-du-Var
205.389.1577 Boehringer Ingelheim Investigational Site
Saint-Pierre-Montlimart
205.389.1531 Boehringer Ingelheim Investigational Site
Saint-Quentin
205.389.1520 Boehringer Ingelheim Investigational Site
Sélestat
205.389.1569 Boehringer Ingelheim Investigational Site
Seysses
205.389.1510 Boehringer Ingelheim Investigational Site
Strasbourg
205.389.1522 Boehringer Ingelheim Investigational Site
Strasbourg
205.389.1512 Boehringer Ingelheim Investigational Site
Toulon
205.389.1515 Boehringer Ingelheim Investigational Site
Toulon
205.389.1519 Boehringer Ingelheim Investigational Site
Toulon
205.389.1588 Boehringer Ingelheim Investigational Site
Toulon
205.389.1589 Boehringer Ingelheim Investigational Site
Toulon
205.389.1590 Boehringer Ingelheim Investigational Site
Toulon
205.389.1595 Boehringer Ingelheim Investigational Site
Toulon
205.389.1542 Boehringer Ingelheim Investigational Site
Toulouse
205.389.1574 Boehringer Ingelheim Investigational Site
Villenave-d'Ornon
Czechia29 sites
205.389.1211 Boehringer Ingelheim Investigational Site
Benešov
205.389.1213 Boehringer Ingelheim Investigational Site
Beroun
205.389.1220 Boehringer Ingelheim Investigational Site
Beroun
205.389.1204 Boehringer Ingelheim Investigational Site
Brno-Královo Pole
205.389.1212 Boehringer Ingelheim Investigational Site
Cheb
205.389.1205 Boehringer Ingelheim Investigational Site
Havlíčkův Brod
205.389.1230 Boehringer Ingelheim Investigational Site
Humpolec
205.389.1208 Boehringer Ingelheim Investigational Site
Jaroměř
205.389.1219 Boehringer Ingelheim Investigational Site
Kyjov
205.389.1225 Boehringer Ingelheim Investigational Site
Liberec
205.389.1218 Boehringer Ingelheim Investigational Site
Litoměřice
205.389.1214 Boehringer Ingelheim Investigational Site
Lovosice
205.389.1207 Boehringer Ingelheim Investigational Site
Neratovice
205.389.1222 Boehringer Ingelheim Investigational Site
Ostrava
205.389.1209 Boehringer Ingelheim Investigational Site
Pilsen
205.389.1216 Boehringer Ingelheim Investigational Site
Pilsen
205.389.1215 Boehringer Ingelheim Investigational Site
Prague
205.389.1217 Boehringer Ingelheim Investigational Site
Prague
205.389.1223 Boehringer Ingelheim Investigational Site
Prague
205.389.1227 Boehringer Ingelheim Investigational Site
Prague
205.389.1229 Boehringer Ingelheim Investigational Site
Prague
205.389.1232 Boehringer Ingelheim Investigational Site
Prague
205.389.1224 Boehringer Ingelheim Investigational Site
Praha 6 - Brevnov
205.389.1228 Boehringer Ingelheim Investigational Site
Přerov
205.389.1231 Boehringer Ingelheim Investigational Site
Rokycany
205.389.1221 Boehringer Ingelheim Investigational Site
Strakonice
205.389.1206 Boehringer Ingelheim Investigational Site
Třemošná
205.389.1201 Boehringer Ingelheim Investigational Site
Žatec
205.389.1210 Boehringer Ingelheim Investigational Site
Znojmo
Hungary29 sites
205.389.2001 Boehringer Ingelheim Investigational Site
Budapest
205.389.2005 Boehringer Ingelheim Investigational Site
Budapest
205.389.2006 Boehringer Ingelheim Investigational Site
Budapest
205.389.2009 Boehringer Ingelheim Investigational Site
Budapest
205.389.2016 Boehringer Ingelheim Investigational Site
Budapest
205.389.2018 Boehringer Ingelheim Investigational Site
Budapest
205.389.2027 Boehringer Ingelheim Investigational Site
Budapest
205.389.2007 Boehringer Ingelheim Investigational Site
Debrecen
205.389.2035 Boehringer Ingelheim Investigational Site
Deszk
205.389.2015 Boehringer Ingelheim Investigational Site
Dunaújváros
205.389.2008 Boehringer Ingelheim Investigational Site
Érd
205.389.2011 Boehringer Ingelheim Investigational Site
Füzesabony
205.389.2013 Boehringer Ingelheim Investigational Site
Győr
205.389.2028 Boehringer Ingelheim Investigational Site
Gyula
205.389.2014 Boehringer Ingelheim Investigational Site
Jászberény
205.389.2021 Boehringer Ingelheim Investigational Site
Kecskemét
205.389.2025 Boehringer Ingelheim Investigational Site
Komárom
205.389.2024 Boehringer Ingelheim Investigational Site
Mosdós
205.389.2026 Boehringer Ingelheim Investigational Site
Mosonmagyaróvár
205.389.2031 Boehringer Ingelheim Investigational Site
Nyíregyháza
205.389.2002 Boehringer Ingelheim Investigational Site
Pécs
205.389.2017 Boehringer Ingelheim Investigational Site
Ráckeve
205.389.2003 Boehringer Ingelheim Investigational Site
Siófok
