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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01126437




Registration number
NCT01126437
Ethics application status
Date submitted
6/05/2010
Date registered
19/05/2010
Date last updated
20/06/2014

Titles & IDs
Public title
Comparison of Tiotropium in the HandiHaler Versus the Respimat in Chronic Obstructive Pulmonary Disease
Scientific title
A Randomized, Active-controlled, Double-blind, Double-dummy, Parallel Group Design, Multi-center Trial to Compare the Efficacy and Safety of 2.5 µg and 5 µg Tiotropium Inhalation Solution Delivered by the Respimat Inhaler With Tiotropium Inhalation Capsules 18 µg Delivered by the HandiHaler (TIOSPIR)
Secondary ID [1] 0 0
2009-015713-51
Secondary ID [2] 0 0
205.452
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Pulmonary Disease, Chronic Obstructive 0 0
Condition category
Condition code
Respiratory 0 0 0 0
Chronic obstructive pulmonary disease

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - tiotropium 18 mcg
Treatment: Drugs - tiotropium 1.25 mcg (2 actuations/day)
Treatment: Drugs - tiotropium 2.5 mcg (2 actuations/day)

Experimental: tiotropium 2.5 mcg and placebo - Patients receive one of the active tiotropium arms daily

Active Comparator: tiotropium 18 mcg and placebo - Patients receive one of the active tiotropium arms daily

Experimental: tiotropium 5 mcg and placebo - Patients receive one of the active tiotropium arms daily


Treatment: Drugs: tiotropium 18 mcg
HandiHaler

Treatment: Drugs: tiotropium 1.25 mcg (2 actuations/day)
soft mist inhaler 2 actuations=2 puffs/day

Treatment: Drugs: tiotropium 2.5 mcg (2 actuations/day)
soft mist inhaler (2 actuations=2 puffs/day)

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Time to All-Cause Mortality
Timepoint [1] 0 0
Up to 3 years
Primary outcome [2] 0 0
Time to First COPD Exacerbation
Timepoint [2] 0 0
Up to 3 years
Secondary outcome [1] 0 0
Trough FEV1 Over 120 Weeks (in a Substudy of 1370 Patients)
Timepoint [1] 0 0
Up to 3 years
Secondary outcome [2] 0 0
Number of COPD Exacerbations
Timepoint [2] 0 0
Up to 3 years
Secondary outcome [3] 0 0
Time to First Hospitalization Associated With COPD Exacerbation
Timepoint [3] 0 0
Up to 3 years
Secondary outcome [4] 0 0
Number of Hospitalizations Associated With COPD Exacerbation
Timepoint [4] 0 0
Up to 3 years
Secondary outcome [5] 0 0
Time to First Moderate to Severe COPD Exacerbation
Timepoint [5] 0 0
Up to 3 years
Secondary outcome [6] 0 0
Time to Onset of First Major Adverse Cardiovascular Event (MACE)
Timepoint [6] 0 0
Up to 3 years
Secondary outcome [7] 0 0
Time to Death From Major Adverse Cardiovascular Event (MACE)
Timepoint [7] 0 0
Up to 3 years

Eligibility
Key inclusion criteria
Inclusion criteria:

1. All patients must sign an informed consent consistent with International Conference on
Harmonization Good Clinical Practice (ICH-GCP) guidelines prior to participation in
the trial, which includes medication washout and restrictions.

2. Male or female patients 40 years of age or older.

3. Patients must be current or ex-smokers with a smoking history of =10 pack-years.
(Patients who have never smoked cigarettes must be excluded)

4. All patients must have a diagnosis of COPD (P06-12085), and must meet the following
criteria: Relatively stable airway obstruction with a post-bronchodilator FEV1 = 70%
of predicted normal and post-bronchodilator FEV1 / FVC =70%.

