Pulmonary Disease, Chronic ObstructiveNCT04926233
Characteristics and Treatment Patterns of Patients With Chronic Obstructive Pulmonary Disease (COPD), Initiating Tio+Olo or Other Maintenance Therapies in the US and the UK: A Retrospective Claims Database Study
An observational study of Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 1 site in United States.
Trial summary
The primary objectives of the study are to use US and UK data to describe the characteristics of Chronic Obstructive Pulmonary Disease (COPD) patients according to various demographic, lifestyle, clinical, and medication use. 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 + Olodaterol and Sp(t)iolto® Respimat®
- Type of treatment
- Medical device
- How many people
- 1,371,146 participants
- Where
- 1 siteUnited States
- Study dates
- 15 Nov 2019to 14 Apr 2020
- Phase
- Observational
- 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
Study population: The study population for the analysis will consist of all patients with at least one medical claim with a diagnosis code of COPD identified.
Who may be able to join
- parent cohort
- -- COPD diagnosis
- child cohort
- -- any initiation of first maintenance therapy after July 1, 2015
- grandchild cohort -- any initiation of second maintenance therapy after August 2, 2015
Who cannot join
- parent cohort
- age <40 on index date
- any COPD diagnosis in baseline
- any use of long-acting muscarinic antagonists (LAMA), long-acting beta-agonists (LABA), or inhaled corticosteroid (ICS) in baseline
- <365 days of continuous medical and pharmacy coverage
Trial locations and contacts
1 site in 1 country.
About this study
The primary objectives of the study are to use US and UK data to describe the characteristics of Chronic Obstructive Pulmonary Disease (COPD) patients according to various demographic, lifestyle, clinical, and medication use.
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Being tested
- Tiotropium bromide + Olodaterol, Sp(t)iolto® 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.
Tiotropium bromide + OlodaterolDrug
Also called Sp(t)iolto® Respimat®
Tiotropium bromide + Olodaterol
Sp(t)iolto® Respimat®Device
Sp(t)iolto® Respimat®
| Study group | Role | What they receive |
|---|---|---|
| COPD patients from US IBM Marketscan database | Not described Receives: Drug: Tiotropium bromide + Olodaterol; Device: Sp(t)iolto® Respimat® | |
| COPD patients from UK CPRD GOLD database | Not described Receives: Drug: Tiotropium bromide + Olodaterol; Device: Sp(t)iolto® Respimat® |
What is being measured
The primary outcome is the main question the study is designed to answer.
Age of the Chronic Obstructive Pulmonary Disease (COPD) Patients at the Time of COPD Diagnosis - US
Age of the chronic obstructive pulmonary disease (COPD) patients at the time of COPD diagnosis from the United States (US) IBM MarketScan was reported by groups stratified according to their COPD diagnosis times (Before versus after the approval of Tiotropium + Olodaterol in 2015).
Measured: At index date of cohort entry (baseline; time of COPD diagnosis).
Age of the Chronic Obstructive Pulmonary Disease (COPD) Patients at the Time of COPD Diagnosis - UK
Age of the chronic obstructive pulmonary disease (COPD) patients at the time of COPD diagnosis from the the United Kingdom (UK) CPRD GOLD database was reported by groups stratified according to their COPD diagnosis times (Before versus after the approval of Tiotropium + Olodaterol in 2015).
Measured: At index date of cohort entry (baseline; time of COPD diagnosis).
Charlson Comorbidity Index (CCI) at the Time of COPD Diagnosis
The Charlson Comorbidity Index (CCI) was a method of categorizing comorbidities of patients based on the International Classification of Diseases diagnosis. The CCI score ranged from 0 (better outcome) to 21 (worse outcome). The higher the score, the more fragile/ill the patient was.
Measured: At index date of cohort entry (baseline; time of COPD diagnosis).
Age of Patients Receiving First Maintenance Treatment - US
Age of chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United States (US) IBM MarketScan database was reported.
Measured: At index date of the first maintenance treatment
Charlson Comorbidity Index (CCI) of Patients Receiving First Maintenance Treatment - US
The Charlson Comorbidity Index (CCI) was a method of categorizing comorbidities of patients based on the International Classification of Diseases diagnosis. The CCI score ranged from 0 (better outcome) to 21 (worse outcome). The higher the score, the more fragile/ill the patient was.