205.389.2010 Boehringer Ingelheim Investigational Site
Szarvas
205.389.2022 Boehringer Ingelheim Investigational Site
Százhalombatta
205.389.2019 Boehringer Ingelheim Investigational Site
Szentendre
205.389.2030 Boehringer Ingelheim Investigational Site
Tatabánya
205.389.2029 Boehringer Ingelheim Investigational Site
Törökbálint
205.389.2020 Boehringer Ingelheim Investigational Site
Veszprém
United Kingdom26 sites
205.389.3601 Boehringer Ingelheim Investigational Site
Bath
205.389.3630 Boehringer Ingelheim Investigational Site
Bexhill-on-Sea
205.389.3636 Boehringer Ingelheim Investigational Site
Bexhill-on-Sea
205.389.3608 Boehringer Ingelheim Investigational Site
Birmingham
205.389.3605 Boehringer Ingelheim Investigational Site
Blackburn
205.389.3609 Boehringer Ingelheim Investigational Site
Bolton
205.389.3640 Boehringer Ingelheim Investigational Site
Burbage
205.389.3643 Boehringer Ingelheim Investigational Site
Chesterfield
205.389.3627 Boehringer Ingelheim Investigational Site
Corsham
205.389.3606 Boehringer Ingelheim Investigational Site
Coventry
205.389.3633 Boehringer Ingelheim Investigational Site
Coventry
205.389.3639 Boehringer Ingelheim Investigational Site
Frome
205.389.3602 Boehringer Ingelheim Investigational Site
Glasgow
205.389.3632 Boehringer Ingelheim Investigational Site
Irvine
205.389.3623 Boehringer Ingelheim Investigational Site
London
205.389.3638 Boehringer Ingelheim Investigational Site
Middlesex
205.389.3616 Boehringer Ingelheim Investigational Site
Newcastle upon Tyne
205.389.3618 Boehringer Ingelheim Investigational Site
Paisley
205.389.3622 Boehringer Ingelheim Investigational Site
Radstock
205.389.3626 Boehringer Ingelheim Investigational Site
Randalstown
205.389.3613 Boehringer Ingelheim Investigational Site
Saint Just, Penzance
205.389.3604 Boehringer Ingelheim Investigational Site
Soham
205.389.3624 Boehringer Ingelheim Investigational Site
Sunderland
205.389.3635 Boehringer Ingelheim Investigational Site
Wansford, Peterborough
205.389.3631 Boehringer Ingelheim Investigational Site
Windsor
205.389.3612 Boehringer Ingelheim Investigational Site
Wrexham
Spain24 sites
205.389.3410 Boehringer Ingelheim Investigational Site
Badajoz
205.389.3403 Boehringer Ingelheim Investigational Site
Badalona (Barcelona)
205.389.3401 Boehringer Ingelheim Investigational Site
Barcelona
205.389.3402 Boehringer Ingelheim Investigational Site
Barcelona
205.389.3428 Boehringer Ingelheim Investigational Site
Barcelona
205.389.3416 Boehringer Ingelheim Investigational Site
Cáceres
205.389.3430 Boehringer Ingelheim Investigational Site
Cartagena
205.389.3425 Boehringer Ingelheim Investigational Site
Elche
205.389.3408 Boehringer Ingelheim Investigational Site
Las Palmas de Gran Canarias
205.389.3405 Boehringer Ingelheim Investigational Site
Lleida
205.389.3404 Boehringer Ingelheim Investigational Site
Madrid
205.389.3406 Boehringer Ingelheim Investigational Site
Madrid
205.389.3414 Boehringer Ingelheim Investigational Site
Málaga
205.389.3431 Boehringer Ingelheim Investigational Site
Pontevedra
205.389.3419 Boehringer Ingelheim Investigational Site
Requena
205.389.3427 Boehringer Ingelheim Investigational Site
Reus
205.389.3422 Boehringer Ingelheim Investigational Site
Sagunto
205.389.3420 Boehringer Ingelheim Investigational Site
San Juan
205.389.3415 Boehringer Ingelheim Investigational Site
Santander
205.389.3421 Boehringer Ingelheim Investigational Site
Santiago de Compostela
205.389.3407 Boehringer Ingelheim Investigational Site
Terrasa (Barcelona)
205.389.3413 Boehringer Ingelheim Investigational Site
Valencia
205.389.3426 Boehringer Ingelheim Investigational Site
Valencia
205.389.3417 Boehringer Ingelheim Investigational Site
Valladolid
Romania21 sites
205.389.3009 Boehringer Ingelheim Investigational Site
Brasov
205.389.3018 Boehringer Ingelheim Investigational Site
Brasov
205.389.3023 Boehringer Ingelheim Investigational Site
Brasov
205.389.3001 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3002 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3004 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3006 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3007 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3012 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3013 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3025 Boehringer Ingelheim Investigational Site
