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Efficacy and Safety of 2 Doses of Tiotropium Via Respimat Compared to Placebo in Adolescents With Moderate Persistent Asthma

Phase 3
Completed
Conditions
Asthma
Interventions
Registration Number
NCT01257230
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The aim of the study is to evaluate efficacy and safety of a 48-week treatment with two doses of tiotropium bromide compared to placebo in adolescent patients with moderate persistent asthma. Efficacy and safety will be assessed by measuring lung function parameters and evaluating the effects on asthma exacerbations, on Quality of life, on health care resource utilisation an on the number of adverse events.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
398
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
tiotropium low dosetiotropium Respimat low doseonce daily, delivered with Respimat inhaler
tiotropium high dosetiotropium Respimat high doseonce daily, delivered with Respimat inhaler
placeboplacebo Respimatonce daily, delivered with Respimat inhaler
Primary Outcome Measures
NameTimeMethod
FEV1 peak0-3 Change From BaselineBaseline and 24 weeks

Change from baseline in peak Forced expiratory volume in 1 second within the first 3 hours post dosing (FEV1 peak0-3) measured at week 24.

Note, the measured values presented are actually adjusted means.

Secondary Outcome Measures
NameTimeMethod
Trough FEV1 Change From BaselineBaseline and 24 weeks

Change from baseline in Trough (pre-dose) Forced expiratory volume in 1 second (FEV1) measured at week 24.

The measured values presented are actually adjusted means.

FVC peak0-3 Change From BaselineBaseline and 24 weeks

Change from baseline in Maximum forced vital capacity (FVC) measured within the first 3 h after administration of trial medication (FVC peak0-3h) after 24 weeks of treatment.

The measured values presented are actually adjusted means.

Trough FVC Change From BaselineBaseline and 24 weeks

Change from baseline of Trough (pre-dose) forced vital capacity (FVC) measured 10 min before the administration of trial medication after 24 weeks of treatment.

The measured values presented are actually adjusted means..

FEV1 AUC (0-3h) Change From BaselineBaseline and 10 mins before drug administration and 30 mins, 1 hour (h), 2h, 3h after drug administration at 24 weeks

Change from baseline of area under the curve (AUC) from 0 to 3 h for FEV1 (FEV1 AUC 0-3h) after 24 weeks of treatment. The AUC was calculated by using the trapezoidal rule divided by the observation time (3h).

The measured values presented are actually adjusted means.

FVC AUC (0-3h) Change From BaselineBaseline and 10 mins before drug administration and 30 mins, 1 hour (h), 2h, 3h after drug administration at 24 weeks

Change from baseline of area under the curve (AUC) from 0 to 3 h for FVC (FVC AUC0-3h) after 24 weeks of treatment. The AUC was calculated by using the trapezoidal rule divided by the observation time (3h).

The measured values presented are actually adjusted means.

FEF25-75 Change From BaselineBaseline and 10 mins before drug administration and 30 mins, 1 hour (h), 2h, 3h after drug administration at 24 weeks

Change from baseline in mean forced expiratory flow between 25% and 75% of the FVC (FEF25-75%), also known as maximum mid-expiratory flow, at individual time points after 24 weeks of treatment.

The measured values presented are actually adjusted means.

Use of PRN Rescue Medication During the DaytimeBaseline and Week 24

Change from baseline in the number of puffs of rescue medication (salbutamol/albuterol) used during the daytime based on the weekly mean at week 24.

The measured values presented are actually adjusted means.

Use of PRN Rescue Medication During the Night-timeBaseline and week 24

Change from baseline in the number of puffs of rescue medication (salbutamol/albuterol) used during the night-time based on the weekly mean at week 24.

The measured values presented are actually adjusted means.

Use of PRN Rescue Medication During the DayBaseline and week 24

Change from baseline in the number of puffs of rescue medication (salbutamol/albuterol) used during the day (24 hour period) based on the weekly mean at week 24.

The measured values presented are actually adjusted means.

Control of Asthma as Assessed by ACQ Total ScoreBaseline and week 24

Change from baseline in Asthma Control Questionnaire (ACQ) total score measured at week 24.

The ACQ is a scale containing 7 questions, each question has a 7-point scale which ranges from 0 to 6; a score of 0 corresponds to no impairment and a score of 6 corresponds to maximum impairment. ACQ total score was calculated as the mean of the responses to all 7 questions.

