CClinicalTrials.gg
CompletedNCT01937390Updated Jul 27, 2018Results posted

Observational Study of Adherence to LABA / LAMA in Chronic Obstructive Pulmonary Disease (COPD)

An observational study in Pulmonary Disease, Chronic Obstructive, sponsored by Boehringer Ingelheim. Completed at 1 site in Germany. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2018-07-27.

Sponsored by Boehringer Ingelheim · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
645
Ages
40 Years and older
Sex
All
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Study summary

The objective of the study is to observe the effect of adherence to once-daily administered long-acting bronchodilators (long-acting ß2-agonists [LABAs] / long-acting muscarinic antagonists [LAMAs]) on patients health related quality of life (HR-QoL) and to assess the relation between symptoms improvement and adherence to Chronic Obstructive Pulmonary Disease (COPD) maintenance therapy

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Conditions studied

  • Pulmonary Disease, Chronic Obstructive
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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 645 is above the median of 157 across 929 observational 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.

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Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Caucasians

Inclusion criteria

  1. Male or female, above 40 years of age
  2. Patients clinically diagnosed of COPD with no history suggestive of asthma:

    1. by scores >=5 in the COPD Population Screener,
    2. by a clinical diagnosis of COPD made by pulmonologists or internists,
    3. by a Forced Expiratory Volume (FEV1)/ Forced Vital Capacity (FVC6) ratio of \<=0.70 and a FEV1 \<=80% of the predicted value as assessed by copd-6 (Vitalograph, UK);
  3. Maintenance treatment-naïve COPD patients who have been prescribed once daily long-acting bronchodilators (LABAs / LAMAs) for the first time at enrolment into the study
  4. Patients who are able to provide signed informed consent
  5. Patients who agree to be contacted for telephone/ SMS reminders via call center

Exclusion criteria

Exclusion criteria:

  1. Patients with contraindications to the prescribed medication
  2. Patients with any disorder that would prevent the patient from being able to complete questionnaires either verbally or by self-completion
  3. Pregnant or lactating women or women of childbearing potential not using an acceptable method of contraception
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
645 participants (actual)
Patient registry
No

Groups and cohorts

  • LAMA/LABA Patients

    Drug: Tiotropium 2x2.5µg tiotropium (equivalent to 2x3.154µg tiotropium bromide monohydrate) Respimat® inhaler and cartridge Solution for inhalation · Drug: Indacterol 300 µg · Drug: Tiotropium 18µg (equivalent to 22.5µg tiotropium bromide monohydrate) HandiHaler® device Inhalation powder, hard capsule · Drug: Indacterol 150 µg

Interventions

  • DrugTiotropium 2x2.5µg tiotropium (equivalent to 2x3.154µg tiotropium bromide monohydrate) Respimat® inhaler and cartridge Solution for inhalation

    Respimat® inhaler and cartridge Solution for inhalation

  • DrugIndacterol 300 µg

    inhalation powder

  • DrugTiotropium 18µg (equivalent to 22.5µg tiotropium bromide monohydrate) HandiHaler® device Inhalation powder, hard capsule

    HandiHaler® device Inhalation powder, hard capsule

  • DrugIndacterol 150 µg

    inhalation powder

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What researchers measure

Primary outcomes

  1. Clinical COPD Questionnaire (CCQ) Total Score Change From Baseline at Month 13

    The Clinical COPD (Chronic Obstructive Pulmonary Disease) Questionnaire (CCQ) is a standardized, validated and reliable questionnaire (in local language) to assess the impact of treatment on health status in COPD patients. CCQ total score is calculated as the arithmetic average of 10 individual scores on a 7-point scale. CCQ total score varies from 0 (very good control) to 6 (extremely poor control). Mean change in CCQ total score from baseline at month 13 is presented along with its standard error. Change in CCQ total score is calculated for each subject as: CCQ total score at month 13 - CCQ total score at baseline. Baseline is defined as the first assessment after enrolment (at Month 1).

    Time frame: Baseline and 13 Month

  2. CCQ Total Score at Month 13 (Visit 4)

    Mean and standard deviation of CCQ total score is presented at month 13.

    Time frame: 13 months

  3. Number of COPD Exacerbations Leading to Hospitalization, Per Patient

    Percentage of subjects hospitalized due to COPD exacerbations exactly "n" number of times during the study period is presented. Here, "n" represents the number of times each subject is hospitalized due to COPD exacerbations.

    Time frame: 13 months

  4. Number of COPD Exacerbations, Per Patient

    Percentage of subjects experienced COPD exacerbations exactly "n" number of times during the study period is presented. Here, "n" represents the number of times each subject experienced COPD exacerbations.

    Time frame: 13 months

Secondary outcomes

  1. Reasons of Non-adherence to Once-daily Long-acting Bronchodilators in COPD Patients

    Percentage of subjects corresponding to each reason of non-adherence to once-daily long-acting bronchodilators in COPD patients are presented.