Bucharest
205.389.3016 Boehringer Ingelheim Investigational Site
Constanța
205.389.3019 Boehringer Ingelheim Investigational Site
Constanța
205.389.3015 Boehringer Ingelheim Investigational Site
Craiova
205.389.3008 Boehringer Ingelheim Investigational Site
Iași
205.389.3014 Boehringer Ingelheim Investigational Site
Iași
205.389.3022 Boehringer Ingelheim Investigational Site
Iași
205.389.3024 Boehringer Ingelheim Investigational Site
Iași
205.389.3005 Boehringer Ingelheim Investigational Site
Oradea
205.389.3017 Boehringer Ingelheim Investigational Site
Tg. Mures
205.389.3021 Boehringer Ingelheim Investigational Site
Timișoara
Austria18 sites
205.389.1020 Boehringer Ingelheim Investigational Site
Feldbach
205.389.1010 Boehringer Ingelheim Investigational Site
Feldkirch
205.389.1003 Boehringer Ingelheim Investigational Site
Gänserndorf
205.389.1011 Boehringer Ingelheim Investigational Site
Grimmenstein/Hochegg
205.389.1005 Boehringer Ingelheim Investigational Site
Hallein
205.389.1023 Boehringer Ingelheim Investigational Site
Linz
205.389.1001 Boehringer Ingelheim Investigational Site
Mittersill
205.389.1027 Boehringer Ingelheim Investigational Site
Salzburg
205.389.1026 Boehringer Ingelheim Investigational Site
Schlüsslberg
205.389.1016 Boehringer Ingelheim Investigational Site
Spittal/Drau
205.389.1022 Boehringer Ingelheim Investigational Site
Steyr
205.389.1002 Boehringer Ingelheim Investigational Site
Vienna
205.389.1006 Boehringer Ingelheim Investigational Site
Vienna
205.389.1014 Boehringer Ingelheim Investigational Site
Vienna
205.389.1018 Boehringer Ingelheim Investigational Site
Vienna
205.389.1021 Boehringer Ingelheim Investigational Site
Vienna
205.389.1029 Boehringer Ingelheim Investigational Site
Vienna
205.389.1017 Boehringer Ingelheim Investigational Site
Zwettl Stadt
Italy18 sites
205.389.2211 Boehringer Ingelheim Investigational Site
Brescia
205.389.2206 Boehringer Ingelheim Investigational Site
Cagliari
205.389.2223 Boehringer Ingelheim Investigational Site
Catania
205.389.2209 Boehringer Ingelheim Investigational Site
Ferrara
205.389.2214 Boehringer Ingelheim Investigational Site
Genova
205.389.2215 Boehringer Ingelheim Investigational Site
Lecco
205.389.2221 Boehringer Ingelheim Investigational Site
Milan
205.389.2226 Boehringer Ingelheim Investigational Site
Milan
205.389.2224 Boehringer Ingelheim Investigational Site
Modena
205.389.2203 Boehringer Ingelheim Investigational Site
Montescano (PV)
205.389.2230 Boehringer Ingelheim Investigational Site
Naples
205.389.2201 Boehringer Ingelheim Investigational Site
Novara
205.389.2229 Boehringer Ingelheim Investigational Site
Pavia
205.389.2227 Boehringer Ingelheim Investigational Site
Pisa
205.389.2205 Boehringer Ingelheim Investigational Site
Roma
205.389.2228 Boehringer Ingelheim Investigational Site
Roma
205.389.2210 Boehringer Ingelheim Investigational Site
Sassari
205.389.2232 Boehringer Ingelheim Investigational Site
Treviso
Israel14 sites
205.389.2101 Boehringer Ingelheim Investigational Site
Afula
205.389.2110 Boehringer Ingelheim Investigational Site
Ashkelon
205.389.2106 Boehringer Ingelheim Investigational Site
Beersheba
205.389.2112 Boehringer Ingelheim Investigational Site
Hadera
205.389.2107 Boehringer Ingelheim Investigational Site
Haifa
205.389.2111 Boehringer Ingelheim Investigational Site
Haifa
205.389.2108 Boehringer Ingelheim Investigational Site
Holon
205.389.2104 Boehringer Ingelheim Investigational Site
Jerusalem
205.389.2114 Boehringer Ingelheim Investigational Site
Jerusalem
205.389.2116 Boehringer Ingelheim Investigational Site
Nahariya
205.389.2102 Boehringer Ingelheim Investigational Site
Petah Tikva
205.389.2105 Boehringer Ingelheim Investigational Site
Rehovot
205.389.2103 Boehringer Ingelheim Investigational Site
Tel HaShomer
205.389.2117 Boehringer Ingelheim Investigational Site
Tsrifin
Lithuania14 sites
205.389.2401 Boehringer Ingelheim Investigational Site
Alytus
205.389.2402 Boehringer Ingelheim Investigational Site
Kaunas
205.389.2403 Boehringer Ingelheim Investigational Site
Kaunas
205.389.2404 Boehringer Ingelheim Investigational Site
Kaunas
205.389.2406 Boehringer Ingelheim Investigational Site
Kaunas
205.389.2409 Boehringer Ingelheim Investigational Site
Kaunas
205.389.2407 Boehringer Ingelheim Investigational Site
