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Clinical Trials/NCT02812862
NCT02812862WithdrawnPhase 4

Cardiac Effects of Spiolto®/Respimat® in Patients With Congestive Heart Failure and COPD

RWTH Aachen University1 site in 1 countryStarted: August 2016Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 4
Status
Withdrawn
Locations
1
Primary Endpoint
To examine the change in Residual Volume (RV) V0-V2

Study Overview

Brief Summary

The aim of this study is to evaluate the pulmonary and cardiac effects of the LABA / LAMA combination Tiotropium / Olodaterol therapy in patients suffering from both congestive heart failure and chronic obstructive pulmonary disease.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Other
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Adults who are contractually capable and mentally able to understand and follow the instructions of the study personnel
  • Symptomatic with regard to dyspnea (NYHA II-III, mMRC Dyspnea score > 1)
  • Diagnosis of COPD (FEV1/FVC ratio <70%, FEV1 < 80%)
  • Patients with hyperinflation at rest defined as Residual Volume (RV) > 135 % predicted
  • Diagnosis of moderate symptomatic ischaemic Congestive heart failure (LVEF > 35 -45%)
  • Stability of CHF during the preceding 3 months (no hospitalization due to CHF, stable CHF medication)
  • Male or female aged > 18 years
  • Written informed consent prior to study participation
  • The subject is willing and able to follow the procedures outlined in the protocol

Exclusion Criteria

  • Lack of informed consent
  • Pregnant and lactating females
  • Acute moderate-severe exacerbation of COPD, acute respiratory failure (pH < 7,35 and/ or respiratory rate > 30/min within 3 months prior to inclusion)
  • Unstable heart failure or planned change in medication (hospitalization due to CHF within 3 months prior to inclusion), any angina pectoris
  • Not symptomatic
  • Patient has been committed to an institution by legal or regulatory order
  • Participation in a parallel interventional clinical trial
  • Any COPD maintenance therapy before start of randomization
  • History or diagnosis of Asthma
  • LVEF <35 % or ICD or pacemaker
  • Myocardial infarction 6 months prior inclusion
  • History of life-threatening arrhythmias (e.g. NSVT or ventricular tachycardia, aFib, AV-Block, pacemaker treatment etc.)
  • History of diagnosis of Thyrotoxicosis
  • Chronic kidney disease with an crea-clearance ≤30 ml/min
  • History of significant alcohol or drug abuse, as judged by the Investigator
  • Fibrotic lung disease (e.g. IPF, ILD)
  • Contraindications for MRT (e.g. pacemaker, defibrillator, ferromagnetic metal implants, tattoos, claustrophobia, etc. according to MRI checklist used in the clinical routine)

Arms & Interventions

Treatment group

Experimental

20 male and female patients suffering from chronic heart failure and chronic obstructive pulmonary disease.

Patients will be treated with Spiolto® Respimat® (the LABA/ LAMA combination)

Intervention: Spiolto® Respimat® (Tiotropium / Olodaterol) (Drug)

Outcomes

Primary Outcomes

To examine the change in Residual Volume (RV) V0-V2

Time Frame: 24 months

Secondary Outcomes

  • To examine the change in trough FEV1(24 months)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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