Pulmonary function tests (PFTs) were conducted after the inhalation of 400 µg
salbutamol / albuterol (preferred), however testing with either 200 µg
salbutamol/albuterol or a combination of salbutamol / albuterol with ipratropium
bromide (2 to 4 actuations) was acceptable. Other short-acting beta agonists, such as
terbutaline, may have been used for the testing. The medication used for the testing
was documented. Further, historical data from measurements within the past 6 months
either at the site or at a referral site may have been used (see Section 6.2.1 of the
CTP, located in Appendix 16.1.1). Subjects were not to have been randomized to the
study without the availability of spirometry data at the actual study site.

Eligibility for PFT sub-study: For subjects participating in the spirometry sub-study,
historical data may not have been used for inclusion. These subjects must have
qualified in the clinic at Visit 1 after performing a baseline measurement. These
subjects performed a pre-dose PFT which was followed by the administration of 400 µg
salbutamol / albuterol only (no other short-acting beta agonist was allowed), followed
by a post-dose PFT for qualification.

5. Able to inhale from the HandiHaler® and the Respimat® devices.
Minimum age
40 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Exclusion criteria:

1. Significant diseases other than COPD. A significant disease is defined as a disease or
condition which, in the opinion of the investigator, may put the patient at risk
because of participation in the study or may influence the patients ability to
participate in the study.

2. Patients with a recent history (i.e., six months or less) of myocardial infarction.

3. Patients with any unstable or life-threatening cardiac arrhythmia requiring
intervention or change in drug therapy during the last year.

4. Hospitalisation for cardiac failure (New York Heart Association (NYHA) Class III or
IV) during the past year.

5. Known active tuberculosis.

6. Patients with a history of asthma, cystic fibrosis, clinically evident bronchiectasis,
interstitial lung disease, or pulmonary thromboembolic disease.

7. History of thoracotomy with pulmonary resection. Subjects with a history of
thoracotomy for other reasons were to have been evaluated per exclusion criterion 1.

8. Subject was planning to undergo lung transplant or lung volume reduction surgery
(LVRS).

9. Malignancy for which the subject had undergone resection, radiation, chemotherapy or
biological treatments within the last 5 years. Subjects with treated basal cell
carcinoma were allowed.

10. Known respiratory infection or exacerbation of COPD in the 4 weeks prior to
randomization.

11. Known hypersensitivity to anticholinergic drugs, lactose, benzalkonium chloride (BAC),
ethylenediaminetetraacetic acid (EDTA), or any other components of the HandiHaler® or
Respimat® inhalation solution delivery system.

12. Known moderate to severe renal impairment (as judged by the investigator).

13. Known narrow angle glaucoma.

14. Known significant symptomatic prostatic hyperplasia or bladder-neck obstruction.
Subjects whose symptoms were controlled on treatment may have been included.

15. Use of systemic corticosteroid medication at unstable doses (i.e., less than 6 weeks
on stable dose) or at doses in excess of the equivalent of 10 mg prednisolone per day.

16. Pregnant or nursing women or women of childbearing potential not using a medically
approved means of contraception for at least 3 months prior to and for the duration of
the trial.

17. Significant alcohol or drug abuse within the past 12 months.

18. Subjects requiring the use of supplemental oxygen therapy for > 12 hours per day.

19. Subjects who had completed a pulmonary rehabilitation program in the 6 weeks prior to
the screening visit or subjects who were currently in a pulmonary rehabilitation
program that was not maintained throughout the duration of the study.