Measured: At index date of the first maintenance treatment
Characteristics of Patients Receiving First Maintenance Treatment - US
Characteristics of patients receiving first maintenance treatment among chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United States (US) IBM MarketScan database were reported.
Measured: At index date of the first maintenance treatment
Age of Patients Receiving First Maintenance Treatment - UK
Age of patients receiving first maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United Kingdom (UK) CPRD GOLD database was reported.
Measured: At index date of the first maintenance treatment
Characteristics of Patients Receiving First Maintenance Treatment - UK
Characteristics of patients receiving first maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United Kingdom (UK) CPRD GOLD database were reported.
Measured: At index date of the first maintenance treatment
Age of Patients Receiving Second Maintenance Treatment - US
Age of patients receiving second maintenance treatment from the United States (US) IBM MarketScan database was reported.
Measured: At index date of the second maintenance treatment
Charlson Comorbidity Index (CCI) of Patients Receiving Second Maintenance Treatment - US
The Charlson Comorbidity Index (CCI) was a method of categorizing comorbidities of patients based on the International Classification of Diseases diagnosis. The CCI score ranged from 0 (better outcome) to 21 (worse outcome). The higher the score, the more fragile/ill the patient was.
Measured: At index date of the second maintenance treatment
Characteristics of Patients Receiving Second Maintenance Treatment - US
Characteristics of patients receiving second maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United States (US) IBM MarketScan database were reported.
Measured: At index date of the second maintenance treatment
Age of Patients Receiving Second Maintenance Treatment - UK
Age of patients receiving second maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United Kingdom (UK) CPRD GOLD database was reported.
Measured: At index date of the second maintenance treatment
Characteristics of Patients Receiving Second Maintenance Treatment - UK
Characteristics of patients receiving second maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United Kingdom (UK) CPRD GOLD database were reported.
Measured: At index date of the second maintenance treatment
Secondary outcomes (8)
Number of Participants With Zero Exacerbations in the Year Prior to the Start of First Maintenance Therapy - US
Number of participants with zero exacerbations in the year prior to the start of first maintenance therapy among the chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy the United States (US) IBM MarketScan database was reported.
Measured: At index date of the first maintenance treatment
Number of Participants With Zero Exacerbations in the Year Prior to the Start of First Maintenance Therapy - UK
Number of participants with zero exacerbations in the year prior to the start of first maintenance therapy among the chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United Kingdom (UK) CPRD GOLD database was reported.
Measured: At index date of the first maintenance treatment
Number of Participants With Zero Exacerbations in the Year Prior to the Start of Second Maintenance Therapy - US
Number of participants with zero exacerbations in the year prior to the start of second maintenance therapy among the chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy the United States (US) IBM MarketScan database was reported.
Measured: At index date of the second maintenance treatment
Number of Participants With Zero Exacerbations in the Year Prior to the Start of Second Maintenance Therapy - UK
Number of participants with zero exacerbations in the year prior to the start of second maintenance therapy among chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United Kingdom (UK) CPRD GOLD database was reported.
Measured: At index date of the second maintenance treatment
Days Between Index and Initiation of First Maintenance Therapy - US
Days between index and initiation of first maintenance therapy among the chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy the United States (US) IBM MarketScan database was reported.
Measured: From index date until initiation of first maintenance, up to 3368 days before this study started.
Days Between Index and Initiation of First Maintenance Therapy - UK
Days between index and initiation of first maintenance therapy among the chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United Kingdom (UK) CPRD GOLD database were reported.
Measured: From index date until initiation of first maintenance therapy, up to 9795 days before this study started.
Days Between First and Second Maintenance Therapy - US
Days between first and second maintenance therapy among the chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy the United States (US) IBM MarketScan database were reported.
Measured: From the index date of first maintenance initiation until the initiation of the second maintenance therapy, up to 1020 days before this study started.
Days Between First and Second Maintenance Therapy - UK
Days between first and second maintenance therapy among chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United Kingdom (UK) CPRD GOLD database were reported.
