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CompletedNCT04097223Updated Feb 24, 2022Results posted

A Study Based on Health Insurance Data About the Treatment of Patients Who Have Been Newly Diagnosed With 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 2022-02-24.

Sponsored by Boehringer Ingelheim · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
17,464
Ages
40 Years and older
Sex
All
01

Study summary

A retrospective analysis study in COPD patients for an exact follow-up period of 12 months (in subgroup analyses: 24 and 36 months); censoring of patients will only be done in case a patient died during the respective follow-up period.

02

Conditions studied

  • Pulmonary Disease, Chronic Obstructive
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 17,464 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.

04

Who can participate

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

Study population

A retrospective analysis of patients with Chronic Obstructive Pulmonary Disease (COPD) based on current German COPD guidleines.

Inclusion criteria

  • All patients who were continuously insured by the sickness fund for the entire period (01/01/2013-30/06/2018) or, in case a patient deceased after index date, for the time until death
  • A patient will be included as an incident COPD patient if either a hospital documented at least one COPD diagnosis (International Statistical Classification of Diseases and Related Health Problems (ICD-10 J 44.-) or a specialist (pneumologist) documented at least 2 confirmed COPD diagnoses (above ICD-10) code) in two different quarters; the first of the above diagnoses is defined as index diagnosis; inclusion period is defined as lasting from 01/01/2014 until 30/06/2017
  • Patients should not have received any COPD diagnosis (ICD-10 J44.-) or any COPD-associated medication in the 12 months pre-index period
  • Patient should have, at date of incident COPD diagnosis (index date), an age of at least 40 years

Exclusion criteria

Exclusion Criteria:

  • Patients received , at least one confirmed inpatient asthma diagnosis or two confirmed outpatient diagnoses of asthma (ICD-10: J45) by pneumologists
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
17,464 participants (actual)
Patient registry
No

Groups and cohorts

  • Subjects with Pulmonary Disease, Chronic Obstructive
06

What researchers measure

Primary outcomes

  1. Description of Real-life Drug Treatment After Incident Diagnosis - COPD-12 Sample

    Description of real-life drug treatment in patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 12 months after the index date (date of incident (first) diagnosis of COPD). Reported is the percentage of patients per treatment and therapy line. The arms are not mutually exclusive, as patients switched to another treatment during follow-up period. COPD-12 sample: Patients with chronic obstructive pulmonary disease (COPD) included in german claims database between april 2015 and march 2018, with follow-up of 12 months since index date (COPD-12). LABA: Long-acting beta agonist; LAMA: Long-acting muscarinic antagonist, ICS: Inhaled corticosteroids.

    Time frame: Up to 12 months after the index date.

  2. Description of Real-life Drug Treatment After Incident Diagnosis - COPD-24 Sample

    Description of real-life drug treatment in patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 24 months after the index date (date of incident (first) diagnosis of COPD). Reported is the percentage of patients per treatment and therapy line. The arms are not mutually exclusive, as patients switched to another treatment during follow-up period. COPD-24 sample: Patients with chronic obstructive pulmonary disease (COPD) included in german claims database between april 2015 and march 2018, with follow-up of 24 months since index date (COPD-24). LABA: Long-acting beta agonist; LAMA: Long-acting muscarinic antagonist, ICS: Inhaled corticosteroids.

    Time frame: Up to 24 months after the index date.

  3. Description of Real-life Drug Treatment After Incident Diagnosis - COPD-36 Sample

    Description of real-life drug treatment in patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 36 months after the index date (date of incident (first) diagnosis of COPD). Reported is the percentage of patients per treatment and therapy line. The arms are not mutually exclusive, as patients switched to another treatment during follow-up period. COPD-36 sample: Patients with chronic obstructive pulmonary disease (COPD) included in german claims database between april 2015 and march 2018, with follow-up of 36 months since index date (COPD-36). LABA: Long-acting beta agonist; LAMA: Long-acting muscarinic antagonist, ICS: Inhaled corticosteroids.

    Time frame: Up to 36 months after the index date.

