CClinicalTrials.gg
CompletedNCT01040728Updated Jun 30, 2014Results posted

A Randomized, Double-Blind, 4-way Crossover Study to Evaluate the Efficacy of of 24 Hour Spirometry Profiles of Inhaled BI 1744 CL and Inhaled Tiotropium Bromide in Patients With Chronic Obstructive Pulmonary Disease

A Phase 3 interventional study of Olodaterol (BI1744) Low and Olodaterol (BI1744) High 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 2014-06-30.

Sponsored by Boehringer Ingelheim · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
122
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The study is intended to characterize the lung function profile of BI1744 in Chronic Obstructive Pulmonary Disease (COPD) patients where patients will perform pulmonary function tests at regular intervals for 24 hours at the end of a 6 week treatment period. Each patient will receive all four treatments.

02

Conditions studied

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 122 is above the median of 72 across 2,118 interventional studies indexed under Lung Diseases.

Browse Lung Diseases 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

  • Patients willing to participate with confirmed diagnosis of COPD
  • 40 years of age or older
  • having a 10 pack year smoking history
  • able to perform serial pulmonary function tests
  • able to use both a Dry powder inhaler (DPI) and Respimat device

Exclusion criteria

Exclusion criteria:

  • Significant other disease
  • clinically relevant abnormal hematology, chemistry, or urinalysis
  • history of asthma
  • diagnosis of thyrotoxicosis
  • paroxysmal tachycardia related to beta agonists
  • history of MI within 1 year, cardiac arrhythmia, hospitalization for heart failure within 1 year
  • active tuberculosis, cystic fibrosis, clinically evident bronchiectasis
  • significant alcohol or drug abuse
  • pulmonary resection
  • taking oral beta adrenergics
  • taking unstable oral steroids
  • daytime oxygen
  • enrolled in rehabilitation program
  • enrolled in another study or taking investigational products
  • pregnant or nursing women, women of child bearing potential not willing to use two methods of birth control
  • those who are not willing to comply with pulmonary medication washouts
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double
Enrollment
122 participants (actual)

Study arms

  • Experimental
    Olodaterol (BI1744) Low

    Low dose inhaled orally once daily from Respimat inhaler

    Drug: Olodaterol (BI1744) Low

  • Experimental
    Olodaterol (BI1744) High

    High dose inhaled orally once daily from Respimat inhaler

    Drug: Olodaterol (BI1744) High

  • Active comparator
    Tiotropium 18 mcg

    18 mcg inhaled once daily from HandiHaler

    Drug: Tiotropium 18 mcg

  • Placebo comparator
    Placebo

    Olodaterol placebo and/or Tiotropium placebo inhaled once daily

    Drug: Placebo (for Olodaterol (BI1744)l) · Drug: Placebo (for Tiotropium)

Interventions

  • DrugOlodaterol (BI1744) Low

    Low dose inhaled orally once daily from Respimat inhaler

  • DrugOlodaterol (BI1744) High

    High dose inhaled orally once daily from Respimat inhaler

  • DrugTiotropium 18 mcg

    18 mcg inhaled once daily from HandiHaler

  • DrugPlacebo (for Olodaterol (BI1744)l)

    Placebo (olodaterol low and high dose) delivered by Respimat

  • DrugPlacebo (for Tiotropium)

    Placebo (Tiotropium 18 mcg) delivered by HandiHaler

06

What researchers measure

Primary outcomes

  1. FEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit for the first period, just prior to administration of the first morning dose of randomized treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-12h was calculated from 0-12 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

    Time frame: 1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min (zero time), 30 min, 60 min, 2 hour (h) , 3 h, 4 h, 6 h, 8 h, 10 h, 12 h relative to am dose after six weeks of treatment

  2. FEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit for the first period, just prior to administration of the first morning dose of randomized treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 12-24h was calculated from 12-24 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

    Time frame: 1 h and 10 min prior to the am dose on the first day of the first treatment period (study baseline) and 12 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment

Secondary outcomes

  1. Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose at the first randomized treatment visit for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-24h was calculated from 0-24 hours post-dose using the trapezoidal rule, divided by the observation time (24h) to report in litres.

    Time frame: 1 hour (h) and 10 minutes (min) prior to am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h, 4 h, 6h, 8h, 10h, 12 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment

  2. Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After First Dose of Treatment

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose of the treatment at the first treatment visit for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-3h was calculated from 0-3hours post-dose using the trapezoidal rule, divided by the observation time (3 h) to report in litres.

