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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00168831
Registration number
NCT00168831
Ethics application status
Date submitted
12/09/2005
Date registered
15/09/2005
Date last updated
20/05/2014
Titles & IDs
Public title
Tiotropium / Respimat One-Year Study
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Scientific title
A Randomised, Double-Blind, Placebo-Controlled, Parallel-Group Efficacy and Safety Comparison of One-Year Treatment of Two Doses (5mg and 10mg) of Tiotropium Inhalation Solution Delivered by the Respimat Device in Patients With Chronic Obstructive Pulmonary Disease (COPD)
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Secondary ID [1]
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205.255
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pulmonary Disease, Chronic Obstructive
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Condition category
Condition code
Respiratory
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other: Tiotropium Respimat 5mcg (Tio R5) -
Other: Tiotropium Respimat 10mcg (Tio R10) -
Other: Placebo -
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline in Trough FEV1 After 48 Weeks
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Assessment method [1]
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Change From Baseline in Trough Forced Expiratory Volume in 1 second (FEV1) after 48 weeks
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Timepoint [1]
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10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication
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Primary outcome [2]
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Saint George's Respiratory Questionnaire (SGRQ) Total Score, Full Analysis Set - Saint George's Respiratory Questionnaire (FAS-QOL)
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Assessment method [2]
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Rating scale of 3 domains - symptoms, activities and impact (weighted). Worst score = 100, best score = 0
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Timepoint [2]
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Week 48
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Primary outcome [3]
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TDI Focal Score, Full Analysis Set - Transitional Dyspnoea Index (FAS-TDI) (Combined Studies)
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Assessment method [3]
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Rating scale of 3 components - change in functional impairment, change in magnitude of tasks, change in magnitude of efforts. Worst score = -9, best score = +9
For this endpoint data of twin studies NCT00168844 and NCT00168831 was combined.
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Timepoint [3]
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Week 48
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Primary outcome [4]
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COPD Exacerbation Rate, Safety Set (SS) (Combined Studies)
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Assessment method [4]
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Number of Chronic Obstructive Pulmonary Disease (COPD) exacerbations per patient year
For this endpoint data of the twin studies NCT00168844 and NCT00168831 was combined.
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Timepoint [4]
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48 weeks
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Secondary outcome [1]
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Change From Baseline in Heart Rate
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Assessment method [1]
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Week 40 pre-dose - baseline
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Timepoint [1]
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Baseline to Week 40 pre-dose
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Secondary outcome [2]
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Change From Baseline in PR Interval
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Assessment method [2]
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Timepoint [2]
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Baseline to Week 40 pre-dose
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Secondary outcome [3]
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Change From Baseline in QRS Interval
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Assessment method [3]
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Week 40 pre-dose - baseline
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Timepoint [3]
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Baseline to Week 40 pre-dose
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Secondary outcome [4]
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Change From Baseline in QT Interval
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Assessment method [4]
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Week 40 pre-dose - baseline
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Timepoint [4]
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Baseline to Week 40 pre-dose
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Secondary outcome [5]
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Change From Baseline in QT Interval (Bazett)
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Assessment method [5]
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Week 40 pre-dose - baseline
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Timepoint [5]
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Baseline to Week 40 pre-dose
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Secondary outcome [6]
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Change From Baseline in QT Interval (Fridericia)
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Assessment method [6]
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Week 40 pre-dose - baseline
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Timepoint [6]
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Baseline to Week 40 pre-dose
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Secondary outcome [7]
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Change From Baseline in Heart Rate
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Assessment method [7]
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Week 40 - baseline
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Timepoint [7]
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Baseline to Week 40
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Secondary outcome [8]
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0
Change From Baseline in Supraventricular Premature Beat (SVPB) Total
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Assessment method [8]
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0
Week 40 - baseline
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Timepoint [8]
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Baseline to Week 40
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Secondary outcome [9]
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0
Change From Baseline in SVPB Run Events
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Assessment method [9]
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0
Week 40 - baseline
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Timepoint [9]
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0
Baseline to Week 40
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Secondary outcome [10]
0
0
Change From Baseline in SVPB Pairs
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Assessment method [10]
0
0
Week 40 - baseline
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Timepoint [10]
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Baseline to Week 40
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Secondary outcome [11]
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0
Change From Baseline in Ventricular Premature Beat (VPB) Total
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Assessment method [11]
0
0
Week 40 - baseline
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Timepoint [11]
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Baseline to Week 40
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Secondary outcome [12]
0
0
Change From Baseline in Ventricular Premature Beat (VPB) Run Events
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Assessment method [12]
