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Changes in Health and Functional Status in Patients With Chronic Obstructive Pulmonary Disease During Therapy With Spiolto® Respimat® (AERIAL®)

Completed
Conditions
Pulmonary Disease, Chronic Obstructive
Interventions
Registration Number
NCT03165045
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The objective of this NIS is to measure changes in health status including functional status using CCQ scores in COPD patients receiving treatment with Spiolto® Respimat® according to label after approximately 6 weeks in routine clinical practice.

Detailed Description

The objective of this NIS is to measure changes in health status including functional status using CCQ scores in COPD patients receiving treatment with Spiolto® Respimat® according to label after approximately 6 weeks in routine clinical practice.

In visit 1, patient data on demographics, smoking status, medical history, breathlessness, general condition, health and functional status and adverse drug reactions will be collected. In visit 2, after approximately 6 weeks, data on smoking status, concomitant diseases and medication, general condition, health and functional status and adverse drug reactions will be collected; additionally data on patient satisfaction, continuation or discontinuation of treatment and the reason in case of discontinuation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1351
Inclusion Criteria

Patients can be included if all of the following criteria are met:

  • Written informed consent prior to participation
  • Female and male patients ≥40 years of age
  • Patients diagnosed with COPD and requiring a combination of two long-acting bronchodilators (LAMA + LABA) according to approved SmPC and GOLD COPD guideline recommendation 2017 (GOLD COPD groups B to D)
  • Treatment with Spiolto® Respimat® acc. to SmPC at the discretion of the physician.
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Exclusion Criteria
  • Patients with contraindications according to Spiolto® Respimat® SmPC
  • Patients already on a LABA/LAMA combination (free and fixed dose) in the last 6 weeks before study entry
  • 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
  • Pregnancy and lactation
  • Current participation in any clinical trial or any other non-interventional study of a drug or device.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
patients treated with Spiolto® Respimat®Spiolto® Respimat®Patients with COPD
Primary Outcome Measures
NameTimeMethod
Therapeutic SuccessFinal visit at the end of the study, approximately 6 weeks after start of study

The primary endpoint of the study was "therapeutic success" at visit 2.

The CCQ questionnaire 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 at baseline and at the end of observation after approximately 6 weeks. The sum of the scores divided by 10 gives the CCQ score which measures the health and functional status. 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 both CCQ score and CCQ-4.

Secondary Outcome Measures
NameTimeMethod
Patient Satisfaction With Spiolto® Respimat® at Visit 26 weeks

A patient satisfaction survey was performed at visit 2, using a 7-point ordinal scale with divisions from very dissatisfied to very satisfied.

The 7-item satisfaction scale is a self-designed Boehringer-Ingelheim scale, without a public source or validation status.

Number of Participants Willing to Continue Treatment With Spiolto® Respimat® at Visit 26 weeks

To assess the willingness to continue treatment with Spiolto® Respimat® at visit 2 patients were asked a yes/no question if they would continue the treatment.

Assessment of Changes in CCQ and CCQ-4 From Visit 1 to Visit 2Final visit at the end of the study, approximately 6 weeks after start of study

Absolute changes in total CCQ score and CCQ-4 score from baseline visit at the start of the study to final visit at the end of study.

The CCQ questionnaire contained 10 questions about symptoms, functional status and mental status. The sum of the scores divided by 10 gives the CCQ score which measures the health and functional status. A higher CCQ score is indicative of worse status. A change of 0.4 points is was considered to be the minimal clinically important difference (MCID) for both CCQ score and CCQ-4.

General Condition of the PatientBaseline visit (Visit 1) at the start of the study and final visit at the end of the study (visit 2), approximately 6 weeks after visit 1

General condition of the patient, evaluated by the physician (Physician's global Evaluation score) at visit 1 and visit 2.

The treating physician used the Physician's Global Evaluation (PGE) to evaluate the general condition of the patient on an 8-point ordinal scale from 1 (very poor) to 8 (excellent). The modified Medical Research Council (mMRC) scale was used to assess the breathlessness state of the patient before the treatment.