Klaipėda
205.389.2411 Boehringer Ingelheim Investigational Site
Klaipėda
205.389.2408 Boehringer Ingelheim Investigational Site
Šiauliai
205.389.2410 Boehringer Ingelheim Investigational Site
Utena
205.389.2405 Boehringer Ingelheim Investigational Site
Vilnius
205.389.2412 Boehringer Ingelheim Investigational Site
Vilnius
205.389.2413 Boehringer Ingelheim Investigational Site
Vilnius
205.389.2414 Boehringer Ingelheim Investigational Site
Vilnius
Latvia13 sites
205.389.2315 Boehringer Ingelheim Investigational Site
Balvi
205.389.2305 Boehringer Ingelheim Investigational Site
Daugavpils
205.389.2313 Boehringer Ingelheim Investigational Site
Jelgava
205.389.2311 Boehringer Ingelheim Investigational Site
Krāslava
205.389.2312 Boehringer Ingelheim Investigational Site
Kuldīga
205.389.2301 Boehringer Ingelheim Investigational Site
Riga
205.389.2303 Boehringer Ingelheim Investigational Site
Riga
205.389.2307 Boehringer Ingelheim Investigational Site
Riga
205.389.2310 Boehringer Ingelheim Investigational Site
Riga
205.389.2306 Boehringer Ingelheim Investigational Site
Talsi
205.389.2314 Boehringer Ingelheim Investigational Site
Tukums
205.389.2304 Boehringer Ingelheim Investigational Site
Valmiera
205.389.2302 Boehringer Ingelheim Investigational Site
Ventspils
Bulgaria12 sites
205.389.3911 Boehringer Ingelheim Investigational Site
Pazardzhik
205.389.3903 Boehringer Ingelheim Investigational Site
Plovdiv
205.389.3915 Boehringer Ingelheim Investigational Site
Plovdiv
205.389.3918 Boehringer Ingelheim Investigational Site
Rousse
205.389.3914 Boehringer Ingelheim Investigational Site
Sliven
205.389.3902 Boehringer Ingelheim Investigational Site
Sofia
205.389.3906 Boehringer Ingelheim Investigational Site
Sofia
205.389.3907 Boehringer Ingelheim Investigational Site
Sofia
205.389.3908 Boehringer Ingelheim Investigational Site
Stara Zagora
205.389.3916 Boehringer Ingelheim Investigational Site
Troyan Municipality
205.389.3912 Boehringer Ingelheim Investigational Site
Varna
205.389.3901 Boehringer Ingelheim Investigational Site
Veliko Tarnovo
Norway12 sites
205.389.2614 Boehringer Ingelheim Investigational Site
Ålesund
205.389.2604 Boehringer Ingelheim Investigational Site
Bekkestua
205.389.2601 Boehringer Ingelheim Investigational Site
Elverum
205.389.2611 Boehringer Ingelheim Investigational Site
Follebu
205.389.2602 Boehringer Ingelheim Investigational Site
Hamar
205.389.2610 Boehringer Ingelheim Investigational Site
Harstad
205.389.2613 Boehringer Ingelheim Investigational Site
Harstad
205.389.2609 Boehringer Ingelheim Investigational Site
Hønefoss
205.389.2608 Boehringer Ingelheim Investigational Site
Lørenskog
205.389.2605 Boehringer Ingelheim Investigational Site
Oslo
205.389.2612 Boehringer Ingelheim Investigational Site
Oslo
205.389.2616 Boehringer Ingelheim Investigational Site
Stavanger
Turkey (Türkiye)12 sites
205.389.3821 Boehringer Ingelheim Investigational Site
Adana
205.389.3808 Boehringer Ingelheim Investigational Site
Ankara
205.389.3810 Boehringer Ingelheim Investigational Site
Ankara
205.389.3817 Boehringer Ingelheim Investigational Site
Bursa
205.389.3819 Boehringer Ingelheim Investigational Site
Erzurum
205.389.3812 Boehringer Ingelheim Investigational Site
Istanbul
205.389.3827 Boehringer Ingelheim Investigational Site
Izmir
205.389.3813 Boehringer Ingelheim Investigational Site
İzmit
205.389.3820 Boehringer Ingelheim Investigational Site
Kahramanmaraş
205.389.3825 Boehringer Ingelheim Investigational Site
Malatya
205.389.3809 Boehringer Ingelheim Investigational Site
Sihhiye Ankara
205.389.3807 Boehringer Ingelheim Investigational Site
Yenisehir-IZMIR
Belgium11 sites
205.389.1120 Boehringer Ingelheim Investigational Site
Buizingen
205.389.1124 Boehringer Ingelheim Investigational Site
Cerexhe-Heuseux
205.389.1116 Boehringer Ingelheim Investigational Site
Chenée (Liége)
205.389.1121 Boehringer Ingelheim Investigational Site
Dour
205.389.1113 Boehringer Ingelheim Investigational Site
Gembloux
205.389.1117 Boehringer Ingelheim Investigational Site
Gozée
205.389.1126 Boehringer Ingelheim Investigational Site
Hasselt
205.389.1129 Boehringer Ingelheim Investigational Site
Natoye
205.389.1130 Boehringer Ingelheim Investigational Site
Quaregnon
205.389.1115 Boehringer Ingelheim Investigational Site
Thuillies
