Asthma
Conditions
Brief summary
The primary objective of this study is to examine efficacy and safety of tiotropium compared to plac ebo as add-on therapy in severe asthmatics according to GINA step 4 classification
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Outpatients of either sex, age 18 - 75 years, with at least a documented 5 year history of asthma, and a current diagnosis of severe, persistent asthma (GINA step 4), smoking history \< 10 pack years and \>= 1 year smoking cessation; Patients must be symptomatic
Exclusion criteria
Patients * with a recent history (i.e., six months or less) of myocardial infarction, * who have been hospitalized for heart failure (NYHA class III or IV) within the past year, * with any unstable or life threatening cardiac arrhythmia or cardiac arrhythmia requiring intervention or a change in drug therapy within the past year, * with malignancy for which the patient has undergone resection, radiation ther apy or chemotherapy within the last five years, * who have undergone thoracotomy with pulmonary resection, * with moderate to severe renal impairment (creatinine clearance = 50 mL/min)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary efficacy endpoint is the FEV1 response (within 3 hours post dosing) determined at the end of the 8-week treatment period | — |
Secondary
| Measure | Time frame |
|---|---|
| FEV1 and FVC AUC 0-3h (in a subset 0-24h) PEF, use of rescue medication, daytime and nocturnal symptoms etc. | — |
Countries
Denmark, Germany, Netherlands