Trial Locations

Locations (106)

Dr. Urban

🇩🇪

Berlin, Germany

Dr. Kassik

🇩🇪

Bitterfeld-Wolfen, Germany

Praxis B. Metzlaff

🇩🇪

Büchen, Germany

MZM Medizin Zentr. Marienstrasse

🇩🇪

Aldenhoven B Jülich, Germany

Dr. Ludwig

🇩🇪

Bad Bentheim, Germany

Praxis Dr. med. Graubner

🇩🇪

Bad Sachsa, Germany

Dr. Callitsis

🇩🇪

Bad Vilbel, Germany

Praxis Abdullah Sahan

🇩🇪

Berlin, Germany

Praxis Dr. Andreas Schwittay

🇩🇪

Böhlen, Germany

Dr. Weghmann

🇩🇪

Aachen, Germany

Praxis Edgar Hossbach

🇩🇪

Berkatal-Frankershausen, Germany

Praxis Edgar Schaubert

🇩🇪

Aldenhoven, Germany

Dr. Jung

🇩🇪

Bad Ditzenbach, Germany

Dr. Thalhofer

🇩🇪

Berlin, Germany

Praxis Dr. Selbig

🇩🇪

Ansbach, Germany

Dr. Biedermann

🇩🇪

Blankenhain , Thür, Germany

Dr. Franz

🇩🇪

Witten, Germany

Dr. Kopf

🇩🇪

Berlin, Germany

Dr. Xanthopoulos

🇩🇪

Fürstenwalde /Spree, Germany

Dr. Schwiese

🇩🇪

Duisburg, Germany

Dr. Kontny

🇩🇪

Duisburg, Germany

Dr. Schmidt

🇩🇪

Erfurt, Germany

Praxis Dr. Schmorell

🇩🇪

Forchheim, Germany

Dres. Engelhard/Wihl

🇩🇪

Frankenberg, Germany

Dr. Sommer

🇩🇪

Garmisch-Partenkirchen, Germany

Dr. Waida

🇩🇪

Haan, Germany

Dr. Morgner

🇩🇪

Freiberg, Germany

Praxis J. Lemke

🇩🇪

Halle (Saale), Germany

Praxis A. Heinze

🇩🇪

Fürstenwalde /Spree, Germany

Dr. Polke

🇩🇪

Hamburg, Germany

Dr. Seiz

🇩🇪

Leonberg , Württ, Germany

Dres. Berger/Schäfer/Winkels

🇩🇪

Düren, Germany

Ges. f. Med. Fortbildung

🇩🇪

Düsseldorf, Germany

Dres. Lehmann/Schwerdtfeger

🇩🇪

Köthen (Anhalt), Germany

Praxis C. Staack/Z. Zadrozny

🇩🇪

Gelsenkirchen, Germany

Dres. Koenen & Partner

🇩🇪

Grafenrheinfeld, Germany

Praxis Dr. Bernhard Beckmann

🇩🇪

Kamen, Germany

Dr. Saur

🇩🇪

Mannheim, Germany

Allgemeinmedizinische Gemeinschaftspraxis Dres. Fischer/Fischer

🇩🇪

Friedrichsthal, Germany

Das HausarztZentrum

🇩🇪

Grafenrheinfeld, Germany

Dr. Schmitz

🇩🇪

Kall, Germany

Praxis Dres. Berg & Partner

🇩🇪

Höchstadt, Germany

Praxis D. Kubitscheck

🇩🇪

Lutherstadt Wittenberg, Germany

Praxis G. Mohanty

🇩🇪

Kamp-Lintfort, Germany

Praxis Dipl. med Thomas Hagen

🇩🇪

Neumarkt, Germany

Dres. Kock & Partner

🇩🇪

Mainaschaff, Germany

Zentrum für Onkologie

🇩🇪

Rostock, Germany

Praxis Wanda Wuttke

🇩🇪

Nürnberg, Germany

Praxis Dr. Jan Feimer

🇩🇪

München, Germany

MVZ für Atemwegserkrankungen

🇩🇪

Schleswig, Germany

Praxis Dr. Rudolf Hennig

🇩🇪

Radebeul, Germany

Lungenfachzentrum Rhein-Main

🇩🇪

Rüsselsheim, Germany

Praxis S. Theuer

🇩🇪

Seelow, Germany

Dr. Bauer

🇩🇪

Potsdam, Germany

Dr. Jasch-Hoppe

🇩🇪

Rathenow, Germany

Dres. Geissler/Geissler