0
0
Week 40 - baseline
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Timepoint [12]
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0
Baseline to Week 40
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Secondary outcome [13]
0
0
Change From Baseline in VPB Pairs
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Assessment method [13]
0
0
Week 40 - baseline
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Timepoint [13]
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Baseline to Week 40
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Secondary outcome [14]
0
0
Change From Baseline in Haematocrit, Packed Cell Volume (PCV)
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Assessment method [14]
0
0
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Timepoint [14]
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0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [15]
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Change From Baseline in Haemoglobin
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Assessment method [15]
0
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Week 48 - baseline
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Timepoint [15]
0
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Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [16]
0
0
Change From Baseline in Red Blood Cell Count
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Assessment method [16]
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0
Week 48 - baseline
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Timepoint [16]
0
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Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [17]
0
0
Change From Baseline in White Blood Cell Count
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Assessment method [17]
0
0
Week 48 - baseline
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Timepoint [17]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [18]
0
0
Change From Baseline in Platelets
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Assessment method [18]
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0
Week 48 - baseline
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Timepoint [18]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [19]
0
0
Change From Baseline in Neutrophils
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Assessment method [19]
0
0
Week 48 - baseline
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Timepoint [19]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [20]
0
0
Change From Baseline in Eosinophils
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Assessment method [20]
0
0
Week 48 - baseline
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Timepoint [20]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [21]
0
0
Change From Baseline in Basophils
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Assessment method [21]
0
0
Week 48 - baseline
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Timepoint [21]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [22]
0
0
Change From Baseline in Lymphocytes
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Assessment method [22]
0
0
Week 48 - baseline
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Timepoint [22]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [23]
0
0
Change From Baseline in Monocytes
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Assessment method [23]
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0
Week 48 - baseline
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Timepoint [23]
0
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Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [24]
0
0
Change From Baseline in Neutrophils (Absolute)
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Assessment method [24]
0
0
Week 48 - baseline
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Timepoint [24]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [25]
0
0
Change From Baseline in Eosinophils (Absolute)
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Assessment method [25]
0
0
Week 48 - baseline
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Timepoint [25]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [26]
0
0
Change From Baseline in Basophils (Absolute)
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Assessment method [26]
0
0
Week 48 - baseline
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Timepoint [26]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [27]
0
0
Change From Baseline in Lymphocytes (Absolute)
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Assessment method [27]
0
0
Week 48 - baseline
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Timepoint [27]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [28]
0
0
Change From Baseline in Monocytes (Absolute)
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Assessment method [28]
0
0
Week 48 - baseline
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Timepoint [28]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [29]
0
0
Change From Baseline in Calcium
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Assessment method [29]
0
0
Week 48 - baseline
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Timepoint [29]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [30]
0
0
Change From Baseline in Phosphate
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Assessment method [30]
0
0
Week 48 - baseline
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Timepoint [30]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [31]
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0
Change From Baseline in Aspartate Transaminase/Glutamic-oxaloacetic Transaminase (AST/GOT), Serum Glutamic-oxaloacetic Transaminase (SGOT)
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Assessment method [31]
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0
Week 48 - baseline
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Timepoint [31]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [32]
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0
Change From Baseline in Alanine Transaminase/Glutamic Pyruvate Transaminase (ALT/GPT), Serum Glutamate Pyruvate Transaminase (SGPT)
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Assessment method [32]
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0
Week 48 - baseline
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Timepoint [32]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [33]
0
0
Change From Baseline in Alkaline Phosphatase
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Assessment method [33]
0
0
Week 48 - baseline
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Timepoint [33]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [34]
0
0
Change From Baseline in Lactic Dehyrogenase (LDH)
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Assessment method [34]
0
0
Week 48 - baseline
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Timepoint [34]
0
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Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [35]
0
0
Change From Baseline in Glucose
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Assessment method [35]
0
0
Week 48 - baseline
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Timepoint [35]
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Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [36]
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0
Change From Baseline in Urea
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Assessment method [36]
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0
Week 48 - baseline
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Timepoint [36]
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0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [37]
0
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Change From Baseline in Blood Urea Nitrogen
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Assessment method [37]
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0
Week 48 - baseline
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Timepoint [37]
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0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [38]
0
0
Change From Baseline in Creatinine
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Assessment method [38]
0
0
Week 48 - baseline
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Timepoint [38]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [39]
0
0
Change From Baseline in Bilirubin, Total
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Assessment method [39]