Measured: From the index date of first maintenance initiation until the initiation of the second maintenance therapy, up to 10133 days before this study started.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2021
- Study start15 Nov 2019
- Primary completion14 Apr 2020
- Study completion14 Apr 2020
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.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 1,371,146 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04926233
- Sponsor's protocol ID
- 1237-0091
- Status last verified
- Nov 2021
- First submitted
- 13 Jun 2021
- Last updated
- 15 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
- Individual data sharing
- No: Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents, except for the following exclusions: 1. studies in products where Boehringer Ingelheim is not the license holder; 2. studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; 3. studies conducted in a single center or targeting rare diseases (because of limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datasharing
Study at a glance
From the registry record, last updated by the sponsor on 15 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Characteristics and Treatment Patterns of Patients With Chronic Obstructive Pulmonary Disease (COPD), Initiating Tio+Olo or Other Maintenance Therapies in the US and the UK: A Retrospective Claims Database Study
- ClinicalTrials.gov ID
- NCT04926233
- Acronym / sponsor ID
- 1237-0091
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,371,146 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 15 Nov 2019 (actual)
- Primary completion
- 14 Apr 2020 (actual)
- Study completion
- 14 Apr 2020 (actual)
- First posted
- 15 Jun 2021 (actual)
- Results
- Posted 20 Jul 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objectives of the study are to use US and UK data to describe the characteristics of Chronic Obstructive Pulmonary Disease (COPD) patients according to various demographic, lifestyle, clinical, and medication use.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| COPD patients from US IBM Marketscan database | – | Drug: Tiotropium bromide + Olodaterol, Device: Sp(t)iolto® Respimat® |
| COPD patients from UK CPRD GOLD database | – | Drug: Tiotropium bromide + Olodaterol, Device: Sp(t)iolto® Respimat® |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The study population for the analysis will consist of all patients with at least one medical claim with a diagnosis code of COPD identified.
Key inclusion criteria (5 listed)
- parent cohort
- -- COPD diagnosis
- child cohort
- -- any initiation of first maintenance therapy after July 1, 2015
- grandchild cohort -- any initiation of second maintenance therapy after August 2, 2015
Key exclusion criteria (5 listed)
- parent cohort
- age <40 on index date
- any COPD diagnosis in baseline
- any use of long-acting muscarinic antagonists (LAMA), long-acting beta-agonists (LABA), or inhaled corticosteroid (ICS) in baseline
- <365 days of continuous medical and pharmacy coverage
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 bromide + OlodaterolAlso: Sp(t)iolto® Respimat®Tiotropium bromide + Olodaterol | Drug | COPD patients from UK CPRD GOLD database, COPD patients from US IBM Marketscan database |
| Sp(t)iolto® Respimat®Sp(t)iolto® Respimat® | Device | COPD patients from UK CPRD GOLD database, COPD patients from US IBM Marketscan database |
Primary outcome
Age of the Chronic Obstructive Pulmonary Disease (COPD) Patients at the Time of COPD Diagnosis - US
Time frame: At index date of cohort entry (baseline; time of COPD diagnosis).
Age of the chronic obstructive pulmonary disease (COPD) patients at the time of COPD diagnosis from the United States (US) IBM MarketScan was reported by groups stratified according to their COPD diagnosis times (Before versus after the approval of Tiotropium + Olodaterol in 2015).
Age of the Chronic Obstructive Pulmonary Disease (COPD) Patients at the Time of COPD Diagnosis - UK
Time frame: At index date of cohort entry (baseline; time of COPD diagnosis).
Age of the chronic obstructive pulmonary disease (COPD) patients at the time of COPD diagnosis from the the United Kingdom (UK) CPRD GOLD database was reported by groups stratified according to their COPD diagnosis times (Before versus after the approval of Tiotropium + Olodaterol in 2015).
Charlson Comorbidity Index (CCI) at the Time of COPD Diagnosis
Time frame: At index date of cohort entry (baseline; time of COPD diagnosis).
The Charlson Comorbidity Index (CCI) was a method of categorizing comorbidities of patients based on the International Classification of Diseases diagnosis. The CCI score ranged from 0 (better outcome) to 21 (worse outcome). The higher the score, the more fragile/ill the patient was.
Age of Patients Receiving First Maintenance Treatment - US
Time frame: At index date of the first maintenance treatment
Age of chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United States (US) IBM MarketScan database was reported.
