A Phase 2 interventional study of Tiotropium bromide and Placebo in Asthma, sponsored by Boehringer Ingelheim. Completed at 109 sites in 14 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-12-24.
Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment
This is a 16 week multicentre, multinational, randomised, double-blind, double-dummy, placebo-controlled, parallel group study to evaluate the long-term efficacy and safety of tiotropium compared to salmeterol in moderate persistent asthmatic (GINA step 3) patients homozygous for arginine at the 16th amino acid position of the beta-adrenergic receptor (ADRB2). Following an initial 4-week run-in period on salmeterol MDI patients will be randomised into the 16 week double-blind treatment period in which they receive either tiotropium once daily administered from the Respimat inhaler or salmeterol twice daily administered from the hydrofluoro-alkane Metered Dose Inhaler (MDI), or placebo twice daily. After the 16 week treatment period all patients will receive salmeterol MDI twice daily for four weeks.
The patients perform daily morning and evening peak flow (PEF) and Forced Expiratory Volume in the First Second (FEV1) measurements with an electronic peak flow meter throughout the study. Daily data on asthma control and use of rescue medication are recorded using an electronic diary included in the electronic peak flow meter. On study visits the Mini-Asthma Quality of Life Questionnaire (Elizabeth Juniper) is administered, pulse and blood pressure and pre-dose pulmonary function testing (FEV1 and Forced Vital Capacity) are performed.
3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.
This study's enrollment of 388 is above the median of 83 across 2,752 interventional studies indexed under Asthma.
Browse Asthma studies →Boehringer Ingelheim is the lead sponsor of 2,245 studies on the registry; 58 are open to participants now.
Of its 162 completed or terminated interventional studies of FDA-regulated products, 116 (72%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion_Criteria:
Change in Mean Weekly Morning Peak Expiratory Flow From Baseline to the End of the Trial
Change from baseline in mean weekly morning peak expiratory flow at 16 weeks. Baseline is defined as the last week prior to the randomisation visit
Time frame: baseline and after 16 weeks of treatment
Mean Weekly Morning Peak Expiratory Flow at Week 4
Mean weekly morning peak expiratory flow at week 4, pre-dose
Time frame: After 4 weeks of treatment
Mean Weekly Morning Peak Expiratory Flow at Week 8
Mean weekly morning peak expiratory flow at week 8, pre-dose
Time frame: After 8 weeks of treatment
Mean Weekly Morning Peak Expiratory Flow at Week 12
Mean weekly morning peak expiratory flow at week 12, pre-dose
Time frame: After 12 weeks of treatment
Mean Weekly Morning Peak Expiratory Flow at Week 16
Mean weekly morning peak expiratory flow at week 16, pre-dose
Time frame: After 16 weeks of treatment
Mean Weekly Evening Peak Expiratory Flow at Week 4
Mean weekly evening peak expiratory flow at week 4, pre-dose
Time frame: After 4 weeks of treatment
Mean Weekly Evening Peak Expiratory Flow at Week 8
Mean weekly evening peak expiratory flow at week 8, pre-dose
Time frame: After 8 weeks of treatment
Mean Weekly Evening Peak Expiratory Flow at Week 12
Mean weekly evening peak expiratory flow at week 12, pre-dose
Time frame: After 12 weeks of treatment
Mean Weekly Evening Peak Expiratory Flow at Week 16
Mean weekly evening peak expiratory flow at week 16, pre-dose
Time frame: After 16 weeks of treatment
Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 4
Mean weekly morning forced expiratory volume in 1 second at week 4, pre-dose
Time frame: After 4 weeks of treatment
Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 8
Mean weekly morning forced expiratory volume in 1 second at week 8, pre-dose
Time frame: After 8 weeks of treatment
Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 12
Mean weekly morning forced expiratory volume in 1 second at week 12, pre-dose
Time frame: After 12 weeks of treatment
Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 16
Mean weekly morning forced expiratory volume in 1 second at week 16, pre-dose
