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Trial Comparing Tiotropium Inhalation Capsules vs Placebo in Chronic Obstructive Pulmonary Disease (COPD).

A 24 Week, Randomized, Double-blind, Placebo Controlled, Multicenter Study to Evaluate the Efficacy and Safety of 18 MCG of Tiotropium Inhalation Capsules Administered by HandiHaler Once-daily Plus PRN Albuterol (Salbutamol) vs. Placebo Plus PRN Albuterol (Salbutamol) in Chronic Obstructive Pulmonary Disease Subjects Naive to Maintenance Therapy

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00523991
Enrollment
457
Registered
2007-09-03
Start date
2007-04-30
Completion date
Unknown
Last updated
2014-05-20

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

A 24 week, randomized, double-blind, placebo-controlled, multicenter study to evaluate the efficacy and safety of 18mcg of tiotropium inhalation capsules administered by Handihaler once daily plus Pro Re Nata (PRN) albuterol (salbutamol) vs. placebo plus PRN albuterol (salbutamol) in chronic obstructive pulmonary disease subjects naive to maintenance therapy.

Interventions

DRUGtiotropium

Oral inhalation once daily of 18mcg tiotropium via handihaler

DRUGPlacebo

Oral inhalation once daily of placebo matching tiotropium via handihaler

Sponsors

Pfizer
CollaboratorINDUSTRY
Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

All subjects must have a diagnosis of Chronic Obstructive Pulmonary Disease (COPD) according to Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD) guideline criteria: post-bronchodilator Forced Expiratory Volume in one Second/Forced Vital Capacity (FEV1/FVC) ratio \< 70% (visit 1). Subjects must be GOLD Stage II and have a post-bronchodilator FEV1 \>50% and \< 80% of predicted normal (visit 1). Subjects must be current or ex-smokers with a smoking history of \>=10 pack years. Subjects must have a Medical Research Council (MRC) dyspnea score \>= 2.

Exclusion criteria

Subjects who have been treated with maintenance medications for chronic respiratory disease within six months prior to screening. Subjects with significant diseases other than COPD. Subjects on chronic systemic corticosteroids. Subjects with any upper and/or lower respiratory tract infection or COPD exacerbation in the 6 weeks prior to the initial visit 1 or during the screening period prior to visit 3 Subjects with a recent (past 6 months) myocardial infarction, any unstable or life threatening cardiac arrhythmia requiring intervention or change in drug therapy during the last year; or who have been hospitalized for cardiac failure during the past year.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Lung Function as Measured by the Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve From 0-3h (AUC0-3h)baseline, week 24Change = Week 24 Value - Baseline Value

