Spiolto® Respimat® (Tiotropium/Olodaterol) Versus Triple Combination Therapy in Everyday Clinical Treatment Practice for Chronic Obstructive Pulmonary Disease (EVELUT®)
- Conditions
- Pulmonary Disease, Chronic Obstructive
- Interventions
- Drug: Spiolto® Respimat®Drug: Triple-Therapy (LAMA/LABA/ICS)
- Registration Number
- NCT03954132
- Lead Sponsor
- Boehringer Ingelheim
- Brief Summary
Open-label comparative multicentric cohort study in COPD patients with LABA/ICS, switched to either tiotropium/olodaterol and observed for 12 weeks approximately.
- Detailed Description
COPD patients on LABA/ICS maintenance therapy with dyspnea (mMRC ≥ 1) and other symptoms (CATTM ≥ 10), who are switched to either Spiolto® Respimat® in the new reusable inhaler or any triple therapy (LAMA + LABA + ICS) as an open or fixed combination according to approved SmPCs at baseline at the discretion of their attending physician.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 469
Patients can be included if all of the following criteria are met:
- Diagnosis of COPD
- Symptomatic (with regard to dyspnea (mMRC Dyspnea score ≥1) AND with regard to symptoms (CAT Score ≥10) at the same time)
- Patients on LABA/ICS maintenance therapy who are switched to Spiolto® Respimat® in the new reusable inhaler or a free/fixed triple combination of LABA + LAMA + ICS at Visit 1 at the discretion of the treating physician.
- Adults who are contractually capable and mentally able to understand and follow the instructions of the study personnel
- Male or female
- Patients aged ≥40 years of age
- Written informed consent prior to study participation
- The patient is willing and able to follow the procedures outlined in the protocol
- Patients with contraindications acc. to SmPC
- Patients not on LABA/ICS maintenance treatment at visit 1, e.g., mono or dual bronchodilation only, ICS only, or a triple combination of LAMA + LABA + ICS (either as a fixed combination product or as separate components)
- Lack of informed consent
- Pregnant and/or lactating females
- Acute exacerbation of COPD (within 4 weeks prior to Visit 1)
- Frequently exacerbating patients, i. e. patients with ≥2 moderate exacerbations within the last 12 months or ≥1 exacerbation leading to hospitalization within the last 12 months
- Acute respiratory failure (pH <7,35 and/ or respiratory rate >30/min within 3 months prior to Visit 1)
- History or current diagnosis of asthma
- History or current diagnosis of asthma-COPD overlap
- History or current diagnosis of allergic rhinitis within the last 5 years
- History or current diagnosis of lung cancer within the last 5 years
- Participation in a parallel interventional clinical trial
- mild exacerbation: additional use of short-acting bronchodilators and treated by the patient without consulting a physician
- moderate exacerbation: treatment includes medical prescription of a systemic corticosteroid and/or antibiotic
- severe exacerbation: exacerbation leading to hospitalization
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Spiolto® Respimat® Spiolto® Respimat® Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to Spiolto® Respimat® inhaler by their attending physician in an real-world setting. Triple-Therapy (LAMA/LABA/ICS) Triple-Therapy (LAMA/LABA/ICS) Chronic Obstructive Pulmonary Disease (COPD) patients who were symptomatic (dyspneic) despite Long-acting beta2 adrenoceptor agonist/Inhalative Corticosteroids (LABA/ICS) maintenance treatment were switched to any triple therapy Long-acting muscarinic antagonist + Long-acting beta2 adrenoceptor agonist + Inhalative Corticosteroids (LAMA + LABA + ICS) by their attending physician in an real-world setting.
- Primary Outcome Measures
Name Time Method Change in CATᵀᴹ (COPD Assessment Test) Score Between Baseline and After End of Observation (ca. 12 Weeks of Treatment) Baseline at Visit 1 (day 0) and Visit 2 (planned at 12 week, up to a maximum of 42 weeks). The Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CATᵀᴹ) was developed as a simple instrument to assess health status in patients with COPD. The CATᵀᴹ consists of eight items, each formatted as a semantic six-point differential scale, making the tool easy to administer and easy for patients to complete. These eight items cover cough, phlegm, chest tightness, breathlessness when going up hills/stairs, activity limitations at home, confidence leaving home, sleep and energy. Each item is scored from 0 to 5. Total CAT score is calculated as the sum over the 8 items, resulting in a total score ranging from 0 to 40, corresponding to the best and worst health status in patients with COPD, respectively. The Minimum Clinically Important Difference (MCID) is a change of 2.0 points. Change is calculated as Visit 1 - Visit 2.
