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A Trial Comparing Treatment With Tiotropium Inhalation Capsules to Combivent Inhalation Aerosol in COPD Patients.

A Randomized, Double-blind, Parallel Group Trial Comparing 12 Weeks Treatment With Tiotropium 18 mcg Daily to Combivent MDI 2 Actuations Qid in COPD Patients Previously Prescribed Combivent MDI

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00359788
Enrollment
349
Registered
2006-08-02
Start date
2006-07-31
Completion date
Unknown
Last updated
2014-05-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pulmonary Disease, Chronic Obstructive

Brief summary

The objective of this study is to evaluate the efficacy and safety of 12 weeks treatment with tiotropium HandiHaler 18 micrograms (mcg) daily compared to Combivent Metered Dose Inhaler (MDI) Chlorofluorocarbon Inhalation Aerosol 2 actuations four times a day in Chronic Obstructive Pulmonary Disease (COPD) patients currently prescribed Combivent® MDI.

Interventions

DRUGtiotropium
DRUGCombivent (Ipratropium/Albuterol)

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Intervention model
PARALLEL
Primary purpose
TREATMENT

Eligibility

Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) Age: greater than or equal to 40 years * Current or ex-smoker with a \>= 10 pack-year smoking history * Use of Combivent® Metered Dose Inhaler (MDI)for \>= 1 month prior to Visit 1 Spirometric criteria (determined at study visits): * Post-bronchodilator Forced Expiratory Volume in one second (FEV1) \<= 70% (Visit 1) * Pre-bronchodilator FEV1 \<= 65% of predicted and FEV1/Forced Vital Capacity (FVC) \<= 70% (Visit 2)

Exclusion criteria

Clinical history of asthma * History of thoracotomy with pulmonary resection * History of Cystic Fibrosis, alpha 1 antitrypsin deficiency or interstitial lung disease * Daytime use of oxygen therapy for \> 1 hour per day or if unable to abstain fr om using oxygen during Pulmonary Function Tests * Any respiratory tract infection or COPD exacerbation in 6 weeks prior to Visit 1 * Recent history 6 months or less of Myocardial Infarction * Unstable or life-threatening cardiac arrhythmias * Hospitalization for Congestive Heart Failure during past year * Malignancy for which patient is receiving chemo or radiation therapy * Pregnant or nursing women * Known hypersensitivity to ipratropium or carrier substances, including related food products such as soybean, peanuts, or lactose * Use of SPIRIVA® 3 months prior to Visit 1 * Symptomatic of prostatic hypertrophy or bladder neck obstruction * Known narrow- angle glaucoma * Participating in a pulmonary rehab program within 4 weeks of Visit 1

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 12 WeeksBaseline and 12 WeeksTrough FEV1 is measured 10 minutes before drug administration
Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 WeeksBaseline and 12 WeeksAverage hourly FEV1 AUC0-6 minus baseline FEV1