  4. Number of Observed Treatment Lines - COPD-12, COPD-24, COPD-36 and COPD-FULL Sample

    Number of treatment lines an observed patient received in the first 12/24/36 and 48 months after incident diagnosis.

    Time frame: Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.

  5. Percentage of Patients Per Most Frequently Prescribed Non-COPD Agents in COPD-FULL, COPD-12, COPD-24 and COPD-36 Samples

    Percentage of participants per most frequently prescribed non-COPD agents in the first 12/24/36 and 48 months after incident diagnosis. GERD: Gastroesophageal reflux disease.

    Time frame: Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.

Secondary outcomes

  1. Percentage of Incident COPD-patients With Initial Treatment Not in Line Treatment Guideline - COPD-12 Sample

    Percentage of incident chronic obstructive pulmonary disease (COPD) patients with initial drug treatment not in line with 2012/2018 german guidelines. Results are reported for COPD-12 sample. According to guidelines the initial treatment with long-acting bronchodilators should generally not include use of Inhaled corticosteroids (ICS) (both guidelines). Based on the 2012 guideline, a therapy with long-acting bronchodilators should not start with a combination of Long-acting beta agonist (LABA) + Long-acting muscarinic antagonist (LAMA) or triple therapy of LAMA+LABA+ ICS.

    Time frame: At index date.

  2. Percentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Triple Therapy)

    Percentage of incident chronic obstructive pulmonary disease (COPD) patients with drug treatment not in line with 2012/2018 german guidelines. Results are reported for COPD-12 sample, who received triple therapy (Long-acting beta agonist (LABA) + Long-acting muscarinic antagonist (LAMA) + Inhaled corticosteroids (ICS)) within the first 12 months after incident diagnosis. According to both guidelines (2012/2018) a triple combination treatment should not be prescribed if only 1 or less confirmed outpatient diagnoses and no inpatient diagnosis of a COPD exacerbation (ICD-10 J44.1) before date of prescription of a triple therapy. FEV1: Forced expiratory volume (in 1 second).

    Time frame: At first day of triple therapy prescription, (which is not the index date), up to 12 months.

  3. Percentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Escalation Therapy)

    Percentage of incident chronic obstructive pulmonary disease (COPD) patients with drug treatment not in line with 2012/2018 german guidelines. Results are reported for patients in COPD-12 sample, with treatment escalation (mono therapy to Long-acting beta agonist (LABA)/ Long-acting muscarinic antagonist (LAMA)/ Inhaled corticosteroids (ICS), LABA/ICS or LAMA/LABA to LABA/LAMA/ICS) within the first 12 months after index date. According to guidelines patients should not receive a treatment intensification without any previous visit of a pneumologist or hospital (same quarter or previous quarter).

    Time frame: Up to 12 months after index date.

  4. Percentage of Patients With Exacerbations After Incident Diagnosis in COPD-12, COPD-24, COPD-36 and COPD-FULL Samples

    Description of exacerbation (severe exacerbations associated with hospitalizations) frequency of patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 12, 24, 36 and 48 months after incident diagnosis. Reported is the percentage of patients with exacerbations by the following categories: More or equal than one exacerbation (≥ 1) ; 1. exacerbation; 2. exacerbations; 3. exacerbations; more than 3 exacerbations (\> 3 exacerbations).

    Time frame: Up to 12,24, 36 and 48 months after index date, for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.

  5. Number of Yearly Visits Per Outpatient Treatment in COPD-12, COPD-24 and COPD-36 Samples

    Description of health-care resource use (HCRU) in the first 12/24/36 months after incident diagnosis - Number of yearly visits (outpatient treatment). Following categories are reported: Number of yearly general practitioner (GP) visits; Number of yearly pulmonologist visits; Number of yearly other specialist (primarily Ophthalmologist, Ear, Nose and Throat (ENT) specialist and Orthopedist) visits. Reported is the average number of yearly visits, per observed patient year.

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  6. Number of Yearly Hospitalizations in COPD-12, COPD-24 and COPD-36 Samples

    Description of health-care resource use in the first 12/24/36 months after incident diagnosis: Number of yearly hospitalizations (inpatient treatment). Following categories of inpatient treatment are reported: Number of yearly hospitalizations with exacerbations (J44.1); Number of yearly hospitalizations with exacerbations, any COPD diagnosis (J44); Number of yearly hospitalizations with non-COPD diagnosis. Results are reported by follow-up time and available Disease Management Program (DMP) data.