20. Subjects who had taken an investigational drug within 30 days prior to the Screening
Visit.

21. Previous participation (receipt of randomized treatment) in this study.

22. Subjects who were currently participating in an interventional study.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
SA,VIC,WA
Recruitment hospital [1] 0 0
205.452.61006 Boehringer Ingelheim Investigational Site - Adelaide
Recruitment hospital [2] 0 0
205.452.61002 Boehringer Ingelheim Investigational Site - Woodville
Recruitment hospital [3] 0 0
205.452.61004 Boehringer Ingelheim Investigational Site - Box Hill
Recruitment hospital [4] 0 0
205.452.61003 Boehringer Ingelheim Investigational Site - Footscray
Recruitment hospital [5] 0 0
205.452.61001 Boehringer Ingelheim Investigational Site - Frankston
Recruitment hospital [6] 0 0
205.452.61005 Boehringer Ingelheim Investigational Site - Nedlands
Recruitment postcode(s) [1] 0 0
- Adelaide
Recruitment postcode(s) [2] 0 0
- Woodville
Recruitment postcode(s) [3] 0 0
- Box Hill
Recruitment postcode(s) [4] 0 0
- Footscray
Recruitment postcode(s) [5] 0 0
- Frankston
Recruitment postcode(s) [6] 0 0
- Nedlands
Recruitment outside Australia
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Alabama
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Alaska
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France
State/province [192] 0 0
Saint Alban Leysse
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France
State/province [193] 0 0
Saint Aulaire
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France
State/province [194] 0 0
Saint Avertin
Country [195] 0 0
France
State/province [195] 0 0
Saint Léger des Bois
Country [196] 0 0
France
State/province [196] 0 0
Saintes
Country [197] 0 0
France
State/province [197] 0 0
Salies de Bearn
Country [198] 0 0
France
State/province [198] 0 0
Savonnières
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France
State/province [199] 0 0
Segre
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France
State/province [200] 0 0
Serres Casset
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France
State/province [201] 0 0
Six Four les Plages
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France
State/province [202] 0 0
St Jouan des Guerets
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France
State/province [203] 0 0
St Sebastien sur Loire
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France
State/province [204] 0 0
Strasbourg
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France
State/province [205] 0 0
Thouars
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France
State/province [206] 0 0
Tinténiac
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France
State/province [207] 0 0
Toulon
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France
State/province [208] 0 0
Tours
Country [209] 0 0
France
State/province [209] 0 0
Vendôme
Country [210] 0 0
France
State/province [210] 0 0
Vernoil
Country [211] 0 0
France
State/province [211] 0 0
Vieux Condé
Country [212] 0 0
France
State/province [212] 0 0
Vihiers
Country [213] 0 0
France
State/province [213] 0 0
Villey St Etienne
Country [214] 0 0
France
State/province [214] 0 0
Wattrelos
Country [215] 0 0
Georgia
State/province [215] 0 0
Tbilisi
Country [216] 0 0
Germany
State/province [216] 0 0
Aschaffenburg
Country [217] 0 0
Germany
State/province [217] 0 0
Augsburg
Country [218] 0 0
Germany
State/province [218] 0 0
Backnang
Country [219] 0 0
Germany