🇩🇪

Weißenfels, Saale, Germany

Dres. Tietjens/Tobias

🇩🇪

Dortmund, Germany

Praxis Dr. Kaase

🇩🇪

Hamburg, Germany

Praxis Dr. Körössy

🇩🇪

Geretsried, Germany

Praxis J. Hinrichs-Pavlik

🇩🇪

Heidelberg , Neckar, Germany

Praxis Dr. med. Werner Gams

🇩🇪

Gütersloh, Germany

Pneumologicum Halle

🇩🇪

Halle (Saale), Germany

Praxis Dr. Constance Koch

🇩🇪

Heilbad Heiligenstadt, Germany

Praxis J. Korsakas

🇩🇪

Heudeber, Germany

Dr. Schulze

🇩🇪

Jerichow, Germany

Praxis Dr. Dietrich Auge

🇩🇪

Koblenz, Germany

Praxis Dr. Astrid Pfitzer

🇩🇪

Kronach, Germany

KMG Klinikum Mitte GmbH

🇩🇪

Kyritz , Prignitz, Germany

Praxis Dr. Hermann A. Trauth

🇩🇪

Marburg, Germany

Gemeinschaftspraxis Dres. Jansen/Nolzen

🇩🇪

Menden, Germany

Dr. Bartsch

🇩🇪

Moers, Germany

Dr. Schipper

🇩🇪

Monheim, Germany

Praxis Dr. Volker E. Trapp

🇩🇪

Nürnberg, Germany

Dr. Schröter

🇩🇪

Trier, Germany

Dr. Riegel

🇩🇪

Wolfsburg, Germany

Dr. Junggeburth

🇩🇪

Bad Wörishofen, Germany

Gemeinschaftspraxis Dres. Wetterau/Dimar

🇩🇪

Biberach, Germany

Praxis Dr. Käßner

🇩🇪

Cottbus, Germany

Dres. Ottlewski/Sutor

🇩🇪

Burgwedel, Germany

Dres. Forster/Kneser/Steinmetz

🇩🇪

Darmstadt, Germany

Gemeinschaftspraxis Dres. Bartels

🇩🇪

Breuberg, Germany

Ambulantes Zentrum

🇩🇪

Calau, Germany

Dres. Jung/Jung

🇩🇪

Deggingen, Germany

Praxis A. Hermann/L. Hermann

🇩🇪

Cloppenburg, Germany

Praxis Dr. Andreas Kroll

🇩🇪

Einbeck, Germany

Gemeinschaftspraxis Dres. Rommelmann/Lange/Geist/Neise

🇩🇪

Düsseldorf, Germany

Dres. Brüning/Schax

🇩🇪

Essen, Germany

Studienzentrum Dr. Klaus Keller

🇩🇪

Frankfurt, Germany

Dr. Abenhardt

🇩🇪

Heidelberg, Germany

Praxis Dr. Weberling

🇩🇪

Lahnau, Germany

POIS Leipzig GbR

🇩🇪

Leipzig, Germany

Dres. Bonitz/Hoheisel

🇩🇪

Leipzig, Germany

Praxis Dr. Hannelore Pitule

🇩🇪

Ludwigshafen am Rhein, Germany

Praxis Hermann Ingerl

🇩🇪

Mosbach, Germany

Thoraxzentrum Bez. Unterfranken

🇩🇪

Münnerstadt, Germany

Praxis Dipl.-med. Anne-Kathrin Schmidt

🇩🇪

Oschatz, Germany

Dres. Herold/Kaa

🇩🇪

Weißenburg I Bay, Germany

Dres. Knöbel/Olesch/Pelz-Knöbel

🇩🇪

Straubing, Germany

Dres. Barczok & Kollegen

🇩🇪

Ulm, Donau, Germany

Dr. Eisenschmidt

🇩🇪

Strausberg, Germany

Dres. Günther/Günther

🇩🇪

Viernheim, Germany

Überörtliche Gemeinschaftspraxis Dr. med. Albert Esselmann

🇩🇪

Warendorf, Germany

Dres. Seidel/Röcher

🇩🇪

Wiefelstede, Germany

Dres. Fried/Thomas

🇩🇪

Wiesbaden, Germany

Praxis K.P. Schaps/H. Zimmeck

🇩🇪

Wilhelmshaven, Germany

Dr. Weber

🇩🇪

Witten, Germany

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