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  7. Time to First All-cause Hospitalization in COPD-12, COPD-24, COPD-36 Samples

    Description of health-care resource use in the first 12/24/36 months after incident diagnosis in patients with chronic obstructive pulmonary disease (COPD). Reported is time to first all-cause hospitalization in days (inpatient treatment).

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  8. Description of Direct Treatment Cost After Incident Diagnosis in COPD-12, COPD-24 and COPD-36 Samples

    Description of direct treatment cost in the first 12/24/36 months after incident diagnosis - yearly costs in incident chronic obstructive pulmonary disease (COPD) patients. LTOT: Long-Term Oxygen Therapy.

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  9. Prescription of Medication in COPD-12, COPD-24 and COPD-36 Samples

    Description of health-care resource use in the first 12/24/36 months after incident diagnosis - Prescription of medication. Top-5 prescription of non-COPD medication: Beta-blocking agents; Anti-thrombotic agents; Other analgesics \& antipyretics; High-ceiling diuretics; Drugs for peptic ulcer or Gastroesophageal reflux disease (GERD). Other prescriptions: Antibiotics for systemic use (ATC J02AA); Antibiotics + corticosteroids (ATC D07C). Reported is number of yearly prescription.

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  10. Number of Patients With Long Term Oxygen Therapy (LTOT) in COPD-12, COPD-24 and COPD-36 Samples

    Description of health-care resource use in the first 12/24/36 months after incident diagnosis - Number of Patients with Long Term Oxygen Therapy (LTOT).

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  11. Time From Index Date Until Start of Long-term Oxygen Therapy (LTOT) - COPD-12, COPD-24 and COPD-36 Samples

    Time from index date until start of long-term oxygen therapy (LTOT) in days in the first 12/24/36 months after incident diagnosis.

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.

  12. Time From Index Date Until First Exacerbation - COPD-FULL, COPD-12, COPD-24 and COPD-36

    Time from index date until first exacerbation, in the first 12/24/36/48 months after incident diagnosis. Only severe exacerbations leading to an inpatient hospitalization after index date (documented as main diagnosis: ICD-10 J44.1) are considered.

    Time frame: Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.

  13. Average Number of Yearly Exacerbations During Follow-up - COPD-FULL, COPD-12, COPD-24 and COPD-36

    Average number of yearly exacerbations in the first 12/24/36 and 48 months after incident diagnosis.

    Time frame: Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.

  14. Average Medication Costs Per Year - COPD-12, COPD-24 and COPD-36

    Description of yearly costs in incident chronic obstructive pulmonary disease (COPD) patients. Cost of non-COPD-medication are based on the top-10 prescribed on non-COPD drug therapies.

    Time frame: Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 respectively.

07

Results

Posted Sep 9, 2021

Participant flow

A retrospective, non-interventional, longitudinal study including real-world data from german claims data (2015-2018) to describe the real-world drug treatment in patients of newly diagnosed chronic obstructive pulmonary disease (COPD).

Participant flow — Overall Study
MilestoneCOPD-FULL Sample
Started17464
Completed17464
Not completed0

Outcome measures

PrimaryDescription of Real-life Drug Treatment After Incident Diagnosis - COPD-12 Sample

Description of real-life drug treatment in patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 12 months after the index date (date of incident (first) diagnosis of COPD). Reported is the percentage of patients per treatment and therapy line. The arms are not mutually exclusive, as patients switched to another treatment during follow-up period. COPD-12 sample: Patients with chronic obstructive pulmonary disease (COPD) included in german claims database between april 2015 and march 2018, with follow-up of 12 months since index date (COPD-12). LABA: Long-acting beta agonist; LAMA: Long-acting muscarinic antagonist, ICS: Inhaled corticosteroids.