The measured values presented are actually adjusted means.

ACQ Total Score RespondersWeek 24

Responder rates based on the ACQ total score after 24 weeks of treatment. Analysis was performed using the following categories and definitions: responder (change from trial baseline ≤-0.5), no change (-0.5 \<change from trial baseline \<0.5) and worsening (change from trial baseline ≥0.5)

The ACQ is a scale containing 7 questions, each question has a 7-point scale which ranges from 0 to 6; a score of 0 corresponds to no impairment and a score of 6 corresponds to maximum impairment.

Control of Asthma as Assessed by ACQ6Baseline and week 24

Change from baseline in AQC6 score at week 24.

The ACQ6 score is calculated as the mean of the responses to the first 6 questions of the ACQ. The ACQ is a scale containing 7 questions, each question has a 7-point scale which ranges from 0 to 6; a score of 0 corresponds to no impairment and a score of 6 corresponds to maximum impairment.

The measured values presented are actually adjusted means.

ACQ6 RespondersWeek 24

Responder rates based on the ACQ6 after 24 weeks of treatment. Analysis was performed using the following categories and definitions: responder (change from trial baseline ≤-0.5), no change (-0.5 \<change from trial baseline \<0.5) and worsening (change from trial baseline ≥0.5)

The ACQ6 score is calculated as the mean of the responses to the first 6 questions of the ACQ. The ACQ is a scale containing 7 questions, each question has a 7-point scale which ranges from 0 to 6; a score of 0 corresponds to no impairment and a score of 6 corresponds to maximum impairment.

Time to First Severe Asthma Exacerbation During the 48 Week Treatment Period48 weeks

The median time to first severe asthma exacerbation was not calculable, so the number of patients who experienced a severe asthma exacerbation are presented for the measured values. A severe asthma exacerbation was defined as a subgroup of all asthma exacerbations that required treatment with systemic corticosteroid for at least 3 days.

Time to First Asthma Exacerbation During the 48 Week Treatment PeriodWeek 48

The median time to first asthma exacerbation was not calculable, so the number of patients who experienced an asthma exacerbation are presented for the measured values.

Trial Locations

Locations (66)

205.444.01005 Boehringer Ingelheim Investigational Site

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Columbia, Missouri, United States

205.444.38004 Boehringer Ingelheim Investigational Site

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Kiev, Ukraine

205.444.38010 Boehringer Ingelheim Investigational Site

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Zaporizhya, Ukraine

205.444.42104 Boehringer Ingelheim Investigational Site

🇸🇰

Kosice, Slovakia

205.444.01004 Boehringer Ingelheim Investigational Site

🇺🇸

Plymouth, Minnesota, United States

205.444.01001 Boehringer Ingelheim Investigational Site

🇺🇸

Cincinnati, Ohio, United States

205.444.01014 Boehringer Ingelheim Investigational Site

🇺🇸

Oklahoma City, Oklahoma, United States

205.444.01002 Boehringer Ingelheim Investigational Site

🇺🇸

Charleston, South Carolina, United States

205.444.01013 Boehringer Ingelheim Investigational Site

🇺🇸

El Paso, Texas, United States

205.444.01012 Boehringer Ingelheim Investigational Site

🇺🇸

Charleston, South Carolina, United States

205.444.01003 Boehringer Ingelheim Investigational Site

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South Burlington, Vermont, United States