0
0
Week 48 - baseline
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Timepoint [39]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [40]
0
0
Change From Baseline in Uric Acid
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Assessment method [40]
0
0
Week 48 - baseline
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Timepoint [40]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [41]
0
0
Change From Baseline in Protein, Total
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Assessment method [41]
0
0
Week 48 - baseline
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Timepoint [41]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [42]
0
0
Change From Baseline in Albumin
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Assessment method [42]
0
0
Week 48 - baseline
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Timepoint [42]
0
0
Baseline to Week 48 or at premature discontinuation if before Week 48
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Secondary outcome [43]
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0
Change From Baseline in Trough FEV1 After 2, 8, 16, 24, 32 and 40 Weeks
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Assessment method [43]
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Change From Baseline in Trough Forced Expiratory Volume in 1 second (FEV1) after 2, 8, 16, 24, 32 and 40 weeks. The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [43]
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10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication
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Secondary outcome [44]
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Change From Baseline in Trough FVC After 2, 8, 16, 24, 32, 40 and 48 Weeks
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Assessment method [44]
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Change From Baseline in Trough Forced vital capacity (FVC) after 2, 8, 16, 24, 32, 40 and 48 weeks. The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [44]
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10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication
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Secondary outcome [45]
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Change From Baseline in FEV1 AUC0-3 After 2, 8, 16, 24, 32, 40 and 48 Weeks
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Assessment method [45]
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FEV1 AUC0-3 represents the Area under Curve over the time interval from 0 to 3 hours after 2, 8, 16, 24, 32, 40 and 48 weeks. The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [45]
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0
10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication
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Secondary outcome [46]
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Change From Baseline in FVC AUC0-3 After 2, 8, 16, 24, 32, 40 and 48 Weeks
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Assessment method [46]
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FVC AUC0-3 represents the Area under Curve over the time interval from 0 to 3 hours after 2, 8, 16, 24, 32, 40 and 48 weeks. The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [46]
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0
10 minutes prior to test-drug inhalation and at 5, 30 and 60 minutes and 2 and 3 hours after inhalation of study medication
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Secondary outcome [47]
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Weekly Mean Morning Pre-dose PEFRs
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Assessment method [47]
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Weekly mean morning pre-dose peak expiratory flow rates (PEFRs). The means are adjusted for centre, smoking status at entry, and baseline value.
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Timepoint [47]
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Weeks 2, 8, 16, 24, 32, 40, 48
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Secondary outcome [48]
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Weekly Mean Morning Evening PEFRs
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Assessment method [48]
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Weekly mean evening peak expiratory flow rates (PEFRs). The means are adjusted for centre, smoking status at entry, and baseline value.
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Timepoint [48]
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Weeks 2, 8, 16, 24, 32, 40, 48
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Secondary outcome [49]
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Weekly Mean Number of Puffs of Rescue Medication Per Day
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Assessment method [49]
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Weekly mean number of puffs of rescue medication used per day as required (PRN salbutamol). The means are adjusted for centre, smoking status at entry, and baseline value.
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Timepoint [49]
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Weeks 2, 8, 16, 24, 32, 40, 48
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Secondary outcome [50]
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Mahler TDI Scores
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Assessment method [50]
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Mahler Transitional Dyspnoea Index (TDI) scores measured as change in functional impairment, change in magnitude of tasks and change in magnitude of efforts over the treatment period. The means are adjusted for centre, smoking status at entry and baseline value.
Worst score = -3, best score = +3
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Timepoint [50]
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Week 48
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Secondary outcome [51]
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Saint George's Respiratory Questionnaire (SGRQ) Scores
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Assessment method [51]
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Saint George's Respiratory Questionnaire (SGRQ) Scores impacts, activities and symptoms. Worst score = 100, best score = 0.
The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [51]
0
0
Week 48
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Secondary outcome [52]
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COPD Symptoms Scores
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Assessment method [52]
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COPD symptoms Scores - wheezing, shortness of breath, coughing and tightness of chest over the treatment period.
Scale: 0 = None, 1 = Mild, 2 = Moderate, 3 = Severe The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [52]
0
0
Week 48
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Secondary outcome [53]
0
0
PGE Scores
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Assessment method [53]
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Physician's Global evaluation (PGE) scores over the treatment period. Scale: 1-2 = Poor, 3-4 = Fair, 5-6 = Good, 7-8 = Excellent The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [53]
0
0
Week 48
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Secondary outcome [54]
0
0
PGR Scores
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Assessment method [54]
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Patient's Global rating (PGR) scores over the treatment period. Scale: 1=much better to 7=much worse The means are adjusted for centre, smoking status at entry and baseline value.
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Timepoint [54]
0
0
Week 48
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Eligibility
Key inclusion criteria
Criteria
* Patients with stable moderate to severe COPD and a smoking history of at least 10 pack years were eligible for inclusion in the study. Patients with significant diseases other than COPD were excluded as were patients with a recent history of myocardial infarction, history of malignancy, unstable or life-threatening cardiac arrhythmia, narrow-angle glaucoma, asthma or other allergic conditions. Patients treated with cromolyn, nedocromil, oral beta-adrenergics or unstable doses of oral corticosteroids were ineligible for inclusion in the study as were patients who had received previous treatment with tiotropium.