Time frame:
Up to 12 months after the index date.
Reported as:
Number · Percentage of Patients
Description of Real-life Drug Treatment After Incident Diagnosis - COPD-12 Sample
Percentage of PatientsCOPD-12 - First Line TherapyCOPD-12 - Second Line TherapyCOPD-12 - Third Line TherapyCOPD-12 - Fourth Line Therapy
LABA + LAMA35.630.329.1—
LAMA25.011.310.3—
LAMA + ICS16.314.313.6—
LABA8.55.45.6—
LABA + LAMA + ICS8.124.825.8—
ICS4.24.86.1—
Other (Methylxanthine, LAMA+ICS, LABA+LAMA+Methyl-xanthine)2.39.09.4—
PrimaryDescription of Real-life Drug Treatment After Incident Diagnosis - COPD-24 Sample

Description of real-life drug treatment in patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 24 months after the index date (date of incident (first) diagnosis of COPD). Reported is the percentage of patients per treatment and therapy line. The arms are not mutually exclusive, as patients switched to another treatment during follow-up period. COPD-24 sample: Patients with chronic obstructive pulmonary disease (COPD) included in german claims database between april 2015 and march 2018, with follow-up of 24 months since index date (COPD-24). LABA: Long-acting beta agonist; LAMA: Long-acting muscarinic antagonist, ICS: Inhaled corticosteroids.

Time frame:
Up to 24 months after the index date.
Reported as:
Number · Percentage of Patients
Description of Real-life Drug Treatment After Incident Diagnosis - COPD-24 Sample
Percentage of PatientsCOPD-24 - First Line TherapyCOPD-24 - Second Line TherapyCOPD-24 - Third Line TherapyCOPD-24 - Fourth Line Therapy
LABA + LAMA34.430.625.025.4
LAMA24.611.611.310.3
LAMA + ICS17.315.213.715.1
LABA9.25.05.64.8
LABA + LAMA + ICS7.524.928.723.9
ICS4.94.64.94.8
Other (Methylxanthine, LAMA+ICS, LABA+LAMA+Methyl-xanthine)2.28.210.915.9
PrimaryDescription of Real-life Drug Treatment After Incident Diagnosis - COPD-36 Sample

Description of real-life drug treatment in patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 36 months after the index date (date of incident (first) diagnosis of COPD). Reported is the percentage of patients per treatment and therapy line. The arms are not mutually exclusive, as patients switched to another treatment during follow-up period. COPD-36 sample: Patients with chronic obstructive pulmonary disease (COPD) included in german claims database between april 2015 and march 2018, with follow-up of 36 months since index date (COPD-36). LABA: Long-acting beta agonist; LAMA: Long-acting muscarinic antagonist, ICS: Inhaled corticosteroids.

Time frame:
Up to 36 months after the index date.
Reported as:
Number · Percentage of Patients
Description of Real-life Drug Treatment After Incident Diagnosis - COPD-36 Sample
Percentage of PatientsCOPD-36 - First Line TherapyCOPD-36 - Second Line TherapyCOPD-36 - Third Line TherapyCOPD-36 - Fourth Line Therapy
LABA + LAMA31.332.227.729.4
LAMA25.212.512.34.2
LAMA + ICS17.815.513.316.0
LABA9.36.17.05.0
LABA + LAMA + ICS7.920.624.321.0
ICS6.34.95.05.0
Other (Methylxanthine, LAMA+ICS, LABA+LAMA+Methyl-xanthine)2.28.210.319.3
PrimaryNumber of Observed Treatment Lines - COPD-12, COPD-24, COPD-36 and COPD-FULL Sample

Number of treatment lines an observed patient received in the first 12/24/36 and 48 months after incident diagnosis.

Time frame:
Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.
Reported as:
Mean · Treatment lines
Number of Observed Treatment Lines - COPD-12, COPD-24, COPD-36 and COPD-FULL Sample
Treatment linesCOPD-FULL SampleCOPD-12 SampleCOPD-24 SampleCOPD-36 Sample
Number of Observed Treatment Lines - COPD-12, COPD-24, COPD-36 and COPD-FULL Sample1.39 ± 0.831.43 ± 0.861.51 ± 0.971.61 ± 1.06
PrimaryPercentage of Patients Per Most Frequently Prescribed Non-COPD Agents in COPD-FULL, COPD-12, COPD-24 and COPD-36 Samples

Percentage of participants per most frequently prescribed non-COPD agents in the first 12/24/36 and 48 months after incident diagnosis. GERD: Gastroesophageal reflux disease.