Secondary

MeasureTime frameDescription
Change From Baseline in Forced Vital Capacity (Week 8, 120 Minutes)baseline, week 8, 120 minutesChange from baseline in forced vital capacity (week 8, 120 minutes)
Trough Forced Expiratory Volume in 1 Second (FEV1)(Baseline)BaselineTrough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 8)Baseline, week 8Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 16)Baseline, week 16Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 24)Baseline, week 24Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Peak Forced Expiratory Volume in 1 Second (Baseline)BaselinePeak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1.
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 8)Baseline, week 8Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16)Baseline, week 16Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24)Baseline, week 24Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.
Forced Expiratory Volume in 1 Second (Baseline, Pre-dose)BaselineForced expiratory volume in 1 second (baseline, pre-dose)
Forced Expiratory Volume in 1 Second (Baseline, 30 Minutes)baseline, 30 minutesForced expiratory volume in 1 second (baseline, 30 minutes)
Forced Expiratory Volume in 1 Second (Baseline, 60 Minutes)baseline, 60 minutesForced expiratory volume in 1 second (baseline, 60 minutes)
Forced Expiratory Volume in 1 Second (Baseline, 120 Minutes)Baseline, 120 minutesForced expiratory volume in 1 second (baseline, 120 minutes)
Forced Expiratory Volume in 1 Second (Baseline, 180 Minutes)Baseline, 180 minutesForced expiratory volume in 1 second (baseline, 180 minutes)
Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, Pre-dose)baseline, week 8, pre-doseChange from baseline in forced expiratory volume in 1 second (at week 8, pre-dose)
Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 30 Minutes)Baseline, week 8, 30 minutesChange from baseline in forced expiratory volume in 1 second (at week 8, 30 minutes)
Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 60 Minutes)baseline, week 8, 60 minutesChange from baseline in forced expiratory volume in 1 second (at week 8, 60 minutes)
Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 120 Minutes)baseline, week 8, 120 minutesChange from baseline in forced expiratory volume in 1 second (at week 8, 120 minutes)
Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 180 Minutes)baseline, week 8, 180 minutesChange from baseline in forced expiratory volume in 1 second (at week 8, 180 minutes)
Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 16, Pre-dose)baseline, week 16, pre-doseChange from baseline in forced expiratory volume in 1 second (at week 16, pre-dose)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 30 Minutes)Baseline, week 16, 30 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 16, 30 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 60 Minutes)baseline, week 16, 60 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 16, 60 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 120 Minutes)baseline, week 16, 120 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 16, 120 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 180 Minutes)baseline, week 16, 180 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 16, 180 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, Pre-dose)baseline, week 24, pre-doseChange from baseline in peak forced expiratory volume in 1 second (at week 24, pre-dose)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 30 Minutes)baseline, week 24, 30 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 24, 30 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 60 Minutes)baseline, week 24, 60 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 24, 60 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 120 Minutes)baseline, week 24, 120 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 24, 120 minutes)
Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 180 Minutes)baseline, week 24, 180 minutesChange from baseline in peak forced expiratory volume in 1 second (at week 24, 180 minutes)
FVC AUC0-3 at BaselinebaselineForced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h)
FVC AUC0-3 at Week 8 Minus Baselinebaseline, week 8Change from baseline in Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h) (week 8)
FVC AUC0-3 at Week 16 Minus Baselinebaseline, week 16Change from baseline in Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h)(week 16)
FVC AUC0-3 at Week 24 Minus Baselinebaseline, week 24Change from baseline in Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h) (week 24)
Trough Forced Vital Capacity (Baseline)baselineTrough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Change From Baseline in Trough Forced Vital Capacity (at Week 8)baseline, week 8Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Change From Baseline in Trough Forced Vital Capacity (at Week 16)baseline, week 16Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Change From Baseline in Forced Vital Capacity (Week 8, 180 Minutes)baseline, week 8, 180 minutesChange from baseline in forced vital capacity (week 8, 180 minutes)
Change From Baseline in Trough Forced Vital Capacity (at Week 24)baseline, week 24Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.
Peak Forced Vital Capacity (FVC) (Baseline)baselinePeak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1.
Change From Baseline in Peak Forced Vital Capacity (at Week 8)baseline, week 8Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.
Change From Baseline in Peak Forced Vital Capacity (at Week 16)baseline, week 16Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.
Change From Baseline in Peak Forced Vital Capacity (at Week 24)baseline, week 24Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.
Forced Vital Capacity (Baseline, Pre-dose)baselineForced vital capacity (baseline, pre-dose)
Forced Vital Capacity (Baseline, 30 Minutes)baseline, 30 minutesForced vital capacity (baseline, 30 minutes)
Forced Vital Capacity (Baseline, 60 Minutes)baseline, 60 minutesForced vital capacity (baseline, 60 minutes)
Forced Vital Capacity (Baseline, 120 Minutes)baseline, 120 minutesForced vital capacity (baseline, 120 minutes)
Forced Vital Capacity (Baseline, 180 Minutes)baseline, 180 minutesForced vital capacity (baseline, 180 minutes)
Change From Baseline in Forced Vital Capacity (Week 8, Pre-dose)baseline, week 8, pre-doseChange from baseline in forced vital capacity (week 8, pre-dose)
Change From Baseline in Forced Vital Capacity (Week 8, 30 Minutes)baseline, week 8, 30 minutesChange from baseline in forced vital capacity (week 8, 30 minutes)
Change From Baseline in Forced Vital Capacity (Week 16, Pre-dose)baseline, week 16, pre-doseChange from baseline in forced vital capacity (week 16, pre-dose)
Change From Baseline in Forced Vital Capacity (Week 16, 30 Minutes)baseline, week 16, 30 minutesChange from baseline in forced vital capacity (week 16, 30 minutes)
Change From Baseline in Forced Vital Capacity (Week 16, 60 Minutes)baseline, week 16, 60 minutesChange from baseline in forced vital capacity (week 16, 60 minutes)
Change From Baseline in Forced Vital Capacity (Week 16, 120 Minutes)baseline, week 16, 120 minutesChange from baseline in forced vital capacity (week 16, 120 minutes)
Change From Baseline in Forced Vital Capacity (Week 16, 180 Minutes)baseline, week 16, 180 minutesChange from baseline in forced vital capacity (week 16, 180 minutes)
Change From Baseline in Forced Vital Capacity (Week 24, Pre-dose)baseline, week 24, pre-doseChange from baseline in forced vital capacity (week 24, pre-dose)
Change From Baseline in Forced Vital Capacity (Week 24, 30 Minutes)baseline, week 24, 30 minutesChange from baseline in forced vital capacity (week 24, 30 minutes)
Change From Baseline in Forced Vital Capacity (Week 24, 60 Minutes)baseline, week 24, 60 minutesChange from baseline in forced vital capacity (week 24, 60 minutes)
Change From Baseline in Forced Vital Capacity (Week 24, 120 Minutes)baseline, week 24, 120 minutesChange from baseline in forced vital capacity (week 24, 120 minutes)
Change From Baseline in Forced Vital Capacity (Week 24, 180 Minutes)baseline, week 24, 180 minutesChange from baseline in forced vital capacity (week 24, 180 minutes)
Albuterol Use p.r.n. (Baseline)baselineNumber of days that participants used albuterol prn per week
Change From Baseline in Albuterol Use p.r.n. - (Week 4)baseline, week 4Difference in number of days that participants used albuterol prn per week between week 4 and baseline
Change From Baseline in Albuterol Use p.r.n. - (Week 8)baseline, week 8Difference in number of days that participants used albuterol prn per week between week 8 and baseline
Change From Baseline in Albuterol Use p.r.n. -(Week 12)baseline, week 12Difference in number of days that participants used albuterol prn per week between week 12 and baseline
Change From Baseline in Albuterol Use p.r.n. - (Week 16)baseline, week 16Difference in number of days that participants used albuterol prn per week between week 16 and baseline
Change From Baseline in Albuterol Use p.r.n. -(Week 20)baseline, week 20Difference in number of days that participants used albuterol prn per week between week 20 and baseline
Change From Baseline in Albuterol Use p.r.n. - (Week 24)baseline, week 24Difference in number of days that participants used albuterol prn per week between week 24 and baseline
Number of Participants With Categorical Scores on Physician's Global Assessment (Baseline)baselineThe physician's global assessment reflected the physician's opinion of the participant's overall clinical condition with respect to COPD. The evaluation was based on the participant's use of concomitant medications, as well as the number and severity of COPD exacerbations and related emergency room visits and/or hospitalizations since the last visit. The frequency and severity of symptoms ( cough, dyspnea, wheezing) and the impact of these on the participant's ability to exercise were considered. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.
Number of Participants With Categorical Scores on Physician's Global Assessment (Week 12)week 12The physician's global assessment reflected the physician's opinion of the participant's overall clinical condition with respect to COPD. The evaluation was based on the participant's use of concomitant medications, as well as the number and severity of COPD exacerbations and related emergency room visits and/or hospitalizations since the last visit. The frequency and severity of symptoms ( cough, dyspnea, wheezing) and the impact of these on the participant's ability to exercise were considered. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.
Number of Participants With Categorical Scores on Physician's Global Assessment (Week 24)week 24The physician's global assessment reflected the physician's opinion of the participant's overall clinical condition with respect to COPD. The evaluation was based on the participant's use of concomitant medications, as well as the number and severity of COPD exacerbations and related emergency room visits and/or hospitalizations since the last visit. The frequency and severity of symptoms ( cough, dyspnea, wheezing) and the impact of these on the participant's ability to exercise were considered. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.
Number of Participants With Categorical Scores on Patient's Global Assessment (Baseline)baselineThe patient's global assessment was based on the subject's need to take additional medications for breathing, their need for emergency room or hospital visits for COPD, and severity and amount of coughing, wheezing, and/or breathing discomfort experienced, and the impact of these symptoms on the subject's ability to exercise and perform daily activities. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.
Number of Participants With Categorical Scores on Patient's Global Assessment (Week 12)week 12The patient's global assessment was based on the subject's need to take additional medications for breathing, their need for emergency room or hospital visits for COPD, and severity and amount of coughing, wheezing, and/or breathing discomfort experienced, and the impact of these symptoms on the subject's ability to exercise and perform daily activities. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.
Number of Participants With Categorical Scores on Patient's Global Assessment (Week 24)week 24The patient's global assessment was based on the subject's need to take additional medications for breathing, their need for emergency room or hospital visits for COPD, and severity and amount of coughing, wheezing, and/or breathing discomfort experienced, and the impact of these symptoms on the subject's ability to exercise and perform daily activities. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.
Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Baseline)baselineWPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 4)baseline, week 4WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 8)baseline, week 8WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 12)baseline, week 12WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 16)baseline, week 16WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 20)baseline, week 20WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 24)baseline, week 24WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.
Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to HealthbaselineWPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 4)baseline, week 4WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 8)baseline, week 8WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 12)baseline, week 12WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 16)baseline, week 16WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 20)baseline, week 20WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 24)baseline, week 24WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.
Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Baseline)baselineWPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 4)baseline, week 4WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 8)baseline, week 8WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 12)baseline, week 12WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 16)baseline, week 16WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 20)baseline, week 20WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 24)baseline, week 24WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.
Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Baseline)baselineWPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 4)baseline, week 4WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 8)baseline, week 8WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 12)baseline, week 12WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 16)baseline, week 16WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 20)baseline, week 20WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.
Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 24)baseline, week 24WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.
Physical Activity (Light Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per DaybaselineLight intensity is less than three metabolic equivalents. Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm.
Change From Baseline in Physical Activity (Light Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 4Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Light Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 8Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Light Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 12Light intensity defined as less than three metabolic equivalents. Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Light Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 16Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Light Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 20Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Light Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 24Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Physical Activity (Moderate or Higher Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per DaybaselineModerate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 4Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 8Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 12Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Number of Participants With Healthy Lifestyle (Week 16)week 16Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no
Number of Participants With Healthy Lifestyle (Week 20)week 20Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no
Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 16Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 20Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Daybaseline, week 24Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm
Number of Participants With Healthy Lifestyle (Baseline)baselineHealthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no
Number of Participants With Healthy Lifestyle (Week 4)week 4Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no
Change From Baseline in Forced Vital Capacity (Week 8, 60 Minutes)baseline, week 8, 60 minutesChange from baseline in forced vital capacity (week 8, 60 minutes)
Number of Participants With Healthy Lifestyle (Week 12)week 12Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no
Number of Participants With Healthy Lifestyle (Week 24)week 24Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no
Active Energy Expenditure (Baseline)baselineThe amount of energy (kcal/day) that a person uses while physically active.
Change From Baseline in Active Energy Expenditure (Week 4)baseline, week 4The amount of energy (kcal/day) that a person uses while physically active.
Change From Baseline in Active Energy Expenditure (Week 8)baseline, week 8The amount of energy (kcal/day) that a person uses while physically active.
Change From Baseline in Active Energy Expenditure (Week 12)baseline, week 12The amount of energy (kcal/day) that a person uses while physically active.
Change From Baseline in Active Energy Expenditure (Week 16)baseline, week 16The amount of energy (kcal/day) that a person uses while physically active.
Change From Baseline in Active Energy Expenditure (Week 20)baseline, week 20The amount of energy (kcal/day) that a person uses while physically active.
Change From Baseline in Active Energy Expenditure (Week 24)baseline, week 24The amount of energy (kcal/day) that a person uses while physically active.
Number of Steps Per Day (Baseline)baselineNumber of steps per day (baseline)
Change From Baseline in Number of Steps Per Day (Week 4)baseline, week 4Change from baseline in number of steps per day (week 4)
Change From Baseline in Number of Steps Per Day(Week 8)baseline, week 8Change from baseline in number of steps per day (week 8)
Change From Baseline in Number of Steps Per Day (Week 12)baseline, week 12Change from baseline in Number of steps per day (week 12)
Change From Baseline in Number of Steps Per Day (Week 16)baseline, week 16Change from baseline in number of steps per day (week 16)
Change From Baseline in Number of Steps Per Day (Week 20)baseline, week 20Change from baseline in number of steps per day (week 20)
Change From Baseline in Number of Steps Per Day (Week 24)baseline, week 24Change from baseline in number of steps per day (week 24)
Number of Participants With Healthy Lifestyle (Week 8)week 8Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Countries