205.389.1107 Boehringer Ingelheim Investigational Site
Wetteren
Denmark10 sites
205.389.1304 Boehringer Ingelheim Investigational Site
Copenhagen
205.389.1301 Boehringer Ingelheim Investigational Site
Elsinore
205.389.1308 Boehringer Ingelheim Investigational Site
Elsinore
205.389.1309 Boehringer Ingelheim Investigational Site
Frederikssund
205.389.1311 Boehringer Ingelheim Investigational Site
Holstebro
205.389.1302 Boehringer Ingelheim Investigational Site
Næstved
205.389.1303 Boehringer Ingelheim Investigational Site
Roskilde
205.389.1310 Boehringer Ingelheim Investigational Site
Skive
205.389.1312 Boehringer Ingelheim Investigational Site
Sønderborg
205.389.1307 Boehringer Ingelheim Investigational Site
Værløse
Finland10 sites
205.389.1402 Boehringer Ingelheim Investigational Site
Helsinki
205.389.1416 Boehringer Ingelheim Investigational Site
Hyvinkää
205.389.1410 Boehringer Ingelheim Investigational Site
Jyväskylä
205.389.1404 Boehringer Ingelheim Investigational Site
Lahti
205.389.1417 Boehringer Ingelheim Investigational Site
Lappeenranta
205.389.1415 Boehringer Ingelheim Investigational Site
Lohja
205.389.1411 Boehringer Ingelheim Investigational Site
Mikkeli
205.389.1409 Boehringer Ingelheim Investigational Site
Pori
205.389.1412 Boehringer Ingelheim Investigational Site
Preitilä Paimio
205.389.1407 Boehringer Ingelheim Investigational Site
Turku
Portugal10 sites
205.389.2912 Boehringer Ingelheim Investigational Site
Angra do Heroísmo
205.389.2911 Boehringer Ingelheim Investigational Site
Barreiro
205.389.2904 Boehringer Ingelheim Investigational Site
Faro
205.389.2910 Boehringer Ingelheim Investigational Site
Figueira da Foz Municipality
205.389.2907 Boehringer Ingelheim Investigational Site
Guarda
205.389.2914 Boehringer Ingelheim Investigational Site
Lisbon
205.389.2917 Boehringer Ingelheim Investigational Site
Lisbon
205.389.2905 Boehringer Ingelheim Investigational Site
Santa Maria da Feira
205.389.2909 Boehringer Ingelheim Investigational Site
Santiago do Cacém
205.389.2903 Boehringer Ingelheim Investigational Site
Torres Vedras
Slovakia8 sites
205.389.3208 Boehringer Ingelheim Investigational Site
Bratislava
205.389.3204 Boehringer Ingelheim Investigational Site
Košice
205.389.3209 Boehringer Ingelheim Investigational Site
Košice
205.389.3205 Boehringer Ingelheim Investigational Site
Prievidza
205.389.3210 Boehringer Ingelheim Investigational Site
Revúca
205.389.3203 Boehringer Ingelheim Investigational Site
Spišská Nová Ves
205.389.3202 Boehringer Ingelheim Investigational Site
Trnava
205.389.3207 Boehringer Ingelheim Investigational Site
Vráble
Slovenia6 sites
205.389.3301 Boehringer Ingelheim Investigational Site
Golnik
205.389.3308 Boehringer Ingelheim Investigational Site
Grosuplje
205.389.3304 Boehringer Ingelheim Investigational Site
Jesenice
205.389.3302 Boehringer Ingelheim Investigational Site
Kamnik
205.389.3303 Boehringer Ingelheim Investigational Site
Ljubljana
205.389.3306 Boehringer Ingelheim Investigational Site
Topolšica
Netherlands4 sites
205.389.2504 Boehringer Ingelheim Investigational Site
Rotterdam
205.389.2508 Boehringer Ingelheim Investigational Site
Te Leiderdrop
205.389.2510 Boehringer Ingelheim Investigational Site
Velp
205.389.2511 Boehringer Ingelheim Investigational Site
Zoetermeer
About this study
Official title: Effect of Inhalation of Tiotropium Once Daily 18 Mcg Versus Salmeterol Twice Daily 50 Mcg on Time to First Exacerbation in COPD Patients (a Randomised, Double-blind, Double-dummy, Parallel Group, One-year Study).
This is a randomised, double-blind, double-dummy, multinational, multicentre, parallel group trial comparing tiotropium (18 mcg) inhalation capsule via HandiHaler and salmeterol (50 mcg) via MDI in patients with COPD. There will be a two-week run-in period followed by a 52-week randomised treatment phase. Patients who withdraw prematurely from trial medication will be encouraged to remain in the trial and participate in follow-up telephone contacts until their predicted normal exit date from the trial (i.e. 52 weeks after taking the first dose of randomised treatment). The phone calls will be made at all scheduled visits.
The primary objective of this study is to compare the effect of tiotropium (18 mcg) inhalation capsule via HandiHaler with that of salmeterol (50 mcg) via MDI on COPD exacerbations.