    Time frame: 1 hour (h) prior and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h , 3 h, relative to the first dose of treatment period

  3. Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment

    Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-3h was calculated from 0-3hours post-dose using the trapezoidal rule, divided by the observation time (3 h) to report in litres.

    Time frame: 1 hour (h) prior and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h , 3 h, relative to the first dose of treatment after six weeks of treatment

  4. Peak FEV1 (0-3h) Response

    Response was defined as change from baseline. Study baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of treatment for the first period. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after the first dose of treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

    Time frame: Study baseline and first day of dosing

  5. Peak FEV1 (0-3h) Response

    Response was defined as change from baseline. Study baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of treatment for the first period. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after the last dose after six weeks of treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

    Time frame: Study baseline and 6 weeks

  6. Trough FEV1 Response

    Response was defined as change from baseline. Study baseline trough FEV1 was defined as the mean of the available pre-dose trough FEV1 values prior to first dose of treatment for the first period. Trough values were the mean of values obtained 23h and 23 h 50 min after the last dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

    Time frame: Study baseline and 6 weeks

  7. Forced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response

    Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-12h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

    Time frame: 1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min (zero time), 30 min, 60 min, 2 h, 3 h, 4 h, 6 h, 8 h, 10 h, 12h relative to last dose after six weeks of treatment.

  8. FVC Area Under Curve 12-24 Hours (AUC 12-24h) Response

    Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 12-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

    Time frame: 1 h and 10 min prior to the am dose on the first day of the first treatment period (study baseline) and 12 h, 22 h, 23 h, and 23 h 50 min relative to last dose after six weeks of treatment

  9. FVC Area Under Curve 0-24 Hours (AUC 0-24h) Response

    Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

    Time frame: 1 hour (h) and 10 minutes (min) prior to am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h, 4 h, 6h, 8h, 10h, 12 h, 22 h, 23 h, and 23 h 50 min relative to last dose after six weeks of treatment

  10. FVC Area Under Curve 0-3 Hours (AUC 0-3h) Response

    Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to the first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-3h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

    Time frame: 1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h relative to first dose of treatment

  11. FVC Area Under Curve 0-3 Hours (AUC 0-3h) Response

    Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to the first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-3h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

    Time frame: 1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h relative to last dose of treatment after six weeks of treatment

  12. Peak FVC (0-3h) Response

    Response was defined as change from baseline. Study baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of treatment for the first period. Peak FVC (0-3h) was obtained within 0 - 3 hours after the last am dose of study drug after 6 weeks of treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

    Time frame: Study baseline and 6 weeks

  13. Trough FVC Response

    Response was defined as change from baseline. Study baseline trough FVC was defined as the mean of the available pre-dose trough FVC values prior to first dose of treatment for the first period. Trough values were the mean of obtained 23 h and 23 h 50 min after the last dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

    Time frame: Study baseline and 6 weeks

  14. Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG

    Clinical relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG. New abnormal findings or worsenings of baseline conditions were reported as Adverse Events related to treatment (cardiac disorders and investigations).

    Time frame: 6 weeks

07

Results

Posted Jun 30, 2014

Participant flow

Participant flow — Overall Study
MilestonePlacebo / Tio 18mcg / Olo 10mcg / Olo 5mcgOlo 5mcg / Olo 10mcg / Tio 18mcg / PlaceboOlo 10mcg / Placebo / Olo 5mcg / Tio 18mcgTio 18mcg / Olo 5mcg / Placebo / Olo 10mcg
Started31303130
Completed27193024
Not completed41116
Withdrew: Adverse event4804
Withdrew: Withdrawal by subject0110
Withdrew: Protocol violation0001
Withdrew: Lack of efficacy0101
Withdrew: Other reasons not listed above0100

Outcome measures

PrimaryFEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit for the first period, just prior to administration of the first morning dose of randomized treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-12h was calculated from 0-12 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

Time frame:
1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min (zero time), 30 min, 60 min, 2 hour (h) , 3 h, 4 h, 6 h, 8 h, 10 h, 12 h relative to am dose after six weeks of treatment
Reported as:
Mean · Liter
FEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
FEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment-0.008 ± 0.0190.189 ± 0.0190.213 ± 0.0190.213 ± 0.019
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.197 · 95% CI 0.163 to 0.231Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.221 · 95% CI 0.186 to 0.255Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.221 · 95% CI 0.187 to 0.255Tio 18 mcg qd minus Placebo
PrimaryFEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit for the first period, just prior to administration of the first morning dose of randomized treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 12-24h was calculated from 12-24 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

Time frame:
1 h and 10 min prior to the am dose on the first day of the first treatment period (study baseline) and 12 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment
Reported as:
Mean · Liter
FEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
FEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment-0.059 ± 0.0180.094 ± 0.0180.111 ± 0.0180.105 ± 0.018
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.153 · 95% CI 0.117 to 0.188Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.170 · 95% CI 0.134 to 0.205Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.164 · 95% CI 0.128 to 0.199Tio 18 mcg qd minus Placebo
SecondaryForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose at the first randomized treatment visit for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-24h was calculated from 0-24 hours post-dose using the trapezoidal rule, divided by the observation time (24h) to report in litres.