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2003
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
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Accrual to date
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Final
1007
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Recruitment in Australia
Recruitment state(s)
ACT,SA,WA
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Recruitment hospital [1]
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0
Boehringer Ingelheim Investigational Site - Garran
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Recruitment hospital [2]
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0
Boehringer Ingelheim Investigational Site - Adelaide
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Recruitment hospital [3]
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0
Boehringer Ingelheim Investigational Site - Nedlands
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Recruitment postcode(s) [1]
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0
- Garran
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Recruitment postcode(s) [2]
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0
- Adelaide
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Recruitment postcode(s) [3]
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0
- Nedlands
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Recruitment outside Australia
Country [1]
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0
United States of America
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State/province [1]
0
0
Alabama
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Country [2]
0
0
United States of America
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State/province [2]
0
0
California
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Florida
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Illinois
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Missouri
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Country [6]
0
0
United States of America
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State/province [6]
0
0
New York
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Country [7]
0
0
United States of America
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State/province [7]
0
0
South Carolina
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Country [8]
0
0
United States of America
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State/province [8]
0
0
Texas
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Country [9]
0
0
United States of America
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State/province [9]
0
0
Virginia
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Country [10]
0
0
Austria
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State/province [10]
0
0
Innsbruck
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Country [11]
0
0
Austria
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State/province [11]
0
0
Mittersill
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Country [12]
0
0
Austria
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State/province [12]
0
0
Schwechat
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Country [13]
0
0
Austria
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State/province [13]
0
0
Wels
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Country [14]
0
0
Austria
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State/province [14]
0
0
Wien
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Country [15]
0
0
Canada
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State/province [15]
0
0
Manitoba
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Country [16]
0
0
Canada
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State/province [16]
0
0
Ontario
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Country [17]
0
0
Canada
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State/province [17]
0
0
Quebec
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Country [18]
0
0
Finland
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State/province [18]
0
0
Espoo
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Country [19]
0
0
Finland
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State/province [19]
0
0
Helsinki
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Country [20]
0
0
Finland
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State/province [20]
0
0
Lahti
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Country [21]
0
0
Finland
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State/province [21]
0
0
Lappeenranta
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Country [22]
0
0
Finland
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State/province [22]
0
0
Lohja
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Country [23]
0
0
France
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State/province [23]
0
0
Amboise cedex
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Country [24]
0
0
France
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State/province [24]
0
0
Chauny
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Country [25]
0
0
France
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State/province [25]
0
0
Marseille cedex 06
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Country [26]
0
0
France
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State/province [26]
0
0
Metz cedex 01
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Country [27]
0
0
France
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State/province [27]
0
0
Montpellier
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Country [28]
0
0
France
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Funding & Sponsors
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Commercial sector/industry
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Name
Boehringer Ingelheim
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Summary
Brief summary
To evaluate the long term effects of treatment with two doses of Tiotropium delivered by the Respimat inhaler in patients with COPD.
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Trial website
https://clinicaltrials.gov/study/NCT00168831
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Trial related presentations / publications
Singh D, Wedzicha JA, Siddiqui S, de la Hoz A, Xue W, Magnussen H, Miravitlles M, Chalmers JD, Calverley PMA. Blood eosinophils as a biomarker of future COPD exacerbation risk: pooled data from 11 clinical trials. Respir Res. 2020 Sep 17;21(1):240. doi: 10.1186/s12931-020-01482-1. Hohlfeld JM, Furtwaengler A, Konen-Bergmann M, Wallenstein G, Walter B, Bateman ED. Cardiac safety of tiotropium in patients with COPD: a combined analysis of Holter-ECG data from four randomised clinical trials. Int J Clin Pract. 2015 Jan;69(1):72-80. doi: 10.1111/ijcp.12596. Epub 2014 Dec 11. Hodder R, Pavia D, Lee A, Bateman E. Lack of paradoxical bronchoconstriction after administration of tiotropium via Respimat(R) Soft Mist Inhaler in COPD. Int J Chron Obstruct Pulmon Dis. 2011;6:245-51. doi: 10.2147/COPD.S16094. Epub 2011 Apr 26.
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Public notes
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Contacts
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Boehringer Ingelheim Study Coordinator
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Boehringer Ingelheim
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What supporting documents are/will be available?
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Results publications and other study-related documents
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Results are available at
https://clinicaltrials.gov/study/NCT00168831
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