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Pulmonary Disease, Chronic ObstructivePhase 3NCT01533935

Effect on Exercise Endurance and Lung Hyperinflation of Tiotropium + Olodaterol in COPD Patients.

A Phase 3 study testing Tiotropium + Olodaterol, Tiotropium and Olodaterol in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 33 sites in 8 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 trial is to investigate the effect of 6 weeks treatment with tiotropium + olodaterol fixed dose combination inhalation solution on lung hyperinflation and exercise tolerance 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?
Tiotropium + Olodaterol, Tiotropium and Olodaterol
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
291 participants
Where
33 sitesin 8 countries
Study dates
Feb 2012to Nov 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 a post-bronchodilator FEV1 <80% of predicted normal and a post-bronchodilator FEV1/FVC <70% at Visit 1.
  • Male or female patients, between 40 and 75 years of age (inclusive) on day of signing informed consent.
  • Patients must be current or ex-smokers with a smoking history of more than 10 pack years.

Who cannot join

  • Patients with a significant disease other than COPD; a significant disease is defined as a disease which, in the opinion of the investigator, may (i) put the patient at risk because of participation in the study, (ii) influence the results of the study, or (iii) cause concern regarding the patient's ability to participate in the study
  • Patients 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. For patients with allergic rhinitis or atopy, source documentation is required to verify that the patient does not have asthma.
  • Patients with any of the following conditions:
  • A diagnosis of thyrotoxicosis (due to the known class side effect profile of ß2-agonists)
  • A diagnosis of paroxysmal tachycardia (>100 beats per minute) (due to the known class side effect profile of ß2-agonists)
Show all 26Show fewer
  • A history of myocardial infarction within 1 year of screening visit (Visit 1)
  • 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 (patients with treated basal cell carcinoma are allowed)
  • A history of life-threatening pulmonary obstruction
  • A history of cystic fibrosis
  • Clinically evident bronchiectasis
  • A history of significant alcohol or drug abuse
  • Any contraindications for exercise testing.
  • Patients who have undergone thoracotomy with pulmonary resection (patients with a history of thoracotomy for other reasons should be evaluated as per exclusion criterion No. 1)
  • Patients being treated with any oral ß-adrenergics
  • Patients being treated with oral corticosteroid medication at unstable doses
  • 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 or patients who are currently in a pulmonary rehabilitation program
  • Patients who have a limitation of exercise performance as a result of factors other than fatigue or exertional dyspnoea, such as arthritis in the leg, angina pectoris or claudication or morbid obesity.
  • Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to screening visit
  • Patients with known hypersensitivity to ß-adrenergics drugs, anticholinergic drugs, BAC, EDTA or any other component of the Respimat® inhalation solution delivery system
  • Pregnant or nursing women
  • Women of childbearing potential not using highly effective methods of birth control.

Trial locations and contacts

33 sites in 8 countries.

33 sites in 8 countries

United States11 sites
  • 1237.14.01414 Boehringer Ingelheim Investigational Site

    Austell, Georgia

  • 1237.14.01417 Boehringer Ingelheim Investigational Site

    Baltimore, Maryland

  • 1237.14.01409 Boehringer Ingelheim Investigational Site

    Charlotte, North Carolina

  • 1237.14.01412 Boehringer Ingelheim Investigational Site

    Dallas, Texas

  • 1237.14.01407 Boehringer Ingelheim Investigational Site

    Greenville, South Carolina

  • 1237.14.01404 Boehringer Ingelheim Investigational Site

    Phoenix, Arizona

  • 1237.14.01418 Boehringer Ingelheim Investigational Site

    Rochester, Minnesota

  • 1237.14.01408 Boehringer Ingelheim Investigational Site

    Saint Charles, Missouri

  • 1237.14.01410 Boehringer Ingelheim Investigational Site

    Seattle, Washington

  • 1237.14.01403 Boehringer Ingelheim Investigational Site

    Spartanburg, South Carolina

  • 1237.14.01401 Boehringer Ingelheim Investigational Site

    Union, South Carolina

Other trials in United States

Germany6 sites
  • 1237.14.49406 Boehringer Ingelheim Investigational Site

    Bamberg

  • 1237.14.49404 Boehringer Ingelheim Investigational Site

    Bochum

  • 1237.14.49401 Boehringer Ingelheim Investigational Site

    Großhansdorf

  • 1237.14.49405 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1237.14.49403 Boehringer Ingelheim Investigational Site