Secondary

MeasureTime frameDescription
FEV1 at 3 Hours at Week 123 hour
FEV1 at 4 Hours at Week 124 hour
FEV1 at 6 Hours at Week 126 hour
FVC at 15 Minutes on Day 115 minutes
FVC at 30 Minutes on Day 130 minutes
FVC at 1 Hour on Day 11 hour
FVC at 2 Hours on Day 12 hour
FVC at 3 Hours on Day 13 hour
FVC at 4 Hours on Day 14 hour
FVC at 6 Hours on Day 16 hour
FVC at -10 Minutes at Week 610 minutes before dosing
FVC at 15 Minutes at Week 615 minutes
FVC at 30 Minutes at Week 630 minutes
FVC at 1 Hour at Week 61 hour
FVC at 2 Hours at Week 62 hour
FVC at 3 Hours at Week 63 hour
FVC at 4 Hours at Week 64 hour
FVC at 6 Hours at Week 66 hour
FVC at -10 Minutes at Week 1210 minutes before dosing
FVC at 15 Minutes at Week 1215 minutes
FVC at 30 Minutes at Week 1230 minutes
FVC at 1 Hour at Week 121 hour
FVC at 2 Hours at Week 122 hour
FVC at 3 Hours at Week 123 hour
FVC at 4 Hours at Week 124 hour
FVC at 6 Hours at Week 126 hour
Change From Baseline in Trough FVC (Forced Vital Capacity) at 12 WeeksBaseline and 12 weeksTrough FVC is measured 10 minutes before drug administration
Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 12Baseline and 12 weeksPeak FEV1 is defined as the maximum FEV1 observed in the first three hours after dose of study medication
FEV1 at 4 Hours at Week 64 hour
Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 6 WeeksBaseline and 6 WeeksTrough FEV1 is measured 10 minutes before drug administration
Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 1Day 1 (after first dose)Average hourly FEV1 AUC0-6 minus baseline FEV1
Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at Week 6Baseline and week 6Average hourly FEV1 AUC0-6 minus baseline FEV1
Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) on Day 1Day 1Peak FEV1 is defined as the maximum FEV1 observed in the first three hours after dose of study medication
Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 6Baseline and 6 weeksPeak FEV1 is defined as the maximum FEV1 observed in the first three hours after dose of study medication
Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 WeeksBaseline and 12 WeeksAverage hourly FVC AUC0-6 minus baseline FVC
Change From Baseline in Trough FVC (Forced Vital Capacity) at 6 WeeksBaseline and 6 weeksTrough FVC is measured 10 minutes before drug administration
Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 1Day 1Average hourly FVC AUC0-6 minus baseline FVC
FEV1 at 6 Hours at Week 66 hour
FEV1 at -10 Minutes at Week 1210 minutes before dosing
FEV1 at 15 Minutes at Week 1215 minutes
Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 6 WeeksBaseline and 6 WeeksAverage hourly FVC AUC0-6 minus baseline FVC
Change From Baseline in Peak FVC (Forced Vital Capacity) on Day 1Day 1Peak FVC is defined as the maximum FVC observed in the first three hours after dose of study medication
Change From Baseline in Peak FVC (Forced Vital Capacity) at Week 6baseline and 6 Weeks (after first dose)Peak FVC is defined as the maximum FVC observed in the first three hours after dose of study medication
FEV1 at 30 Minutes at Week 1230 minutes
Change From Baseline in Peak FVC (Forced Vital Capacity) at Week 12Baseline and 12 WeeksPeak FVC is defined as the maximum FVC observed in the first three hours after dose of study medication
FEV1 at 15 Minutes on Day 115 minutes
FEV1 at 30 Minutes on Day 130 minutes
FEV1 at 1 Hour on Day 11 hour
FEV1 at 2 Hours on Day 12 hour
FEV1 at 3 Hours on Day 13 hour
FEV1 at 4 Hours on Day 14 hour
FEV1 at 6 Hours on Day 16 hours
FEV1 at -10 Minutes at Week 610 minutes before dosing
FEV1 at 15 Minutes at Week 615 minutes
FEV1 at 30 Minutes at Week 630 minutes
FEV1 at 1 Hour at Week 61 hour
FEV1 at 2 Hours at Week 62 hour
FEV1 at 3 Hours at Week 63 hour
Day Time Albuterol Use During Week 1Week 1Puffs of rescue albuterol used during the day in week 1
Day Time Albuterol Use During Week 2Week 2Puffs of rescue albuterol used during the day in week 2
Day Time Albuterol Use During Week 3Week 3Puffs of rescue albuterol used during the day in week 3
Day Time Albuterol Use During Week 4Week 4Puffs of rescue albuterol used during the day in week 4
Day Time Albuterol Use During Week 5Week 5Puffs of rescue albuterol used during the day in week 5
Day Time Albuterol Use During Week 6Week 6Puffs of rescue albuterol used during the day in week 6
Day Time Albuterol Use During Week 7Week 7Puffs of rescue albuterol used during the day in week 7
Day Time Albuterol Use During Week 8Week 8Puffs of rescue albuterol used during the day in week 8
Day Time Albuterol Use During Week 9Week 9Puffs of rescue albuterol used during the day in week 9
Day Time Albuterol Use During Week 10Week 10Puffs of rescue albuterol used during the day in week 10
Day Time Albuterol Use During Week 11Week 11Puffs of rescue albuterol used during the day in week 11
Day Time Albuterol Use During Week 12Week 12Puffs of rescue albuterol used during the day in week 12
Night Time Albuterol Use During Week 1Week 1
Night Time Albuterol Use During Week 2Week 2Puffs of rescue albuterol used during the night in week 2
Night Time Albuterol Use During Week 3Week 3Puffs of rescue albuterol used during the night in week 3
Night Time Albuterol Use During Week 4Week 4Puffs of rescue albuterol used during the night in week 4
Night Time Albuterol Use During Week 5Week 5Puffs of rescue albuterol used during the night in week 5
Night Time Albuterol Use During Week 6Week 6Puffs of rescue albuterol used during the night in week 6
Night Time Albuterol Use During Week 7Week 7Puffs of rescue albuterol used during the night in week 7
Night Time Albuterol Use During Week 8Week 8Puffs of rescue albuterol used during the night in week 8
Night Time Albuterol Use During Week 9Week 9Puffs of rescue albuterol used during the night in week 9
Night Time Albuterol Use During Week 10Week 10Puffs of rescue albuterol used during the night in week 10
Night Time Albuterol Use During Week 11Week 11Puffs of rescue albuterol used during the night in week 11
Night Time Albuterol Use During Week 12Week 12Puffs of rescue albuterol used during the night in week 12
Morning Peak Expiratory Flow Rate (PEFR) at Week 1Week 1
Morning PEFR at Week 2Week 2Weekly means for morning PEFR
Morning PEFR at Week 3Week 3Weekly means for morning PEFR
Morning PEFR at Week 4Week 4Weekly means for morning PEFR
Morning PEFR at Week 5Week 5Weekly means for morning PEFR
Morning PEFR at Week 6Week 6Weekly means for morning PEFR
Morning PEFR at Week 7Week 7Weekly means for morning PEFR
Morning PEFR at Week 8Week 8Weekly means for morning PEFR
Morning PEFR at Week 9Week 9Weekly means for morning PEFR
Morning PEFR at Week 10Week 10Weekly means for morning PEFR
Morning PEFR at Week 11Week 11Weekly means for morning PEFR
Morning PEFR at Week 12Week 12Weekly means for morning PEFR
Evening PEFR at Week 1Week 1Weekly means for evening PEFR
FEV1 at 1 Hour at Week 121 hour
Evening PEFR at Week 3Week 3Weekly means for evening PEFR
Evening PEFR at Week 4Week 4Weekly means for evening PEFR
Evening PEFR at Week 5Week 5Weekly means for evening PEFR
Evening PEFR at Week 6Week 6Weekly means for evening PEFR
Evening PEFR at Week 7Week 7Weekly means for evening PEFR
Evening PEFR at Week 8Week 8Weekly means for evening PEFR
Evening PEFR at Week 9Week 9Weekly means for evening PEFR
Evening PEFR at Week 10Week 10Weekly means for evening PEFR
Evening PEFR at Week 11Week 11Weekly means for evening PEFR
Evening PEFR at Week 12Week 12Weekly means for evening PEFR
Patient Global EvaluationWeek 6The Patient Global Evaluation reflected the patient's opinion of their overall condition with respect to chronic obstructive pulmonary disease (COPD). The scale responses were: Poor (1,2). Fair (3,4), Good (5,6) and Excellent (7,8)
Physician Global EvaluationWeek 6The Physician Global Evaluation reflected the physician's opinion of the patients overall condition with respect to COPD. The scale responses were: Poor (1,2). Fair (3,4), Good (5,6) and Excellent (7,8).
Evening PEFR at Week 2Week 2Weekly means for evening PEFR
FEV1 at 2 Hours at Week 122 hour

Countries

United States

Participant flow

Participants by arm

ArmCount
Tiotropium
18 mcg once daily
173
Combivent (Ipratropium/Albuterol)
2 actuations 4 times daily
176
Total349

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event1110
Overall StudyLack of Efficacy12
Overall StudyLost to Follow-up32
Overall StudyProtocol Violation42
Overall StudyWithdrawal by Subject41

Baseline characteristics

CharacteristicTiotropiumCombivent (Ipratropium/Albuterol)Total
Age, Continuous64.7 years
STANDARD_DEVIATION 7.7
65.4 years
STANDARD_DEVIATION 8
65.1 years
STANDARD_DEVIATION 7.8
Sex: Female, Male
Female
20 Participants13 Participants33.0 Participants
Sex: Female, Male
Male
153 Participants163 Participants316.0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
11 / 1739 / 176
serious
Total, serious adverse events
11 / 17312 / 176

Outcome results

Primary

Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 Weeks

Average hourly FEV1 AUC0-6 minus baseline FEV1

Time frame: Baseline and 12 Weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 Weeks0.187 LitersStandard Error 0.019
Combivent (Ipratropium/Albuterol)Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 Weeks0.167 LitersStandard Error 0.018
p-value: 0.004295% CI: [-0.032, 0.072]ANCOVA
Primary

Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 12 Weeks

Trough FEV1 is measured 10 minutes before drug administration

Time frame: Baseline and 12 Weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 12 Weeks0.081 LitersStandard Error 0.018
Combivent (Ipratropium/Albuterol)Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 12 Weeks-0.025 LitersStandard Error 0.018
p-value: <0.000195% CI: [0.055, 0.157]ANCOVA
Secondary

Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at Week 6

Average hourly FEV1 AUC0-6 minus baseline FEV1

Time frame: Baseline and week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at Week 60.207 LitersStandard Error 0.019
Combivent (Ipratropium/Albuterol)Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) at Week 60.153 LitersStandard Error 0.018
p-value: 0.044795% CI: [0.001, 0.106]ANCOVA
Secondary

Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 1

Average hourly FEV1 AUC0-6 minus baseline FEV1

Time frame: Day 1 (after first dose)

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 10.132 LitersStandard Error 0.012
Combivent (Ipratropium/Albuterol)Change From Baseline in Average Hourly FEV1 AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 10.211 LitersStandard Error 0.012
p-value: <0.000195% CI: [-0.114, -0.046]ANCOVA
Secondary

Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 Weeks

Average hourly FVC AUC0-6 minus baseline FVC

Time frame: Baseline and 12 Weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 Weeks0.443 LitersStandard Error 0.037
Combivent (Ipratropium/Albuterol)Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 12 Weeks0.432 LitersStandard Error 0.036
p-value: 0.83595% CI: [-0.092, 0.114]ANCOVA
Secondary

Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 6 Weeks

Average hourly FVC AUC0-6 minus baseline FVC

Time frame: Baseline and 6 Weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 6 Weeks0.464 LitersStandard Error 0.035
Combivent (Ipratropium/Albuterol)Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) at 6 Weeks0.425 LitersStandard Error 0.035
p-value: 0.438695% CI: [-0.059, 0.137]ANCOVA
Secondary

Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 1

Average hourly FVC AUC0-6 minus baseline FVC

Time frame: Day 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 10.327 LitersStandard Error 0.028
Combivent (Ipratropium/Albuterol)Change From Baseline in Average Hourly FVC AUC0-6 (Area Under the Curve From Zero to Six Hours) on Day 10.484 LitersStandard Error 0.028
p-value: <0.000195% CI: [-0.236, -0.078]ANCOVA
Secondary

Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 12

Peak FEV1 is defined as the maximum FEV1 observed in the first three hours after dose of study medication

Time frame: Baseline and 12 weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 120.209 LitersStandard Error 0.015
Combivent (Ipratropium/Albuterol)Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 120.342 LitersStandard Error 0.015
p-value: <0.000195% CI: [-0.175, -0.091]ANCOVA
Secondary

Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 6

Peak FEV1 is defined as the maximum FEV1 observed in the first three hours after dose of study medication

Time frame: Baseline and 6 weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 60.204 LitersStandard Error 0.014
Combivent (Ipratropium/Albuterol)Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) at Week 60.356 LitersStandard Error 0.013
p-value: <0.000195% CI: [-0.19, -0.113]ANCOVA
Secondary

Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) on Day 1

Peak FEV1 is defined as the maximum FEV1 observed in the first three hours after dose of study medication

Time frame: Day 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) on Day 10.232 LitersStandard Error 0.014
Combivent (Ipratropium/Albuterol)Change From Baseline in Peak FEV1 (Forced Expiratory Volume in 1 Second) on Day 10.364 LitersStandard Error 0.014
p-value: <0.000195% CI: [-0.171, -0.092]ANCOVA
Secondary

Change From Baseline in Peak FVC (Forced Vital Capacity) at Week 12

Peak FVC is defined as the maximum FVC observed in the first three hours after dose of study medication

Time frame: Baseline and 12 Weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Peak FVC (Forced Vital Capacity) at Week 120.418 LitersStandard Error 0.032
Combivent (Ipratropium/Albuterol)Change From Baseline in Peak FVC (Forced Vital Capacity) at Week 120.703 LitersStandard Error 0.032
p-value: <0.000195% CI: [-0.375, -0.196]ANCOVA
Secondary

Change From Baseline in Peak FVC (Forced Vital Capacity) at Week 6

Peak FVC is defined as the maximum FVC observed in the first three hours after dose of study medication

Time frame: baseline and 6 Weeks (after first dose)

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Peak FVC (Forced Vital Capacity) at Week 60.43 LitersStandard Error 0.031
Combivent (Ipratropium/Albuterol)Change From Baseline in Peak FVC (Forced Vital Capacity) at Week 60.791 LitersStandard Error 0.031
p-value: <0.000195% CI: [-0.449, -0.274]ANCOVA
Secondary

Change From Baseline in Peak FVC (Forced Vital Capacity) on Day 1

Peak FVC is defined as the maximum FVC observed in the first three hours after dose of study medication

Time frame: Day 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Peak FVC (Forced Vital Capacity) on Day 10.542 LitersStandard Error 0.033
Combivent (Ipratropium/Albuterol)Change From Baseline in Peak FVC (Forced Vital Capacity) on Day 10.824 LitersStandard Error 0.032
p-value: 0.000195% CI: [-0.374, -0.191]ANCOVA
Secondary

Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 6 Weeks

Trough FEV1 is measured 10 minutes before drug administration

Time frame: Baseline and 6 Weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 6 Weeks0.11 LitersStandard Error 0.017
Combivent (Ipratropium/Albuterol)Change From Baseline in Trough FEV1 (Forced Expiratory Volume in 1 Second) at 6 Weeks-0.036 LitersStandard Error 0.017
p-value: <0.000195% CI: [0.098, 0.193]ANCOVA
Secondary

Change From Baseline in Trough FVC (Forced Vital Capacity) at 12 Weeks

Trough FVC is measured 10 minutes before drug administration

Time frame: Baseline and 12 weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Trough FVC (Forced Vital Capacity) at 12 Weeks0.225 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)Change From Baseline in Trough FVC (Forced Vital Capacity) at 12 Weeks0.051 LitersStandard Error 0.038
p-value: 0.001595% CI: [0.067, 0.283]ANCOVA
Secondary

Change From Baseline in Trough FVC (Forced Vital Capacity) at 6 Weeks

Trough FVC is measured 10 minutes before drug administration

Time frame: Baseline and 6 weeks

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumChange From Baseline in Trough FVC (Forced Vital Capacity) at 6 Weeks0.258 LitersStandard Error 0.036
Combivent (Ipratropium/Albuterol)Change From Baseline in Trough FVC (Forced Vital Capacity) at 6 Weeks-0.02 LitersStandard Error 0.035
p-value: <0.000195% CI: [0.178, 0.379]ANCOVA
Secondary

Day Time Albuterol Use During Week 1

Puffs of rescue albuterol used during the day in week 1

Time frame: Week 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 11.175 Puffs per dayStandard Error 0.084
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 11.217 Puffs per dayStandard Error 0.082
p-value: 0.719695% CI: [-0.275, 0.19]ANCOVA
Secondary