Read more
The primary endpoint is time to first COPD exacerbation during the 52 week randomised treatment period. A COPD exacerbation will be defined as a complex of respiratory events / symptoms (increase or new onset) of more than one of the following: cough, sputum, wheezing, dyspnoea or chest tightness with at least one symptom lasting at least three days requiring treatment with antibiotics and/or systemic steroids and/or hospitalisation.
The onset of an exacerbation is defined as the onset of the first new or increased reported symptom. The end of the exacerbation should be recorded as defined by the investigator.
Only COPD exacerbations with onset during randomised treatment will be included in the analysis.
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- Tiotropium bromide, Salmeterol, Placebo Salmeterol, Placebo 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.
Tiotropium bromideDrug
18 mcg/daily
SalmeterolDrug
100 mcg/daily
Placebo SalmeterolDrug
Placebo identical to Salmeterol device
Placebo TiotropiumDrug
Placebo identical to Tiotropium device
| Study group | Role | What they receive |
|---|---|---|
| Tiotropium + Placebo | Active comparator | patients inhale Tiotropium 18mcg once daily via HandiHaler and Placebo MDI twice daily Receives: Drug: Tiotropium bromide; Drug: Placebo Salmeterol |
| Salmeterol + Placebo | Active comparator | patients inhale Salmeterol 50mcg twice daily via MDI and Placebo HandiHaler once daily Receives: Drug: Salmeterol; Drug: Placebo Tiotropium |
What is being measured
The primary outcome is the main question the study is designed to answer.
First Occurrence of (Moderate or Severe) COPD Exacerbation
First occurrence analysed by Cox regression as time to first exacerbation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
Secondary outcomes (30)
COPD Exacerbations Per Patient-year Leading to Hospitalisation
An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
Number of Participants With at Least One COPD Exacerbation
An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
COPD Exacerbations Per Patient-year
Measured: 52 weeks
First Occurrence of COPD Exacerbation Leading to Hospitalization
First occurrence analysed by Cox regression as time to first exacerbation leading to hospitalisation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
Number of Participants With at Least One COPD Exacerbation Leading to Hospitalisation
An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
Occurrence of Premature Discontinuation of Trial Medication
Occurrence analysed by Cox regression as time to premature discontinuation of trial medication and reported as hazard ratio
Measured: 52 weeks
Number of Participants With Premature Discontinuation of Trial Medication
Measured: 52 weeks
First Occurrence of COPD Exacerbation or Discontinuation of Trial Medication Because of Worsening of Underlying Disease, Whichever Comes First
First occurrence analysed by Cox regression as time to first exacerbation or discontinuation of trial medication because of worsening of underlying disease, whichever comes first and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
First Occurrence of COPD Exacerbations Treated With Systemic Steroids
First occurrence analysed by Cox regression as time to first exacerbation treated with systemic steroids and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
First Occurrence of COPD Exacerbations Treated With Antibiotics
First occurrence analysed by Cox regression as time to first exacerbation treated with antibiotics and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
First Occurrence of COPD Exacerbations Treated With Systemic Steroids and Antibiotics
First occurrence analysed by Cox regression as time to first exacerbation treated with systemic steroids and antibiotics and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
COPD Exacerbations Treated With Systemic Steroids Per Patient-year
An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
COPD Exacerbations Treated With Antibiotics Per Patient-year
An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
COPD Exacerbations Treated With Systemic Steroids and Antibiotics Per Patient-year
An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Measured: 52 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 1
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 2
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 3
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 4
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 5
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 6
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 7
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 8
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 9
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 10
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 11
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 12
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 13
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 14
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 15
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 16
PEFR means peak expiratory flow rate and is measured in liter per minute
Measured: 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Nov 2007 (estimated)
- Study startJan 2008
- Primary completionApr 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Pulmonary Disease, Chronic ObstructiveStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Enrolment
- 7,376 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Pfizer
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00563381
- Sponsor's protocol ID
- 205.389
- Other IDs
- EUDRACT2007-001840-33
- Status last verified
- Jul 2012
- First submitted
- 22 Nov 2007
- Last updated
- 24 Dec 2013
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Vogelmeier CF, Asijee GM, Kupas K, Beeh KM. Tiotropium and Salmeterol in COPD Patients at Risk of Exacerbations: A Post Hoc Analysis from POET-COPD((R)). Adv Ther. 2015 Jun;32(6):537-47. doi: 10.1007/s12325-015-0216-2. Epub 2015 Jun 23.
PubMed 26100349Rabe KF, Fabbri LM, Israel E, Kogler H, Riemann K, Schmidt H, Glaab T, Vogelmeier CF. Effect of ADRB2 polymorphisms on the efficacy of salmeterol and tiotropium in preventing COPD exacerbations: a prespecified substudy of the POET-COPD trial. Lancet Respir Med. 2014 Jan;2(1):44-53. doi: 10.1016/S2213-2600(13)70248-0. Epub 2013 Dec 5.
PubMed 24461901Beeh KM, Glaab T, Stowasser S, Schmidt H, Fabbri LM, Rabe KF, Vogelmeier CF. Characterisation of exacerbation risk and exacerbator phenotypes in the POET-COPD trial. Respir Res. 2013 Oct 29;14(1):116. doi: 10.1186/1465-9921-14-116.