    Hanover

  • 1237.14.49402 Boehringer Ingelheim Investigational Site

    Kiel

Other trials in Germany

Netherlands5 sites
  • 1237.14.31001 Boehringer Ingelheim Investigational Site

    Heerlen

  • 1237.14.31005 Boehringer Ingelheim Investigational Site

    Hoofddorp

  • 1237.14.31004 Boehringer Ingelheim Investigational Site

    Hoorn

  • 1237.14.31006 Medisch Centrum Leeuwarden

    Leeuwarden

  • 1237.14.31007 Boehringer Ingelheim Investigational Site

    Leiden

Other trials in Netherlands

Canada4 sites
  • 1237.14.11402 Boehringer Ingelheim Investigational Site

    Montreal, Quebec

  • 1237.14.11401 Boehringer Ingelheim Investigational Site

    Ste-Foy, Quebec

  • 1237.14.11403 Boehringer Ingelheim Investigational Site

    Toronto, Ontario

  • 1237.14.11404 Boehringer Ingelheim Investigational Site

    Vancouver, British Columbia

Other trials in Canada

Argentina2 sites
  • 1237.14.54402 Boehringer Ingelheim Investigational Site

    Buenos Aires

  • 1237.14.54401 Boehringer Ingelheim Investigational Site

    Mendoza

Other trials in Argentina

Austria2 sites
  • 1237.14.43402 Boehringer Ingelheim Investigational Site

    Grieskirchen

  • 1237.14.43401 Boehringer Ingelheim Investigational Site

    Neumarkt am Wallersee

Other trials in Austria

Russia2 sites
  • 1237.14.70401 Boehringer Ingelheim Investigational Site

    Moscow

  • 1237.14.70402 Boehringer Ingelheim Investigational Site

    Saint Petersburg

Other trials in Russia

Sweden1 site
  • 1237.14.46001 Boehringer Ingelheim Investigational Site

    Lund

Other trials in Sweden

About this study

Official title: A Randomised, Double-blind, 5 Treatment Arms, 4-period, Incomplete Cross-over Study to Determine the Effect of 6 Weeks Treatment of Orally Inhaled Tiotropium + Olodaterol Fixed Dose Combination (FDC) (2.5 / 5 µg; and 5 / 5 µg) (Delivered by the Respimat® Inhaler) Compared With Tiotropium (5 µg), Olodaterol (5 µg ) and Placebo (Delivered by the Respimat® Inhaler) on Lung Hyperinflation and Exercise Endurance Time During Constant Work Rate Cycle Ergometry in Patients With Chronic Obstructive Pulmonary Disease (COPD) [MORACTO TM 2]

The primary objective of this trial is to investigate the effect of 6 weeks treatment with tiotropium + olodaterol fixed dose combination inhalation solution on lung hyperinflation and exercise tolerance in patients with COPD.

Being tested
Placebo, Tiotropium + Olodaterol, Tiotropium, Olodaterol, Respimat
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.

