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Pulmonary Disease, Chronic ObstructivePhase 3NCT01525615

A Study to Determine the Effect of Tiotropium + Olodaterol Fixed Dose Combination on Exercise Endurance Time During Constant Work Rate Cycle Ergometry Test in COPD

A Phase 3 study testing Respimat inhaler, tiotropium+olodaterol (low dose) and tiotropium + olodaterol (high dose) in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 60 sites in 10 countries.

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 this study is to compare the effects of orally inhaled tiotropium + olodaterol fixed dose combination (2.5/5 µg; 5/5 µg) with placebo on exercise tolerance after 12 weeks of treatment in patients with COPD. Read more about this study

Who is it for?
Ages 40 to 75 years
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
Respimat inhaler, tiotropium+olodaterol (low dose) and tiotropium + olodaterol (high dose)
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
404 participants
Where
60 sitesin 10 countries
Study dates
Feb 2012to Sep 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

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

  • Ages 40 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • All patients must sign an informed consent consistent with ICH-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, at visit 1:
  • a post-bronchodilator 30% <= FEV1 <80% of predicted normal (ECSC) and a post-bronchodilator FEV1/FVC <70% at Visit 1
  • Male or female patients, between 40 and 75 years (inclusive) of age on day of signing informed consent.
  • 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 technically acceptable pulmonary function tests (spirometry), must be able to complete multiple symptom-limited cycle ergometry tests (and for a subset also shuttle walk tests), as required in the protocol.
  • Patients must be able to inhale medication in a competent manner from the RESPIMAT inhaler and from a metered dose inhaler (MDI).

Who cannot join

  • Patients with a significant disease other than COPD
  • Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis; all patients with an SGOT > x2 ULN, SGPT > x2 ULN, bilirubin > x2 ULN or creatinine > x2 ULN will be excluded regardless of clinical condition
  • Patients with a history of asthma
  • A diagnosis of thyrotoxicosis
  • A diagnosis of paroxysmal tachycardia (>100 beats per minute)
  • A history of myocardial infarction within 1 year of screening visit (Visit 1)
Show all 32Show fewer
  • Unstable or life-threatening cardiac arrhythmia
  • Hospitalized for heart failure within the past year
  • Known active tuberculosis
  • A malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years
  • A history of life-threatening pulmonary obstruction and patients with chronic respiratory failure
  • A history of cystic fibrosis
  • Clinically evident bronchiectasis
  • A history of significant alcohol or drug abuse
  • Any contraindications for exercise testing
  • Patients who have undergone thoracotomy with pulmonary resection
  • Patients being treated with any oral ß-adrenergics
  • Patients being treated with oral corticosteroid medication at unstable doses (i.e., less than six weeks on a stable dose) or at doses in excess of the equivalent of 10 mg of prednisone per day or 20 mg every other day
  • Patients who regularly use daytime oxygen therapy for more than one hour per day and in the 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 a limitation of exercise performance as a result of factors other than fatigue or exertional dyspnoea or morbid obesity
  • Patients with an endurance time >=25 minutes during the training (Visit 2) or baseline (Visit 3) constant work rate cycle ergometry
  • Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to screening visit (Visit 1)
  • Patients with known hypersensitivity to ß-adrenergic drugs, anticholinergic drugs, BAC, EDTA or any other component of the RESPIMAT inhalation solution delivery system
  • Pregnant or nursing women
  • Women of childbearing potential not using a highly effective method of birth control.
  • Female patients will be considered to be of childbearing potential unless surgically sterilised by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years
  • 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
  • At sites performing the shuttle walk tests, patients with the following criteria will be excluded from the shuttle walk tests:
  • Patients who complete level 12 at the incremental shuttle walk test at visit 1a.
  • Patients with an endurance time >=15 minutes during the training (Visit 2a) or baseline (visit 3a) endurance shuttle walk test.

Trial locations and contacts

60 sites in 10 countries.