Day Time Albuterol Use During Week 10

Puffs of rescue albuterol used during the day in week 10

Time frame: Week 10

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 101.351 Puffs per dayStandard Error 0.116
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 101.394 Puffs per dayStandard Error 0.114
p-value: 0.794795% CI: [-0.367, 0.282]ANCOVA
Secondary

Day Time Albuterol Use During Week 11

Puffs of rescue albuterol used during the day in week 11

Time frame: Week 11

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 111.352 Puffs per dayStandard Error 0.127
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 111.445 Puffs per dayStandard Error 0.124
p-value: 0.604995% CI: [-0.446, 0.26]ANCOVA
Secondary

Day Time Albuterol Use During Week 12

Puffs of rescue albuterol used during the day in week 12

Time frame: Week 12

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 121.361 Puffs per dayStandard Error 0.139
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 121.409 Puffs per dayStandard Error 0.137
p-value: 0.810995% CI: [-0.437, 0.342]ANCOVA
Secondary

Day Time Albuterol Use During Week 2

Puffs of rescue albuterol used during the day in week 2

Time frame: Week 2

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 21.24 Puffs per dayStandard Error 0.099
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 21.309 Puffs per dayStandard Error 0.096
p-value: 0.618995% CI: [-0.343, 0.205]ANCOVA
Secondary

Day Time Albuterol Use During Week 3

Puffs of rescue albuterol used during the day in week 3

Time frame: Week 3

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 31.337 Puffs per dayStandard Error 0.104
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 31.41 Puffs per dayStandard Error 0.101
p-value: 0.619795% CI: [-0.36, 0.215]ANCOVA
Secondary

Day Time Albuterol Use During Week 4

Puffs of rescue albuterol used during the day in week 4

Time frame: Week 4

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 41.287 Puffs per dayStandard Error 0.107
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 41.399 Puffs per dayStandard Error 0.104
p-value: 0.458295% CI: [-0.408, 0.184]ANCOVA
Secondary

Day Time Albuterol Use During Week 5

Puffs of rescue albuterol used during the day in week 5

Time frame: Week 5

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 51.275 Puffs per dayStandard Error 0.11
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 51.345 Puffs per dayStandard Error 0.107
p-value: 0.653895% CI: [-0.376, 0.236]ANCOVA
Secondary

Day Time Albuterol Use During Week 6

Puffs of rescue albuterol used during the day in week 6

Time frame: Week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 61.259 Puffs per dayStandard Error 0.126
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 61.405 Puffs per dayStandard Error 0.123
p-value: 0.414595% CI: [-0.495, 0.205]ANCOVA
Secondary

Day Time Albuterol Use During Week 7

Puffs of rescue albuterol used during the day in week 7

Time frame: Week 7

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 71.313 Puffs per dayStandard Error 0.116
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 71.398 Puffs per dayStandard Error 0.114
p-value: 0.604895% CI: [-0.408, 0.238]ANCOVA
Secondary

Day Time Albuterol Use During Week 8

Puffs of rescue albuterol used during the day in week 8

Time frame: Week 8

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 81.301 Puffs per dayStandard Error 0.119
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 81.471 Puffs per dayStandard Error 0.117
p-value: 0.313795% CI: [-0.503, 0.162]ANCOVA
Secondary

Day Time Albuterol Use During Week 9

Puffs of rescue albuterol used during the day in week 9

Time frame: Week 9

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumDay Time Albuterol Use During Week 91.369 Puffs per dayStandard Error 0.12
Combivent (Ipratropium/Albuterol)Day Time Albuterol Use During Week 91.43 Puffs per dayStandard Error 0.117
p-value: 0.719595% CI: [-0.395, 0.273]ANCOVA
Secondary

Evening PEFR at Week 1

Weekly means for evening PEFR

Time frame: Week 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 1222.89 Liters/minuteStandard Error 2.459
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 1222.64 Liters/minuteStandard Error 2.352
p-value: 0.610595% CI: [-8.532, 5.022]ANCOVA
Secondary

Evening PEFR at Week 10

Weekly means for evening PEFR

Time frame: Week 10

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 10220.46 Liters/minuteStandard Error 3.808
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 10216.32 Liters/minuteStandard Error 3.649
p-value: 0.438895% CI: [-6.372, 14.651]ANCOVA
Secondary

Evening PEFR at Week 11

Weekly means for evening PEFR

Time frame: Week 11

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 11218.35 Liters/minuteStandard Error 3.91
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 11217.17 Liters/minuteStandard Error 3.724
p-value: 0.828895% CI: [-9.595, 11.964]ANCOVA
Secondary

Evening PEFR at Week 12

Weekly means for evening PEFR

Time frame: Week 12

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 12219.66 Liters/minuteStandard Error 4.371
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 12215.46 Liters/minuteStandard Error 4.19
p-value: 0.492995% CI: [-7.857, 16.264]ANCOVA
Secondary

Evening PEFR at Week 2

Weekly means for evening PEFR

Time frame: Week 2

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 2221.97 Liters/minuteStandard Error 2.715
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 2221.12 Liters/minuteStandard Error 2.596
p-value: 0.824995% CI: [-6.642, 8.326]ANCOVA
Secondary

Evening PEFR at Week 3

Weekly means for evening PEFR

Time frame: Week 3

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 3221.23 Liters/minuteStandard Error 2.793
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 3218.52 Liters/minuteStandard Error 2.681
p-value: 0.489695% CI: [-5.001, 10.421]ANCOVA
Secondary

Evening PEFR at Week 4

Weekly means for evening PEFR

Time frame: Week 4

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 4221.96 Liters/minuteStandard Error 2.933
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 4215.06 Liters/minuteStandard Error 2.796
p-value: 0.093595% CI: [-1.172, 14.968]ANCOVA
Secondary

Evening PEFR at Week 5

Weekly means for evening PEFR

Time frame: Week 5

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 5217.95 Liters/minuteStandard Error 3.125
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 5214.53 Liters/minuteStandard Error 2.977
p-value: 0.433995% CI: [-5.17, 12.007]ANCOVA
Secondary

Evening PEFR at Week 6

Weekly means for evening PEFR

Time frame: Week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 6218.45 Liters/minuteStandard Error 3.535
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 6219.42 Liters/minuteStandard Error 3.382
p-value: 0.84595% CI: [-10.74, 8.799]ANCOVA
Secondary

Evening PEFR at Week 7

Weekly means for evening PEFR

Time frame: Week 7

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 7220.98 Liters/minuteStandard Error 3.63
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 7220.79 Liters/minuteStandard Error 3.468
p-value: 0.969695% CI: [-9.811, 10.199]ANCOVA
Secondary