Belgium, Canada, Czechia, Germany, Greece, Netherlands, Portugal, Ukraine, United Kingdom, United States

Participant flow

Participants by arm

ArmCount
Placebo
Placebo matching tiotropium via HandiHaler® + PRN albuterol
219
Tiotropium
18 mcg tiotropium via HandiHaler® + PRN albuterol
238
Total457

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event65
Overall StudyLost to Follow-up41
Overall StudyOther reason (not specified)30
Overall StudyProtocol Violation14
Overall StudyWithdrawal by Subject717

Baseline characteristics

CharacteristicPlaceboTiotropiumTotal
Age, Continuous62.3 years
STANDARD_DEVIATION 8.6
61.2 years
STANDARD_DEVIATION 8.2
61.7 years
STANDARD_DEVIATION 8.4
Age, Customized
18-44 years
8 participants7 participants15 participants
Age, Customized
45-64 years
121 participants151 participants272 participants
Age, Customized
>=65 years
90 participants80 participants170 participants
Race/Ethnicity, Customized
Black
6 participants4 participants10 participants
Race/Ethnicity, Customized
White
213 participants234 participants447 participants
Sex: Female, Male
Female
72 Participants72 Participants144 Participants
Sex: Female, Male
Male
147 Participants166 Participants313 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
31 / 21926 / 238
serious
Total, serious adverse events
11 / 21910 / 238

Outcome results

Primary

Change From Baseline in Lung Function as Measured by the Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve From 0-3h (AUC0-3h)

Change = Week 24 Value - Baseline Value

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Lung Function as Measured by the Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve From 0-3h (AUC0-3h)-0.06 litres * hoursStandard Error 0.02
TiotropiumChange From Baseline in Lung Function as Measured by the Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve From 0-3h (AUC0-3h)0.16 litres * hoursStandard Error 0.02
p-value: <0.00195% CI: [0.18, 0.27]ANCOVA
Secondary

Active Energy Expenditure (Baseline)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (MEAN)Dispersion
PlaceboActive Energy Expenditure (Baseline)0.87 kilo calories per dayStandard Deviation 0.46
TiotropiumActive Energy Expenditure (Baseline)0.87 kilo calories per dayStandard Deviation 0.46
Secondary

Albuterol Use p.r.n. (Baseline)

Number of days that participants used albuterol prn per week

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboAlbuterol Use p.r.n. (Baseline)2.1 daysStandard Deviation 2.76
TiotropiumAlbuterol Use p.r.n. (Baseline)1.8 daysStandard Deviation 2.63
Secondary

Change From Baseline in Active Energy Expenditure (Week 12)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline, week 12

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Active Energy Expenditure (Week 12)-0.05 kilo calories per dayStandard Error 0.03
TiotropiumChange From Baseline in Active Energy Expenditure (Week 12)-0.06 kilo calories per dayStandard Error 0.03
Comparison: tiotropium versus placebop-value: 0.6795% CI: [-0.08, 0.05]ANCOVA
Secondary

Change From Baseline in Active Energy Expenditure (Week 16)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline, week 16

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Active Energy Expenditure (Week 16)-0.07 kilo calories per dayStandard Error 0.03
TiotropiumChange From Baseline in Active Energy Expenditure (Week 16)-0.09 kilo calories per dayStandard Error 0.03
Comparison: tiotropium versus placebop-value: 0.6395% CI: [-0.09, 0.06]ANCOVA
Secondary

Change From Baseline in Active Energy Expenditure (Week 20)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline, week 20

