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CompletedNCT00999908Updated Feb 17, 2016Results posted

Comparison of the Effects of Indacaterol and Tiotropium on Inspiratory Capacity

A Phase 3 interventional study of Indacaterol 150 μg and Tiotropium 18 μg in Chronic Obstructive Pulmonary Disease, sponsored by Novartis Pharmaceuticals. Completed at 11 sites in Italy. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2016-02-17.

Sponsored by Novartis Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

This study compared the effects of a single dose of indacaterol with that of a single dose of tiotropium on inspiratory capacity.

02

Conditions studied

  • Chronic Obstructive Pulmonary Disease

Keywords

  • COPD
  • indacaterol
  • tiotropium
03

In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's enrollment of 54 is below the median of 72 across 2,118 interventional studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) 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

  • Diagnosis of moderate (as classified by the Global Initiative for Chronic Obstructive Lung Disease [GOLD] Guidelines, 2007) chronic obstructive pulmonary disease (COPD) and:

    1. Smoking history of at least 10 pack-years.
    2. Forced expiratory volume in 1 second (FEV1) \< 80% and ≥ 50% of the predicted normal value.
    3. Post-bronchodilator FEV1/Force vital capacity (FVC) \< 0.7.

Exclusion criteria

Exclusion Criteria:

  • Patients who have had a COPD exacerbation requiring systemic glucocorticosteroid treatment or antibiotics and/or hospitalization in the 6 weeks prior to screening.
  • Patients who have had a respiratory tract infection within 6 weeks prior to screening.
  • Patients with concomitant pulmonary disease.
  • Patients with alpha-1-antitrypsin deficiency.
  • Patients with contraindications for tiotropium treatment.
  • Patients with a history of hypersensitivity to any of the study drugs or to drugs from similar drug classes.

Other protocol-defined inclusion/exclusion criteria applied to the study.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Indacaterol 150 μg-tiotropium 18 μg-placebo

    Patients received indacaterol 150 μg once. After a 5-9 days washout period, patients received tiotropium 18 μg once. After a second 5-9 days washout period, patients received placebo (matching indacaterol) once. All treatments were delivered via a single dose dry powder inhaler (SDDPI). The short-acting β2-agonist salbutamol was available for rescue use throughout the study.

    Drug: Indacaterol 150 μg · Drug: Tiotropium 18 μg · Drug: Placebo

  • Experimental
    Tiotropium 18 μg-placebo-indacaterol 150 μg

    Patients received tiotropium 18 μg once. After a 5-9 days washout period, patients received placebo (matching indacaterol) once. After a second 5-9 days washout period, patients received indacaterol 150 μg once. All treatments were delivered via a single dose dry powder inhaler (SDDPI). The short-acting β2-agonist salbutamol was available for rescue use throughout the study.

    Drug: Indacaterol 150 μg · Drug: Tiotropium 18 μg · Drug: Placebo

  • Experimental
    Placebo-indacaterol 150 μg-tiotropium 18 μg

    Patients received placebo (matching indacaterol) once. After a 5-9 days washout period, patients received indacaterol 150 μg once. After a second 5-9 days washout period, patients received tiotropium 18 μg once. All treatments were delivered via a single dose dry powder inhaler (SDDPI). The short-acting β2-agonist salbutamol was available for rescue use throughout the study.

    Drug: Indacaterol 150 μg · Drug: Tiotropium 18 μg · Drug: Placebo

Interventions

  • DrugIndacaterol 150 μg

    Indacaterol was supplied in powder filled capsules together with a single dose dry powder inhaler (SDDPI) device.

  • DrugTiotropium 18 μg

    Tiotropium was supplied in powder filled capsules together with a single dose dry powder inhaler (SDDPI) device.

  • DrugPlacebo

    Placebo (matching indacaterol) was supplied in powder filled capsules together with a single dose dry powder inhaler (SDDPI) device.

06

What researchers measure

Primary outcomes

  1. Peak Inspiratory Capacity Assessed With Spirometry in the 4 Hours After Treatment

    During the 4 hours following inhalation of the study treatment, inspiratory capacity (IC) was measured with spirometry conducted according to internationally accepted standards. IC was measured 3 times each at 30, 60, 120, 180, and 240 minutes post-dose and the highest value was reported in liters.

    Time frame: 4 hour period following inhalation of study treatment

Secondary outcomes

  1. Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment

    FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made 30, 60, 120, 180, and 240 minutes post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time.

    Time frame: 4 hour period following inhalation of study treatment

  2. Force Vital Capacity (FVC) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment

    FVC was measured with spirometry conducted according to internationally accepted standards. Measurements were made 30, 60, 120, 180, and 240 minutes post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time.