Time frame: After 16 weeks of treatment
Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 4
Mean weekly evening forced expiratory volume in 1 second at week 4, pre-dose
Time frame: After 4 weeks of treatment
Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 8
Mean weekly evening forced expiratory volume in 1 second at week 8, pre-dose
Time frame: After 8 weeks of treatment
Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 12
Mean weekly evening forced expiratory volume in 1 second at week 12, pre-dose
Time frame: After 12 weeks of treatment
Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 16
Mean weekly evening forced expiratory volume in 1 second at week 16, pre-dose
Time frame: After 16 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 4
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
Time frame: After 4 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 8
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
Time frame: After 8 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 12
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
Time frame: After 12 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 16
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
Time frame: After 16 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms in the Morning" at Week 4
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 4 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms This Morning" at Week 8
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 8 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms This Morning" at Week 12
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 12 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms This Morning" at Week 16
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 16 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 4
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 4 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 8
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 8 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 12
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 12 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 16
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
Time frame: After 16 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 4
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
Time frame: After 4 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 8
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
Time frame: After 8 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 12
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
Time frame: After 12 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 16
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
Time frame: After 16 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 4
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
Time frame: After 4 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 8
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
Time frame: After 8 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 12
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
Time frame: After 12 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 16
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
Time frame: After 16 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 4
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
Time frame: After 4 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 8
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
Time frame: After 8 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 12
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
Time frame: After 12 weeks of treatment
Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 16
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
Time frame: After 16 weeks of treatment
Morning Pre-dose Forced Expiratory Volume in 1 Second as Measured by Spirometry at Visit 3
Morning pre-dose forced expiratory volume in 1 second as measured by spirometry after 6 weeks of treatment
Time frame: After 6 weeks of treatment
Morning Pre-dose Forced Expiratory Volume in 1 Second as Measured by Spirometry at Visit 4