Evening PEFR at Week 8

Weekly means for evening PEFR

Time frame: Week 8

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 8223.33 Liters/minuteStandard Error 3.721
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 8218.2 Liters/minuteStandard Error 3.553
p-value: 0.325295% CI: [-5.117, 15.376]ANCOVA
Secondary

Evening PEFR at Week 9

Weekly means for evening PEFR

Time frame: Week 9

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumEvening PEFR at Week 9221.47 Liters/minuteStandard Error 3.86
Combivent (Ipratropium/Albuterol)Evening PEFR at Week 9217.41 Liters/minuteStandard Error 3.674
p-value: 0.45295% CI: [-6.558, 14.683]ANCOVA
Secondary

FEV1 at -10 Minutes at Week 12

Time frame: 10 minutes before dosing

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at -10 Minutes at Week 121.225 LitersStandard Error 0.018
Combivent (Ipratropium/Albuterol)FEV1 at -10 Minutes at Week 121.119 LitersStandard Error 0.018
p-value: <0.000195% CI: [0.055, 0.157]ANCOVA
Secondary

FEV1 at -10 Minutes at Week 6

Time frame: 10 minutes before dosing

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at -10 Minutes at Week 61.254 LitersStandard Error 0.017
Combivent (Ipratropium/Albuterol)FEV1 at -10 Minutes at Week 61.108 LitersStandard Error 0.017
p-value: <0.000195% CI: [0.098, 0.193]ANCOVA
Secondary

FEV1 at 15 Minutes at Week 12

Time frame: 15 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 15 Minutes at Week 121.268 LitersStandard Error 0.019
Combivent (Ipratropium/Albuterol)FEV1 at 15 Minutes at Week 121.351 LitersStandard Error 0.019
p-value: 0.002395% CI: [-0.136, -0.03]ANCOVA
Secondary

FEV1 at 15 Minutes at Week 6

Time frame: 15 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 15 Minutes at Week 61.3 LitersStandard Error 0.019
Combivent (Ipratropium/Albuterol)FEV1 at 15 Minutes at Week 61.355 LitersStandard Error 0.019
p-value: 0.041195% CI: [-0.108, -0.002]ANCOVA
Secondary

FEV1 at 15 Minutes on Day 1

Time frame: 15 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 15 Minutes on Day 11.214 LitersStandard Error 0.012
Combivent (Ipratropium/Albuterol)FEV1 at 15 Minutes on Day 11.389 LitersStandard Error 0.011
p-value: <0.000195% CI: [-0.207, -0.142]ANCOVA
Secondary

FEV1 at 1 Hour at Week 12

Time frame: 1 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 1 Hour at Week 121.327 LitersStandard Error 0.02
Combivent (Ipratropium/Albuterol)FEV1 at 1 Hour at Week 121.41 LitersStandard Error 0.02
p-value: 0.004495% CI: [-0.139, -0.026]ANCOVA
Secondary

FEV1 at 1 Hour at Week 6

Time frame: 1 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 1 Hour at Week 61.343 LitersStandard Error 0.021
Combivent (Ipratropium/Albuterol)FEV1 at 1 Hour at Week 61.405 LitersStandard Error 0.021
p-value: 0.04195% CI: [-0.121, -0.003]ANCOVA
Secondary

FEV1 at 1 Hour on Day 1

Time frame: 1 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 1 Hour on Day 11.272 LitersStandard Error 0.014
Combivent (Ipratropium/Albuterol)FEV1 at 1 Hour on Day 11.455 LitersStandard Error 0.014
p-value: <0.000195% CI: [-0.221, -0.143]ANCOVA
Secondary

FEV1 at 2 Hours at Week 12

Time frame: 2 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 2 Hours at Week 121.353 LitersStandard Error 0.021
Combivent (Ipratropium/Albuterol)FEV1 at 2 Hours at Week 121.398 LitersStandard Error 0.02
p-value: 0.118295% CI: [-0.103, 0.012]ANCOVA
Secondary

FEV1 at 2 Hours at Week 6

Time frame: 2 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 2 Hours at Week 61.364 LitersStandard Error 0.021
Combivent (Ipratropium/Albuterol)FEV1 at 2 Hours at Week 61.382 LitersStandard Error 0.02
p-value: 0.538795% CI: [-0.076, 0.04]ANCOVA
Secondary

FEV1 at 2 Hours on Day 1

Time frame: 2 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 2 Hours on Day 11.293 Least Squares MeanStandard Error 0.014
Combivent (Ipratropium/Albuterol)FEV1 at 2 Hours on Day 11.43 Least Squares MeanStandard Error 0.014
p-value: <0.000195% CI: [-0.175, -0.097]ANCOVA
Secondary

FEV1 at 30 Minutes at Week 12

Time frame: 30 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 30 Minutes at Week 121.306 LitersStandard Error 0.02
Combivent (Ipratropium/Albuterol)FEV1 at 30 Minutes at Week 121.393 LitersStandard Error 0.019
p-value: 0.001995% CI: [-0.142, -0.033]ANCOVA
Secondary

FEV1 at 30 Minutes at Week 6

Time frame: 30 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 30 Minutes at Week 61.328 LitersStandard Error 0.02
Combivent (Ipratropium/Albuterol)FEV1 at 30 Minutes at Week 61.388 LitersStandard Error 0.02
p-value: 0.035495% CI: [-0.116, -0.004]ANCOVA
Secondary

FEV1 at 30 Minutes on Day 1

Time frame: 30 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 30 Minutes on Day 11.261 LitersStandard Error 0.013
Combivent (Ipratropium/Albuterol)FEV1 at 30 Minutes on Day 11.429 LitersStandard Error 0.013
p-value: <0.000195% CI: [-0.205, -0.131]ANCOVA
Secondary

FEV1 at 3 Hours at Week 12

Time frame: 3 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 3 Hours at Week 121.353 LitersStandard Error 0.021
Combivent (Ipratropium/Albuterol)FEV1 at 3 Hours at Week 121.333 LitersStandard Error 0.02
p-value: 0.481495% CI: [-0.037, 0.078]ANCOVA
Secondary

FEV1 at 3 Hours at Week 6

Time frame: 3 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 3 Hours at Week 61.371 LitersStandard Error 0.021
Combivent (Ipratropium/Albuterol)FEV1 at 3 Hours at Week 61.31 LitersStandard Error 0.02
p-value: 0.037295% CI: [0.004, 0.118]ANCOVA
Secondary