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Active Energy Expenditure (Week 20)-0.08 kilo calories per dayStandard Error 0.04
TiotropiumChange From Baseline in Active Energy Expenditure (Week 20)-0.09 kilo calories per dayStandard Error 0.03
Comparison: tiotropium versus placebop-value: 0.70495% CI: [-0.1, 0.07]ANCOVA
Secondary

Change From Baseline in Active Energy Expenditure (Week 24)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline, week 24

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Active Energy Expenditure (Week 24)-0.08 kilo calories per dayStandard Error 0.04
TiotropiumChange From Baseline in Active Energy Expenditure (Week 24)-0.10 kilo calories per dayStandard Error 0.04
Comparison: tiotropium versus placebop-value: 0.57995% CI: [-0.11, 0.06]ANCOVA
Secondary

Change From Baseline in Active Energy Expenditure (Week 4)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline, week 4

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Active Energy Expenditure (Week 4)-0.04 kilo calories per dayStandard Error 0.03
TiotropiumChange From Baseline in Active Energy Expenditure (Week 4)-0.03 kilo calories per dayStandard Error 0.02
Comparison: tiotropium versus placebop-value: 0.81995% CI: [-0.05, 0.06]ANCOVA
Secondary

Change From Baseline in Active Energy Expenditure (Week 8)

The amount of energy (kcal/day) that a person uses while physically active.

Time frame: baseline, week 8

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Active Energy Expenditure (Week 8)0.01 kilo calories per dayStandard Error 0.03
TiotropiumChange From Baseline in Active Energy Expenditure (Week 8)-0.03 kilo calories per dayStandard Error 0.03
Comparison: tiotropium versus placebop-value: 0.20495% CI: [-0.1, 0.02]ANCOVA
Secondary

Change From Baseline in Albuterol Use p.r.n. -(Week 12)

Difference in number of days that participants used albuterol prn per week between week 12 and baseline

Time frame: baseline, week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Albuterol Use p.r.n. -(Week 12)-0.3 daysStandard Deviation 2.16
TiotropiumChange From Baseline in Albuterol Use p.r.n. -(Week 12)-0.3 daysStandard Deviation 2.09
Secondary

Change From Baseline in Albuterol Use p.r.n. - (Week 16)

Difference in number of days that participants used albuterol prn per week between week 16 and baseline

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Albuterol Use p.r.n. - (Week 16)-0.4 daysStandard Deviation 2.1
TiotropiumChange From Baseline in Albuterol Use p.r.n. - (Week 16)-0.3 daysStandard Deviation 2.26
Secondary

Change From Baseline in Albuterol Use p.r.n. -(Week 20)

Difference in number of days that participants used albuterol prn per week between week 20 and baseline

Time frame: baseline, week 20

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Albuterol Use p.r.n. -(Week 20)-0.4 daysStandard Deviation 2.34
TiotropiumChange From Baseline in Albuterol Use p.r.n. -(Week 20)-0.3 daysStandard Deviation 2.21
Secondary

Change From Baseline in Albuterol Use p.r.n. - (Week 24)

Difference in number of days that participants used albuterol prn per week between week 24 and baseline

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Albuterol Use p.r.n. - (Week 24)-0.64 daysStandard Error 0.18
TiotropiumChange From Baseline in Albuterol Use p.r.n. - (Week 24)-0.62 daysStandard Error 0.17
Comparison: tiotropium versus placebop-value: 0.92795% CI: [-0.38, 0.41]ANCOVA
Secondary

Change From Baseline in Albuterol Use p.r.n. - (Week 4)

Difference in number of days that participants used albuterol prn per week between week 4 and baseline

Time frame: baseline, week 4

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Albuterol Use p.r.n. - (Week 4)-0.2 daysStandard Deviation 1.71
TiotropiumChange From Baseline in Albuterol Use p.r.n. - (Week 4)-0.2 daysStandard Deviation 2.07
Secondary

Change From Baseline in Albuterol Use p.r.n. - (Week 8)

Difference in number of days that participants used albuterol prn per week between week 8 and baseline

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Albuterol Use p.r.n. - (Week 8)-0.3 daysStandard Deviation 2.13
TiotropiumChange From Baseline in Albuterol Use p.r.n. - (Week 8)-0.3 daysStandard Deviation 1.96
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 16, Pre-dose)

Change from baseline in forced expiratory volume in 1 second (at week 16, pre-dose)

Time frame: baseline, week 16, pre-dose

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 16, Pre-dose)-0.06 litresStandard Deviation 0.21
TiotropiumChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 16, Pre-dose)0.09 litresStandard Deviation 0.27
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 120 Minutes)

Change from baseline in forced expiratory volume in 1 second (at week 8, 120 minutes)

Time frame: baseline, week 8, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 120 Minutes)0.01 litresStandard Deviation 0.23
TiotropiumChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 120 Minutes)0.24 litresStandard Deviation 0.23
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 180 Minutes)

Change from baseline in forced expiratory volume in 1 second (at week 8, 180 minutes)

Time frame: baseline, week 8, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 180 Minutes)0.01 litresStandard Deviation 0.22
TiotropiumChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 180 Minutes)0.24 litresStandard Deviation 0.25
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 30 Minutes)

Change from baseline in forced expiratory volume in 1 second (at week 8, 30 minutes)

Time frame: Baseline, week 8, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 30 Minutes)0.00 litresStandard Deviation 0.22
TiotropiumChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 30 Minutes)0.20 litresStandard Deviation 0.22
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 60 Minutes)

Change from baseline in forced expiratory volume in 1 second (at week 8, 60 minutes)

Time frame: baseline, week 8, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 60 Minutes)0.01 litresStandard Deviation 0.24
TiotropiumChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, 60 Minutes)0.22 litresStandard Deviation 0.24
Secondary

Change From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, Pre-dose)

Change from baseline in forced expiratory volume in 1 second (at week 8, pre-dose)

Time frame: baseline, week 8, pre-dose

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, Pre-dose)-0.03 litresStandard Deviation 0.21
TiotropiumChange From Baseline in Forced Expiratory Volume in 1 Second (at Week 8, Pre-dose)0.12 litresStandard Deviation 0.21
Secondary

Change From Baseline in Forced Vital Capacity (Week 16, 120 Minutes)

Change from baseline in forced vital capacity (week 16, 120 minutes)

Time frame: baseline, week 16, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 16, 120 Minutes)-0.05 litresStandard Deviation 0.41
TiotropiumChange From Baseline in Forced Vital Capacity (Week 16, 120 Minutes)0.26 litresStandard Deviation 0.45
Secondary

Change From Baseline in Forced Vital Capacity (Week 16, 180 Minutes)

Change from baseline in forced vital capacity (week 16, 180 minutes)

Time frame: baseline, week 16, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 16, 180 Minutes)-0.05 litresStandard Deviation 0.42
TiotropiumChange From Baseline in Forced Vital Capacity (Week 16, 180 Minutes)0.26 litresStandard Deviation 0.45
Secondary

