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Tiotropium (Spiriva) Rehabilitation Study

Phase 3
Completed
Conditions
Pulmonary Disease, Chronic Obstructive
Registration Number
NCT00274521
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The study was designed to determine whether tiotropium inhalation capsules, compared to placebo, enhances the improvement in exercise tolerance seen in patients with chronic obstructive pulmonary disease (COPD) who participate in pulmonary rehabilitation. In addition, assessments of the effect of tiotropium on dyspnea and quality of life following pulmonary rehabilitation were taken.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
108
Inclusion Criteria

History of COPD, FEV1 of less than or equal than 60% of predicted normal and less than or equal to 70% at Visit 1, Male or Female 40 years or greater, smoking history of more than 10 pack years (current or ex-smokers), patient can perform all study related tests, patients can inhale medication from HandiHaler and from meter dose inhaler, patients who would benefit from participation in a pulmonary rehab program and patients who had a medical clearance to participate in a pulmonary rehab program.

Exclusion Criteria

Patients with significant diseases other than COPD, patients with clinically relevant abnormal baseline hematology, blood chemistry or urinalysis, all patients with SGOT greater than 80IU/L, bilirubin greater than 2.0 mg/dl or creatinine greater than 2.0 mg/dL, recent history of MI (6 months or less). any cardiac arrhythmia requiring drug therapy or has abeen hospitalized for heart failure with the past 3 years, active TB, history of CA or had treatment within the last 24 months, history of CF, bronchiectasis, interstitial lung disease or pulmonary thromboembolic disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The primary endpoint is the change in submaximal exercise tolerance (prior to treatment to after pulmonary rehabilitation) as measured by endurance time during a constant work rate treadmill exercise test at 80% of maximum work capacityweek 13
Secondary Outcome Measures
NameTimeMethod
Individual FEV1 measurementweek 4, 13, 25
Amount of albuterol therapy used during the treatment period25 weeks
Number and length of exacerbations of COPD25 weeks
Patient peak flow rates twice daily25 weeks
Patient activity measurementweek 9, 13, 17, 21, 25
Change in submaximal exercise tolerance during constant work rate exerciseweek 25
Individual FVC measurementweek 4, 13, 25
St. George.s Hospital Respiratory Questionnaire (SGRQ)week 4, 13, 25
Modified Borg scaleweek 4, 13, 25
Transition dyspnea indexweek 4, 13, 25
Pulse rate and blood pressure in conjunction with spirometry25 weeks
Physician's global evaluationweek 4, 13, 25
COPD symptom scores (wheezing, shortness of breath, coughing and tightness of chest)week 4, 13, 25
Change in submaximal exercise tolerance prior to and after pulmonary rehabilitation.week 13
Occurrence of adverse events25 weeks
Changes in the physical examination from baseline and at the conclusion of patient participation in the trial25 weeks

Trial Locations

Locations (12)

Harbor-UCLA Research and Education Institute

🇺🇸

Torrance, California, United States

St. Francis Hospital and Medical Center

🇺🇸

Hartford, Connecticut, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Attention: John E. Hodgkin, M.D.

🇺🇸

Deer Park, California, United States

UCLA School of Medicine

🇺🇸

Los Angeles, California, United States

Boehringer Ingelheim Investigational Site

🇺🇸

Everett, Washington, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Norwalk Hospital

🇺🇸

Norwalk, Connecticut, United States

UMass Memorial Medical Center

🇺🇸

North Worcester, Massachusetts, United States

Duke University Medical Center

🇺🇸

Durhan, North Carolina, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

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