Change in Modified Medical Research Council (mMRC) Score Between Baseline and After End of Observation Baseline at Visit 1 (day 0) and Visit 2 (planned at 12 week, up to a maximum of 42 weeks). Change in mMRC (modified Medical Research Council) score between baseline and after end of observation (ca. 12 weeks of treatment, Visit 2). The modified Medical Research Council (mMRC) scale is a 5-point (0-4) scale based on the severity of dyspnoea, where a 0 is the best possible score with no disability and 4 is the worst possible score representing the most severity. The mMRC will be used to assess the breathlessness state of the patient with just one question: "When do you experience dyspnoea?", covering five everyday activities, potentially leading to dyspnoea and giving an according rate of 0 to 4 points. The Minimum Clinically Important Difference (MCID) is a change of 1.0 point. Change calculated as Visit 1 - Visit 2.
- Secondary Outcome Measures
Name Time Method Patients' General Condition According to the Physician's Global Evaluation (PGE) Score at Baseline Baseline at Visit 1 (day 0) 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 1-2 (poor), 3-4 (satisfactory), 5-6 (good) to 7-8 (excellent).
Patients' General Condition According to the Physician's Global Evaluation (PGE) Score at the End of the Observation Period Visit 2 (planned at 12 week, up to a maximum of 42 weeks) The treating physician will use 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).
Patient Satisfaction With Inhaler and Therapy at End of Observation Period Visit 2 (planned at 12 week, up to a maximum of 42 weeks). Patient satisfaction with inhaler and therapy at end of observation period according to a seven-point ordinal scale (ranging from very dissatisfied to very satisfied).
Number of Responders With Δ mMRC≥ 1 Baseline at Visit 1 (day 0) and Visit 2 (planned at 12 week, up to a maximum of 42 weeks). Number of responders with a change in modified Medical Research Council (mMRC) greater than or equal to 1 between visit 1 and 2. The mMRC was used to assess the severity of the breathlessness. the mMRC consists of five statements describing the patients grade of breathlessness ranging from 0 (best outcome) to 4 (worst outcome).
Number of Responders With Δ CAT≥ 2 Baseline at Visit 1 (day 0) and Visit 2 (planned at 12 week, up to a maximum of 42 weeks). Number of responders with a change in the Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) greater than or equal to 2 between visit 1 and 2.
Trial Locations
- Locations (74)
Dr. Graubner
🇩🇪Bad Sachsa, Germany
Dr. Kopf
🇩🇪Berlin, Germany
Dres. Bartels/Bartels
🇩🇪Breuberg, Germany
Lungenzentrum Darmstadt
🇩🇪Darmstadt, Germany
Dres. Ern/Trilling
🇩🇪Gelsenkirchen, Germany
Dr. Junggeburth