60 sites in 10 countries

United States15 sites
  • 1237.15.01513 Boehringer Ingelheim Investigational Site

    Charlotte, North Carolina

  • 1237.15.01508 Boehringer Ingelheim Investigational Site

    Easley, South Carolina

  • 1237.15.01501 Boehringer Ingelheim Investigational Site

    Greenville, South Carolina

  • 1237.15.01512 Boehringer Ingelheim Investigational Site

    Hartford, Connecticut

  • 1237.15.01507 Boehringer Ingelheim Investigational Site

    Iowa City, Iowa

  • 1237.15.01509 Boehringer Ingelheim Investigational Site

    Lebanon, New Hampshire

  • 1237.15.01504 Boehringer Ingelheim Investigational Site

    Livonia, Michigan

  • 1237.15.01514 Boehringer Ingelheim Investigational Site

    Philadelphia, Pennsylvania

  • 1237.15.01516 Boehringer Ingelheim Investigational Site

    Pittsburgh, Pennsylvania

  • 1237.15.01510 Boehringer Ingelheim Investigational Site

    Richmond, Virginia

  • 1237.15.01511 Boehringer Ingelheim Investigational Site

    Saint Charles, Missouri

  • 1237.15.01505 Boehringer Ingelheim Investigational Site

    Spartanburg, South Carolina

  • 1237.15.01506 Boehringer Ingelheim Investigational Site

    Springfield, Illinois

  • 1237.15.01503 Boehringer Ingelheim Investigational Site

    Torrance, California

  • 1237.15.01502 Boehringer Ingelheim Investigational Site

    Union, South Carolina

Other trials in United States

Germany8 sites
  • 1237.15.49507 Boehringer Ingelheim Investigational Site

    Aschaffenburg

  • 1237.15.49502 Boehringer Ingelheim Investigational Site

    Berlin

  • 1237.15.49504 Boehringer Ingelheim Investigational Site

    Berlin

  • 1237.15.49501 Boehringer Ingelheim Investigational Site

    Großhansdorf

  • 1237.15.49509 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1237.15.49505 Boehringer Ingelheim Investigational Site

    Hanover

  • 1237.15.49508 Boehringer Ingelheim Investigational Site

    Koblenz

  • 1237.15.49506 Boehringer Ingelheim Investigational Site

    Wiesloch

Other trials in Germany

Italy8 sites
  • 1237.15.39512 Boehringer Ingelheim Investigational Site

    Ferrara

  • 1237.15.39504 Boehringer Ingelheim Investigational Site

    Parma

  • 1237.15.39503 Boehringer Ingelheim Investigational Site

    Pavia

  • 1237.15.39501 Boehringer Ingelheim Investigational Site

    Pisa

  • 1237.15.39509 Boehringer Ingelheim Investigational Site

    Pisa

  • 1237.15.39511 Boehringer Ingelheim Investigational Site

    Roma

  • 1237.15.39508 Boehringer Ingelheim Investigational Site

    Sesto San Giovanni (MI)

  • 1237.15.39506 Boehringer Ingelheim Investigational Site

    Trieste

Other trials in Italy

United Kingdom6 sites
  • 1237.15.44152 Boehringer Ingelheim Investigational Site

    Leicester

  • 1237.15.44154 Boehringer Ingelheim Investigational Site

    Liverpool

  • 1237.15.44153 Boehringer Ingelheim Investigational Site

    London

  • 1237.15.44151 Boehringer Ingelheim Investigational Site

    Manchester

  • 1237.15.44155 Boehringer Ingelheim Investigational Site

    Norwich

  • 1237.15.44158 Boehringer Ingelheim Investigational Site

    Plymouth

Other trials in United Kingdom

Canada5 sites
  • 1237.15.11501 Boehringer Ingelheim Investigational Site

    Hamilotn, Ontario

  • 1237.15.11503 Boehringer Ingelheim Investigational Site

    Hamilton, Ontario

  • 1237.15.11504 Boehringer Ingelheim Investigational Site

    Kingston, Ontario

  • 1237.15.11505 Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • 1237.15.11502 Boehringer Ingelheim Investigational Site