State/province [219] 0 0
Bad Kissingen
Country [220] 0 0
Germany
State/province [220] 0 0
Bad Lippspringe
Country [221] 0 0
Germany
State/province [221] 0 0
Bad Neustadt
Country [222] 0 0
Germany
State/province [222] 0 0
Bad Wörishofen
Country [223] 0 0
Germany
State/province [223] 0 0
Bamberg
Country [224] 0 0
Germany
State/province [224] 0 0
Bensheim
Country [225] 0 0
Germany
State/province [225] 0 0
Bergisch Gladbach
Country [226] 0 0
Germany
State/province [226] 0 0
Berlin
Country [227] 0 0
Germany
State/province [227] 0 0
Bonn
Country [228] 0 0
Germany
State/province [228] 0 0
Brake
Country [229] 0 0
Germany
State/province [229] 0 0
Bruchsal
Country [230] 0 0
Germany
State/province [230] 0 0
Celle
Country [231] 0 0
Germany
State/province [231] 0 0
Cottbus
Country [232] 0 0
Germany
State/province [232] 0 0
Deggendorf
Country [233] 0 0
Germany
State/province [233] 0 0
Dillingen
Country [234] 0 0
Germany
State/province [234] 0 0
Donaueschingen
Country [235] 0 0
Germany
State/province [235] 0 0
Dortmund
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Germany
State/province [236] 0 0
Düren
Country [237] 0 0
Germany
State/province [237] 0 0
Emden
Country [238] 0 0
Germany
State/province [238] 0 0
Engelskirchen
Country [239] 0 0
Germany
State/province [239] 0 0
Ense
Country [240] 0 0
Germany
State/province [240] 0 0
Essen
Country [241] 0 0
Germany
State/province [241] 0 0
Forchheim
Country [242] 0 0
Germany
State/province [242] 0 0
Frankfurt
Country [243] 0 0
Germany
State/province [243] 0 0
Fulda
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Germany
State/province [244] 0 0
Föhren
Country [245] 0 0
Germany
State/province [245] 0 0
Gelnhausen
Country [246] 0 0
Germany
State/province [246] 0 0
Gütersloh
Country [247] 0 0
Germany
State/province [247] 0 0
Hagen
Country [248] 0 0
Germany
State/province [248] 0 0
Hamburg
Country [249] 0 0
Germany
State/province [249] 0 0
Hannover
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Germany
State/province [250] 0 0
Heidelberg
Country [251] 0 0
Germany
State/province [251] 0 0
Heilbronn
Country [252] 0 0
Germany
State/province [252] 0 0
Hemmingen
Country [253] 0 0
Germany
State/province [253] 0 0
Höchstädt
Country [254] 0 0
Germany
State/province [254] 0 0
Ingelheim
Country [255] 0 0
Germany
State/province [255] 0 0
Karlsruhe
Country [256] 0 0
Germany
State/province [256] 0 0
Kassel
Country [257] 0 0
Germany
State/province [257] 0 0
Kaufbeuren
Country [258] 0 0
Germany
State/province [258] 0 0
Koblenz
Country [259] 0 0
Germany
State/province [259] 0 0
Käbschütztal-Krögis
Country [260] 0 0
Germany
State/province [260] 0 0
Köln
Country [261] 0 0
Germany
State/province [261] 0 0
Landsberg am Lech
Country [262] 0 0
Germany
State/province [262] 0 0
Langen
Country [263] 0 0
Germany
State/province [263] 0 0
Leipzig
Country [264] 0 0
Germany
State/province [264] 0 0
Leonberg
Country [265] 0 0
Germany
State/province [265] 0 0
Mannheim
Country [266] 0 0
Germany
State/province [266] 0 0
Marburg
Country [267] 0 0
Germany
State/province [267] 0 0
Minden
Country [268] 0 0
Germany
State/province [268] 0 0
München
Country [269] 0 0
Germany
State/province [269] 0 0
Neumünster
Country [270] 0 0
Germany
State/province [270] 0 0
Neuruppin
Country [271] 0 0
Germany
State/province [271] 0 0
Neuwied
Country [272] 0 0
Germany
State/province [272] 0 0
Oranienburg
Country [273] 0 0
Germany
State/province [273] 0 0
Oschersleben
Country [274] 0 0
Germany
State/province [274] 0 0
Paderborn