205.444.49007 Boehringer Ingelheim Investigational Site

🇩🇪

Berlin, Germany

205.444.56001 Boehringer Ingelheim Investigational Site

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Viña del Mar, Chile

205.444.56003 Boehringer Ingelheim Investigational Site

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Viña del Mar, Chile

205.444.49008 Boehringer Ingelheim Investigational Site

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Berlin, Germany

205.444.49006 Boehringer Ingelheim Investigational Site

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Koblenz, Germany

205.444.49005 Boehringer Ingelheim Investigational Site

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Rosenheim, Germany

205.444.49001 Boehringer Ingelheim Investigational Site

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Bochum, Germany

205.444.49003 Boehringer Ingelheim Investigational Site

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Ettenheim, Germany

205.444.36007 Boehringer Ingelheim Investigational Site

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Ajka, Hungary

205.444.36005 Boehringer Ingelheim Investigational Site

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Budapest, Hungary

205.444.36008 Boehringer Ingelheim Investigational Site

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Budapest, Hungary

205.444.70004 Boehringer Ingelheim Investigational Site

🇷🇺

St. Petersburg, Russian Federation

205.444.39003 Boehringer Ingelheim Investigational Site

🇮🇹

Bolzano, Italy

205.444.36001 Boehringer Ingelheim Investigational Site

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Miskolc, Hungary

205.444.37103 Boehringer Ingelheim Investigational Site

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Talsi, Latvia

205.444.52002 Boehringer Ingelheim Investigational Site

🇲🇽

Guadalajara, Mexico

205.444.36006 Boehringer Ingelheim Investigational Site

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Kaposvar, Hungary

205.444.82006 Boehringer Ingelheim Investigational Site

🇰🇷

Incheon, Korea, Republic of

205.444.70001 Boehringer Ingelheim Investigational Site

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Yaroslavl, Russian Federation

205.444.39001 Boehringer Ingelheim Investigational Site

🇮🇹

Ancona, Italy

205.444.39002 Boehringer Ingelheim Investigational Site

🇮🇹

Verona, Italy

205.444.70002 Boehringer Ingelheim Investigational Site

🇷🇺

St. Petersburg, Russian Federation

205.444.82004 Boehringer Ingelheim Investigational Site

🇰🇷

Seoul, Korea, Republic of

205.444.36003 Boehringer Ingelheim Investigational Site

🇭🇺

Szeged, Hungary

205.444.34008 Boehringer Ingelheim Investigational Site

🇪🇸

Valencia, Spain

205.444.36004 Boehringer Ingelheim Investigational Site

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Szigetbecse, Hungary

205.444.52001 Boehringer Ingelheim Investigational Site

🇲🇽

Hermosillo, Mexico

205.444.52003 Boehringer Ingelheim Investigational Site

🇲🇽

Monterrey, Mexico

205.444.37105 Boehringer Ingelheim Investigational Site

🇱🇻

Rezekne, Latvia

205.444.82001 Boehringer Ingelheim Investigational Site

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Seoul, Korea, Republic of

205.444.36002 Boehringer Ingelheim Investigational Site

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Mosdos, Hungary

205.444.70005 Boehringer Ingelheim Investigational Site

🇷🇺

St. Petersburg, Russian Federation

205.444.70006 Boehringer Ingelheim Investigational Site

🇷🇺

St. Petersburg, Russian Federation

205.444.82003 Boehringer Ingelheim Investigational Site

🇰🇷

Guri, Korea, Republic of

205.444.70003 Boehringer Ingelheim Investigational Site

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Moscow, Russian Federation

205.444.37101 Boehringer Ingelheim Investigational Site

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Baldone, Latvia

205.444.37107 Boehringer Ingelheim Investigational Site

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Balvi, Latvia

205.444.37102 Boehringer Ingelheim Investigational Site

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Ogre, Latvia

205.444.37104 Boehringer Ingelheim Investigational Site

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Tukums, Latvia

205.444.34007 Boehringer Ingelheim Investigational Site

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Esplugues del Llobregat, Spain

205.444.42106 Boehringer Ingelheim Investigational Site

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Martin, Slovakia

205.444.38001 Boehringer Ingelheim Investigational Site

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Lviv, Ukraine

205.444.38002 Boehringer Ingelheim Investigational Site

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Donetsk, Ukraine

205.444.34001 Boehringer Ingelheim Investigational Site

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Madrid, Spain

205.444.34006 Boehringer Ingelheim Investigational Site

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Sabdadell, Spain

205.444.38005 Boehringer Ingelheim Investigational Site

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Kharkiv, Ukraine

205.444.34004 Boehringer Ingelheim Investigational Site

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Majadahonda (Madrid), Spain

205.444.38008 Boehringer Ingelheim Investigational Site

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Dnipropetrovsk, Ukraine

205.444.38003 Boehringer Ingelheim Investigational Site

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Kiev, Ukraine

205.444.34005 Boehringer Ingelheim Investigational Site

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Marbella, Spain

205.444.56002 Boehringer Ingelheim Investigational Site

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Santiago, Chile

205.444.37106 Boehringer Ingelheim Investigational Site

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Riga, Latvia

205.444.42101 Boehringer Ingelheim Investigational Site

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Nitra, Slovakia

205.444.42105 Boehringer Ingelheim Investigational Site

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Roznava, Slovakia

205.444.38009 Boehringer Ingelheim Investigational Site

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Zaporizhzhya, Ukraine

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