ClinicalTrials.gg
CompletedNCT03419962Updated Apr 27, 2020Results posted

Greek NIS Spiolto ELLACTO

An observational study in Pulmonary Disease, Chronic Obstructive, sponsored by Boehringer Ingelheim. Completed at 15 sites in Greece. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2020-04-27.

Sponsored by Boehringer Ingelheim · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,360
Ages
40 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 236 studies in Pulmonary Disease, Chronic Obstructive by Boehringer Ingelheim — 1 open to participants now, 1 under way, 1 of them phase 3. Pulmonary Disease, Chronic Obstructive · Boehringer Ingelheim.

Enrollment
43rd of 80
1,360 · median 1,577
Started
2018
with 4 others
Observational
81 of 236
none open now
Registered
209th of 236
by date

Among the 236 studies in Pulmonary Disease, Chronic Obstructive by Boehringer Ingelheim, this one is the 43rd largest by enrollment of the 80 observational ones that give a count, is one of 5 that started in 2018, is one of 81 observational ones, and was the 209th registered.

Pulmonary Disease, Chronic Obstructive

5,522 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

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Open to participants now

1 of the 236 studies in Pulmonary Disease, Chronic Obstructive by Boehringer Ingelheim is open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 89 take healthy volunteers.

This study: 40 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Open-label observational study: including COPD patients receiving treatment with Spiolto® Respimat® for approximately 6 weeks, which is the average time between two medical consultations

03

Conditions studied

  • Pulmonary Disease, Chronic Obstructive
04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

1300 patients with chronic obstructive pulmonary disease (COPD) in whom combination treatment with long-acting bronchodilators is indicated in accordance with the guidelines are to be observed by approx. 100 pulmonologists in the setting of private practice. The NIS will take place in Greece and sites in urban as well as rural areas will be included. The nationwide distribution of the participating pulmonologists as well as the number of patients enrolled are intended to ensure that the data collected are representative.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Therapeutic indication before entering the enrollment face is patients diagnosed with requiring a combination therapy of two long-acting bronchodilators (LAMA + LABA) according to approved SmPC and guidelines, COPD GOLD 2017 groups B to D
  • Female and male patients ≥40 years of age
  • Treatment with Spiolto ® Respimat® acc. to SmPC and at the discretion of the physician
  • Written prior to participation

Exclusion criteria

Exclusion Criteria:

  • Patients with according to Spiolto® Respimat® SmPC
  • Patients who have been treated with a LABA/LAMA combination (free and fixed dose) in the previous 6 weeks or patients already on a combination of LAMA and LABA therapy; either as a fixed combination product or as separate components Note: Patients previously treated with LABA or LAMA (with or without ICS) are eligible to be included in the study
  • Patients continuing LABA-ICS treatment should not be additionally treated with Spiolto® Respimat® in order to avoid a double dosing of long-acting beta-agonists
  • Patients for whom further follow-up is not possible at the enrolling site during the planned study period of approx. 6 weeks
  • Pregnancy and lactation
  • Patients currently listed for lung transplantation
  • Current participation in any clinical trial or any other non-interventional study of a drug or device
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorized to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,360 participants (actual)
Patient registry
No

Groups and cohorts

  • COPD patients

    Chronic obstructive pulmonary disease

    Drug: MaxSpiolto® Respimat® 160 Characters...

Interventions

  • DrugMaxSpiolto® Respimat® 160 Characters...

    as per the approved SmPC

    Also known as: INSPIOLTO, SPIOLTO, STIOLTO, VAHELVA, YANIMO

06

What researchers measure

Primary outcomes

  1. Percentage of Patients Achieving "Therapeutic Success" Defined as a ≥ 0.4 Point of Decrease in the Clinical COPD Questionnaire (CCQ) Score

    Therapeutic success was defined as ≥0.4 point decrease in the Clinical COPD Questionnaire (CCQ) score between visit 1 (baseline visit at study start) and visit 2 (final visit at end of study, approximately 6 weeks after visit 1). The CCQ contained 10 questions about symptoms, functional status and mental status. Each of the 10 CCQ questions was scored by the patient on a 7-point scale (ranging between 0=asymptomatic/no-limitation, to 6=symptomatic/totally limited). The sum of the scores divided by 10 gives the CCQ score. A higher CCQ score is indicative of worse status. A decrease of 0.4 points is considered to be the minimal clinically important difference (MCID) for CCQ score.