    Ste-Foy, Quebec

Other trials in Canada

Spain5 sites
  • 1237.15.34506 Boehringer Ingelheim Investigational Site

    Alicante

  • 1237.15.34501 Boehringer Ingelheim Investigational Site

    Barakaldo (Bilbao)

  • 1237.15.34507 Boehringer Ingelheim Investigational Site

    Madrid

  • 1237.15.34009 Boehringer Ingelheim Investigational Site

    Málaga

  • 1237.15.34001 Boehringer Ingelheim Investigational Site

    Santander

Other trials in Spain

Hungary4 sites
  • 1237.15.36504 Boehringer Ingelheim Investigational Site

    Budapest

  • 1237.15.36501 Boehringer Ingelheim Investigational Site

    Deszk

  • 1237.15.36503 Boehringer Ingelheim Investigational Site

    Nyíregyháza

  • 1237.15.36502 Boehringer Ingelheim Investigational Site

    Pécs

Other trials in Hungary

Argentina3 sites
  • 1237.15.54502 Boehringer Ingelheim Investigational Site

    Buenos Aires

  • 1237.15.54501 Boehringer Ingelheim Investigational Site

    Mendonza

  • 1237.15.54503 Boehringer Ingelheim Investigational Site

    Provincia de Buenos Aires

Other trials in Argentina

Finland3 sites
  • 1237.15.35851 Boehringer Ingelheim Investigational Site

    Helsinki

  • 1237.15.35853 Boehringer Ingelheim Investigational Site

    Turku

  • 1237.15.35852 Boehringer Ingelheim Investigational Site

    Vaasa

Other trials in Finland

France3 sites
  • 1237.15.33502 Boehringer Ingelheim Investigational Site

    Nîmes

  • 1237.15.33504 Boehringer Ingelheim Investigational Site

    Pessac

  • 1237.15.33501 Boehringer Ingelheim Investigational Site

    Strasbourg

Other trials in France

About this study

Official title: A Randomised, Double-blind, Placebo-controlled, Parallel Group Study to Determine the Effect of 12 Weeks Treatment of Orally Inhaled Tiotropium + Olodaterol Fixed Dose Combination (2.5/5 µg and 5/5 µg) Delivered by the Respimat® Inhaler, on Exercise Endurance Time During Constant Work Rate Cycle Ergometry in Patients With Chronic Obstructive Pulmonary Disease (COPD)[Torracto (TM)]

The primary objective of this study is to compare the effects of orally inhaled tiotropium + olodaterol fixed dose combination (2.5/5 µg; 5/5 µg) with placebo on exercise tolerance after 12 weeks of treatment in patients with COPD.

Being tested
Respimat inhaler, tiotropium+olodaterol (low dose), tiotropium + olodaterol (high dose), placebo to tiotropium+olodaterol
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.

  • Respimat inhalerDevice

    Respimat inhaler

  • tiotropium+olodaterol (low dose)Drug

    2.5 µg tiotropium + 5 µg olodaterol

  • tiotropium + olodaterol (high dose)Drug

    5 µg tiotropium + 5 µg olodaterol

  • Respimat inhalerDevice

    Respimat inhaler

  • Respimat inhalerDevice

    Respimat inhaler

  • placebo to tiotropium+olodaterolDrug

    comparator

Study groups in NCT01525615
Study groupRoleWhat they receive
tiotropium+olodaterol low doseExperimentalonce daily 2 puffs, fixed dose combination (FDC) solution for inhalation Respimat
Receives: Device: Respimat inhaler; Drug: tiotropium+olodaterol (low dose)
tiotropium+olodaterol high doseExperimentalonce daily 2 puffs, FDC solution for inhalation Respimat
Receives: Drug: tiotropium + olodaterol (high dose); Device: Respimat inhaler
placeboPlacebo comparatoronce daily 2 puffs, solution for inhalation Respimat
Receives: Device: Respimat inhaler; Drug: placebo to tiotropium+olodaterol