Morning pre-dose forced expiratory volume in 1 second as measured by spirometry after 12 weeks of treatment
Time frame: After 12 weeks of treatment
Morning Pre-dose Forced Expiratory Volume in 1 Second as Measured by Spirometry at Visit 5
Morning pre-dose forced expiratory volume in 1 second as measured by spirometry after 16 weeks od treatment
Time frame: After 16 weeks of treatment
Morning Pre-dose Forced Vital Capacity as Measured by Spirometry at Visit 3
Morning pre-dose forced vital capacity as measured by spirometry after 6 weeks of treatment
Time frame: After 6 weeks of treatment
Morning Pre-dose Forced Vital Capacity as Measured by Spirometry at Visit 4
Morning pre-dose forced vital capacity as measured by spirometry after 12 weeks of treatment
Time frame: After 12 weeks of treatment
Morning Pre-dose Forced Vital Capacity as Measured by Spirometry at Visit 5
Morning pre-dose forced vital capacity as measured by spirometry after 16 weeks of treatment
Time frame: After 16 weeks of treatment
Mini-Asthma Quality of Life Questionnaire (Mini-AQLQ) Overall Score at Visit 3
Mean of the responses to 15 questions from 4 domains: Symptoms (1), Activity Limitations (2), Emotional Function (3), Environmental Stimuli (4). Unit on a scale 1-7. For domain (2): 1: totally limited, 2: extremely limited, 3: very limited, 4: moderate limitation, 5: some limitation, 6: a little limitation, 7: not at all limited. For other domains: 1: all of the time, 2: most of the time, 3: a good bit of the time, 4: some of the time, 5: a little of the time, 6: hardly any of the time, 7: none of the time. 7 is the best value
Time frame: After 6 weeks of treatment
Mini-AQLQ Overall Score at Visit 4
Mean of the responses to 15 questions from 4 domains: Symptoms (1), Activity Limitations (2), Emotional Function (3), Environmental Stimuli (4). Unit on a scale 1-7. For domain (2): 1: totally limited, 2: extremely limited, 3: very limited, 4: moderate limitation, 5: some limitation, 6: a little limitation, 7: not at all limited. For other domains: 1: all of the time, 2: most of the time, 3: a good bit of the time, 4: some of the time, 5: a little of the time, 6: hardly any of the time, 7: none of the time. 7 is the best value
Time frame: After 12 weeks of treatment
Mini-AQLQ Overall Score at Visit 5
Mean of the responses to 15 questions from 4 domains: Symptoms (1), Activity Limitations (2), Emotional Function (3), Environmental Stimuli (4). Unit on a scale 1-7. For domain (2): 1: totally limited, 2: extremely limited, 3: very limited, 4: moderate limitation, 5: some limitation, 6: a little limitation, 7: not at all limited. For other domains: 1: all of the time, 2: most of the time, 3: a good bit of the time, 4: some of the time, 5: a little of the time, 6: hardly any of the time, 7: none of the time. 7 is the best value
Time frame: After 16 weeks of treatment
Systolic Blood Pressure in Conjunction With Spirometry at Visit 3
Systolic blood pressure collected in conjunction with spirometry at 6 weeks
Time frame: After 6 weeks of treatment
Systolic Blood Pressure in Conjunction With Spirometry at Visit 4
Systolic blood pressure collected in conjunction with spirometry at 12 weeks
Time frame: After 12 weeks of treatment
Systolic Blood Pressure in Conjunction With Spirometry at Visit 5
Systolic blood pressure collected in conjunction with spirometry at 16 weeks
Time frame: After 16 weeks of treatment
Diastolic Blood Pressure in Conjunction With Spirometry at Visit 3
Diastolic blood pressure collected in conjunction with spirometry at 6 weeks
Time frame: After 6 weeks of treatment
Diastolic Blood Pressure in Conjunction With Spirometry at Visit 4
Diastolic blood pressure collected in conjunction with spirometry at 12 weeks
Time frame: After 12 weeks of treatment
Diastolic Blood Pressure in Conjunction With Spirometry at Visit 5
Diastolic blood pressure collected in conjunction with spirometry at 16 weeks
Time frame: After 16 weeks of treatment
Pulse Rate in Conjunction With Spirometry at Visit 3
Pulse rate collected in conjunction with spirometry at 6 weeks
Time frame: After 6 weeks of treatment
Pulse Rate in Conjunction With Spirometry at Visit 4