    Time frame: Between visit 1 (baseline visit at study start) and visit 2 (final visit after end of study, approximately 6 weeks after visit 1).

Secondary outcomes

  1. Absolute Change in Clinical COPD Questionnaire (CCQ) Score Between Visit 1 and Visit 2

    Absolute change in Clinical COPD Questionaire (QQC) score between visit 1 (baseline visit at study start) and visit 2 (final visit at end of study, approximately 6 weeks after visit 1). The CCQ contained 10 questions about symptoms, functional status and mental status. Each of the 10 CCQ questions was scored by the patient on a 7-point scale between 0 and 6. The sum of the scores divided by 10 gives the CCQ score which measured the health and functional status. A higher CCQ score is indicative of worse status.

    Time frame: At visit 1 (baseline visit at study start) and at visit 2 (final visit at end of study, approximately 6 weeks after visit 1).

  2. Absolute Change in the Functional Status Subdomain of Clinical COPD Questionnaire (CCQ-4) Score Between Visit 1 and Visit 2

    Absolute change in the functional status subdomain of Clinical COPD Questionnaire (CCQ-4) score between visit 1 (baseline visit at study start) and visit 2 (final visit at end of study, approximately 6 weeks after visit 1). The CCQ-4 score is a subdomain of the CCQ-score. It contains 4 questions about the functional status of patients. Each questions was scored by the patient on a 7-point scale, (ranging between 0=asymptomatic/no-limitation, to 6=symptomatic/totally limited). The QQC-4 score was calculated by the sum of 4 questions divided by 4. A higher CCQ-4 score was indicative of worse status.

    Time frame: At visit 1 (baseline visit at study start) and at visit 2 (final visit at the end of study, approximately 6 weeks after visit 1).

  3. General Condition of Patient at Visit 1 and Visit 2

    General condition of the patient, evaluated by Physician´s Global Evaluation (PGE) score at visit 1 and visit 2. The PGE score uses a eight-point ordinal scale, ranging from poor (1,2) to excellent (7,8).

    Time frame: At visit 1 (baseline visit at study start) and at visit 2 (final visit at the end of study, approximately 6 weeks after visit 1).

  4. Patients Satisfaction With Spiolto® Respimat® at Visit 2

    The patients satisfaction with Respimat was assessed at end of study (visit 2) by the Patient Satisfaction and Preference Questionnaire (PASAPQ) Part 1. PASAPQ Part 1 uses a 7-point ordinal scale, ranging from very dissatisfied to very satisfied, to rate the satisfaction with inhaler attributes. The patients were requested to describe their satisfaction level answering three questions.

    Time frame: At visit 2 (final visit, at the end of study, approximately 6 weeks after baseline visit).

  5. Patients Preference for Spiolto® Respimat® at Visit 2

    Patients preference for Respimat® Inhaler vs. Spiriva HandiHaler (HH) was assessed using the abbreviated Patient Satisfaction and Preference Questionnaire (PASAPQ) Part 2 survey. Patients were requested to describe their preference for each inhaler device by answering 2 additional questions.

    Time frame: At visit 2 (final visit, at the end of study, approximately 6 weeks after baseline visit)

  6. Patient's Willingness to Continue Treatment With Spiolto® Respimat® at Visit 2

    Patients' reported willingness to continue using either of the inhalers was measured with a scale score ranking from 0 to 100. 0 indicates not willing to continue using this inhaler and 100 indicates definitely willing to continue using it.

    Time frame: At visit 2 (final visit, at the end of study, approximately 6 weeks after baseline visit).

07

Results

Posted Apr 27, 2020

Participant flow

This was an open-label observational study to measure the effectiveness of 6 weeks treatment of Spiolto® Respimat® in Patients with Chronic Obstructive Pulmonary Disease (COPD). The Clinical COPD Questionnaire (CCQ)-score was used to evaluate changes in health and functional status.