What is being measured

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

  1. Adjusted Mean Endurance Time During Constant Work Rate Cycle Ergometry (CWRCE) After 12 Weeks

    Primary endpoint was endurance time during constant work rate cycle ergometry to symptom limitation at 75% of maximal work capacity after 12 weeks of treatment. The endurance time in seconds was transformed using log10 scale to correct skewness in endurance time on original scale and then the MMRM model was fitted to the log10-transformed data and the least square means and SEs were obtained. To present the results in a way easier for interpretation, the least square mean from the MMRM fitted to the log10-transformed data were transformed back taking 10 to the power of the least square estimate for the log10 of geometric mean and the corresponding SE was transformed using delta method to get the corresponding SEs of the geometric mean.

    Measured: 12 weeks

Secondary outcomes (12)
  1. Adjusted Mean Endurance Time During Endurance Shuttle Walk Test (ESWT) After 12 Weeks

    Key secondary endpoint was endurance time during endurance shuttle walk test to symptom limitation at 85% of predicted maximum oxygen consumption (VO2) peak after 12 weeks of treatment. The endurance time in seconds was transformed using log10 scale to correct skewness in endurance time on original scale and then the MMRM model was fitted to the log10-transformed data and the least square means and SEs were obtained. To present the results in a way easier for interpretation, the least square mean from the MMRM fitted to the log10-transformed data were transformed back taking 10 to the power of the least square estimate for the log10 of geometric mean and the corresponding SE was transformed using delta method to get the corresponding SEs of the geometric mean.

    Measured: 12 weeks

  2. Adjusted Mean Inspiratory Capacity at Pre-exercise After 12 Weeks

    Secondary endpoint was pre-exercise inspiratory capacity (IC) before constant work rate cycle ergometry to symptom limitation at 75% maximal work capacity (Wcap) after 12 weeks of treatment.

    Measured: 12 weeks

  3. Adjusted Mean Endurance Time During Constant Work Rate Cycle Ergometry (CWRCE) on Day 1

    Secondary endpoint was endurance time during constant work rate cycle ergometry to symptom limitation at 75% of maximal work capacity on Day 1. Analysis of covariance model on log10 transformation data. Adjusted means are back transformed to report in original units. Standard errors (SEs) are calculated using the delta method.

    Measured: 1 day

  4. Adjusted Mean Endurance Time During Constant Work Rate Cycle Ergometry (CWRCE) After 6 Weeks Treatment

    Secondary endpoint was endurance time during constant work rate cycle ergometry to symptom limitation at 75% of maximal work capacity after 6 weeks of treatment.The endurance time in seconds was transformed using log10 scale to correct skewness in endurance time on original scale and then the MMRM model was fitted to the log10-transformed data and the least square means and SEs were obtained. To present the results in a way easier for interpretation, the least square mean from the MMRM fitted to the log10-transformed data were transformed back taking 10 to the power of the least square estimate for the log10 of geometric mean and the corresponding SE was transformed using delta method to get the corresponding SEs of the geometric mean.

    Measured: 6 weeks

  5. Adjusted Mean Inspiratory Capacity at Pre-exercise After 1 Day

    Secondary endpoint was pre-exercise inspiratory capacity (IC) during constant work rate cycle ergometry to symptom limitation at 75% maximal work capacity (Wcap) on Day 1.

    Measured: 1 day

  6. Adjusted Mean Inspiratory Capacity at Pre-exercise After 6 Weeks

    Secondary endpoint was pre-exercise inspiratory capacity (IC) during constant work rate cycle ergometry to symptom limitation at 75% maximal work capacity (Wcap) after 6 weeks of treatment.

    Measured: 6 weeks

  7. Adjusted Mean Slope of the Intensity of Breathing Discomfort on Day 1

    Secondary endpoint was the slope of the intensity of breathing discomfort during constant work rate cycle ergometry to symptom limitation at 75% of maximal work capacity after 1 day of treatment.