Change From Baseline in Forced Vital Capacity (Week 16, 30 Minutes)

Change from baseline in forced vital capacity (week 16, 30 minutes)

Time frame: baseline, week 16, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 16, 30 Minutes)-0.06 litresStandard Deviation 0.39
TiotropiumChange From Baseline in Forced Vital Capacity (Week 16, 30 Minutes)0.24 litresStandard Deviation 0.45
Secondary

Change From Baseline in Forced Vital Capacity (Week 16, 60 Minutes)

Change from baseline in forced vital capacity (week 16, 60 minutes)

Time frame: baseline, week 16, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 16, 60 Minutes)-0.05 litresStandard Deviation 0.41
TiotropiumChange From Baseline in Forced Vital Capacity (Week 16, 60 Minutes)0.27 litresStandard Deviation 0.45
Secondary

Change From Baseline in Forced Vital Capacity (Week 16, Pre-dose)

Change from baseline in forced vital capacity (week 16, pre-dose)

Time frame: baseline, week 16, pre-dose

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 16, Pre-dose)-0.13 litresStandard Deviation 0.37
TiotropiumChange From Baseline in Forced Vital Capacity (Week 16, Pre-dose)0.10 litresStandard Deviation 0.42
Secondary

Change From Baseline in Forced Vital Capacity (Week 24, 120 Minutes)

Change from baseline in forced vital capacity (week 24, 120 minutes)

Time frame: baseline, week 24, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 24, 120 Minutes)-0.11 litresStandard Error 0.03
TiotropiumChange From Baseline in Forced Vital Capacity (Week 24, 120 Minutes)0.22 litresStandard Error 0.03
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.25, 0.4]ANCOVA
Secondary

Change From Baseline in Forced Vital Capacity (Week 24, 180 Minutes)

Change from baseline in forced vital capacity (week 24, 180 minutes)

Time frame: baseline, week 24, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 24, 180 Minutes)-0.07 litresStandard Error 0.04
TiotropiumChange From Baseline in Forced Vital Capacity (Week 24, 180 Minutes)0.29 litresStandard Error 0.04
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.26, 0.45]ANCOVA
Secondary

Change From Baseline in Forced Vital Capacity (Week 24, 30 Minutes)

Change from baseline in forced vital capacity (week 24, 30 minutes)

Time frame: baseline, week 24, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 24, 30 Minutes)-0.10 litresStandard Error 0.03
TiotropiumChange From Baseline in Forced Vital Capacity (Week 24, 30 Minutes)0.19 litresStandard Error 0.03
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.21, 0.36]ANCOVA
Secondary

Change From Baseline in Forced Vital Capacity (Week 24, 60 Minutes)

Change from baseline in forced vital capacity (week 24, 60 minutes)

Time frame: baseline, week 24, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 24, 60 Minutes)-0.07 litresStandard Error 0.03
TiotropiumChange From Baseline in Forced Vital Capacity (Week 24, 60 Minutes)0.23 litresStandard Error 0.03
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.23, 0.38]ANCOVA
Secondary

Change From Baseline in Forced Vital Capacity (Week 24, Pre-dose)

Change from baseline in forced vital capacity (week 24, pre-dose)

Time frame: baseline, week 24, pre-dose

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 24, Pre-dose)-0.14 litresStandard Error 0.03
TiotropiumChange From Baseline in Forced Vital Capacity (Week 24, Pre-dose)0.07 litresStandard Error 0.03
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.14, 0.28]ANCOVA
Secondary

Change From Baseline in Forced Vital Capacity (Week 8, 120 Minutes)

Change from baseline in forced vital capacity (week 8, 120 minutes)

Time frame: baseline, week 8, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 8, 120 Minutes)-0.02 litresStandard Deviation 0.39
TiotropiumChange From Baseline in Forced Vital Capacity (Week 8, 120 Minutes)0.30 litresStandard Deviation 0.4
Secondary

Change From Baseline in Forced Vital Capacity (Week 8, 180 Minutes)

Change from baseline in forced vital capacity (week 8, 180 minutes)

Time frame: baseline, week 8, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 8, 180 Minutes)0.00 litresStandard Deviation 0.37
TiotropiumChange From Baseline in Forced Vital Capacity (Week 8, 180 Minutes)0.30 litresStandard Deviation 0.43
Secondary

Change From Baseline in Forced Vital Capacity (Week 8, 30 Minutes)

Change from baseline in forced vital capacity (week 8, 30 minutes)

Time frame: baseline, week 8, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 8, 30 Minutes)0.00 litresStandard Deviation 0.35
TiotropiumChange From Baseline in Forced Vital Capacity (Week 8, 30 Minutes)0.27 litresStandard Deviation 0.4
Secondary

Change From Baseline in Forced Vital Capacity (Week 8, 60 Minutes)

Change from baseline in forced vital capacity (week 8, 60 minutes)

Time frame: baseline, week 8, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 8, 60 Minutes)0.00 litresStandard Deviation 0.37
TiotropiumChange From Baseline in Forced Vital Capacity (Week 8, 60 Minutes)0.29 litresStandard Deviation 0.43
Secondary

Change From Baseline in Forced Vital Capacity (Week 8, Pre-dose)

Change from baseline in forced vital capacity (week 8, pre-dose)

Time frame: baseline, week 8, pre-dose

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Vital Capacity (Week 8, Pre-dose)-0.06 litresStandard Deviation 0.33
TiotropiumChange From Baseline in Forced Vital Capacity (Week 8, Pre-dose)0.16 litresStandard Deviation 0.38
Secondary

Change From Baseline in Number of Steps Per Day (Week 12)

Change from baseline in Number of steps per day (week 12)

Time frame: baseline, week 12

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Steps Per Day (Week 12)-351.30 StepsStandard Error 239.39
TiotropiumChange From Baseline in Number of Steps Per Day (Week 12)-169.31 StepsStandard Error 221.09
Comparison: placebo versus tiotropiump-value: 0.49595% CI: [-341.75, 705.73]ANCOVA
Secondary

Change From Baseline in Number of Steps Per Day (Week 16)

Change from baseline in number of steps per day (week 16)

Time frame: baseline, week 16

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Steps Per Day (Week 16)-655.04 StepsStandard Error 231.9
TiotropiumChange From Baseline in Number of Steps Per Day (Week 16)-396.21 StepsStandard Error 217.31
Comparison: tiotropium versus placebop-value: 0.31895% CI: [-250.37, 768.03]ANCOVA
Secondary

Change From Baseline in Number of Steps Per Day (Week 20)

Change from baseline in number of steps per day (week 20)

Time frame: baseline, week 20

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Steps Per Day (Week 20)-408.34 StepsStandard Error 247.32
TiotropiumChange From Baseline in Number of Steps Per Day (Week 20)-197.17 StepsStandard Error 232.96
Comparison: tiotropium versus placebop-value: 0.4595% CI: [-338.04, 760.39]ANCOVA
Secondary