FEV1 at 3 Hours on Day 1

Time frame: 3 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 3 Hours on Day 11.29 LitersStandard Error 0.015
Combivent (Ipratropium/Albuterol)FEV1 at 3 Hours on Day 11.375 LitersStandard Error 0.014
p-value: <0.000195% CI: [-0.125, -0.044]ANCOVA
Secondary

FEV1 at 4 Hours at Week 12

Time frame: 4 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 4 Hours at Week 121.337 LitersStandard Error 0.02
Combivent (Ipratropium/Albuterol)FEV1 at 4 Hours at Week 121.263 LitersStandard Error 0.019
p-value: 0.00895% CI: [0.019, 0.129]ANCOVA
Secondary

FEV1 at 4 Hours at Week 6

Time frame: 4 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 4 Hours at Week 61.369 LitersStandard Error 0.02
Combivent (Ipratropium/Albuterol)FEV1 at 4 Hours at Week 61.247 LitersStandard Error 0.02
p-value: <0.000195% CI: [0.066, 0.177]ANCOVA
Secondary

FEV1 at 4 Hours on Day 1

Time frame: 4 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 4 Hours on Day 11.284 LitersStandard Error 0.015
Combivent (Ipratropium/Albuterol)FEV1 at 4 Hours on Day 11.319 LitersStandard Error 0.015
p-value: 0.099795% CI: [-0.076, 0.007]ANCOVA
Secondary

FEV1 at 6 Hours at Week 12

Time frame: 6 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 6 Hours at Week 121.318 LitersStandard Error 0.019
Combivent (Ipratropium/Albuterol)FEV1 at 6 Hours at Week 121.182 LitersStandard Error 0.019
p-value: <0.000195% CI: [0.082, 0.19]ANCOVA
Secondary

FEV1 at 6 Hours at Week 6

Time frame: 6 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 6 Hours at Week 61.33 LitersStandard Error 0.019
Combivent (Ipratropium/Albuterol)FEV1 at 6 Hours at Week 61.168 LitersStandard Error 0.019
p-value: <0.000195% CI: [0.108, 0.216]ANCOVA
Secondary

FEV1 at 6 Hours on Day 1

Time frame: 6 hours

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFEV1 at 6 Hours on Day 11.269 LitersStandard Error 0.016
Combivent (Ipratropium/Albuterol)FEV1 at 6 Hours on Day 11.233 LitersStandard Error 0.015
p-value: 0.10195% CI: [-0.007, 0.08]ANCOVA
Secondary

FVC at -10 Minutes at Week 12

Time frame: 10 minutes before dosing

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at -10 Minutes at Week 122.967 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)FVC at -10 Minutes at Week 122.792 LitersStandard Error 0.038
p-value: 0.001595% CI: [0.067, 0.283]ANCOVA
Secondary

FVC at -10 Minutes at Week 6

Time frame: 10 minutes before dosing

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at -10 Minutes at Week 63 LitersStandard Error 0.036
Combivent (Ipratropium/Albuterol)FVC at -10 Minutes at Week 62.722 LitersStandard Error 0.035
p-value: <0.000195% CI: [0.178, 0.379]ANCOVA
Secondary

FVC at 15 Minutes at Week 12

Time frame: 15 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 15 Minutes at Week 123.069 LitersStandard Error 0.037
Combivent (Ipratropium/Albuterol)FVC at 15 Minutes at Week 123.263 LitersStandard Error 0.036
p-value: 0.000295% CI: [-0.296, -0.091]ANCOVA
Secondary

FVC at 15 Minutes at Week 6

Time frame: 15 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 15 Minutes at Week 63.09 LitersStandard Error 0.037
Combivent (Ipratropium/Albuterol)FVC at 15 Minutes at Week 63.279 LitersStandard Error 0.036
p-value: 0.000495% CI: [-0.293, -0.086]ANCOVA
Secondary

FVC at 15 Minutes on Day 1

Time frame: 15 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 15 Minutes on Day 12.938 LitersStandard Error 0.036
Combivent (Ipratropium/Albuterol)FVC at 15 Minutes on Day 13.308 LitersStandard Error 0.035
p-value: <0.000195% CI: [-0.449, -0.29]ANCOVA
Secondary

FVC at 1 Hour at Week 12

Time frame: 1 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 1 Hour at Week 123.177 LitersStandard Error 0.04
Combivent (Ipratropium/Albuterol)FVC at 1 Hour at Week 123.375 LitersStandard Error 0.039
p-value: 0.000695% CI: [-0.309, -0.086]ANCOVA
Secondary

FVC at 1 Hour at Week 6

Time frame: 1 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 1 Hour at Week 63.206 LitersStandard Error 0.04
Combivent (Ipratropium/Albuterol)FVC at 1 Hour at Week 63.388 LitersStandard Error 0.039
p-value: 0.01295% CI: [-0.293, -0.072]ANCOVA
Secondary

FVC at 1 Hour on Day 1

Time frame: 1 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 1 Hour on Day 13.087 LitersStandard Error 0.033
Combivent (Ipratropium/Albuterol)FVC at 1 Hour on Day 13.444 LitersStandard Error 0.033
p-value: <0.000195% CI: [-0.451, -0.264]ANCOVA
Secondary

FVC at 2 Hours at Week 12

Time frame: 2 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 2 Hours at Week 123.231 LitersStandard Error 0.04
Combivent (Ipratropium/Albuterol)FVC at 2 Hours at Week 123.328 LitersStandard Error 0.04
p-value: 0.089695% CI: [-0.21, 0.015]ANCOVA
Secondary

FVC at 2 Hours at Week 6

Time frame: 2 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 2 Hours at Week 63.227 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)FVC at 2 Hours at Week 63.338 LitersStandard Error 0.038
p-value: 0.04495% CI: [-0.219, 0.003]ANCOVA
Secondary

FVC at 2 Hours on Day 1

Time frame: 2 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 2 Hours on Day 13.103 LitersStandard Error 0.033
Combivent (Ipratropium/Albuterol)FVC at 2 Hours on Day 13.388 LitersStandard Error 0.032
p-value: <0.000195% CI: [-0.376, -0.194]ANCOVA
Secondary

FVC at 30 Minutes at Week 12

Time frame: 30 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 30 Minutes at Week 123.143 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)FVC at 30 Minutes at Week 123.358 LitersStandard Error 0.038
p-value: <0.000195% CI: [-0.323, -0.108]ANCOVA
Secondary

FVC at 30 Minutes at Week 6

Time frame: 30 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 30 Minutes at Week 63.158 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)FVC at 30 Minutes at Week 63.362 LitersStandard Error 0.039
p-value: 0.000395% CI: [-0.314, -0.095]ANCOVA
Secondary