    Time frame: 13 months

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Results

Posted Jul 27, 2018

Participant flow

Participant flow — Overall Study
MilestoneLAMA/LABA Patients
Started585
Completed550
Not completed35
Withdrew: Death2
Withdrew: Lost to follow-up7
Withdrew: Withdrawal by subject5
Withdrew: Fail to return21

Outcome measures

PrimaryClinical COPD Questionnaire (CCQ) Total Score Change From Baseline at Month 13

The Clinical COPD (Chronic Obstructive Pulmonary Disease) Questionnaire (CCQ) is a standardized, validated and reliable questionnaire (in local language) to assess the impact of treatment on health status in COPD patients. CCQ total score is calculated as the arithmetic average of 10 individual scores on a 7-point scale. CCQ total score varies from 0 (very good control) to 6 (extremely poor control). Mean change in CCQ total score from baseline at month 13 is presented along with its standard error. Change in CCQ total score is calculated for each subject as: CCQ total score at month 13 - CCQ total score at baseline. Baseline is defined as the first assessment after enrolment (at Month 1).

Time frame:
Baseline and 13 Month
Reported as:
Mean · Units on a scale
Clinical COPD Questionnaire (CCQ) Total Score Change From Baseline at Month 13
Units on a scaleLAMA/LABA Patients
Clinical COPD Questionnaire (CCQ) Total Score Change From Baseline at Month 13-1.55 ± 0.05
PrimaryCCQ Total Score at Month 13 (Visit 4)

Mean and standard deviation of CCQ total score is presented at month 13.

Time frame:
13 months
Reported as:
Mean · Units on a scale
CCQ Total Score at Month 13 (Visit 4)
Units on a scaleLAMA/LABA Patients
CCQ Total Score at Month 13 (Visit 4)2.03 ± 0.95
PrimaryNumber of COPD Exacerbations Leading to Hospitalization, Per Patient

Percentage of subjects hospitalized due to COPD exacerbations exactly "n" number of times during the study period is presented. Here, "n" represents the number of times each subject is hospitalized due to COPD exacerbations.

Time frame:
13 months
Reported as:
Number · Percentage of participants
Number of COPD Exacerbations Leading to Hospitalization, Per Patient
Percentage of participantsLAMA/LABA Patients
1 Exacerbation1.7
2 Exacerbations0.7
3 Exacerbations0.3
4 Exacerbations0.5
PrimaryNumber of COPD Exacerbations, Per Patient

Percentage of subjects experienced COPD exacerbations exactly "n" number of times during the study period is presented. Here, "n" represents the number of times each subject experienced COPD exacerbations.

Time frame:
13 months
Reported as:
Number · Percentage of participants
Number of COPD Exacerbations, Per Patient
Percentage of participantsLAMA/LABA Patients
1 Exacerbation12.5
2 Exacerbations3.8
3 Exacerbations3.2
4 Exacerbations2.2
5 Exacerbations0.7
6 Exacerbations0.9
7 Exacerbations0.2
9 Exacerbations0.2
SecondaryReasons of Non-adherence to Once-daily Long-acting Bronchodilators in COPD Patients

Percentage of subjects corresponding to each reason of non-adherence to once-daily long-acting bronchodilators in COPD patients are presented.

Time frame:
13 months
Reported as:
Number · Percentage of participants
Reasons of Non-adherence to Once-daily Long-acting Bronchodilators in COPD Patients
Percentage of participantsLAMA/LABA Patients
Felt good and decided not to take it1.9
Financial reasons1.2
Felt good and forgot to take it0.9
Did not experience any significant improvement0.2
Ran out of medicine0.2
Unable to tolerate side effects0.2

Adverse events

Collected over From enrolment in the study till end of study; up to 13 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
LAMA/LABA Patients—10/585 (1.7%)0/585 (0%)
Most frequent serious events
Most frequent serious events
EventLAMA/LABA Patients
DeathGeneral disorders5/585
DyspnoeaRespiratory, thoracic and mediastinal disorders2/585
Cardiac disorderCardiac disorders1/585
AscitesGastrointestinal disorders1/585
Cerebrovascular accidentVascular disorders1/585

Baseline characteristics

Patients who meet all of the inclusion criteria and none of the exclusion criteria (including signing the informed consent) constituted the study population.

Age, Continuous
Age, Continuous(Years)LAMA/LABA Patients
Mean57.2 ± 10.1
Sex/Gender, Customized
Sex/Gender, Customized(Participants)LAMA/LABA Patients
Female115
Male465
Missing5
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Study locations

1 site
  • CTMS MIGRATION CENTER representing all obvious CTMS Dummy Sites
    Ingelheim am Rhein, 55216, Germany
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01937390
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Sep 9, 2013
Start date
Nov 6, 2011
Primary completion
Oct 22, 2016
Completion
Oct 22, 2016
Results posted
Jul 27, 2018
Last update
Jul 27, 2018

Study contacts

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

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