Change From Baseline in Number of Steps Per Day (Week 24)

Change from baseline in number of steps per day (week 24)

Time frame: baseline, week 24

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Steps Per Day (Week 24)-234.80 StepsStandard Error 261.49
TiotropiumChange From Baseline in Number of Steps Per Day (Week 24)-183.34 StepsStandard Error 232.69
Comparison: tiotropium versus placebop-value: 0.85895% CI: [-512.2, 615.12]ANCOVA
Secondary

Change From Baseline in Number of Steps Per Day (Week 4)

Change from baseline in number of steps per day (week 4)

Time frame: baseline, week 4

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Steps Per Day (Week 4)-263.91 StepsStandard Error 203.37
TiotropiumChange From Baseline in Number of Steps Per Day (Week 4)-287.45 StepsStandard Error 189.24
Comparison: tiotropium versus placebop-value: 0.91695% CI: [-464.02, 416.94]ANCOVA
Secondary

Change From Baseline in Number of Steps Per Day(Week 8)

Change from baseline in number of steps per day (week 8)

Time frame: baseline, week 8

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Steps Per Day(Week 8)-121.66 StepsStandard Error 214.73
TiotropiumChange From Baseline in Number of Steps Per Day(Week 8)-153.09 StepsStandard Error 203.84
Comparison: tiotropium versus placebop-value: 0.89995% CI: [-520.19, 457.34]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.

Time frame: Baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16)0.05 litresStandard Deviation 0.24
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16)0.29 litresStandard Deviation 0.28
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 120 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 16, 120 minutes)

Time frame: baseline, week 16, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 120 Minutes)-0.03 litresStandard Deviation 0.24
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 120 Minutes)0.22 litresStandard Deviation 0.28
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 180 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 16, 180 minutes)

Time frame: baseline, week 16, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 180 Minutes)-0.02 litresStandard Deviation 0.24
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 180 Minutes)0.22 litresStandard Deviation 0.28
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 30 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 16, 30 minutes)

Time frame: Baseline, week 16, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 30 Minutes)-0.02 litresStandard Deviation 0.24
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 30 Minutes)0.19 litresStandard Deviation 0.27
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 60 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 16, 60 minutes)

Time frame: baseline, week 16, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 60 Minutes)-0.02 litresStandard Deviation 0.24
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 16, 60 Minutes)0.21 litresStandard Deviation 0.27
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.

Time frame: Baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24)0.02 litresStandard Error 0.02
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24)0.26 litresStandard Error 0.02
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.19, 0.29]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 120 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 24, 120 minutes)

Time frame: baseline, week 24, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 120 Minutes)-0.06 litresStandard Error 0.02
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 120 Minutes)0.18 litresStandard Error 0.02
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.2, 0.29]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 180 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 24, 180 minutes)

Time frame: baseline, week 24, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 180 Minutes)-0.05 litresStandard Error 0.02
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 180 Minutes)0.20 litresStandard Error 0.02
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.2, 0.3]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 30 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 24, 30 minutes)

Time frame: baseline, week 24, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 30 Minutes)-0.05 litresStandard Error 0.02
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 30 Minutes)0.15 litresStandard Error 0.02
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.16, 0.25]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 60 Minutes)

Change from baseline in peak forced expiratory volume in 1 second (at week 24, 60 minutes)

Time frame: baseline, week 24, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 60 Minutes)-0.05 litresStandard Error 0.02
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, 60 Minutes)0.18 litresStandard Error 0.02
Comparison: tiotropium vesus placebop-value: <0.00195% CI: [0.18, 0.28]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, Pre-dose)

Change from baseline in peak forced expiratory volume in 1 second (at week 24, pre-dose)

Time frame: baseline, week 24, pre-dose

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, Pre-dose)-0.08 litresStandard Error 0.02
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 24, Pre-dose)0.06 litresStandard Error 0.02
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.09, 0.18]ANCOVA
Secondary

Change From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 8)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.

Time frame: Baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 8)0.09 litresStandard Deviation 0.22
TiotropiumChange From Baseline in Peak Forced Expiratory Volume in 1 Second (at Week 8)0.31 litresStandard Deviation 0.24
Secondary

Change From Baseline in Peak Forced Vital Capacity (at Week 16)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Vital Capacity (at Week 16)0.08 litresStandard Deviation 0.4
TiotropiumChange From Baseline in Peak Forced Vital Capacity (at Week 16)0.38 litresStandard Deviation 0.44
Secondary

Change From Baseline in Peak Forced Vital Capacity (at Week 24)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Vital Capacity (at Week 24)0.06 litresStandard Error 0.04
TiotropiumChange From Baseline in Peak Forced Vital Capacity (at Week 24)0.40 litresStandard Error 0.04
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.24, 0.42]ANCOVA
Secondary

Change From Baseline in Peak Forced Vital Capacity (at Week 8)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1. Peak response was defined as the change from baseline to the peak FEV1 value at the final visit.

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Peak Forced Vital Capacity (at Week 8)0.13 litresStandard Deviation 0.34
TiotropiumChange From Baseline in Peak Forced Vital Capacity (at Week 8)0.43 litresStandard Deviation 0.4
Secondary

Change From Baseline in Physical Activity (Light Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity defined as less than three metabolic equivalents. Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 12

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Light Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Day0.03 ln(minutes)Standard Error 0.01
TiotropiumChange From Baseline in Physical Activity (Light Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Day0.02 ln(minutes)Standard Error 0.01
Comparison: tiotropium versus placebop-value: 0.6195% CI: [-0.03, 0.02]ANCOVA
Secondary

Change From Baseline in Physical Activity (Light Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 16

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Light Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Day0.03 ln(minutes)Standard Error 0.01
TiotropiumChange From Baseline in Physical Activity (Light Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Day0.04 ln(minutes)Standard Error 0.01
Comparison: tiotropium versus placebop-value: 0.55495% CI: [-0.02, 0.04]ANCOVA
Secondary

Change From Baseline in Physical Activity (Light Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 20

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Light Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Day0.03 ln(minutes)Standard Error 0.01
TiotropiumChange From Baseline in Physical Activity (Light Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Day0.04 ln(minutes)Standard Error 0.01
Comparison: tiotropium versus placebop-value: 0.54995% CI: [-0.02, 0.04]ANCOVA
Secondary

Change From Baseline in Physical Activity (Light Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 24

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Light Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Day0.02 ln(minutes)Standard Error 0.02
TiotropiumChange From Baseline in Physical Activity (Light Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Day0.03 ln(minutes)Standard Error 0.01
Comparison: tiotropium versus placebop-value: 0.56895% CI: [-0.02, 0.04]ANCOVA
Secondary

Change From Baseline in Physical Activity (Light Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 4