FVC at 30 Minutes on Day 1

Time frame: 30 minutes

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 30 Minutes on Day 13.044 LitersStandard Error 0.03
Combivent (Ipratropium/Albuterol)FVC at 30 Minutes on Day 13.4 LitersStandard Error 0.03
p-value: <0.000195% CI: [-0.44, -0.272]ANCOVA
Secondary

FVC at 3 Hours at Week 12

Time frame: 3 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 3 Hours at Week 123.226 LitersStandard Error 0.04
Combivent (Ipratropium/Albuterol)FVC at 3 Hours at Week 123.218 LitersStandard Error 0.039
p-value: 0.893795% CI: [-0.103, 0.118]ANCOVA
Secondary

FVC at 3 Hours at Week 6

Time frame: 3 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 3 Hours at Week 63.235 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)FVC at 3 Hours at Week 63.185 LitersStandard Error 0.038
p-value: 0.363495% CI: [-0.058, 0.158]ANCOVA
Secondary

FVC at 3 Hours on Day 1

Time frame: 3 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 3 Hours on Day 13.091 LitersStandard Error 0.033
Combivent (Ipratropium/Albuterol)FVC at 3 Hours on Day 13.261 LitersStandard Error 0.032
p-value: 0.000395% CI: [-0.261, -0.079]ANCOVA
Secondary

FVC at 4 Hours at Week 12

Time frame: 4 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 4 Hours at Week 123.199 LitersStandard Error 0.04
Combivent (Ipratropium/Albuterol)FVC at 4 Hours at Week 123.074 LitersStandard Error 0.039
p-value: 0.026995% CI: [0.014, 0.236]ANCOVA
Secondary

FVC at 4 Hours at Week 6

Time frame: 4 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 4 Hours at Week 63.23 LitersStandard Error 0.039
Combivent (Ipratropium/Albuterol)FVC at 4 Hours at Week 63.068 LitersStandard Error 0.038
p-value: 0.003295% CI: [0.055, 0.27]ANCOVA
Secondary

FVC at 4 Hours on Day 1

Time frame: 4 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 4 Hours on Day 13.087 LitersStandard Error 0.034
Combivent (Ipratropium/Albuterol)FVC at 4 Hours on Day 13.136 LitersStandard Error 0.033
p-value: 0.299295% CI: [-0.143, 0.044]ANCOVA
Secondary

FVC at 6 Hours at Week 12

Time frame: 6 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 6 Hours at Week 123.155 LitersStandard Error 0.04
Combivent (Ipratropium/Albuterol)FVC at 6 Hours at Week 122.932 LitersStandard Error 0.04
p-value: 0.000195% CI: [0.111, 0.335]ANCOVA
Secondary

FVC at 6 Hours at Week 6

Time frame: 6 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 6 Hours at Week 63.190 LitersStandard Error 0.037
Combivent (Ipratropium/Albuterol)FVC at 6 Hours at Week 62.914 LitersStandard Error 0.036
p-value: <0.000195% CI: [0.173, 0.378]ANCOVA
Secondary

FVC at 6 Hours on Day 1

Time frame: 6 hour

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumFVC at 6 Hours on Day 13.053 LitersStandard Error 0.034
Combivent (Ipratropium/Albuterol)FVC at 6 Hours on Day 12.972 LitersStandard Error 0.034
p-value: 0.098495% CI: [-0.015, 0.177]ANCOVA
Secondary

Morning Peak Expiratory Flow Rate (PEFR) at Week 1

Time frame: Week 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning Peak Expiratory Flow Rate (PEFR) at Week 1205.8 Liters/minuteStandard Error 2.1
Combivent (Ipratropium/Albuterol)Morning Peak Expiratory Flow Rate (PEFR) at Week 1195.1 Liters/minuteStandard Error 2.059
p-value: 0.000495% CI: [4.836, 16.56]ANCOVA
Secondary

Morning PEFR at Week 10

Weekly means for morning PEFR

Time frame: Week 10

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 10204.83 Liters/minuteStandard Error 3.608
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 10193.23 Liters/minuteStandard Error 3.568
p-value: 0.024895% CI: [1.483, 21.71]ANCOVA
Secondary

Morning PEFR at Week 11

Weekly means for morning PEFR

Time frame: Week 11

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 11206.47 Liters/minuteStandard Error 3.607
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 11195.47 Liters/minuteStandard Error 3.542
p-value: 0.032595% CI: [0.924, 21.079]ANCOVA
Secondary

Morning PEFR at Week 12

Weekly means for morning PEFR

Time frame: Week 12

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 12206.52 Liters/minuteStandard Error 4.408
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 12192.44 Liters/minuteStandard Error 3.996
p-value: 0.015395% CI: [2.726, 25.422]ANCOVA
Secondary

Morning PEFR at Week 2

Weekly means for morning PEFR

Time frame: Week 2

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 2206.07 Liters/minuteStandard Error 2.594
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 2194.81 Liters/minuteStandard Error 2.516
p-value: 0.002395% CI: [4.055, 18.458]ANCOVA
Secondary

Morning PEFR at Week 3

Weekly means for morning PEFR

Time frame: Week 3

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 3206.61 Liters/minuteStandard Error 2.816
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 3193.83 Liters/minuteStandard Error 2.742
p-value: 0.001595% CI: [4.942, 20.602]ANCOVA
Secondary

Morning PEFR at Week 4

Weekly means for morning PEFR

Time frame: Week 4

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 4206.76 Liters/minuteStandard Error 2.959
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 4193.19 Liters/minuteStandard Error 2.88
p-value: 0.001395% CI: [5.342, 21.795]ANCOVA
Secondary

Morning PEFR at Week 5

Weekly means for morning PEFR

Time frame: Week 5

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 5205.6 Liters/minuteStandard Error 3.012
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 5193.55 Liters/minuteStandard Error 2.932
p-value: 0.00595% CI: [3.676, 20.428]ANCOVA
Secondary

Morning PEFR at Week 6

Weekly means for morning PEFR

Time frame: Week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 6206.49 Liters/minuteStandard Error 3.236
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 6195.38 Liters/minuteStandard Error 3.158
p-value: 0.015995% CI: [2.095, 20.119]ANCOVA
Secondary

Morning PEFR at Week 7

Weekly means for morning PEFR

Time frame: Week 7

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 7208.72 Liters/minuteStandard Error 3.377
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 7197.66 Liters/minuteStandard Error 3.326
p-value: 0.021995% CI: [1.613, 20.501]ANCOVA
Secondary

Morning PEFR at Week 8

Weekly means for morning PEFR

Time frame: Week 8

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 8208.88 Liters/minuteStandard Error 3.385
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 8195.22 Liters/minuteStandard Error 3.315
p-value: 0.004895% CI: [4.207, 23.104]ANCOVA
Secondary