Pulse rate collected in conjunction with spirometry at 12 weeks
Time frame: After 12 weeks of treatment
Pulse Rate in Conjunction With Spirometry at Visit 5
Pulse rate collected in conjunction with spirometry at 16 weeks
Time frame: After 16 weeks of treatment
Mean PEF Variability at Week 4
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
Time frame: After 4 weeks of treatment
Mean PEF Variability at Week 8
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
Time frame: After 8 weeks of treatment
Mean PEF Variability at Week 12
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
Time frame: After 12 weeks of treatment
Mean PEF Variability at Week 16
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
Time frame: After 16 weeks of treatment
| Milestone | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Started | 128 | 134 | 126 |
| Completed | 120 | 128 | 119 |
| Not completed | 8 | 6 | 7 |
| Withdrew: Adverse event | 5 | 2 | 2 |
| Withdrew: Lack of efficacy | 1 | 0 | 2 |
| Withdrew: Lost to follow-up | 1 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 |
| Withdrew: Other | 1 | 3 | 1 |
Change from baseline in mean weekly morning peak expiratory flow at 16 weeks. Baseline is defined as the last week prior to the randomisation visit
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Change in Mean Weekly Morning Peak Expiratory Flow From Baseline to the End of the Trial | -3.93 ± 4.873 | -3.15 ± 4.64 | -24.63 ± 4.835 |
Mean weekly morning peak expiratory flow at week 4, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Peak Expiratory Flow at Week 4 | 360.695 ± 4.244 | 359.762 ± 4.041 | 335.515 ± 4.211 |
Mean weekly morning peak expiratory flow at week 8, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Peak Expiratory Flow at Week 8 | 355.42 ± 4.646 | 350.53 ± 4.424 | 330.193 ± 4.61 |
Mean weekly morning peak expiratory flow at week 12, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Peak Expiratory Flow at Week 12 | 359.05 ± 4.885 | 351.3 ± 4.652 | 332.808 ± 4.847 |
Mean weekly morning peak expiratory flow at week 16, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Peak Expiratory Flow at Week 16 | 355.619 ± 4.868 | 355.799 ± 4.636 | 334.525 ± 4.831 |
Mean weekly evening peak expiratory flow at week 4, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Peak Expiratory Flow at Week 4 | 374.496 ± 4.249 | 366.219 ± 4.045 | 348.344 ± 4.213 |
Mean weekly evening peak expiratory flow at week 8, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Peak Expiratory Flow at Week 8 | 368.758 ± 4.78 | 359.586 ± 4.551 | 345.299 ± 4.74 |
Mean weekly evening peak expiratory flow at week 12, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Peak Expiratory Flow at Week 12 | 366.282 ± 4.851 | 362.01 ± 4.617 | 344.291 ± 4.81 |
Mean weekly evening peak expiratory flow at week 16, pre-dose
| L/min | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Peak Expiratory Flow at Week 16 | 363.657 ± 5.242 | 360.304 ± 4.99 | 340.099 ± 5.198 |
Mean weekly morning forced expiratory volume in 1 second at week 4, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 4 | 2.301 ± 0.026 | 2.316 ± 0.024 | 2.161 ± 0.025 |
Mean weekly morning forced expiratory volume in 1 second at week 8, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 8 | 2.254 ± 0.028 | 2.287 ± 0.027 | 2.164 ± 0.028 |
Mean weekly morning forced expiratory volume in 1 second at week 12, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 12 | 2.256 ± 0.03 | 2.254 ± 0.029 | 2.156 ± 0.03 |
Mean weekly morning forced expiratory volume in 1 second at week 16, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Morning Forced Expiratory Volume in 1 Second at Week 16 | 2.3 ± 0.03 | 2.278 ± 0.028 | 2.188 ± 0.029 |
Mean weekly evening forced expiratory volume in 1 second at week 4, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 4 | 2.369 ± 0.029 | 2.318 ± 0.028 | 2.25 ± 0.029 |
Mean weekly evening forced expiratory volume in 1 second at week 8, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 8 | 2.32 ± 0.03 | 2.301 ± 0.029 | 2.239 ± 0.03 |
Mean weekly evening forced expiratory volume in 1 second at week 12, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 12 | 2.31 ± 0.032 | 2.299 ± 0.03 | 2.231 ± 0.032 |