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Light Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Day0.03 ln(minutes)Standard Error 0.01
TiotropiumChange From Baseline in Physical Activity (Light Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Day0.02 ln(minutes)Standard Error 0.01
Comparison: tiotropium versus placebop-value: 0.66895% CI: [-0.03, 0.02]ANCOVA
Secondary

Change From Baseline in Physical Activity (Light Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity is less than three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 8

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Light Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Day0.02 ln(minutes)Standard Error 0.01
TiotropiumChange From Baseline in Physical Activity (Light Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Day0.03 ln(minutes)Standard Error 0.01
Comparison: tiotropium versus placebop-value: 0.7895% CI: [-0.02, 0.03]ANCOVA
Secondary

Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 12

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Day-0.14 ln(minutes)Standard Error 0.07
TiotropiumChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 12) in Logarithm of Average Time Spent in Minutes Per Day-0.09 ln(minutes)Standard Error 0.06
Comparison: tiotropium versus placebop-value: 0.51895% CI: [-0.1, 0.19]ANCOVA
Secondary

Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 16

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Day-0.26 ln(minutes)Standard Error 0.07
TiotropiumChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 16) in Logarithm of Average Time Spent in Minutes Per Day-0.20 ln(minutes)Standard Error 0.06
Comparison: tiotropium versus placebop-value: 0.45595% CI: [-0.09, 0.21]ANCOVA
Secondary

Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 20

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Day-0.20 ln(minutes)Standard Error 0.07
TiotropiumChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 20) in Logarithm of Average Time Spent in Minutes Per Day-0.20 ln(minutes)Standard Error 0.07
Comparison: tiotropium versus placebop-value: 0.92795% CI: [-0.16, 0.15]ANCOVA
Secondary

Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 24

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Day-0.19 ln(minutes)Standard Error 0.08
TiotropiumChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 24) in Logarithm of Average Time Spent in Minutes Per Day-0.20 ln(minutes)Standard Error 0.07
Comparison: tiotropium versus placebop-value: 0.93395% CI: [-0.17, 0.16]ANCOVA
Secondary

Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 4

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Day-0.06 ln(minutes)Standard Error 0.06
TiotropiumChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 4) in Logarithm of Average Time Spent in Minutes Per Day-0.12 ln(minutes)Standard Error 0.05
Comparison: tiotropium versus placebop-value: 0.35895% CI: [-0.18, 0.07]ANCOVA
Secondary

Change From Baseline in Physical Activity (Moderate or Higher Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline, week 8

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Day0.01 ln(minutes)Standard Error 0.05
TiotropiumChange From Baseline in Physical Activity (Moderate or Higher Intensity; Week 8) in Logarithm of Average Time Spent in Minutes Per Day-0.06 ln(minutes)Standard Error 0.05
Comparison: tiotropium versus placebop-value: 0.21995% CI: [-0.2, 0.05]ANCOVA
Secondary

Change From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 16)

Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: Baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 16)-0.06 litresStandard Deviation 0.21
TiotropiumChange From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 16)0.09 litresStandard Deviation 0.27
Secondary

Change From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 24)

Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: Baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 24)-0.08 litresStandard Error 0.02
TiotropiumChange From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 24)0.06 litresStandard Error 0.02
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.09, 0.18]ANCOVA
Secondary

Change From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 8)

Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: Baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 8)-0.03 litresStandard Deviation 0.21
TiotropiumChange From Baseline in Trough Forced Expiratory Volume in 1 Second (at Week 8)0.12 litresStandard Deviation 0.21
Secondary

Change From Baseline in Trough Forced Vital Capacity (at Week 16)

Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Trough Forced Vital Capacity (at Week 16)-0.13 litresStandard Deviation 0.37
TiotropiumChange From Baseline in Trough Forced Vital Capacity (at Week 16)0.10 litresStandard Deviation 0.42
Secondary

Change From Baseline in Trough Forced Vital Capacity (at Week 24)

Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Trough Forced Vital Capacity (at Week 24)-0.14 litresStandard Error 0.03
TiotropiumChange From Baseline in Trough Forced Vital Capacity (at Week 24)0.07 litresStandard Error 0.03
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.14, 0.28]ANCOVA
Secondary

Change From Baseline in Trough Forced Vital Capacity (at Week 8)

Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in Trough Forced Vital Capacity (at Week 8)-0.06 litresStandard Deviation 0.33
TiotropiumChange From Baseline in Trough Forced Vital Capacity (at Week 8)0.16 litresStandard Deviation 0.38
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 12)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.

Time frame: baseline, week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 12)-0.54 units on a scaleStandard Error 1.58
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 12)-1.07 units on a scaleStandard Error 1.51
Comparison: tiotropium versus placebop-value: 0.76395% CI: [-4, 2.93]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 16)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 16)4.47 units on a scaleStandard Error 1.64
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 16)2.62 units on a scaleStandard Error 1.54
Comparison: tiotropium versus placebop-value: 0.31395% CI: [-5.45, 1.75]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 20)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.

Time frame: baseline, week 20

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 20)4.32 units on a scaleStandard Error 1.62
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 20)3.52 units on a scaleStandard Error 1.7
Comparison: tiotropium versus placebop-value: 0.68295% CI: [-4.6, 3.01]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 24)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 24)5.26 units on a scaleStandard Error 1.64
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 24)1.51 units on a scaleStandard Error 1.54
Comparison: tiotropium versus placebop-value: 0.04395% CI: [-7.39, -0.13]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 4)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.

Time frame: baseline, week 4

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 4)0.34 units on a scaleStandard Error 1.64
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 4)0.98 units on a scaleStandard Error 1.53
Comparison: tiotropium versus placebop-value: 0.72995% CI: [-2.97, 4.24]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 8)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 8)2.12 units on a scaleStandard Error 1.54
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Week 8)-0.38 units on a scaleStandard Error 1.44
Comparison: tiotropium versus placebop-value: 0.14995% CI: [-5.9, 0.9]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 12)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.

Time frame: baseline, week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 12)-0.32 units on a scaleStandard Error 1.91
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 12)0.46 units on a scaleStandard Error 1.84
Comparison: tiotropium versus placebop-value: 0.75495% CI: [-4.12, 5.67]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 16)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 16)3.68 units on a scaleStandard Error 2.46
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 16)3.66 units on a scaleStandard Error 2.33
Comparison: tiotropium versus placebop-value: 0.99595% CI: [-6.31, 6.27]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 20)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.

Time frame: baseline, week 20

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 20)4.27 units on a scaleStandard Error 2.55
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 20)3.08 units on a scaleStandard Error 2.44
Comparison: tiotropium versus placebop-value: 0.7295% CI: [-7.77, 5.39]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 24)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 24)4.04 units on a scaleStandard Error 2.43
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 24)-1.84 units on a scaleStandard Error 2.29
Comparison: tiotropium versus placebop-value: 0.06495% CI: [-12.1, 0.35]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 4)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.