Time frame:
1 hour (h) and 10 minutes (min) prior to am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h, 4 h, 6h, 8h, 10h, 12 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment
Reported as:
Mean · Liter
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment-0.033 ± 0.0190.142 ± 0.0180.158 ± 0.0180.159 ± 0.018
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.175 · 95% CI 0.141 to 0.208Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.191 · 95% CI 0.157 to 0.225Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.192 · 95% CI 0.159 to 0.226Tio 18 mcg qd minus Placebo
SecondaryForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After First Dose of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose of the treatment at the first treatment visit for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-3h was calculated from 0-3hours post-dose using the trapezoidal rule, divided by the observation time (3 h) to report in litres.

Time frame:
1 hour (h) prior and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h , 3 h, relative to the first dose of treatment period
Reported as:
Mean · Liter
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After First Dose of Treatment
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After First Dose of Treatment0.018 ± 0.0180.232 ± 0.0170.256 ± 0.0170.169 ± 0.018
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.214 · 95% CI 0.181 to 0.248Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.238 · 95% CI 0.205 to 0.272Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.152 · 95% CI 0.119 to 0.185Tio 18 mcg qd minus Placebo
SecondaryForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values prior to the first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FEV1 AUC 0-3h was calculated from 0-3hours post-dose using the trapezoidal rule, divided by the observation time (3 h) to report in litres.

Time frame:
1 hour (h) prior and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h , 3 h, relative to the first dose of treatment after six weeks of treatment
Reported as:
Mean · Liter
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment0.011 ± 0.0200.225 ± 0.0190.255 ± 0.0200.246 ± 0.019
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.214 · 95% CI 0.178 to 0.251Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.245 · 95% CI 0.208 to 0.282Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.235 · 95% CI 0.199 to 0.271Tio 18 mcg qd minus Placebo
SecondaryPeak FEV1 (0-3h) Response

Response was defined as change from baseline. Study baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of treatment for the first period. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after the first dose of treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

Time frame:
Study baseline and first day of dosing
Reported as:
Mean · Liter
Peak FEV1 (0-3h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Peak FEV1 (0-3h) Response0.076 ± 0.0190.313 ± 0.0190.342 ± 0.0190.251 ± 0.019
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.237 · 95% CI 0.201 to 0.273Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.266 · 95% CI 0.230 to 0.302Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.175 · 95% CI 0.138 to 0.211Tio 18 mcg qd minus Placebo
SecondaryPeak FEV1 (0-3h) Response

Response was defined as change from baseline. Study baseline peak FEV1 was defined as the mean of the available pre-dose peak FEV1 values prior to first dose of treatment for the first period. Peak FEV1 (0-3h) values were obtained within 0 - 3 hours after the last dose after six weeks of treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

Time frame:
Study baseline and 6 weeks
Reported as:
Mean · Liter
Peak FEV1 (0-3h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Peak FEV1 (0-3h) Response0.082 ± 0.0200.290 ± 0.0200.325 ± 0.0200.325 ± 0.020
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.208 · 95% CI 0.169 to 0.246Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.243 · 95% CI 0.205 to 0.282Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.244 · 95% CI 0.205 to 0.282Tio 18 mcg qd minus Placebo
SecondaryTrough FEV1 Response

Response was defined as change from baseline. Study baseline trough FEV1 was defined as the mean of the available pre-dose trough FEV1 values prior to first dose of treatment for the first period. Trough values were the mean of values obtained 23h and 23 h 50 min after the last dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