Country [275] 0 0
Germany
State/province [275] 0 0
Potsdam
Country [276] 0 0
Germany
State/province [276] 0 0
Radebeul
Country [277] 0 0
Germany
State/province [277] 0 0
Rathenow
Country [278] 0 0
Germany
State/province [278] 0 0
Raubach
Country [279] 0 0
Germany
State/province [279] 0 0
Rehau
Country [280] 0 0
Germany
State/province [280] 0 0
Reinfeld
Country [281] 0 0
Germany
State/province [281] 0 0
Rhaunen
Country [282] 0 0
Germany
State/province [282] 0 0
Rheine
Country [283] 0 0
Germany
State/province [283] 0 0
Rodgau-Dudenhofen
Country [284] 0 0
Germany
State/province [284] 0 0
Rüsselsheim
Country [285] 0 0
Germany
State/province [285] 0 0
Saarlouis
Country [286] 0 0
Germany
State/province [286] 0 0
Schwetzingen
Country [287] 0 0
Germany
State/province [287] 0 0
Solingen
Country [288] 0 0
Germany
State/province [288] 0 0
Tübingen
Country [289] 0 0
Germany
State/province [289] 0 0
Ulm
Country [290] 0 0
Germany
State/province [290] 0 0
Wallerfing
Country [291] 0 0
Germany
State/province [291] 0 0
Wardenburg
Country [292] 0 0
Germany
State/province [292] 0 0
Warendorf
Country [293] 0 0
Germany
State/province [293] 0 0
Weinheim
Country [294] 0 0
Germany
State/province [294] 0 0
Weyhe
Country [295] 0 0
Germany
State/province [295] 0 0
Wiesloch
Country [296] 0 0
Germany
State/province [296] 0 0
Witten
Country [297] 0 0
Germany
State/province [297] 0 0
Wolfsburg
Country [298] 0 0
Germany
State/province [298] 0 0
Zerbst
Country [299] 0 0
Greece
State/province [299] 0 0
Athens
Country [300] 0 0
Greece
State/province [300] 0 0
Heraklion
Country [301] 0 0
Greece
State/province [301] 0 0
Kalamaria
Country [302] 0 0
Greece
State/province [302] 0 0
Kavala
Country [303] 0 0
Greece
State/province [303] 0 0
Lamia
Country [304] 0 0
Greece
State/province [304] 0 0
Nafplio
Country [305] 0 0
Greece
State/province [305] 0 0
Rethymno
Country [306] 0 0
Greece
State/province [306] 0 0
Serres
Country [307] 0 0
Greece
State/province [307] 0 0
Thessaloniki
Country [308] 0 0
Guatemala
State/province [308] 0 0
Guatemala
Country [309] 0 0
Guatemala
State/province [309] 0 0
Nivel 12
Country [310] 0 0
Guatemala
State/province [310] 0 0
Nivel Guatemala
Country [311] 0 0
Guatemala
State/province [311] 0 0
Quetzaltenango
Country [312] 0 0
Hungary
State/province [312] 0 0
Baja
Country [313] 0 0
Hungary
State/province [313] 0 0
Budapest
Country [314] 0 0
Hungary
State/province [314] 0 0
Debrecen
Country [315] 0 0
Hungary
State/province [315] 0 0
Deszk
Country [316] 0 0
Hungary
State/province [316] 0 0
Dombovar
Country [317] 0 0
Hungary
State/province [317] 0 0
Erd
Country [318] 0 0
Hungary
State/province [318] 0 0
Farkasgyepü
Country [319] 0 0
Hungary
State/province [319] 0 0
Györ
Country [320] 0 0
Hungary
State/province [320] 0 0
Hajduböszörmeny
Country [321] 0 0
Hungary
State/province [321] 0 0
Hodmezovasarhely
Country [322] 0 0
Hungary
State/province [322] 0 0
Kaposvar
Country [323] 0 0
Hungary
State/province [323] 0 0
Kapuvar
Country [324] 0 0
Hungary
State/province [324] 0 0
Kecskemet
Country [325] 0 0
Hungary
State/province [325] 0 0
Makó
Country [326] 0 0
Hungary
State/province [326] 0 0
Mohacs
Country [327] 0 0
Hungary
State/province [327] 0 0
Mosonmagyarovar
Country [328] 0 0
Hungary
State/province [328] 0 0
Nagykanizsa
Country [329] 0 0
Hungary
State/province [329] 0 0
Nyiregyhaza
Country [330] 0 0
Hungary
State/province [330] 0 0
Pecs
Country [331] 0 0
Hungary
State/province [331] 0 0
Siófok
Country [332] 0 0
Hungary
State/province [332] 0 0