Time frame:
Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.
Reported as:
Number · Percentage of participants
Percentage of Patients Per Most Frequently Prescribed Non-COPD Agents in COPD-FULL, COPD-12, COPD-24 and COPD-36 Samples
Percentage of participantsCOPD-FULL SampleCOPD-12 SampleCOPD-24 SampleCOPD-36 Sample
Beta-blocking agents45.951.955.657.8
Anti-thrombotic agents41.145.049.452.6
High-ceiling diurectis37.940.443.343.7
Drugs for peptic ulcer or GERD37.941.848.053.2
Other analgesics & antipyretics20.320.529.736.7
SecondaryPercentage of Incident COPD-patients With Initial Treatment Not in Line Treatment Guideline - COPD-12 Sample

Percentage of incident chronic obstructive pulmonary disease (COPD) patients with initial drug treatment not in line with 2012/2018 german guidelines. Results are reported for COPD-12 sample. According to guidelines the initial treatment with long-acting bronchodilators should generally not include use of Inhaled corticosteroids (ICS) (both guidelines). Based on the 2012 guideline, a therapy with long-acting bronchodilators should not start with a combination of Long-acting beta agonist (LABA) + Long-acting muscarinic antagonist (LAMA) or triple therapy of LAMA+LABA+ ICS.

Time frame:
At index date.
Reported as:
Number · Percentage of Patients
Percentage of Incident COPD-patients With Initial Treatment Not in Line Treatment Guideline - COPD-12 Sample
Percentage of PatientsCOPD-12 Sample
Any ICS containing therapy14.1
LAMA + LABA combination22.7
LABA + LAMA + ICS4.7
SecondaryPercentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Triple Therapy)

Percentage of incident chronic obstructive pulmonary disease (COPD) patients with drug treatment not in line with 2012/2018 german guidelines. Results are reported for COPD-12 sample, who received triple therapy (Long-acting beta agonist (LABA) + Long-acting muscarinic antagonist (LAMA) + Inhaled corticosteroids (ICS)) within the first 12 months after incident diagnosis. According to both guidelines (2012/2018) a triple combination treatment should not be prescribed if only 1 or less confirmed outpatient diagnoses and no inpatient diagnosis of a COPD exacerbation (ICD-10 J44.1) before date of prescription of a triple therapy. FEV1: Forced expiratory volume (in 1 second).

Time frame:
At first day of triple therapy prescription, (which is not the index date), up to 12 months.
Reported as:
Number · Percentage of Patients
Percentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Triple Therapy)
Percentage of PatientsCOPD-12 Sample
≤1 Outpatient diagnosis and no inpatient diagnosis indicating COPD related exacerbation69
Documented FEV1 ≥50% value75
SecondaryPercentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Escalation Therapy)

Percentage of incident chronic obstructive pulmonary disease (COPD) patients with drug treatment not in line with 2012/2018 german guidelines. Results are reported for patients in COPD-12 sample, with treatment escalation (mono therapy to Long-acting beta agonist (LABA)/ Long-acting muscarinic antagonist (LAMA)/ Inhaled corticosteroids (ICS), LABA/ICS or LAMA/LABA to LABA/LAMA/ICS) within the first 12 months after index date. According to guidelines patients should not receive a treatment intensification without any previous visit of a pneumologist or hospital (same quarter or previous quarter).

Time frame:
Up to 12 months after index date.
Reported as:
Number · Percentage of Patients
Percentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Escalation Therapy)
Percentage of PatientsCOPD-12 Sample
Percentage of Incident COPD-patients With Treatment Not in Line Treatment Guideline - COPD-12 Sample (Escalation Therapy)13
SecondaryPercentage of Patients With Exacerbations After Incident Diagnosis in COPD-12, COPD-24, COPD-36 and COPD-FULL Samples

Description of exacerbation (severe exacerbations associated with hospitalizations) frequency of patients with newly diagnosed (incident) chronic obstructive pulmonary disease (COPD) in the first 12, 24, 36 and 48 months after incident diagnosis. Reported is the percentage of patients with exacerbations by the following categories: More or equal than one exacerbation (≥ 1) ; 1. exacerbation; 2. exacerbations; 3. exacerbations; more than 3 exacerbations (\> 3 exacerbations).