Participant flow — Overall Study
MilestoneSpiolto® Respimat® 2.5mg/2.5mg
Started1359
Completed1322
Not completed37
Withdrew: Change to other medication1
Withdrew: Refusal of continuing with trial drug1
Withdrew: Lost to follow-up3
Withdrew: Difficulty in inhaling the doses1
Withdrew: Missing completion data31

Outcome measures

PrimaryPercentage of Patients Achieving "Therapeutic Success" Defined as a ≥ 0.4 Point of Decrease in the Clinical COPD Questionnaire (CCQ) Score

Therapeutic success was defined as ≥0.4 point decrease in the Clinical COPD Questionnaire (CCQ) score between visit 1 (baseline visit at study start) and visit 2 (final visit at end of study, approximately 6 weeks after visit 1). The CCQ contained 10 questions about symptoms, functional status and mental status. Each of the 10 CCQ questions was scored by the patient on a 7-point scale (ranging between 0=asymptomatic/no-limitation, to 6=symptomatic/totally limited). The sum of the scores divided by 10 gives the CCQ score. A higher CCQ score is indicative of worse status. A decrease of 0.4 points is considered to be the minimal clinically important difference (MCID) for CCQ score.

Time frame:
Between visit 1 (baseline visit at study start) and visit 2 (final visit after end of study, approximately 6 weeks after visit 1).
Reported as:
Number · Percentage of participants
Percentage of Patients Achieving "Therapeutic Success" Defined as a ≥ 0.4 Point of Decrease in the Clinical COPD Questionnaire (CCQ) Score
Percentage of participantsSpiolto® Respimat® 2.5mg/2.5mg
Percentage of Patients Achieving "Therapeutic Success" Defined as a ≥ 0.4 Point of Decrease in the Clinical COPD Questionnaire (CCQ) Score64.3 (62 to 67)
SecondaryAbsolute Change in Clinical COPD Questionnaire (CCQ) Score Between Visit 1 and Visit 2

Absolute change in Clinical COPD Questionaire (QQC) score between visit 1 (baseline visit at study start) and visit 2 (final visit at end of study, approximately 6 weeks after visit 1). The CCQ contained 10 questions about symptoms, functional status and mental status. Each of the 10 CCQ questions was scored by the patient on a 7-point scale between 0 and 6. The sum of the scores divided by 10 gives the CCQ score which measured the health and functional status. A higher CCQ score is indicative of worse status.

Time frame:
At visit 1 (baseline visit at study start) and at visit 2 (final visit at end of study, approximately 6 weeks after visit 1).
Reported as:
Mean · CCQ-score
Absolute Change in Clinical COPD Questionnaire (CCQ) Score Between Visit 1 and Visit 2
CCQ-scoreSpiolto® Respimat® 2.5mg/2.5mg
Absolute Change in Clinical COPD Questionnaire (CCQ) Score Between Visit 1 and Visit 2-0.63 ± 0.635
SecondaryAbsolute Change in the Functional Status Subdomain of Clinical COPD Questionnaire (CCQ-4) Score Between Visit 1 and Visit 2

Absolute change in the functional status subdomain of Clinical COPD Questionnaire (CCQ-4) score between visit 1 (baseline visit at study start) and visit 2 (final visit at end of study, approximately 6 weeks after visit 1). The CCQ-4 score is a subdomain of the CCQ-score. It contains 4 questions about the functional status of patients. Each questions was scored by the patient on a 7-point scale, (ranging between 0=asymptomatic/no-limitation, to 6=symptomatic/totally limited). The QQC-4 score was calculated by the sum of 4 questions divided by 4. A higher CCQ-4 score was indicative of worse status.