Szarvas
Country [333] 0 0
Hungary
State/province [333] 0 0
Szeged
Country [334] 0 0
Hungary
State/province [334] 0 0
Tatabanya
Country [335] 0 0
Hungary
State/province [335] 0 0
Törökbálint
Country [336] 0 0
India
State/province [336] 0 0
Ahmedabad
Country [337] 0 0
India
State/province [337] 0 0
Chennai
Country [338] 0 0
India
State/province [338] 0 0
Coimbatore
Country [339] 0 0
India
State/province [339] 0 0
Dadar(East)
Country [340] 0 0
India
State/province [340] 0 0
Hyderabad
Country [341] 0 0
India
State/province [341] 0 0
Jaipur
Country [342] 0 0
India
State/province [342] 0 0
Karnataka
Country [343] 0 0
India
State/province [343] 0 0
Maharashtra
Country [344] 0 0
India
State/province [344] 0 0
Maharastra
Country [345] 0 0
India
State/province [345] 0 0
Punjab
Country [346] 0 0
Ireland
State/province [346] 0 0
Co. Cork
Country [347] 0 0
Ireland
State/province [347] 0 0
Co. Tipperary
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Ireland
State/province [348] 0 0
Co. Wexford
Country [349] 0 0
Ireland
State/province [349] 0 0
Dublin 24
Country [350] 0 0
Ireland
State/province [350] 0 0
Dublin
Country [351] 0 0
Ireland
State/province [351] 0 0
Limerick
Country [352] 0 0
Ireland
State/province [352] 0 0
Offaly
Country [353] 0 0
Israel
State/province [353] 0 0
Ashkelon
Country [354] 0 0
Israel
State/province [354] 0 0
Beer Sheva
Country [355] 0 0
Israel
State/province [355] 0 0
Haifa
Country [356] 0 0
Israel
State/province [356] 0 0
Jerusalem
Country [357] 0 0
Israel
State/province [357] 0 0
Kfar Saba
Country [358] 0 0
Israel
State/province [358] 0 0
Petach Tikva
Country [359] 0 0
Israel
State/province [359] 0 0
Rehovot
Country [360] 0 0
Israel
State/province [360] 0 0
Tel-Aviv
Country [361] 0 0
Italy
State/province [361] 0 0
Arenzano (ge)
Country [362] 0 0
Italy
State/province [362] 0 0
Ascoli Piceno
Country [363] 0 0
Italy
State/province [363] 0 0
Avellino
Country [364] 0 0
Italy
State/province [364] 0 0
Benevento
Country [365] 0 0
Italy
State/province [365] 0 0
Brescia
Country [366] 0 0
Italy
State/province [366] 0 0
Busto Arsizio (va)
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Italy
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Cagliari
Country [368] 0 0
Italy
State/province [368] 0 0
Catanzaro
Country [369] 0 0
Italy
State/province [369] 0 0
Chieti Scalo
Country [370] 0 0
Italy
State/province [370] 0 0
Firenze
Country [371] 0 0
Italy
State/province [371] 0 0
Monza
Country [372] 0 0
Italy
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Napoli
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Italy
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Orbassano (to)
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Italy
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Palermo
Country [375] 0 0
Italy
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Parma
Country [376] 0 0
Italy
State/province [376] 0 0
Perugia
Country [377] 0 0
Italy
State/province [377] 0 0
Prato
Country [378] 0 0
Italy
State/province [378] 0 0
Reggio Emilia
Country [379] 0 0
Italy
State/province [379] 0 0
Roma
Country [380] 0 0
Italy
State/province [380] 0 0
Treviso
Country [381] 0 0
Korea, Republic of
State/province [381] 0 0
Bucheon
Country [382] 0 0
Korea, Republic of
State/province [382] 0 0
Busan
Country [383] 0 0
Korea, Republic of
State/province [383] 0 0
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Country [384] 0 0
Korea, Republic of
State/province [384] 0 0
Daejoen
Country [385] 0 0