    The intensity of breathing discomfort was rated on the Borg Scale with categories from 0 (nothing at all) to 10 (maximal). The slope of the intensity of breathing discomfort was defined as the Borg scale value of breathing discomfort at the end of exercise minus the Borg scale value of breathing discomfort at pre-exercise divided by the endurance time. A decrease in slope indicates slowing down in decline in breathing, i.e., favorable results.

    Measured: 1 day

  8. Adjusted Mean Slope of the Intensity of Breathing Discomfort After Week 6

    Secondary endpoint was the slope of the intensity of breathing discomfort during constant work rate cycle ergometry to symptom limitation at 75% of maximal work capacity after 6 weeks of treatment.

    The intensity of breathing discomfort was rated on the Borg Scale with categories from 0 (nothing at all) to 10 (maximal). The slope of the intensity of breathing discomfort was defined as the Borg scale value of breathing discomfort at the end of exercise minus the Borg scale value of breathing discomfort at pre-exercise divided by the endurance time. A decrease in slope indicates favorable results.

    Measured: 6 weeks

  9. Adjusted Mean Slope of the Intensity of Breathing Discomfort After Week 12

    Secondary endpoint was the slope of the intensity of breathing discomfort during constant work rate cycle ergometry to symptom limitation at 75% of maximal work capacity after 12 weeks of treatment.

    The intensity of breathing discomfort was rated on the Borg Scale with categories from 0 (nothing at all) to 10 (maximal). The slope of the intensity of breathing discomfort was defined as the Borg scale value of breathing discomfort at the end of exercise minus the Borg scale value of breathing discomfort at pre-exercise divided by the endurance time. A decrease in slope indicates favorable results.

    Measured: 12 weeks

  10. Adjusted Mean 1-hour, Post-dose Forced Expiratory Volume in One Second (FEV1) on Day 1

    Secondary endpoint was adjusted mean 1-hour, post-dose Forced Expiratory Volume in one second (FEV1) observed on day 1

    Measured: 1 day

  11. Adjusted Mean 1-hour, Post-dose Forced Expiratory Volume in One Second (FEV1) After 6 Weeks

    Secondary endpoint was adjusted mean 1-hour, post-dose Forced Expiratory Volume in one second (FEV1) observed after 6 weeks of treatment

    Measured: 6 weeks

  12. Adjusted Mean 1-hour, Post-dose Forced Expiratory Volume in One Second (FEV1) After 12 Weeks

    Secondary endpoint was adjusted mean 1-hour, post-dose Forced Expiratory Volume in one second (FEV1) observed after 12 weeks of treatment

    Measured: 12 weeks

Timeline

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

  1. First posted3 Feb 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionSep 2013
  4. Study completionSep 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
404 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01525615
Sponsor's protocol ID
1237.15
Other IDs
2011-004253-11
Status last verified
Jul 2016
First submitted
1 Feb 2012
Last updated
29 Aug 2016

Publications

  • Maltais F, O'Donnell D, Galdiz Iturri JB, Kirsten AM, Singh D, Hamilton A, Tetzlaff K, Zhao Y, Casaburi R. Effect of 12 weeks of once-daily tiotropium/olodaterol on exercise endurance during constant work-rate cycling and endurance shuttle walking in chronic obstructive pulmonary disease. Ther Adv Respir Dis. 2018 Jan-Dec;12:1753465818755091. doi: 10.1177/1753465818755091.

    PubMed 29439648

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Respimat inhaler, tiotropium+olodaterol (low dose) and tiotropium + olodaterol (high dose) in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 60 sites in 10 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 8 inclusion and 32 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 29 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Germany, Italy, United Kingdom, Canada and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Sep 2015). 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?

Adjusted Mean Endurance Time During Constant Work Rate Cycle Ergometry (CWRCE) After 12 Weeks (time frame: 12 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 NCT01525615, which also lists 1 linked publication.

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 29 Aug 2016.

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