  • PlaceboDrug

    placebo matching tiotropium + olodaterol

  • Tiotropium + OlodaterolDrug

    Tiotropium 2.5 mcg + olodaterol 5 mcg once daily

  • tiotropium + OlodaterolDrug

    tiotropium 5 mcg + olodaterol 5 mcg once daily

  • TiotropiumDrug

    tiotropium

  • OlodaterolDrug

    Olodaterol 5 mcg once daily

  • RespimatDevice

    Respimat inhaler

Study groups in NCT01533935
Study groupRoleWhat they receive
Olodaterol 5 mcg QDActive comparatorpatient will receive olodaterol 5 mcg once daily
Receives: Drug: Olodaterol; Device: Respimat
Placebo QDPlacebo comparatorplacebo comparator for tiotropium + olodaterol
Receives: Drug: Placebo; Device: Respimat
Tiotropium 5 mcg QDActive comparatorpatient will receive tiotropium 5 mcg once daily
Receives: Drug: Tiotropium; Device: Respimat
Tiotropium + olodaterol low dose QDExperimentalpatient will receive tiotropium 2.5 mcg + olodaterol 5 mcg in fixed dose combination once daily
Receives: Drug: Tiotropium + Olodaterol; Device: Respimat
Tiotropium + olodaterol high doseExperimentalpatient will receive tiotropium 5 mcg + olodaterol 5 mcg in fixed dose combination once daily
Receives: Drug: tiotropium + Olodaterol; Device: Respimat

What is being measured

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

  1. Inspiratory Capacity at Rest Before Constant Work Rate Cycle Ergometry to Symptom Limitation at 75% Work Capacity

    Inspiratory capacity (IC) at rest before constant work rate cycle ergometry to symptom limitation at 75% maximal work capacity (Wcap).

    Wcap was defined as the maximum work rate achieved for at least 30 seconds during the incremental cycle ergometry performed at Visit 1.

    The presented means are adjusted means from the MMRM (Mixed Effects Model Repeated Measures) model.

    Measured: 6 weeks

  2. Endurance Time During Constant Work Rate Cycle Ergometry to Symptom Limitation at 75% Wcap

    Endurance time during constant work rate cycle ergometry (CWRCE) to symptom limitation at 75% Wcap

    Wcap was defined as the maximum work rate achieved for at least 30 seconds during the incremental cycle ergometry performed at Visit 1.

    The presented means are adjusted mean from the MMRM model.

    Measured: 6 weeks

Secondary outcomes (2)
  1. Slope of the Intensity of Breathing Discomfort (Borg Scale) During Constant Work Rate Cycle Ergometry to Symptom Limitation at 75% Wcap

    Slope of the intensity of breathing discomfort (Borg Scale) during CWRCE to symptom limitation at 75% Wcap. The intensity of breathing discomfort was rated using the modified Borg scale with ratings from 0 (nothing at all) to 10 (maximal).

    Slope is defined as : (intensity of breathing discomfort at the end of exercise minus intensity of breathing discomfort at rest) / endurance time.

    A decrease in slope indicates improvement.

    The presented means are adjusted means from MMRM model.

    Measured: 6 weeks

  2. FEV1 (1 Hour Post-dose)

    Forced Expiratory Volume in 1 Second (FEV1) (one hour post-dose).

    The presented means are adjusted means from MMRM model.

    Measured: 6 weeks

Timeline

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

  1. First posted16 Feb 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionNov 2013
  4. Study completionNov 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
Crossover
Masking
Double blind
Enrolment
291 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01533935
Sponsor's protocol ID
1237.14
Other IDs
2011-004660-30
Status last verified
Aug 2015
First submitted
13 Feb 2012
Last updated
15 Sep 2015

Publications

  • O'Donnell DE, Casaburi R, Frith P, Kirsten A, De Sousa D, Hamilton A, Xue W, Maltais F. Effects of combined tiotropium/olodaterol on inspiratory capacity and exercise endurance in COPD. Eur Respir J. 2017 Apr 19;49(4):1601348. doi: 10.1183/13993003.01348-2016. Print 2017 Apr.

    PubMed 28424359

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tiotropium + Olodaterol, Tiotropium and Olodaterol in people with Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 33 sites in 8 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 5 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Sep 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, Germany, Netherlands, Canada, Argentina and 3 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?

Inspiratory Capacity at Rest Before Constant Work Rate Cycle Ergometry to Symptom Limitation at 75% Work Capacity (time frame: 6 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01533935, 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 15 Sep 2015.

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