Korea, Republic of
State/province [385] 0 0
Gangwon-Do
Country [386] 0 0
Korea, Republic of
State/province [386] 0 0
Goyang
Country [387] 0 0
Korea, Republic of
State/province [387] 0 0
Gwangju
Country [388] 0 0
Korea, Republic of
State/province [388] 0 0
Incheon
Country [389] 0 0
Korea, Republic of
State/province [389] 0 0
Jeonju
Country [390] 0 0
Korea, Republic of
State/province [390] 0 0
Seoul
Country [391] 0 0
Korea, Republic of
State/province [391] 0 0
Uijeongbu
Country [392] 0 0
Latvia
State/province [392] 0 0
Daugavpils
Country [393] 0 0
Latvia
State/province [393] 0 0
Kraslava
Country [394] 0 0
Latvia
State/province [394] 0 0
Riga
Country [395] 0 0
Latvia
State/province [395] 0 0
Talsi
Country [396] 0 0
Latvia
State/province [396] 0 0
Valmiera
Country [397] 0 0
Lithuania
State/province [397] 0 0
Alytus
Country [398] 0 0
Lithuania
State/province [398] 0 0
Kaunas
Country [399] 0 0
Lithuania
State/province [399] 0 0
Klaipeda
Country [400] 0 0
Lithuania
State/province [400] 0 0
Siauliai
Country [401] 0 0
Lithuania
State/province [401] 0 0
Utena
Country [402] 0 0
Lithuania
State/province [402] 0 0
Vilnius
Country [403] 0 0
Malaysia
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Johor Bahru
Country [404] 0 0
Malaysia
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Kuala Lumpur
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Malaysia
State/province [405] 0 0
Pahang
Country [406] 0 0
Malaysia
State/province [406] 0 0
Sarawak
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Malaysia
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Selangor
Country [408] 0 0
Malaysia
State/province [408] 0 0
Terengganu
Country [409] 0 0
Mexico
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Aguascalientes
Country [410] 0 0
Mexico
State/province [410] 0 0
Distrito Federal
Country [411] 0 0
Mexico
State/province [411] 0 0
Guadalajara
Country [412] 0 0
Mexico
State/province [412] 0 0
Monte Rey
Country [413] 0 0
Mexico
State/province [413] 0 0
México
Country [414] 0 0
Mexico
State/province [414] 0 0
Zona Río
Country [415] 0 0
Netherlands
State/province [415] 0 0
Almere
Country [416] 0 0
Netherlands
State/province [416] 0 0
Andijk
Country [417] 0 0
Netherlands
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Beek En Donk
Country [418] 0 0
Netherlands
State/province [418] 0 0
Beek
Country [419] 0 0
Netherlands
State/province [419] 0 0
Ermelo
Country [420] 0 0
Netherlands
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Hoogwoud
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Netherlands
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Nijverdal
Country [422] 0 0
Netherlands
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Oude Pekela
Country [423] 0 0
Netherlands
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Roelofarendsveen
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Christchurch
Country [425] 0 0
New Zealand
State/province [425] 0 0
Dunedin
Country [426] 0 0
New Zealand
State/province [426] 0 0
Newtown Wellington NZ
Country [427] 0 0
New Zealand
State/province [427] 0 0
Tauranga
Country [428] 0 0
Norway
State/province [428] 0 0
Drammen
Country [429] 0 0
Norway
State/province [429] 0 0
Fredrikstad
Country [430] 0 0
Norway
State/province [430] 0 0
Hønefoss
Country [431] 0 0
Norway
State/province [431] 0 0
Kløfta
Country [432] 0 0
Norway
State/province [432] 0 0
Kolbjørnsvik
Country [433] 0 0
Norway
State/province [433] 0 0
Løvenstad
Country [434] 0 0
Norway
State/province [434] 0 0
