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CompletedNCT00535366Updated May 30, 2014

Efficacy and Safety Comparison of Steroid or Placebo in Combination With Salmeterol and Tiotropium in COPD

A Phase 2 interventional study of Tiotropium and Salmeterol in Pulmonary Disease, Chronic Obstructive, sponsored by Boehringer Ingelheim. Completed at 12 sites in 4 countries. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2014-05-30.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
103
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

This efficacy and safety study compares four different combinations of blinded inhaled steroid treatments on top of open-label tiotropium and salmeterol in patients with chronic obstructive pulmonary disease (COPD). The primary objective is the effect on lung function parameters.

02

Conditions studied

  • Pulmonary Disease, Chronic Obstructive
03

In context

Pulmonary Disease, Chronic Obstructive

4,131 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 697 are open to participants now.

This study's enrollment of 103 is above the median of 70 across 2,926 interventional studies indexed under Pulmonary Disease, Chronic Obstructive.

Browse Pulmonary Disease, Chronic Obstructive studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Relatively stable, moderate to severe COPD
  • Male or female patients 40 years of age or older.
  • Current or ex-smokers with a smoking history of more than 10 pack years

Exclusion criteria

Exclusion Criteria:

  • Other significant disease that can influence the study results or be a safety risk for the patient
  • Other medication that can influence the study results
  • Hypersensitivity to the study medication
  • Patients with unstable COPD
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double
Enrollment
103 participants (actual)

Study arms

  • Experimental
    Tiotropium+salmeterol+fluticasone

    Drug: Tiotropium · Drug: Salmeterol · Drug: Fluticasone

  • Experimental
    Tiotropium+salmeterol+ciclesonide low

    Drug: Tiotropium · Drug: Salmeterol · Drug: Ciclesonide low

  • Experimental
    Tiotropium+salmeterol+ciclesonide high

    Drug: Tiotropium · Drug: Salmeterol · Drug: Ciclesonide high

  • Placebo comparator
    Placebo

    Drug: Tiotropium · Drug: Salmeterol · Drug: Placebo

Interventions

  • DrugTiotropium

    Oral inhalation by HandiHaler® device

  • DrugSalmeterol

    Oral inhalation from Diskus®

  • DrugFluticasone

    Oral inhalation from metered dose inhaler (MDI)

  • DrugCiclesonide low

    Oral inhalation from MDI

  • DrugCiclesonide high

    Oral inhalation from MDI

  • DrugPlacebo

    Oral inhalation from MDI

06

What researchers measure

Primary outcomes

  1. Trough FEV1 response at the end of each 4 week period of randomised treatment

    Time frame: 4 weeks

Secondary outcomes

  1. Trough forced vital capacity (FVC) response after 4 weeks of each blinded treatment

    Time frame: after 4 weeks of each blinded treatment

  2. All adverse events

    Time frame: 24 weeks

  3. Pulse rate and blood pressure (seated)

    Time frame: 24 weeks

  4. FEV1 and FVC morning peak response

    Time frame: day 1 and day 28 of each blinded treatment

  5. FEV1 and FVC evening peak response

    Time frame: day 1 and day 28 of each blinded treatment

  6. FEV1 AUC (0-3h), after 4 weeks of each blinded treatment

    Time frame: after 4 weeks of each blinded treatment

  7. FEV1 AUC (12-15h) after 4 weeks of each blinded treatment

    Time frame: after 4 weeks of each blinded treatment

  8. FVC AUC (0-3h) after 4 weeks of each blinded treatment

    Time frame: after 4 weeks of each blinded treatment

  9. FVC AUC (12-15h) after 4 weeks of each blinded treatment

    Time frame: after 4 weeks of each blinded treatment

  10. Trough and peak inspiratory capacity (IC) and vital capacity (VC) response in the morning of day 1 and at day 28 of each treatment period

    Time frame: day 1 and day 28 of each blinded treatment

  11. Weekly mean pre-dose morning and evening peak expiratory flow (PEF)

    Time frame: 28 weeks

  12. Weekly mean number of occasions of rescue therapy used per day

    Time frame: 28 weeks

  13. Mahler Dyspnea Indices (TDI) collected at the end of each treatment period and each wash-out period

    Time frame: 28 weeks

  14. Fractional exhaled nitric oxide after 4 weeks of each blinded treatment

    Time frame: after 4 weeks of each blinded treatment

07

Study locations

12 sites
  • 1249.1.32003 Boehringer Ingelheim Investigational Site
    Genk, Belgium
  • 1249.1.32001 Boehringer Ingelheim Investigational Site
    Gent, Belgium
  • 1249.1.32002 Boehringer Ingelheim Investigational Site
    Hasselt, Belgium
  • 1249.1.32004 Boehringer Ingelheim Investigational Site
    Oostende, Belgium
  • 1249.1.45001 Boehringer Ingelheim Investigational Site
    Aarhus C, Denmark
  • 1249.1.49001 Boehringer Ingelheim Investigational Site
    Großhansdorf, Germany
  • 1249.1.49002 Boehringer Ingelheim Investigational Site
    Mannheim, Germany
  • 1249.1.49003 Boehringer Ingelheim Investigational Site
    Weinheim, Germany
  • 1249.1.31002 Boehringer Ingelheim Investigational Site
    Eindhoven, Netherlands
  • 1249.1.31003 Boehringer Ingelheim Investigational Site
    Harderwijk, Netherlands
  • 1249.1.31001 Boehringer Ingelheim Investigational Site
    Heerlen, Netherlands
  • 1249.1.31004 Boehringer Ingelheim Investigational Site
    Veldhoven, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 30, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00535366
Lead sponsor
Boehringer Ingelheim
First posted
Sep 26, 2007
Start date
Oct 2007
Primary completion
Sep 2008
Last update
May 30, 2014

Study contacts

Boehringer Ingelheim
study chair · Boehringer Ingelheim
View the source record on ClinicalTrials.gov ↗

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