    Time frame: 4 hour period following inhalation of study treatment

07

Results

Posted Aug 19, 2011

Participant flow

Treatment Period 1
Participant flow — Treatment Period 1
MilestoneIndacaterol 150 μg-tiotropium 18 μg-placeboTiotropium 18 μg-placebo-indacaterol 150 μgPlacebo-indacaterol 150 μg-tiotropium 18 μg
Started191619
Completed171619
Not completed200
Withdrew: Subject withdrew consent200
Treatment Period 2
Participant flow — Treatment Period 2
MilestoneIndacaterol 150 μg-tiotropium 18 μg-placeboTiotropium 18 μg-placebo-indacaterol 150 μgPlacebo-indacaterol 150 μg-tiotropium 18 μg
Started171619
Completed161619
Not completed100
Withdrew: Protocol violation100
Treatment Period 3
Participant flow — Treatment Period 3
MilestoneIndacaterol 150 μg-tiotropium 18 μg-placeboTiotropium 18 μg-placebo-indacaterol 150 μgPlacebo-indacaterol 150 μg-tiotropium 18 μg
Started161619
Completed161619
Not completed000

Outcome measures

PrimaryPeak Inspiratory Capacity Assessed With Spirometry in the 4 Hours After Treatment

During the 4 hours following inhalation of the study treatment, inspiratory capacity (IC) was measured with spirometry conducted according to internationally accepted standards. IC was measured 3 times each at 30, 60, 120, 180, and 240 minutes post-dose and the highest value was reported in liters.

Time frame:
4 hour period following inhalation of study treatment
Reported as:
Mean · Liters
Peak Inspiratory Capacity Assessed With Spirometry in the 4 Hours After Treatment
LitersIndacaterol 150 μgTiotropium 18 μgPlacebo
Peak Inspiratory Capacity Assessed With Spirometry in the 4 Hours After Treatment2.705 ± 0.6762.630 ± 0.6012.557 ± 0.561
SecondaryForced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment

FEV1 was measured with spirometry conducted according to internationally accepted standards. Measurements were made 30, 60, 120, 180, and 240 minutes post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time.

Time frame:
4 hour period following inhalation of study treatment
Reported as:
Mean · Liters
Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment
LitersIndacaterol 150 μgTiotropium 18 μgPlacebo
Forced Expiratory Volume in 1 Second (FEV1) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment1.744 ± 0.4191.767 ± 0.4491.642 ± 0.409
SecondaryForce Vital Capacity (FVC) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment

FVC was measured with spirometry conducted according to internationally accepted standards. Measurements were made 30, 60, 120, 180, and 240 minutes post-dose. The standardized AUC FEV1 was calculated as the sum of trapezoids divided by the length of time.

Time frame:
4 hour period following inhalation of study treatment
Reported as:
Mean · Liters
Force Vital Capacity (FVC) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment
LitersIndacaterol 150 μgTiotropium 18 μgPlacebo
Force Vital Capacity (FVC) Standardized (With Respect to Length of Time) Area Under the Curve (AUC) in the 4 Hours After Treatment3.140 ± 0.7003.176 ± 0.7883.048 ± 0.753

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Indacaterol 150 μg—0/54 (0%)0/54 (0%)
Tiotropium 18 μg—0/52 (0%)0/52 (0%)
Placebo—0/51 (0%)0/51 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Entire Study Population
Mean69.3 ± 9.2
Sex: Female, Male
Sex: Female, Male(Participants)Entire Study Population
Female5
Male49
08

Study locations

11 sites
  • Novartis Investigative Site
    Bergamo, Italy
  • Novartis Investigative Site
    Brescia, Italy
  • Novartis Investigative Site
    Cava De' Tirreni, Italy
  • Novartis Investigative Site
    Genova, Italy
  • Novartis Investigative Site
    Milano, Italy
  • Novartis Investigative Site
    Orbassano, Italy
  • Novartis Investigative Site
    Pavia, Italy
  • Novartis Investigative Site
    Reggio Emilia, Italy
  • Novartis Investigative Site
    Sesto San Giovanni, Italy
  • Novartis Investigative Site
    Treviso, Italy
  • Novartis Investigative Site
    Verona, Italy
09

References and documents

Publications

  • Rossi A, Centanni S, Cerveri I, Gulotta C, Foresi A, Cazzola M, Brusasco V. Acute effects of indacaterol on lung hyperinflation in moderate COPD: a comparison with tiotropium. Respir Med. 2012 Jan;106(1):84-90. doi: 10.1016/j.rmed.2011.09.006. Epub 2011 Oct 27. PubMed 22035851 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00999908
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Oct 22, 2009
Start date
Oct 2009
Primary completion
Mar 2010
Completion
Mar 2010
Results posted
Aug 19, 2011
Last update
Feb 17, 2016

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

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