The primary objective of the trial is to determine the 24-hour FEV1-time profile of tiotropium + olodaterol FDC (2.5/5 µg, 5/5 µg), administered once daily by the RESPIMAT Inhaler, after 6 weeks of treatment.
ID
Source
Brief title
Condition
- Respiratory disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
FEV1 AUC0-24h response [L] after 6-weeks of treatment.
Secondary outcome
Key secondary endpoints
FEV1 AUC0-12h response [L] after 6-weeks treatment
FEV1 AUC12-24h response [L] after 6-weeks treatment
Secondary endpoints
Trough FEV1 response [L] after 6-weeks treatment
Peak FEV1 responses [L] after 6-weeks treatment
Trough FVC response [L] after 6-weeks treatment
Peak FVC response [L] after 6-weeks treatment
FVC AUC0-24h response [L] after 6-weeks treatment
FVC AUC0-12h response [L] after 6-weeks treatment
FVC AUC12-24h response [L] after 6-weeks treatment
Background summary
The COPD treatment guidelines advice treatment with bronchodilators with
different mechanisms of action. Short acting anticholinergics and
beta-2-agonists in fixed dose combinations have shown to be effective and safe
and user-friendly for patients. Once daily fixed dose combinations of
long-acting anticholinergics for the treatment COPD and will be combined with a
once daily long-acting beta-2-agonist, olodaterol. Olodaterol is being
developed for the treatment of COPD. It is expected that the combination of
these two once daily bonchodilators withdifferent mechanisms of action will
provide an optimal long term bronchodilation and is user-friendly for patients.
Study objective
The primary objective of the trial is to determine the 24-hour FEV1-time
profile of tiotropium + olodaterol FDC (2.5/5 µg, 5/5 µg), administered once
daily by the RESPIMAT Inhaler, after 6 weeks of treatment.
Study design
This is a phase III multi-center, multi-national, randomised, double-blind,
placebo-controlled, 6 treatment, 4 period, incomplete cross-over trial.
Intervention
Once daily inhalation of study medication with the Respimat inhaler.
Randomization to 4 out of 6 groups (4 treatment periods).
tiotropium + olodaterol 2,5 mcg/5 mcg inhalation solution
tiotropium + olodaterol 5 mcg/5 mcg inhalation solution
tiotropiuim 2,5 mcg inhalation solution
tiotropium 5 mcg inhalation solution
olodaterol 5 mcg inhalation solution
placebo
Restrictions prior to lung function assessments (see E4).
Study burden and risks
At visit 2, 4, 6, and 8, long function tests take place; 30 minutes pre and 30
minutes, 1, 2 and 3 uur post study medication inhalation.
If a site participates in the body box measurements, these tests will be done
additionally 1 hour pre inhalation. At visit 2 and 3 bloodsampling series
will be done for PK measurements (canula). At visit 2 and 3 urine collection
for PK will happen during the day (and at visit 3 also overnight). Visit 2, 4,
6, and 8 last about 7 hours.
At visit 3, 5, 7, and 9 lungfunction tests take place 30 minutes pre and 30
minutes, 1, 2, 3, 4, 6, 8, 10, 12, 22, 23, and 23:50 hours post inhalation.
If a site participates in the body box measurements, these tests will be done
additionally 2:30 hour and 24 hour post inhalation.
At these visits the patients will stay overnight in a hotel nearby the hospital
(overnight stay, meals and time are compensated).
Patiënts are asked to keep a diary to register inhalation of study- and rescue
medication.
Two third of the patients will be randomized to placebo at one of the 4
treatment periods of 6 weeks. This can cause temporary deterioration of their
lungfunction. All patients receive Ventolin (supplied by sponsor) for rescue
medication, and in all treatment periods patients receive a phone call after
three weeks to ask about their health.
Patients on Spiriva, receive Atrovent (supplied by sponsor) for use before
randomization and during the 3 week washout periods.
Comeniusstraat 6
1817 MS Alkmaar
NL
Comeniusstraat 6
1817 MS Alkmaar
NL
Listed location countries
Age
Inclusion criteria
1. All patients must sign an informed consent consistent with ICH-GCP guidelines prior to participation in the trial, which includes medication washout and restrictions.
2. All patients must have a diagnosis of chronic obstructive pulmonary disease (P11 05865) 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.
3. Male or female patients, 40 years of age or older.
4. Patients must be current or ex-smokers with a smoking history of more than 10 pack years
5. Patients must be able to perform a technically acceptable pulmonary function tests (spirometry), maintain records (patient paper diary) . Applicable for body plethysmography substudy only: perform technically acceptable body plethysmography measurements.
6. Patients must be able to inhale medication in a competent manner from the RESPIMAT Inhaler and from a metered dose inhaler (MDI).
Exclusion criteria
1. Significant diseases other than COPD
2. Patients with a, in the opinion of the investigator, 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 (a repeat laboratory evaluation will not be conducted in these patients).
3. Patients with a history of asthma.
4. Patients with any of the following conditions:
A diagnosis of thyrotoxicosis
A diagnosis of paroxysmal tachycardia
A history of myocardial infarction within 1 year of screening visit (Visit 1).
Unstable or life-threatening cardiac arrhythmia.
Hospitalization 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.
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 oral or patch β-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 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 β-adrenergic drugs, BAC, EDTA, or any other component of the RESPIMAT inhalation solution.
Pregnant or nursing women.
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2011-004710-42-NL |
CCMO | NL39169.060.11 |
Other | wordt geregistreerd op clinical trial.gov en clinical trial.us. nr. nog niet beschikbaar |