Time frame:
Up to 12,24, 36 and 48 months after index date, for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.
Reported as:
Number · Percentage of participants
Percentage of Patients With Exacerbations After Incident Diagnosis in COPD-12, COPD-24, COPD-36 and COPD-FULL Samples
Percentage of participantsOverall COPD-sampleCOPD-12 SampleCOPD-24 SampleCOPD-36 Sample
≥ 1 exacerbation12.010.111.012.2
1 exacerbation9.88.08.59.5
2 exacerbation1.51.41.71.8
3 exacerabation0.40.40.40.5
≥ 3 exacerbation0.30.30.40.4
SecondaryNumber of Yearly Visits Per Outpatient Treatment in COPD-12, COPD-24 and COPD-36 Samples

Description of health-care resource use (HCRU) in the first 12/24/36 months after incident diagnosis - Number of yearly visits (outpatient treatment). Following categories are reported: Number of yearly general practitioner (GP) visits; Number of yearly pulmonologist visits; Number of yearly other specialist (primarily Ophthalmologist, Ear, Nose and Throat (ENT) specialist and Orthopedist) visits. Reported is the average number of yearly visits, per observed patient year.

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Mean · Yearly visits
Number of Yearly Visits Per Outpatient Treatment in COPD-12, COPD-24 and COPD-36 Samples
Yearly visitsCOPD-12 SampleCOPD-24 SampleCOPD-36 SampleCOPD-12 Sample With DMP Data
Number of yearly GP visits4.58 ± 1.914.48 ± 1.694.45 ± 1.614.30 ± 1.91
Number of yearly pulmonologist visits1.08 ± 1.571.00 ± 1.370.92 ± 1.272.76 ± 1.57
Number of yearly other specialist visits7.73 ± 5.847.66 ± 5.507.67 ± 5.358.11 ± 5.84
SecondaryNumber of Yearly Hospitalizations in COPD-12, COPD-24 and COPD-36 Samples

Description of health-care resource use in the first 12/24/36 months after incident diagnosis: Number of yearly hospitalizations (inpatient treatment). Following categories of inpatient treatment are reported: Number of yearly hospitalizations with exacerbations (J44.1); Number of yearly hospitalizations with exacerbations, any COPD diagnosis (J44); Number of yearly hospitalizations with non-COPD diagnosis. Results are reported by follow-up time and available Disease Management Program (DMP) data.

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Mean · Yearly hospitalizations
Number of Yearly Hospitalizations in COPD-12, COPD-24 and COPD-36 Samples
Yearly hospitalizationsCOPD-12 SampleCOPD-24 SampleCOPD-36 SampleCOPD-12 Sample With DMP DataCOPD-24 Sample With DMP DataCOPD-36 Sample With DMP Data
Yearly hospitalizations with exacerbation (J44.1)0.09 ± 0.340.06 ± 0.220.04 ± 0.160.11 ± 0.350.07 ± 0.240.05 ± 0.15
Yearly hospitalizations - any COPD diagnosis (J44)0.17 ± 0.450.10 ± 0.280.08 ± 0.210.18 ± 0.440.12 ± 0.300.09 ± 0.21
Yearly hospitalizatons with non-COPD diagnosis2.02 ± 2.081.38 ± 1.461.17 ± 1.221.09 ± 1.540.84 ± 1.060.74 ± 0.95
SecondaryTime to First All-cause Hospitalization in COPD-12, COPD-24, COPD-36 Samples

Description of health-care resource use in the first 12/24/36 months after incident diagnosis in patients with chronic obstructive pulmonary disease (COPD). Reported is time to first all-cause hospitalization in days (inpatient treatment).