Mean weekly evening forced expiratory volume in 1 second at week 16, pre-dose
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Evening Forced Expiratory Volume in 1 Second at Week 16 | 2.343 ± 0.031 | 2.291 ± 0.029 | 2.215 ± 0.031 |
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 4 | 1.267 ± 0.029 | 1.22 ± 0.027 | 1.232 ± 0.029 |
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 8 | 1.182 ± 0.027 | 1.176 ± 0.025 | 1.21 ± 0.027 |
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 12 | 1.203 ± 0.031 | 1.194 ± 0.03 | 1.224 ± 0.032 |
Unit on a scale 1-5. 1: Did not wake up, 2: Woke up once, 3: Woke up 2-5 times, 4: Woke up more than 5 times, 5: Was awake all night. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Wake up During the Night Due to Asthma" at Week 16 | 1.196 ± 0.034 | 1.135 ± 0.033 | 1.185 ± 0.034 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms in the Morning" at Week 4 | 1.612 ± 0.041 | 1.486 ± 0.038 | 1.615 ± 0.041 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms This Morning" at Week 8 | 1.504 ± 0.043 | 1.481 ± 0.041 | 1.613 ± 0.043 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms This Morning" at Week 12 | 1.519 ± 0.046 | 1.436 ± 0.045 | 1.542 ± 0.047 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms This Morning" at Week 16 | 1.536 ± 0.052 | 1.461 ± 0.051 | 1.647 ± 0.052 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 4 | 1.735 ± 0.045 | 1.637 ± 0.043 | 1.744 ± 0.045 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 8 | 1.603 ± 0.046 | 1.569 ± 0.043 | 1.699 ± 0.046 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 12 | 1.572 ± 0.05 | 1.495 ± 0.049 | 1.682 ± 0.051 |
Unit on a scale 1-5. 1: No asthma symptoms, 2: Mild asthma symptoms, 3: Moderate asthma symptoms, 4: Severe asthma symptoms, 5: Very severe asthma symptoms. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Were Your Asthma Symptoms During the Day" at Week 16 | 1.609 ± 0.054 | 1.476 ± 0.053 | 1.711 ± 0.054 |
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 4 | 1.549 ± 0.041 | 1.514 ± 0.039 | 1.583 ± 0.041 |
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 8 | 1.475 ± 0.041 | 1.478 ± 0.039 | 1.545 ± 0.042 |
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 12 | 1.458 ± 0.045 | 1.436 ± 0.044 | 1.52 ± 0.046 |
Unit on a scale 1-5. 1: Not limited at all, 2: A little limited, 3: Moderately limited, 4: Severely limited, 5: Totally limited. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Limited Were You in Your Activities Today Because of Your Asthma" at Week 16 | 1.446 ± 0.049 | 1.415 ± 0.047 | 1.593 ± 0.049 |
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 4 | 1.699 ± 0.045 | 1.627 ± 0.043 | 1.735 ± 0.045 |
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 8 | 1.557 ± 0.047 | 1.571 ± 0.045 | 1.643 ± 0.048 |
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 12 | 1.57 ± 0.048 | 1.482 ± 0.047 | 1.62 ± 0.049 |
Unit on a scale 1-5. 1: None, 2: A very little, 3: A moderate amount, 4: Quite a lot, 5: A very great deal. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "How Much Shortness of Breath Did You Experience During the Day" at Week 16 | 1.623 ± 0.057 | 1.482 ± 0.055 | 1.691 ± 0.057 |
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 4 | 1.679 ± 0.048 | 1.605 ± 0.046 | 1.652 ± 0.049 |
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 8 | 1.519 ± 0.05 | 1.56 ± 0.047 | 1.575 ± 0.05 |
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 12 | 1.539 ± 0.051 | 1.505 ± 0.05 | 1.572 ± 0.052 |
Unit on a scale 1-5. 1: Not at all, 2: A little of the time, 3: A moderate amount of the time, 4: Most of the time, 5: All the time. 1 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean Weekly Score for Asthma Control Diary Question "Did You Experience Wheeze or Cough During the Day" at Week 16 | 1.528 ± 0.057 | 1.515 ± 0.056 | 1.669 ± 0.057 |
Morning pre-dose forced expiratory volume in 1 second as measured by spirometry after 6 weeks of treatment
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Morning Pre-dose Forced Expiratory Volume in 1 Second as Measured by Spirometry at Visit 3 | 2.471 ± 0.031 | 2.401 ± 0.03 | 2.299 ± 0.031 |