Oslo
Country [435] 0 0
Norway
State/province [435] 0 0
Sandvika
Country [436] 0 0
Norway
State/province [436] 0 0
Svelvik
Country [437] 0 0
Norway
State/province [437] 0 0
Trollåsen
Country [438] 0 0
Panama
State/province [438] 0 0
Carrasquilla
Country [439] 0 0
Panama
State/province [439] 0 0
Marbella
Country [440] 0 0
Peru
State/province [440] 0 0
Bellavista
Country [441] 0 0
Peru
State/province [441] 0 0
Cusco
Country [442] 0 0
Peru
State/province [442] 0 0
Jesús Maria
Country [443] 0 0
Peru
State/province [443] 0 0
Jesús María
Country [444] 0 0
Peru
State/province [444] 0 0
Lima
Country [445] 0 0
Peru
State/province [445] 0 0
San Isidro
Country [446] 0 0
Peru
State/province [446] 0 0
San Martin de Porres
Country [447] 0 0
Philippines
State/province [447] 0 0
Cavite City
Country [448] 0 0
Philippines
State/province [448] 0 0
Davao City
Country [449] 0 0
Philippines
State/province [449] 0 0
Iloilo City
Country [450] 0 0
Philippines
State/province [450] 0 0
Manila
Country [451] 0 0
Philippines
State/province [451] 0 0
Quezon City
Country [452] 0 0
Poland
State/province [452] 0 0
Babice
Country [453] 0 0
Poland
State/province [453] 0 0
Bialystok
Country [454] 0 0
Poland
State/province [454] 0 0
Bydgoszcz
Country [455] 0 0
Poland
State/province [455] 0 0
Checiny
Country [456] 0 0
Poland
State/province [456] 0 0
Gdansk
Country [457] 0 0
Poland
State/province [457] 0 0
Gdynia
Country [458] 0 0
Poland
State/province [458] 0 0
Gorzow Wlkp
Country [459] 0 0
Poland
State/province [459] 0 0
Ilawa
Country [460] 0 0
Poland
State/province [460] 0 0
Katowice
Country [461] 0 0
Poland
State/province [461] 0 0
Krakow
Country [462] 0 0
Poland
State/province [462] 0 0
Libiaz
Country [463] 0 0
Poland
State/province [463] 0 0
Lodz
Country [464] 0 0
Poland
State/province [464] 0 0
Olsztyn
Country [465] 0 0
Poland
State/province [465] 0 0
Ostrow Wielkopolska
Country [466] 0 0
Poland
State/province [466] 0 0
Piaseczno
Country [467] 0 0
Poland
State/province [467] 0 0
Poznan
Country [468] 0 0
Poland
State/province [468] 0 0
Rokietnica
Country [469] 0 0
Poland
State/province [469] 0 0
Skierniewice
Country [470] 0 0
Poland
State/province [470] 0 0
Slawkow
Country [471] 0 0
Poland
State/province [471] 0 0
Szczecin
Country [472] 0 0
Poland
State/province [472] 0 0
Tarnow
Country [473] 0 0
Poland
State/province [473] 0 0
Tczew
Country [474] 0 0
Poland
State/province [474] 0 0
Torun
Country [475] 0 0
Poland
State/province [475] 0 0
Tranow
Country [476] 0 0
Poland
State/province [476] 0 0
Turek
Country [477] 0 0
Poland
State/province [477] 0 0
Warsaw
Country [478] 0 0
Poland
State/province [478] 0 0
Warszawa
Country [479] 0 0
Poland
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St Just, Penzance

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Boehringer Ingelheim
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Direct comparison studies of the tiotropium HandiHaler® 18 µg and Respimat® 5 µg formulations
have been limited to 4-week crossover studies. Therefore, prospective data from a trial of
adequate size and duration is required to establish that compared to tiotropium HandiHaler®,
tiotropium Respimat® will have (a) similar effects on safety and (b) similar or superior
effects on exacerbations.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01126437
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Boehringer Ingelheim
Address 0 0
Boehringer Ingelheim
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01126437