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Median · Days
Time to First All-cause Hospitalization in COPD-12, COPD-24, COPD-36 Samples
DaysCOPD-12 SampleCOPD-24 SampleCOPD-36 SampleCOPD-12 Sample With DMP Data
Time to First All-cause Hospitalization in COPD-12, COPD-24, COPD-36 Samples123 (49 to 228)207 (74 to 417)287 (98 to 585)141 (60 to 245)
SecondaryDescription of Direct Treatment Cost After Incident Diagnosis in COPD-12, COPD-24 and COPD-36 Samples

Description of direct treatment cost in the first 12/24/36 months after incident diagnosis - yearly costs in incident chronic obstructive pulmonary disease (COPD) patients. LTOT: Long-Term Oxygen Therapy.

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Number · Euro per Person-year
Description of Direct Treatment Cost After Incident Diagnosis in COPD-12, COPD-24 and COPD-36 Samples
Euro per Person-yearCOPD-12 SampleCOPD-24 SampleCOPD-36 SampleCOPD-12 Patients With Available DMP-data
(Total) cost of outpatient visits (incl. costs for LTOT)1093.801059.521052.531179
Total costs for GP visits456.77446.63444.03429
Total costs for pulmnologist visits72.5267.3061.67185
Total costs for other outpatient specialist visits564.51545.59546.82565
Inpatient cost (all-cause)10936.507013.815766.665508
Total cost for hospitalizations with COPD-exacerbations398.86228.28165.79414
Total costs for hospitalizations with any COPD-diagnosis755.57450.23349.47851
Total costs for hospitalizations with any non-COPD-diagnosis10180.936563.585417.194657
SecondaryPrescription of Medication in COPD-12, COPD-24 and COPD-36 Samples

Description of health-care resource use in the first 12/24/36 months after incident diagnosis - Prescription of medication. Top-5 prescription of non-COPD medication: Beta-blocking agents; Anti-thrombotic agents; Other analgesics \& antipyretics; High-ceiling diuretics; Drugs for peptic ulcer or Gastroesophageal reflux disease (GERD). Other prescriptions: Antibiotics for systemic use (ATC J02AA); Antibiotics + corticosteroids (ATC D07C). Reported is number of yearly prescription.

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Mean · Yearly prescription (of medication)
Prescription of Medication in COPD-12, COPD-24 and COPD-36 Samples
Yearly prescription (of medication)COPD-12 SampleCOPD-24 SampleCOPD-36 Sample
Beta-blocking agents2.21 ± 2.492.16 ± 2.352.15 ± 2.29
Anti-thrombotic agents2.06 ± 3.001.87 ± 2.371.80 ± 2.16
Other analgesics & antipyretics1.07 ± 2.811.01 ± 2.430.93 ± 2.19
High-ceiling diuretics1.80 ± 2.551.67 ± 2.331.55 ± 2.21
Drugs for peptic ulcer or GERD1.59 ± 2.111.56 ± 1.941.58 ± 1.88
Antibiotics for systemic use0 ± 00.01 ± 0.020 ± 0
Antibiotics + corticosteroids (ATC D07C)0.03 ± 0.290.03 ± 0.240.03 ± 0.19
SecondaryNumber of Patients With Long Term Oxygen Therapy (LTOT) in COPD-12, COPD-24 and COPD-36 Samples

Description of health-care resource use in the first 12/24/36 months after incident diagnosis - Number of Patients with Long Term Oxygen Therapy (LTOT).

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Count of participants · Participants
Number of Patients With Long Term Oxygen Therapy (LTOT) in COPD-12, COPD-24 and COPD-36 Samples
ParticipantsCOPD-12 SampleCOPD-24 SampleCOPD-36 Sample
Number of Patients With Long Term Oxygen Therapy (LTOT) in COPD-12, COPD-24 and COPD-36 Samples23381696741
SecondaryTime From Index Date Until Start of Long-term Oxygen Therapy (LTOT) - COPD-12, COPD-24 and COPD-36 Samples

Time from index date until start of long-term oxygen therapy (LTOT) in days in the first 12/24/36 months after incident diagnosis.

