Efficacy and Safety of Ba679BR Powder Inhalation in Patients With Chronic Obstructive Pulmonary Disease (COPD)
A Multiple Dose Comparison of 18 µg, 36 µg of Ba679BR (Tiotropium) Inhalation Capsules and Oxitropium Metered Dose Inhaler (2 Puffs of 100µg) in a 4-week, Double-Blind, Double-Dummy, Safety and Efficacy Study in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Diagnosis of COPD (chronic bronchitis, and emphysema) with stable symptoms:
- Screening FEV1.0 ≤70% of predicted normal vale and screening FEV1.0/FVC ≤70% (the baseline FEV1.0 should also be ≤70% of predicted normal value on the initial day of administration)
- Smoking history ≥ 10 pack-years (a peak-year is 20 cigarettes per day for one year or equivalent)
- Male or female patients 40 years of age or older
Exclusion Criteria:
- History of bronchial asthma
- History of an atopic disease such as allergic rhinitis
- Total blood eosinophil count ≥ 600/µL
- Patient treated with antiallergic drugs or anti-histamine drugs
- Patients using oral corticosteroid medication at unstable doses (i.e. less than one month on a stable dose) or at a dose in excess of the equivalent of 10 mg of prednisolone per day
- Patients using inhaled steroid, oral β2 stimulant, theophylline preparation, expectorant or macrolide antibiotic at unstable doses (i.e. less than one month on a stable dose)
- Patients using an ACE inhibitor at unstable doses (i.e. less than one month on a stable dose)
- Patients with known narrow-angle glaucoma
- Patients with known symptomatic prostatic hypertrophy
- Patients with known hypersensitivity to anticholinergic drugs, lactose or any other components of the inhalation capsule delivery system
- Patients with significant diseases who in the opinion of the investigator were not eligible for the study
- Patients with clinically significant abnormal baseline laboratory test values (hematology, blood chemistry, urinalysis). Patients with serum glutamic-oxaloacetic transaminase (SGOT) and serum glutamic-pyruvic transaminase (SGPT) twice the upper limit of the normal range, bilirubin 150% or creatinine 125% of the upper limit of the normal range were excluded
- Patients with a recent history (i.e. within the 3 months prior to the screening visit) of myocardial infarction or heart failure
- Patients with any cardiac arrhythmia requiring drug therapy
- Patients who were treated with Patients who were treated with β-blockers-blockers
- Patients with regular use of daytime oxygen therapy
- Patients with known active tuberculosis or with obvious sequela of tuberculosis
- Patients with a history of cancer within the last 5 years. Patients with treated basal cell carcinoma were allowed
- Patients with a history of cystic fibrosis or bronchiectasis
- Patients with upper respiratory tract infection in the past one month prior to the screening visit or during the baseline period
- Patients who had taken an investigational drug within one month or six half lives (whichever is greater) prior to the screening visit
- Pregnant or nursing women or women of childbearing potential
- Other than the above, patients who in the opinion of the investigator were not eligible for the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Tiotropium low & Placebo
Tiotropium 18 µg inhalation capsule and Placebo MDI
|
Tiotropium 18 µg inhalation capsule
Placebo metered dose inhaler (MDI)
|
|
Experimental: Tiotropium high & Placebo
Tiotropium 36 µg inhalation capsule and Placebo MDI
|
Placebo metered dose inhaler (MDI)
Tiotropium 36 µg inhalation capsule
|
|
Active Comparator: Oxitropium & Placebo
Oxitropium MDI (100 µg/puff) and Placebo inhalation capsules
|
Oxitropium MDI (100 µg/puff)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Trough forced expiratory volume in one second (FEV1.0) response
Time Frame: Day 1, week 2 and 4
|
Day 1, week 2 and 4
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Occurrence of Adverse Events
Time Frame: up to 4 weeks
|
up to 4 weeks
|
|
FEV1.0 response at 1 hour after administration
Time Frame: Day 1, week 2 and 4
|
Day 1, week 2 and 4
|
|
Trough forced vital capacity (FVC) response
Time Frame: Day 1, week 2 and 4
|
Day 1, week 2 and 4
|
|
FVC response at 1 hour after administration
Time Frame: Day 1, week 2 and 4
|
Day 1, week 2 and 4
|
|
Peak expiratory flow rate (PEF)
Time Frame: in the morning and at evening every day until week 4
|
in the morning and at evening every day until week 4
|
|
COPD symptom scores
Time Frame: until week 4
|
until week 4
|
|
Frequency of rescue use of β2 stimulant
Time Frame: until week 4
|
until week 4
|
|
Patient's impression
Time Frame: week 4
|
week 4
|
|
Physician's global evaluation
Time Frame: week 4
|
week 4
|
|
Change from baseline in blood pressure
Time Frame: Baseline, week 4
|
Baseline, week 4
|
|
Change from baseline in heart rate
Time Frame: Baseline, week 4
|
Baseline, week 4
|
|
Changes in ECG findings
Time Frame: Baseline, week 4
|
Baseline, week 4
|
|
Changes from baseline in laboratory values
Time Frame: Baseline, week 4
|
Baseline, week 4
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Lung Diseases
- Lung Diseases, Obstructive
- Pulmonary Disease, Chronic Obstructive
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Parasympatholytics
- Autonomic Agents
- Peripheral Nervous System Agents
- Cholinergic Antagonists
- Cholinergic Agents
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Tiotropium Bromide
- Oxitropium
Other Study ID Numbers
Other Study ID Numbers
- 205.226
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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