🇩🇪Bad Wörishofen, Germany
Das HausarztZentrum
🇩🇪Grafenrheinfeld, Germany
Dr. Grimm-Sachs
🇩🇪Bruchsal, Germany
Praxis B. Metzlaff
🇩🇪Büchen, Germany
Dr. Heinz
🇩🇪Bergisch Gladbach, Germany
Dr. Abenhardt
🇩🇪Heidelberg, Neckar, Germany
Dr. Schwittay
🇩🇪Böhlen B Leipzig, Germany
Hausarzt Deggingen
🇩🇪Deggingen, Germany
Praxis C. Staack/Z. Zadrozny
🇩🇪Gelsenkirchen, Germany
Dres. Pabst/Schlünz
🇩🇪Bonn, Germany
Dr. Knolinski
🇩🇪Hamburg, Germany
Dr. Schmorell
🇩🇪Forchheim, Oberfr, Germany
Dres. Tietjens
🇩🇪Dortmund, Germany
Dr. Schwiese
🇩🇪Duisburg, Germany
Dr. Auge
🇩🇪Koblenz Am Rhein, Germany
Dres. Alshut/Weberling
🇩🇪Lahnau, Germany
Lungenzentrum Schleswig
🇩🇪Schleswig, Germany
Dr. Einenkel
🇩🇪Leipzig, Germany
Praxis S. Schmidt
🇩🇪Siegen, Germany
Dres. Korupp/Rose
🇩🇪Schweinfurt, Germany
Dr. Schmidt-Reinwald
🇩🇪Trier, Germany
Dr. Theuer
🇩🇪Seelow, Germany
Dr. Weber
🇩🇪Witten, Germany
Dres. Lehmann/Schulze und Partner
🇩🇪Köthen (Anhalt), Germany
Dres. Coesfeld/Gams/Gams
🇩🇪Gütersloh, Germany
Ambulantes Zentrum
🇩🇪Cottbus, Germany
Praxis A. Xanthopoulos
🇩🇪Fürstenwalde /Spree, Germany
Schwerpunktpraxis
🇩🇪Düsseldorf, Germany
Dr. Sommer
🇩🇪Garmisch-Partenkirchen, Germany
Dres. Kaase/Lepinat
🇩🇪Hamburg, Germany
Dr. Birkner
🇩🇪Gelsenkirchen, Germany
MVZ Martha-Maria gGmbH
🇩🇪Halle (Saale), Germany
Dr. Koch
🇩🇪Heilbad Heiligenstadt, Germany
Dres Stolpe/ Roß
🇩🇪Ibbenbüren, Germany
Dr. Pfitzer
🇩🇪Kronach, Oberfr, Germany
Dr. Geßner
🇩🇪Leipzig, Germany
Dr. Hladik
🇩🇪Ludwigshafen am Rhein, Germany
Dr. Saur
🇩🇪Mannheim, Germany
Dres. Jerrentrup/Mronga
🇩🇪Marburg, Germany
Dr. Jansen
🇩🇪Menden (Sauerland), Germany
Dr. Ingerl
🇩🇪Mosbach, Baden, Germany
Dres. Hennig/Mikes
🇩🇪Radebeul, Germany
Dr. Feimer
🇩🇪München, Germany
Thoraxzentrum Bez. Unterfranken
🇩🇪Münnerstadt, Germany
Praxis W. Wuttke
🇩🇪Nürnberg, Germany
Dr. Dinh
🇩🇪Rathenow, Germany
Zentrum für Onkologie
🇩🇪Rostock, Germany
Lungenfachzentrum Rhein-Main
🇩🇪Rüsselsheim, Germany
Dr. Rother
🇩🇪Strausberg, Germany
Marienhospital Stuttgart
🇩🇪Stuttgart, Germany
Dres. Waltert/Esselmann
🇩🇪Warendorf, Germany
Lungenzentrum Ulm
🇩🇪Ulm, Donau, Germany
Dres. Herold/Kaa
🇩🇪Weißenburg I Bay, Germany
Dres. Fried/Rubin
🇩🇪Wiesbaden, Germany
Dr. Franz
🇩🇪Witten, Germany
Dr. Urban
🇩🇪Berlin, Germany
Praxis an der Oper
🇩🇪Berlin, Germany
Praxis A.Sahan/S. Erbil-Sahan
🇩🇪Berlin, Germany
Praxis E. Hossbach
🇩🇪Berkatal, Germany
Praxis G. Mohanty
🇩🇪Kamp-Lintfort, Germany
Dr. Beckmann
🇩🇪Kamen, Westf, Germany
Pneumologicum Halle
🇩🇪Halle (Saale), Germany
Dr. Pitule
🇩🇪Ludwigshafen am Rhein, Germany
Dr. Müller
🇩🇪Potsdam, Germany
Praxis Th. Hagen
🇩🇪Neumarkt i.d.OPf., Germany
Dr. Laser
🇩🇪Nürnberg, Mittelfr, Germany
MVZ OB-Sterkrade GmbH
🇩🇪Oberhausen, Rheinl, Germany
Dres. Knöbel und Partner
🇩🇪Straubing, Germany
Dres. Günther/Günther
🇩🇪Viernheim, Germany