Time frame:
At visit 1 (baseline visit at study start) and at visit 2 (final visit at the end of study, approximately 6 weeks after visit 1).
Reported as:
Mean · CCQ-4 score
Absolute Change in the Functional Status Subdomain of Clinical COPD Questionnaire (CCQ-4) Score Between Visit 1 and Visit 2
CCQ-4 scoreSpiolto® Respimat® 2.5mg/2.5mg
Absolute Change in the Functional Status Subdomain of Clinical COPD Questionnaire (CCQ-4) Score Between Visit 1 and Visit 2-0.59 ± 0.714
SecondaryGeneral Condition of Patient at Visit 1 and Visit 2

General condition of the patient, evaluated by Physician´s Global Evaluation (PGE) score at visit 1 and visit 2. The PGE score uses a eight-point ordinal scale, ranging from poor (1,2) to excellent (7,8).

Time frame:
At visit 1 (baseline visit at study start) and at visit 2 (final visit at the end of study, approximately 6 weeks after visit 1).
Reported as:
Count of participants · Participants
General Condition of Patient at Visit 1 and Visit 2
ParticipantsSpiolto® Respimat® 2.5mg/2.5mg
Visit 1 — Poor (1-2)153
Visit 1 — Satisfactory (3-4)496
Visit 1 — Good (5-6)568
Visit 1 — Excellent (7-8)115
Visit 1 — Missing (Not Done)0
Visit 2 — Poor (1-2)38
Visit 2 — Satisfactory (3-4)260
Visit 2 — Good (5-6)709
Visit 2 — Excellent (7-8)323
Visit 2 — Missing (Not Done)2
SecondaryPatients Satisfaction With Spiolto® Respimat® at Visit 2

The patients satisfaction with Respimat was assessed at end of study (visit 2) by the Patient Satisfaction and Preference Questionnaire (PASAPQ) Part 1. PASAPQ Part 1 uses a 7-point ordinal scale, ranging from very dissatisfied to very satisfied, to rate the satisfaction with inhaler attributes. The patients were requested to describe their satisfaction level answering three questions.

Time frame:
At visit 2 (final visit, at the end of study, approximately 6 weeks after baseline visit).
Reported as:
Count of participants · Participants
Patients Satisfaction With Spiolto® Respimat® at Visit 2
ParticipantsSpiolto® Respimat® 2.5mg/2.5mg
Satisfaction with feeling of inhaled dose — Very dissatisfied2
Satisfaction with feeling of inhaled dose — Dissatisfied7
Satisfaction with feeling of inhaled dose — Somewhat dissatisfied7
Satisfaction with feeling of inhaled dose — Neither satisfied nor dissatisfied99
Satisfaction with feeling of inhaled dose — Somewhat satisfied184
Satisfaction with feeling of inhaled dose — Satisfied600
Satisfaction with feeling of inhaled dose — Very satisfied432
Satisfaction with feeling of inhaled dose — Missing1
Satisfaction with reliability of inhaler — Very dissatisfied4
Satisfaction with reliability of inhaler — Dissatisfied0
Satisfaction with reliability of inhaler — Somewhat dissatisfied13
Satisfaction with reliability of inhaler — Neither satisfied nor dissatisfied71
Satisfaction with reliability of inhaler — Somewhat satisfied190
Satisfaction with reliability of inhaler — Satisfied647
Satisfaction with reliability of inhaler — Very satisfied406
Satisfaction with reliability of inhaler — Missing1
Satisfaction with ease of inhaling — Very dissatisfied3
Satisfaction with ease of inhaling — Dissatisfied6
Satisfaction with ease of inhaling — Somewhat dissatisfied8
Satisfaction with ease of inhaling — Neither satisfied nor dissatisfied67
Satisfaction with ease of inhaling — Somewhat satisfied175
Satisfaction with ease of inhaling — Satisfied614
Satisfaction with ease of inhaling — Very satisfied458
Satisfaction with ease of inhaling — Missing1
SecondaryPatients Preference for Spiolto® Respimat® at Visit 2

Patients preference for Respimat® Inhaler vs. Spiriva HandiHaler (HH) was assessed using the abbreviated Patient Satisfaction and Preference Questionnaire (PASAPQ) Part 2 survey. Patients were requested to describe their preference for each inhaler device by answering 2 additional questions.