Time frame:
Study baseline and 6 weeks
Reported as:
Mean · Liter
Trough FEV1 Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Trough FEV1 Response0.003 ± 0.0190.137 ± 0.0190.146 ± 0.0190.161 ± 0.019
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.134 · 95% CI 0.097 to 0.171Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.143 · 95% CI 0.105 to 0.181Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.158 · 95% CI 0.120 to 0.195Tio 18 mcg qd minus Placebo
SecondaryForced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-12h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame:
1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min (zero time), 30 min, 60 min, 2 h, 3 h, 4 h, 6 h, 8 h, 10 h, 12h relative to last dose after six weeks of treatment.
Reported as:
Mean · Liter
Forced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Forced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response-0.006 ± 0.0350.324 ± 0.0340.321 ± 0.0350.364 ± 0.035
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.330 · 95% CI 0.276 to 0.384Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.326 · 95% CI 0.272 to 0.381Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.370 · 95% CI 0.316 to 0.424Tio 18 mcg qd minus Placebo
SecondaryFVC Area Under Curve 12-24 Hours (AUC 12-24h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 12-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame:
1 h and 10 min prior to the am dose on the first day of the first treatment period (study baseline) and 12 h, 22 h, 23 h, and 23 h 50 min relative to last dose after six weeks of treatment
Reported as:
Mean · Liter
FVC Area Under Curve 12-24 Hours (AUC 12-24h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
FVC Area Under Curve 12-24 Hours (AUC 12-24h) Response-0.109 ± 0.0360.169 ± 0.0350.155 ± 0.0360.192 ± 0.035
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.278 · 95% CI 0.214 to 0.342Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.264 · 95% CI 0.200 to 0.329Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.302 · 95% CI 0.238 to 0.366Tio 18 mcg qd minus Placebo
SecondaryFVC Area Under Curve 0-24 Hours (AUC 0-24h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame:
1 hour (h) and 10 minutes (min) prior to am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h, 4 h, 6h, 8h, 10h, 12 h, 22 h, 23 h, and 23 h 50 min relative to last dose after six weeks of treatment
Reported as:
Mean · Liter
FVC Area Under Curve 0-24 Hours (AUC 0-24h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
FVC Area Under Curve 0-24 Hours (AUC 0-24h) Response-0.057 ± 0.0360.247 ± 0.0350.226 ± 0.0360.278 ± 0.035
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.304 · 95% CI 0.244 to 0.363Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.283 · 95% CI 0.222 to 0.343Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.335 · 95% CI 0.275 to 0.395Tio 18 mcg qd minus Placebo
SecondaryFVC Area Under Curve 0-3 Hours (AUC 0-3h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to the first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-3h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame:
1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h relative to first dose of treatment
Reported as:
Mean · Liter
FVC Area Under Curve 0-3 Hours (AUC 0-3h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
FVC Area Under Curve 0-3 Hours (AUC 0-3h) Response0.053 ± 0.0350.423 ± 0.0340.419 ± 0.0340.316 ± 0.034
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.370 · 95% CI 0.309 to 0.430Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.366 · 95% CI 0.306 to 0.426Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.262 · 95% CI 0.202 to 0.322Tio 18 mcg qd minus Placebo
SecondaryFVC Area Under Curve 0-3 Hours (AUC 0-3h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values prior to the first dose of treatment for the first period. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate. FVC AUC 0-3h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame:
1 hour (h) and 10 minutes (min) prior to the am dose on the first day of the first treatment period (study baseline) and -30 min, 30 min, 60 min, 2 h, 3 h relative to last dose of treatment after six weeks of treatment
Reported as:
Mean · Liter
FVC Area Under Curve 0-3 Hours (AUC 0-3h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
FVC Area Under Curve 0-3 Hours (AUC 0-3h) Response0.044 ± 0.0350.388 ± 0.0340.397 ± 0.0350.414 ± 0.034
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.344 · 95% CI 0.287 to 0.401Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.353 · 95% CI 0.296 to 0.411Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.370 · 95% CI 0.314 to 0.427Tio 18 mcg qd minus Placebo
SecondaryPeak FVC (0-3h) Response

Response was defined as change from baseline. Study baseline peak FVC was defined as the mean of the available pre-dose peak FVC values prior to first dose of treatment for the first period. Peak FVC (0-3h) was obtained within 0 - 3 hours after the last am dose of study drug after 6 weeks of treatment. Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

Time frame:
Study baseline and 6 weeks
Reported as:
Mean · Liter
Peak FVC (0-3h) Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Peak FVC (0-3h) Response0.191 ± 0.0370.526 ± 0.0360.537 ± 0.0370.569 ± 0.037
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.334 · 95% CI 0.272 to 0.396Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.346 · 95% CI 0.283 to 0.408Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.378 · 95% CI 0.316 to 0.440Tio 18 mcg qd minus Placebo
SecondaryTrough FVC Response

Response was defined as change from baseline. Study baseline trough FVC was defined as the mean of the available pre-dose trough FVC values prior to first dose of treatment for the first period. Trough values were the mean of obtained 23 h and 23 h 50 min after the last dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with treatment and period as fixed effects and patient as a random effect and study baseline as a continuous covariate.