PubMed 24168767Rabe KF, Fabbri LM, Vogelmeier C, Kogler H, Schmidt H, Beeh KM, Glaab T. Seasonal distribution of COPD exacerbations in the Prevention of Exacerbations with Tiotropium in COPD trial. Chest. 2013 Mar;143(3):711-719. doi: 10.1378/chest.12-1277.
PubMed 23188489Vogelmeier C, Hederer B, Glaab T, Schmidt H, Rutten-van Molken MP, Beeh KM, Rabe KF, Fabbri LM; POET-COPD Investigators. Tiotropium versus salmeterol for the prevention of exacerbations of COPD. N Engl J Med. 2011 Mar 24;364(12):1093-1103. doi: 10.1056/NEJMoa1008378.
PubMed 21428765Beeh KM, Hederer B, Glaab T, Muller A, Rutten-van Moelken M, Kesten S, Vogelmeier C. Study design considerations in a large COPD trial comparing effects of tiotropium with salmeterol on exacerbations. Int J Chron Obstruct Pulmon Dis. 2009;4:119-25. Epub 2009 Apr 15.
PubMed 19436693
Study at a glance
From the registry record, last updated by the sponsor on 24 Dec 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Inhalation of Tiotropium Once Daily 18 Mcg Versus Salmeterol Twice Daily 50 Mcg on Time to First Exacerbation in COPD Patients (a Randomised, Double-blind, Double-dummy, Parallel Group, One-year Study).
- ClinicalTrials.gov ID
- NCT00563381
- Acronym / sponsor ID
- 205.389
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 7,376 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Collaborators
- Pfizer
- Study start
- Jan 2008
- Primary completion
- Apr 2010 (actual)
- First posted
- 26 Nov 2007 (estimated)
- Results
- Posted 17 May 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomised, double-blind, double-dummy, multinational, multicentre, parallel group trial comparing tiotropium (18 mcg) inhalation capsule via HandiHaler and salmeterol (50 mcg) via MDI in patients with COPD. There will be a two-week run-in period followed by a 52-week randomised treatment phase. Patients who withdraw prematurely from trial medication will be encouraged to remain in the trial and participate in follow-up telephone contacts until their predicted normal exit date from the trial (i.e. 52 weeks after taking the first dose of randomised treatment). The phone calls will be made at all scheduled visits.
The primary objective of this study is to compare the effect of tiotropium (18 mcg) inhalation capsule via HandiHaler with that of salmeterol (50 mcg) via MDI on COPD exacerbations.
The primary endpoint is time to first COPD exacerbation during the 52 week randomised treatment period. A COPD exacerbation will be defined as a complex of respiratory events / symptoms (increase or new onset) of more than one of the following: cough, sputum, wheezing, dyspnoea or chest tightness with at least one symptom lasting at least three days requiring treatment with antibiotics and/or systemic steroids and/or hospitalisation.
The onset of an exacerbation is defined as the onset of the first new or increased reported symptom. The end of the exacerbation should be recorded as defined by the investigator.
Only COPD exacerbations with onset during randomised treatment will be included in the analysis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Tiotropium + Placebo | Active comparator | Drug: Tiotropium bromide, Drug: Placebo Salmeterolpatients inhale Tiotropium 18mcg once daily via HandiHaler and Placebo MDI twice daily |
| Salmeterol + Placebo | Active comparator | Drug: Salmeterol, Drug: Placebo Tiotropiumpatients inhale Salmeterol 50mcg twice daily via MDI and Placebo HandiHaler once daily |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- All patients must have a diagnosis of chronic obstructive pulmonary disease (COPD) and must meet the following criteria at Visit 1:
- Patients must have relatively stable, moderate to very severe airway obstruction with a post-bronchodilator FEV1 <=70% of predicted normal and FEV1 <=70% of FVC post-bronchodilator (i.e. 30 minutes after inhalation of 4 puffs of 100 µg salbutamol or equivalent SABA). Predicted normal values will be calculated according to ECSC.
- For Height measured in inches Males: FEV1 predicted (L) = 4.30 x (height (inches) / 39.37)-0.029 x age (yrs) - 2.49 Females:FEV1 predicted (L) = 3.95 x (height (inches) / 39.37)-0.025 x age (yrs) - 2.60 For Height measured in metres Males: FEV1 predicted (L) = 4.30 x (height (metres)) - 0.029 x age (years) - 2.49 Females: FEV1 predicted (L) = 3.95 x (height (metres)) - 0.025 x age (years) - 2.60
- All patients must sign an informed consent consistent with ICH-GCP guidelines prior to participation in the trial.
- Male or female patients 40 years of age or older.
Key exclusion criteria (22 listed)
- Significant diseases other than COPD. A significant disease is defined as a disease or condition which, in the opinion of the investigator, may put the patient at risk because of participation in the study or may influence either the results of the study or the patients' ability to participate in the study.
- Patients with a diagnosis of asthma.
- Patients with a life-threatening pulmonary obstruction, or a history of cystic fibrosis.
- Patients with known active tuberculosis.