Charlson Comorbidity Index (CCI) of Patients Receiving First Maintenance Treatment - US
Time frame: At index date of the first maintenance treatment
The Charlson Comorbidity Index (CCI) was a method of categorizing comorbidities of patients based on the International Classification of Diseases diagnosis. The CCI score ranged from 0 (better outcome) to 21 (worse outcome). The higher the score, the more fragile/ill the patient was.
Characteristics of Patients Receiving First Maintenance Treatment - US
Time frame: At index date of the first maintenance treatment
Characteristics of patients receiving first maintenance treatment among chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United States (US) IBM MarketScan database were reported.
Age of Patients Receiving First Maintenance Treatment - UK
Time frame: At index date of the first maintenance treatment
Age of patients receiving first maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United Kingdom (UK) CPRD GOLD database was reported.
Characteristics of Patients Receiving First Maintenance Treatment - UK
Time frame: At index date of the first maintenance treatment
Characteristics of patients receiving first maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their first maintenance therapy in the United Kingdom (UK) CPRD GOLD database were reported.
Age of Patients Receiving Second Maintenance Treatment - US
Time frame: At index date of the second maintenance treatment
Age of patients receiving second maintenance treatment from the United States (US) IBM MarketScan database was reported.
Charlson Comorbidity Index (CCI) of Patients Receiving Second Maintenance Treatment - US
Time frame: At index date of the second maintenance treatment
The Charlson Comorbidity Index (CCI) was a method of categorizing comorbidities of patients based on the International Classification of Diseases diagnosis. The CCI score ranged from 0 (better outcome) to 21 (worse outcome). The higher the score, the more fragile/ill the patient was.
Characteristics of Patients Receiving Second Maintenance Treatment - US
Time frame: At index date of the second maintenance treatment
Characteristics of patients receiving second maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United States (US) IBM MarketScan database were reported.
Age of Patients Receiving Second Maintenance Treatment - UK
Time frame: At index date of the second maintenance treatment
Age of patients receiving second maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United Kingdom (UK) CPRD GOLD database was reported.
Characteristics of Patients Receiving Second Maintenance Treatment - UK
Time frame: At index date of the second maintenance treatment
Characteristics of patients receiving second maintenance treatment from chronic obstructive pulmonary disease (COPD) patients initiated their second maintenance therapy in the United Kingdom (UK) CPRD GOLD database were reported.
8 secondary outcomes
Number of Participants With Zero Exacerbations in the Year Prior to the Start of First Maintenance Therapy - US
Time frame: At index date of the first maintenance treatment
Number of Participants With Zero Exacerbations in the Year Prior to the Start of First Maintenance Therapy - UK
Time frame: At index date of the first maintenance treatment
Number of Participants With Zero Exacerbations in the Year Prior to the Start of Second Maintenance Therapy - US
Time frame: At index date of the second maintenance treatment
Number of Participants With Zero Exacerbations in the Year Prior to the Start of Second Maintenance Therapy - UK
Time frame: At index date of the second maintenance treatment
Days Between Index and Initiation of First Maintenance Therapy - US
Time frame: From index date until initiation of first maintenance, up to 3368 days before this study started.
Days Between Index and Initiation of First Maintenance Therapy - UK
Time frame: From index date until initiation of first maintenance therapy, up to 9795 days before this study started.
Days Between First and Second Maintenance Therapy - US
Time frame: From the index date of first maintenance initiation until the initiation of the second maintenance therapy, up to 1020 days before this study started.
Days Between First and Second Maintenance Therapy - UK
Time frame: From the index date of first maintenance initiation until the initiation of the second maintenance therapy, up to 10133 days before this study started.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No. Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents, except for the following exclusions: 1. studies in products where Boehringer Ingelheim is not the license holder; 2. studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; 3. studies conducted in a single center or targeting rare diseases (because of limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datasharing
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Pulmonary Disease, Chronic Obstructive, run by Boehringer Ingelheim at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 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 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 20 Jul 2021). 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?
Age of the Chronic Obstructive Pulmonary Disease (COPD) Patients at the Time of COPD Diagnosis - US (time frame: At index date of cohort entry (baseline; time of COPD diagnosis).). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Nov 2021.