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 sample respectively.
Reported as:
Mean · Days
Time From Index Date Until Start of Long-term Oxygen Therapy (LTOT) - COPD-12, COPD-24 and COPD-36 Samples
DaysCOPD-12 SampleCOPD-24 SampleCOPD-36 SampleCOPD-12 Sample With DMP DataCOPD-24 Sample With DMP DataCOPD-36 Sample With DMP Data
Time From Index Date Until Start of Long-term Oxygen Therapy (LTOT) - COPD-12, COPD-24 and COPD-36 Samples68.9 ± 99.6160.2 ± 214.488.6 ± 206.864.5 ± 100.4159.1 ± 216.2202.1 ± 294.6
SecondaryTime From Index Date Until First Exacerbation - COPD-FULL, COPD-12, COPD-24 and COPD-36

Time from index date until first exacerbation, in the first 12/24/36/48 months after incident diagnosis. Only severe exacerbations leading to an inpatient hospitalization after index date (documented as main diagnosis: ICD-10 J44.1) are considered.

Time frame:
Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.
Reported as:
Mean · Months
Time From Index Date Until First Exacerbation - COPD-FULL, COPD-12, COPD-24 and COPD-36
MonthsCOPD-FULL SampleCOPD-12 SampleCOPD-24 SampleCOPD-36 Sample
Time From Index Date Until First Exacerbation - COPD-FULL, COPD-12, COPD-24 and COPD-3642.8 ± 0.142.9 ± 0.143.3 ± 0.243.5 ± 0.2
SecondaryAverage Number of Yearly Exacerbations During Follow-up - COPD-FULL, COPD-12, COPD-24 and COPD-36

Average number of yearly exacerbations in the first 12/24/36 and 48 months after incident diagnosis.

Time frame:
Up to 12, 24, 36 and 48 months after index date for COPD-12, COPD-24, COPD-36 and COPD-FULL sample respectively.
Reported as:
Mean · Exacerbations
Average Number of Yearly Exacerbations During Follow-up - COPD-FULL, COPD-12, COPD-24 and COPD-36
ExacerbationsCOPD-FULLCOPD-12COPD-24COPD-36
Average Number of Yearly Exacerbations During Follow-up - COPD-FULL, COPD-12, COPD-24 and COPD-360.16 ± 0.570.14 ± 0.560.16 ± 0.640.18 ± 0.70
SecondaryAverage Medication Costs Per Year - COPD-12, COPD-24 and COPD-36

Description of yearly costs in incident chronic obstructive pulmonary disease (COPD) patients. Cost of non-COPD-medication are based on the top-10 prescribed on non-COPD drug therapies.

Time frame:
Up to 12, 24 and 36 months after index date for COPD-12, COPD-24 and COPD-36 respectively.
Reported as:
Mean · Euro per Year (€/Y)
Average Medication Costs Per Year - COPD-12, COPD-24 and COPD-36
Euro per Year (€/Y)COPD-12 SampleCOPD-24 SampleCOPD-36 Sample
Cost of COPD-medication (in total)317.46 ± 392.69292.03 ± 367.37273.50 ± 361.06
Cost of non-COPD-medication (in total)386.99 ± 713.16355.92 ± 884.92369.15 ± 2202.62

Adverse events

Collected over [All-cause Mortality]: Up to 48 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
COPD-FULL Sample5,238/17,464 (30%)——

Baseline characteristics

Patients with newly diagnosed chronic obstructive pulmonary disease (Incident COPD patients).

Age, Continuous
Age, Continuous(Years)COPD-FULL Sample
Mean71.5 ± 12.3
Sex/Gender, Customized
Sex/Gender, Customized(Percentage of participants)COPD-FULL Sample
Female41.4
Male58.6
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)COPD-FULL Sample
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Study locations

1 site
  • Institute for pharmacoeconomics and pharmaceutical logistics e.V (IPAM)
    Wismar, 23966, Germany
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References and documents

Related links

Study documents

  • Protocol and statistical analysis plan · Oct 16, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datatransparency

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2022, 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
NCT04097223
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Sep 20, 2019
Start date
Nov 20, 2019
Primary completion
Jul 1, 2020
Completion
Jul 1, 2020
Results posted
Sep 9, 2021
Last update
Feb 24, 2022

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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