- Patients with a known symptomatic prostatic hyperplasia or bladder neck obstruction. Patients with symptomatically-controlled prostatic hyperplasia on medication may be included and should continue their medication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tiotropium bromide18 mcg/daily | Drug | Tiotropium + Placebo |
| Salmeterol100 mcg/daily | Drug | Salmeterol + Placebo |
| Placebo SalmeterolPlacebo identical to Salmeterol device | Drug | Tiotropium + Placebo |
| Placebo TiotropiumPlacebo identical to Tiotropium device | Drug | Salmeterol + Placebo |
Primary outcome
First Occurrence of (Moderate or Severe) COPD Exacerbation
Time frame: 52 weeks
First occurrence analysed by Cox regression as time to first exacerbation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
30 secondary outcomes
COPD Exacerbations Per Patient-year Leading to Hospitalisation
Time frame: 52 weeks
Number of Participants With at Least One COPD Exacerbation
Time frame: 52 weeks
COPD Exacerbations Per Patient-year
Time frame: 52 weeks
First Occurrence of COPD Exacerbation Leading to Hospitalization
Time frame: 52 weeks
Number of Participants With at Least One COPD Exacerbation Leading to Hospitalisation
Time frame: 52 weeks
Occurrence of Premature Discontinuation of Trial Medication
Time frame: 52 weeks
Number of Participants With Premature Discontinuation of Trial Medication
Time frame: 52 weeks
First Occurrence of COPD Exacerbation or Discontinuation of Trial Medication Because of Worsening of Underlying Disease, Whichever Comes First
Time frame: 52 weeks
First Occurrence of COPD Exacerbations Treated With Systemic Steroids
Time frame: 52 weeks
First Occurrence of COPD Exacerbations Treated With Antibiotics
Time frame: 52 weeks
First Occurrence of COPD Exacerbations Treated With Systemic Steroids and Antibiotics
Time frame: 52 weeks
COPD Exacerbations Treated With Systemic Steroids Per Patient-year
Time frame: 52 weeks
COPD Exacerbations Treated With Antibiotics Per Patient-year
Time frame: 52 weeks
COPD Exacerbations Treated With Systemic Steroids and Antibiotics Per Patient-year
Time frame: 52 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 1
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 2
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 3
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 4
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 5
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 6
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 7
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 8
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 9
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 10
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 11
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 12
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 13
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 14
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 15
Time frame: 16 weeks
Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 16
Time frame: 16 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Dec 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26100349Vogelmeier CF, Asijee GM, Kupas K, Beeh KM. Tiotropium and Salmeterol in COPD Patients at Risk of Exacerbations: A Post Hoc Analysis from POET-COPD((R)). Adv Ther. 2015 Jun;32(6):537-47. doi: 10.1007/s12325-015-0216-2. Epub 2015 Jun 23.
- Derived from this study: PubMed 24461901Rabe KF, Fabbri LM, Israel E, Kogler H, Riemann K, Schmidt H, Glaab T, Vogelmeier CF. Effect of ADRB2 polymorphisms on the efficacy of salmeterol and tiotropium in preventing COPD exacerbations: a prespecified substudy of the POET-COPD trial. Lancet Respir Med. 2014 Jan;2(1):44-53. doi: 10.1016/S2213-2600(13)70248-0. Epub 2013 Dec 5.
- Derived from this study: PubMed 24168767Beeh KM, Glaab T, Stowasser S, Schmidt H, Fabbri LM, Rabe KF, Vogelmeier CF. Characterisation of exacerbation risk and exacerbator phenotypes in the POET-COPD trial. Respir Res. 2013 Oct 29;14(1):116. doi: 10.1186/1465-9921-14-116.
- Derived from this study: PubMed 23188489Rabe KF, Fabbri LM, Vogelmeier C, Kogler H, Schmidt H, Beeh KM, Glaab T. Seasonal distribution of COPD exacerbations in the Prevention of Exacerbations with Tiotropium in COPD trial. Chest. 2013 Mar;143(3):711-719. doi: 10.1378/chest.12-1277.
- Derived from this study: PubMed 21428765Vogelmeier C, Hederer B, Glaab T, Schmidt H, Rutten-van Molken MP, Beeh KM, Rabe KF, Fabbri LM; POET-COPD Investigators. Tiotropium versus salmeterol for the prevention of exacerbations of COPD. N Engl J Med. 2011 Mar 24;364(12):1093-1103. doi: 10.1056/NEJMoa1008378.
- Derived from this study: PubMed 19436693Beeh KM, Hederer B, Glaab T, Muller A, Rutten-van Moelken M, Kesten S, Vogelmeier C. Study design considerations in a large COPD trial comparing effects of tiotropium with salmeterol on exacerbations. Int J Chron Obstruct Pulmon Dis. 2009;4:119-25. Epub 2009 Apr 15.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Boehringer Ingelheim study chair
Boehringer Ingelheim
752 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Tiotropium bromide and Salmeterol in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 752 sites in 25 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 10 inclusion and 22 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 24 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 752 sites in Germany, Poland, Russia, Ukraine, France and 20 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. 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 17 May 2011). 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?
First Occurrence of (Moderate or Severe) COPD Exacerbation (time frame: 52 weeks). 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 NCT00563381, which also lists 6 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 24 Dec 2013.