Time frame:
Study baseline and 6 weeks
Reported as:
Mean · Liter
Trough FVC Response
LiterPlaceboOlo 5 mcg qdOlo 10 mcg qdTio 18 mcg qd
Trough FVC Response-0.001 ± 0.0370.243 ± 0.0360.215 ± 0.0370.255 ± 0.037
Statistical analysis
  • Placebo vs Olo 5 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.244 · 95% CI 0.179 to 0.309Olo 5 mcg qd minus Placebo
  • Placebo vs Olo 10 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.216 · 95% CI 0.150 to 0.282Olo 10 mcg qd minus Placebo
  • Placebo vs Tio 18 mcg qd · Mixed Models Analysis · p = <0.0001 · Mean difference (final values): 0.256 · 95% CI 0.191 to 0.321Tio 18 mcg qd minus Placebo
SecondaryClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG

Clinical relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG. New abnormal findings or worsenings of baseline conditions were reported as Adverse Events related to treatment (cardiac disorders and investigations).

Time frame:
6 weeks
Reported as:
Number · participants
Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG
participantsPlaceboOlo 5 mcgOlo 10 mcgTiotropium (Tio) 18 mcg qd
Potassium increased1000
Atrial fibrillation0010
Palpitations0010

Adverse events

Collected over 6 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—5/109 (4.6%)8/109 (7.3%)
Olo 5 mcg—3/115 (2.6%)14/115 (12.2%)
Olo 10 mcg—8/113 (7.1%)6/113 (5.3%)
Tiotropium (Tio) 18 mcg qd—2/113 (1.8%)4/113 (3.5%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventPlaceboOlo 5 mcgOlo 10 mcgTiotropium (Tio) 18 mcg qd
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders2/1090/1154/1131/113
Upper gastrointestinal haemorrhageGastrointestinal disorders1/1090/1150/1130/113
Cellulitis staphylococcalInfections and infestations1/1090/1150/1130/113
Fracture displacementInjury, poisoning and procedural complications1/1090/1150/1130/113
Atrial fibrillationCardiac disorders0/1090/1151/1130/113
Retinal detachmentEye disorders0/1090/1151/1130/113
PneumoniaInfections and infestations0/1090/1151/1130/113
Basal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1090/1150/1131/113
Neuroendocrine carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1090/1151/1130/113
HaemoptysisRespiratory, thoracic and mediastinal disorders0/1090/1151/1130/113
Most frequent other events
Most frequent other events
EventPlaceboOlo 5 mcgOlo 10 mcgTiotropium (Tio) 18 mcg qd
NasopharyngitisInfections and infestations4/1098/1154/1134/113
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders4/1096/1153/1131/113

Baseline characteristics

Age, Continuous
Age, Continuous(years)Study Total
Mean62.7 ± 7.9
Sex: Female, Male
Sex: Female, Male(Participants)Study Total
Female47
Male75
08

Study locations

12 sites
  • 1222.40.11003 Boehringer Ingelheim Investigational Site
    Jasper, Alabama, United States
  • 1222.40.11001 Boehringer Ingelheim Investigational Site
    Clearwater, Florida, United States
  • 1222.40.11002 Boehringer Ingelheim Investigational Site
    Tampa, Florida, United States
  • 1222.40.49401 Boehringer Ingelheim Investigational Site
    Berlin, Germany
  • 1222.40.49403 Boehringer Ingelheim Investigational Site
    Berlin, Germany
  • 1222.40.49402 Boehringer Ingelheim Investigational Site
    Hannover, Germany
  • 1222.40.31003 Boehringer Ingelheim Investigational Site
    Breda, Netherlands
  • 1222.40.31002 Boehringer Ingelheim Investigational Site
    Eindhoven, Netherlands
  • 1222.40.31001 Boehringer Ingelheim Investigational Site
    Heerlen, Netherlands
  • 1222.40.47003 Boehringer Ingelheim Investigational Site
    Arendal, Norway
  • 1222.40.47002 Boehringer Ingelheim Investigational Site
    Drammen, Norway
  • 1222.40.47001 Boehringer Ingelheim Investigational Site
    Trondheim, Norway
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 30, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01040728
Lead sponsor
Boehringer Ingelheim
First posted
Dec 30, 2009
Start date
Jan 2010
Primary completion
Jan 2011
Results posted
Jun 30, 2014
Last update
Jun 30, 2014

Study contacts

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

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