Morning pre-dose forced expiratory volume in 1 second as measured by spirometry after 12 weeks of treatment
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Morning Pre-dose Forced Expiratory Volume in 1 Second as Measured by Spirometry at Visit 4 | 2.467 ± 0.031 | 2.442 ± 0.03 | 2.266 ± 0.031 |
Morning pre-dose forced expiratory volume in 1 second as measured by spirometry after 16 weeks od treatment
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Morning Pre-dose Forced Expiratory Volume in 1 Second as Measured by Spirometry at Visit 5 | 2.439 ± 0.03 | 2.457 ± 0.029 | 2.29 ± 0.03 |
Morning pre-dose forced vital capacity as measured by spirometry after 6 weeks of treatment
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Morning Pre-dose Forced Vital Capacity as Measured by Spirometry at Visit 3 | 3.531 ± 0.034 | 3.441 ± 0.033 | 3.367 ± 0.034 |
Morning pre-dose forced vital capacity as measured by spirometry after 12 weeks of treatment
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Morning Pre-dose Forced Vital Capacity as Measured by Spirometry at Visit 4 | 3.509 ± 0.035 | 3.495 ± 0.033 | 3.307 ± 0.034 |
Morning pre-dose forced vital capacity as measured by spirometry after 16 weeks of treatment
| L | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Morning Pre-dose Forced Vital Capacity as Measured by Spirometry at Visit 5 | 3.488 ± 0.034 | 3.474 ± 0.033 | 3.353 ± 0.034 |
Mean of the responses to 15 questions from 4 domains: Symptoms (1), Activity Limitations (2), Emotional Function (3), Environmental Stimuli (4). Unit on a scale 1-7. For domain (2): 1: totally limited, 2: extremely limited, 3: very limited, 4: moderate limitation, 5: some limitation, 6: a little limitation, 7: not at all limited. For other domains: 1: all of the time, 2: most of the time, 3: a good bit of the time, 4: some of the time, 5: a little of the time, 6: hardly any of the time, 7: none of the time. 7 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mini-Asthma Quality of Life Questionnaire (Mini-AQLQ) Overall Score at Visit 3 | 5.050 ± 0.067 | 5.259 ± 0.064 | 5.097 ± 0.067 |
Mean of the responses to 15 questions from 4 domains: Symptoms (1), Activity Limitations (2), Emotional Function (3), Environmental Stimuli (4). Unit on a scale 1-7. For domain (2): 1: totally limited, 2: extremely limited, 3: very limited, 4: moderate limitation, 5: some limitation, 6: a little limitation, 7: not at all limited. For other domains: 1: all of the time, 2: most of the time, 3: a good bit of the time, 4: some of the time, 5: a little of the time, 6: hardly any of the time, 7: none of the time. 7 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mini-AQLQ Overall Score at Visit 4 | 5.233 ± 0.066 | 5.399 ± 0.063 | 5.078 ± 0.066 |
Mean of the responses to 15 questions from 4 domains: Symptoms (1), Activity Limitations (2), Emotional Function (3), Environmental Stimuli (4). Unit on a scale 1-7. For domain (2): 1: totally limited, 2: extremely limited, 3: very limited, 4: moderate limitation, 5: some limitation, 6: a little limitation, 7: not at all limited. For other domains: 1: all of the time, 2: most of the time, 3: a good bit of the time, 4: some of the time, 5: a little of the time, 6: hardly any of the time, 7: none of the time. 7 is the best value
| Unit on a scale | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mini-AQLQ Overall Score at Visit 5 | 5.305 ± 0.068 | 5.454 ± 0.064 | 5.214 ± 0.067 |
Systolic blood pressure collected in conjunction with spirometry at 6 weeks
| mmHg | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Systolic Blood Pressure in Conjunction With Spirometry at Visit 3 | 124.68 ± 14.53 | 123.11 ± 11.5 | 126.41 ± 14.48 |
Systolic blood pressure collected in conjunction with spirometry at 12 weeks
| mmHg | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Systolic Blood Pressure in Conjunction With Spirometry at Visit 4 | 124.81 ± 13.86 | 123.92 ± 12.15 | 125.18 ± 13.45 |
Systolic blood pressure collected in conjunction with spirometry at 16 weeks
| mmHg | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Systolic Blood Pressure in Conjunction With Spirometry at Visit 5 | 124.23 ± 14.59 | 123.83 ± 12.82 | 124.47 ± 13.77 |