Morning PEFR at Week 9

Weekly means for morning PEFR

Time frame: Week 9

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumMorning PEFR at Week 9208.97 Liters/minuteStandard Error 3.621
Combivent (Ipratropium/Albuterol)Morning PEFR at Week 9194.74 Liters/minuteStandard Error 3.531
p-value: 0.005895% CI: [4.153, 24.31]ANCOVA
Secondary

Night Time Albuterol Use During Week 1

Time frame: Week 1

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 13.493 Puffs per nightStandard Error 0.259
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 12.966 Puffs per nightStandard Error 0.248
p-value: 0.147195% CI: [-0.186, 1.24]ANCOVA
Secondary

Night Time Albuterol Use During Week 10

Puffs of rescue albuterol used during the night in week 10

Time frame: Week 10

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 103.199 Puffs per nightStandard Error 0.203
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 102.909 Puffs per nightStandard Error 0.196
p-value: 0.309195% CI: [-0.271, 0.852]ANCOVA
Secondary

Night Time Albuterol Use During Week 11

Puffs of rescue albuterol used during the night in week 11

Time frame: Week 11

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 113.224 Puffs per nightStandard Error 0.214
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 112.907 Puffs per nightStandard Error 0.205
p-value: 0.291195% CI: [-0.273, 0.907]ANCOVA
Secondary

Night Time Albuterol Use During Week 12

Puffs of rescue albuterol used during the night in week 12

Time frame: Week 12

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 123.178 Puffs per nightStandard Error 0.238
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 123.069 Puffs per nightStandard Error 0.229
p-value: 0.745895% CI: [-0.549, 0.766]ANCOVA
Secondary

Night Time Albuterol Use During Week 2

Puffs of rescue albuterol used during the night in week 2

Time frame: Week 2

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 23.269 Puffs per nightStandard Error 0.19
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 23.004 Puffs per nightStandard Error 0.182
p-value: 0.319295% CI: [-0.258, 0.788]ANCOVA
Secondary

Night Time Albuterol Use During Week 3

Puffs of rescue albuterol used during the night in week 3

Time frame: Week 3

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 33.282 Puffs per nightStandard Error 0.187
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 32.931 Puffs per nightStandard Error 0.18
p-value: 0.18295% CI: [-0.165, 0.867]ANCOVA
Secondary

Night Time Albuterol Use During Week 4

Puffs of rescue albuterol used during the night in week 4

Time frame: Week 4

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 43.285 Puffs per nightStandard Error 0.193
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 42.921 Puffs per nightStandard Error 0.184
p-value: 0.177795% CI: [-0.166, 0.893]ANCOVA
Secondary

Night Time Albuterol Use During Week 5

Puffs of rescue albuterol used during the night in week 5

Time frame: Week 5

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 53.152 Puffs per nightStandard Error 0.194
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 52.789 Puffs per nightStandard Error 0.185
p-value: 0.180595% CI: [-0.169, 0.895]ANCOVA
Secondary

Night Time Albuterol Use During Week 6

Puffs of rescue albuterol used during the night in week 6

Time frame: Week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 63.178 Puffs per nightStandard Error 0.197
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 62.806 Puffs per nightStandard Error 0.188
p-value: 0.177795% CI: [-0.17, 0.913]ANCOVA
Secondary

Night Time Albuterol Use During Week 7

Puffs of rescue albuterol used during the night in week 7

Time frame: Week 7

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 73.156 Puffs per nightStandard Error 0.201
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 72.966 Puffs per nightStandard Error 0.193
p-value: 0.572595% CI: [-0.395, 0.714]ANCOVA
Secondary

Night Time Albuterol Use During Week 8

Puffs of rescue albuterol used during the night in week 8

Time frame: Week 8

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 83.104 Puffs per nightStandard Error 0.207
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 82.983 Puffs per nightStandard Error 0.198
p-value: 0.676595% CI: [-0.449, 0.69]ANCOVA
Secondary

Night Time Albuterol Use During Week 9

Puffs of rescue albuterol used during the night in week 9

Time frame: Week 9

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumNight Time Albuterol Use During Week 93.254 Puffs per nightStandard Error 0.208
Combivent (Ipratropium/Albuterol)Night Time Albuterol Use During Week 93.006 Puffs per nightStandard Error 0.198
p-value: 0.394395% CI: [-0.323, 0.818]ANCOVA
Secondary

Patient Global Evaluation

The Patient Global Evaluation reflected the patient's opinion of their overall condition with respect to chronic obstructive pulmonary disease (COPD). The scale responses were: Poor (1,2). Fair (3,4), Good (5,6) and Excellent (7,8)

Time frame: Week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumPatient Global Evaluation4.273 Units on a scaleStandard Error 0.081
Combivent (Ipratropium/Albuterol)Patient Global Evaluation4.069 Units on a scaleStandard Error 0.079
p-value: 0.075495% CI: [-0.021, 0.429]ANCOVA
Secondary

Patient Global Evaluation

The Patient Global Evaluation reflected the patient's opinion of their overall condition with respect to COPD. The scale responses were: Poor (1,2). Fair (3,4), Good (5,6) and Excellent (7,8).

Time frame: Week 12

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumPatient Global Evaluation4.49 Units on a scaleStandard Error 0.1
Combivent (Ipratropium/Albuterol)Patient Global Evaluation4.239 Units on a scaleStandard Error 0.098
p-value: 0.076595% CI: [-0.027, 0.528]ANCOVA
Secondary

Physician Global Evaluation

The Physician Global Evaluation reflected the physician's opinion of the patients overall condition with respect to COPD. The scale responses were: Poor (1,2). Fair (3,4), Good (5,6) and Excellent (7,8).

Time frame: Week 6

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumPhysician Global Evaluation4.867 Units on a scaleStandard Error 0.076
Combivent (Ipratropium/Albuterol)Physician Global Evaluation4.716 Units on a scaleStandard Error 0.075
p-value: 0.16395% CI: [-0.061, 0.363]ANCOVA
Secondary

Physician Global Evaluation

The Physician Global Evaluation reflected the physician's opinion of the patients overall condition with respect to COPD. The scale responses were: Poor (1,2). Fair (3,4), Good (5,6) and Excellent (7,8).

Time frame: Week 12

Population: Participants analyzed belonged to the Full Analysis Set (FAS) and included all patients randomized, treated with study medication and had baseline FEV1 and at least one post-dose trough FEV1.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
TiotropiumPhysician Global Evaluation5.057 Units on a scaleStandard Error 0.076
Combivent (Ipratropium/Albuterol)Physician Global Evaluation4.772 Units on a scaleStandard Error 0.074
p-value: 0.008595% CI: [0.073, 0.496]ANCOVA

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026