Time frame:
At visit 2 (final visit, at the end of study, approximately 6 weeks after baseline visit)
Reported as:
Count of participants · Participants
Patients Preference for Spiolto® Respimat® at Visit 2
ParticipantsSpiolto® Respimat® 2.5mg/2.5mg
Preference for Spiriva HH17
Preference for Spiolto Respimat217
No preference20
SecondaryPatient's Willingness to Continue Treatment With Spiolto® Respimat® at Visit 2

Patients' reported willingness to continue using either of the inhalers was measured with a scale score ranking from 0 to 100. 0 indicates not willing to continue using this inhaler and 100 indicates definitely willing to continue using it.

Time frame:
At visit 2 (final visit, at the end of study, approximately 6 weeks after baseline visit).
Reported as:
Mean · Scores on scale
Patient's Willingness to Continue Treatment With Spiolto® Respimat® at Visit 2
Scores on scaleSpiolto® Respimat® 2.5mg/2.5mg
Scoring of Spiriva HH32.3 ± 27.06
Scoring of Spiolto® Respimat®79.8 ± 21.19

Adverse events

Collected over From study start until end of study, up to 6 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Spiolto® Respimat® 2.5mg/2.5mg0/1,359 (0%)1/1,359 (0.1%)0/1,359 (0%)
Most frequent serious events
Most frequent serious events
EventSpiolto® Respimat® 2.5mg/2.5mg
Chronic Obstructive Pulmonary DiseaseRespiratory, thoracic and mediastinal disorders1/1359

Baseline characteristics

Treated Set (TS): Treated set included all screened patients with the informed consent, date of registration and at least one documented administration of Spiolto® Respimat®.

Age, Continuous
Age, Continuous(Years)Spiolto® Respimat® 2.5mg/2.5mg
Mean68.1 ± 10.17
Sex: Female, Male
Sex: Female, Male(Participants)Spiolto® Respimat® 2.5mg/2.5mg
Female437
Male922
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Spiolto® Respimat® 2.5mg/2.5mg
08

Study locations

15 sites
  • Metropolitan
    Aigina, 18547, Greece
  • Metroplitan
    Athens, 18547, Greece
  • Metropolitan
    Athens, 18547, Greece
  • Metropolitan
    Chania, 18547, Greece
  • Metropolitan
    Heraklio, 18547, Greece
  • Metropolitan
    Hrakleio, 18547, Greece
  • Metropolitan
    Hraklio, 18547, Greece
  • Diavalkaniko
    Ioannina, 55535, Greece
  • Diavalkaniko
    Kavala, 55535, Greece
  • Diavalkaniko
    Larisa, 55535, Greece
  • Metropolitan
    Patra, 18547, Greece
  • Diavalkaniko
    Serres, 55535, Greece
  • Merkouropoulos Markos
    Thessaloniki, 54629, Greece
  • Diavalkaniko
    Thessaloniki, 55535, Greece
  • Diavalkaniko
    Volos, 55535, Greece
09

References and documents

Publications

  • Kosmas E, Titopoulos I, Patentalakis G, Nikas N. An Observational Study Assessing Changes in Health and Functional Status in Patients with Chronic Obstructive Pulmonary Disease (COPD) During Therapy with Spiolto(R) Respimat(R) in Everyday Clinical Practice: The Greek ELLACTO Study. Pulm Ther. 2021 Dec;7(2):429-443. doi: 10.1007/s41030-021-00156-7. Epub 2021 May 3. PubMed 33939158 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Nov 2018, 7 months.

Results were first posted in Apr 2020, 1 year 5 months after primary completion.

Of 120 industry-sponsored observational studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 37. This study's 7 months is below that.

Counting every sponsor, half of 587 studies reached it within 26 months; a quarter within 14 and three quarters within 58.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 29, 2018
First posted
Feb 5, 2018
StartActual
Mar 19, 2018
Primary completionActual
Nov 9, 2018
CompletionActual
Apr 3, 2019
Results first posted
Apr 27, 2020
Last update
Apr 27, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03419962
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Mar 19, 2018
Primary completion
Nov 9, 2018
Completion
Apr 3, 2019
Results posted
Apr 27, 2020
Last update
Apr 27, 2020
View the source record on ClinicalTrials.gov ↗

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