Diastolic blood pressure collected in conjunction with spirometry at 6 weeks
| mmHg | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Diastolic Blood Pressure in Conjunction With Spirometry at Visit 3 | 78.62 ± 9.26 | 77.62 ± 8.74 | 79.34 ± 8.37 |
Diastolic blood pressure collected in conjunction with spirometry at 12 weeks
| mmHg | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Diastolic Blood Pressure in Conjunction With Spirometry at Visit 4 | 77.88 ± 9.93 | 77.22 ± 9.23 | 78.29 ± 8.04 |
Diastolic blood pressure collected in conjunction with spirometry at 16 weeks
| mmHg | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Diastolic Blood Pressure in Conjunction With Spirometry at Visit 5 | 79.23 ± 9.35 | 77.61 ± 7.92 | 78.38 ± 9.38 |
Pulse rate collected in conjunction with spirometry at 6 weeks
| bpm | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Pulse Rate in Conjunction With Spirometry at Visit 3 | 74.7 ± 8.8 | 74.9 ± 8.4 | 74.2 ± 9.4 |
Pulse rate collected in conjunction with spirometry at 12 weeks
| bpm | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Pulse Rate in Conjunction With Spirometry at Visit 4 | 74.8 ± 9.9 | 74.6 ± 9.2 | 74.2 ± 8.4 |
Pulse rate collected in conjunction with spirometry at 16 weeks
| bpm | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Pulse Rate in Conjunction With Spirometry at Visit 5 | 74.4 ± 9.9 | 75.3 ± 8.3 | 74.7 ± 10.1 |
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
| ratio expressed in percent | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean PEF Variability at Week 4 | 12.043 ± 0.611 | 10.547 ± 0.584 | 12.085 ± 0.606 |
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
| ratio expressed in percent | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean PEF Variability at Week 8 | 13.377 ± 0.695 | 11.252 ± 0.664 | 12.964 ± 0.689 |
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
| ratio expressed in percent | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean PEF Variability at Week 12 | 11.735 ± 0.654 | 11.320 ± 0.625 | 11.257 ± 0.648 |
PEF (Peak expiratory flow) variability is defined as the difference between the highest morning PEF value and the highest evening PEF value of one day divided by the arithmetic mean of these two PEF values and multiplied by 100%
| ratio expressed in percent | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| Mean PEF Variability at Week 16 | 11.742 ± 0.656 | 10.793 ± 0.627 | 12.305 ± 0.650 |
Collected over From first study drug administration until 30 days after last randomised study drug administration. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Tiotropium | — | 2/128 (1.6%) | 21/128 (16.4%) |
| Salmeterol | — | 7/134 (5.2%) | 18/134 (13.4%) |
| Placebo | — | 1/126 (0.8%) | 25/126 (19.8%) |
| Event | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 0/128 | 4/134 | 1/126 |
| Abdominal pain upperGastrointestinal disorders | 0/128 | 0/134 | 1/126 |
| MeningitisInfections and infestations | 1/128 | 0/134 | 0/126 |
| Pilonidal cystInfections and infestations | 1/128 | 0/134 | 0/126 |
| NauseaGastrointestinal disorders | 0/128 | 1/134 | 0/126 |
| GastroenteritisInfections and infestations | 0/128 | 1/134 | 0/126 |
| Joint injuryInjury, poisoning and procedural complications | 0/128 | 1/134 | 0/126 |
| Ligament injuryInjury, poisoning and procedural complications | 0/128 | 1/134 | 0/126 |
| HeadacheNervous system disorders | 0/128 | 1/134 | 0/126 |
| Event | Tiotropium | Salmeterol | Placebo |
|---|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 16/128 | 15/134 | 16/126 |
| NasopharyngitisInfections and infestations | 5/128 | 3/134 | 9/126 |
Treated set includes all patients who were dispensed randomised study medication and were documented to have taken at least one dose of investigational treatment.
| Age, Continuous(years) | Tiotropium | Salmeterol | Placebo | Total |
|---|---|---|---|---|
| Mean | 43.5 ± 12.6 | 42.3 ± 13.4 | 44.0 ± 11.9 | 43.3 ± 12.6 |
| Sex: Female, Male(Participants) | Tiotropium | Salmeterol | Placebo | Total |
|---|---|---|---|---|
| Female | 82 | 83 | 75 | 240 |
| Male | 46 | 51 | 51 | 148 |
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Boehringer Ingelheim