Time frame: baseline, week 4

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 4)-2.03 units on a scaleStandard Error 2.21
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 4)-2.64 units on a scaleStandard Error 2.03
Comparison: tiotropium versus placebop-value: 0.82395% CI: [-6.01, 4.79]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 8)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 8)0.41 units on a scaleStandard Error 2.71
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health (Week 8)-0.61 units on a scaleStandard Error 2.6
Comparison: tiotropium versus placebop-value: 0.76795% CI: [-7.86, 5.81]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 12)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.

Time frame: baseline, week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 12)0.32 units on a scaleStandard Error 2.09
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 12)4.11 units on a scaleStandard Error 2.02
Comparison: tiotropium versus placebop-value: 0.16295% CI: [-1.55, 9.13]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 16)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 16)2.20 units on a scaleStandard Error 2.78
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 16)4.79 units on a scaleStandard Error 2.64
Comparison: tiotropium versus placebop-value: 0.47195% CI: [-4.51, 9.69]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 20)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.

Time frame: baseline, week 20

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 20)3.93 units on a scaleStandard Error 2.58
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 20)4.10 units on a scaleStandard Error 2.5
Comparison: tiotropium versus placebop-value: 0.96195% CI: [-6.52, 6.84]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 24)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 24)2.20 units on a scaleStandard Error 2.7
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 24)-2.70 units on a scaleStandard Error 2.5
Comparison: tiotropium versus placebop-value: 0.15895% CI: [-11.73, 1.94]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 4)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.

Time frame: baseline, week 4

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 4)-2.39 units on a scaleStandard Error 2.48
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 4)-3.50 units on a scaleStandard Error 2.31
Comparison: tiotropium versus placebop-value: 0.71895% CI: [-7.21, 4.98]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 8)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 8)-0.62 units on a scaleStandard Error 2.96
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Week 8)-1.04 units on a scaleStandard Error 2.86
Comparison: tiotropium versus placebop-value: 0.91295% CI: [-7.9, 7.06]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 12)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 12 and baseline.

Time frame: baseline, week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 12)0.12 units on a scaleStandard Error 1.63
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 12)4.22 units on a scaleStandard Error 1.55
Comparison: tiotropium versus placebop-value: 0.05195% CI: [-0.02, 8.23]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 16)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 16 and baseline.

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 16)-3.39 units on a scaleStandard Error 1.49
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 16)0.04 units on a scaleStandard Error 1.4
Comparison: tiotropium versus placebop-value: 0.07595% CI: [-0.35, 7.21]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 20)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 20 and baseline.

Time frame: baseline, week 20

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 20)0.51 units on a scaleStandard Error 1.13
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 20)2.00 units on a scaleStandard Error 1.08
Comparison: tiotropium versus placebop-value: 0.30695% CI: [-1.39, 4.38]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 24)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 24 and baseline.

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 24)0.96 units on a scaleStandard Error 2
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 24)-1.37 units on a scaleStandard Error 1.86
Comparison: tiotropium versus placebop-value: 0.36395% CI: [-7.39, 2.73]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 4)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 4 and baseline.

Time frame: baseline, week 4

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 4)-1.89 units on a scaleStandard Error 1.96
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 4)-0.15 units on a scaleStandard Error 1.77
Comparison: tiotropium versus placebop-value: 0.46995% CI: [-3.01, 6.49]ANCOVA
Secondary

Change From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 8)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment. Difference refers to change in scale between week 8 and baseline.

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 8)-1.94 units on a scaleStandard Error 2.62
TiotropiumChange From Baseline in Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Week 8)3.85 units on a scaleStandard Error 2.43
Comparison: tiotropium versus placebop-value: 0.07995% CI: [-0.68, 12.26]ANCOVA
Secondary

Forced Expiratory Volume in 1 Second (Baseline, 120 Minutes)

Forced expiratory volume in 1 second (baseline, 120 minutes)

Time frame: Baseline, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (Baseline, 120 Minutes)1.75 litresStandard Deviation 0.48
TiotropiumForced Expiratory Volume in 1 Second (Baseline, 120 Minutes)1.92 litresStandard Deviation 0.49
Secondary

Forced Expiratory Volume in 1 Second (Baseline, 180 Minutes)

Forced expiratory volume in 1 second (baseline, 180 minutes)

Time frame: Baseline, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (Baseline, 180 Minutes)1.76 litresStandard Deviation 0.48
TiotropiumForced Expiratory Volume in 1 Second (Baseline, 180 Minutes)1.94 litresStandard Deviation 0.48
Secondary

Forced Expiratory Volume in 1 Second (Baseline, 30 Minutes)

Forced expiratory volume in 1 second (baseline, 30 minutes)

Time frame: baseline, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (Baseline, 30 Minutes)1.73 litresStandard Deviation 0.45
TiotropiumForced Expiratory Volume in 1 Second (Baseline, 30 Minutes)1.87 litresStandard Deviation 0.47
Secondary

Forced Expiratory Volume in 1 Second (Baseline, 60 Minutes)

Forced expiratory volume in 1 second (baseline, 60 minutes)

Time frame: baseline, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (Baseline, 60 Minutes)1.74 litresStandard Deviation 0.47
TiotropiumForced Expiratory Volume in 1 Second (Baseline, 60 Minutes)1.90 litresStandard Deviation 0.47
Secondary

Forced Expiratory Volume in 1 Second (Baseline, Pre-dose)

Forced expiratory volume in 1 second (baseline, pre-dose)

Time frame: Baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (Baseline, Pre-dose)1.71 litresStandard Deviation 0.45
TiotropiumForced Expiratory Volume in 1 Second (Baseline, Pre-dose)1.74 litresStandard Deviation 0.46
Secondary

Forced Vital Capacity (Baseline, 120 Minutes)

Forced vital capacity (baseline, 120 minutes)

Time frame: baseline, 120 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Vital Capacity (Baseline, 120 Minutes)3.21 litresStandard Deviation 0.86
TiotropiumForced Vital Capacity (Baseline, 120 Minutes)3.49 litresStandard Deviation 0.85
Secondary

Forced Vital Capacity (Baseline, 180 Minutes)

Forced vital capacity (baseline, 180 minutes)

Time frame: baseline, 180 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Vital Capacity (Baseline, 180 Minutes)3.21 litresStandard Deviation 0.83
TiotropiumForced Vital Capacity (Baseline, 180 Minutes)3.50 litresStandard Deviation 0.85
Secondary

Forced Vital Capacity (Baseline, 30 Minutes)

Forced vital capacity (baseline, 30 minutes)

Time frame: baseline, 30 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Vital Capacity (Baseline, 30 Minutes)3.20 litresStandard Deviation 0.82
TiotropiumForced Vital Capacity (Baseline, 30 Minutes)3.45 litresStandard Deviation 0.83
Secondary

Forced Vital Capacity (Baseline, 60 Minutes)

Forced vital capacity (baseline, 60 minutes)

Time frame: baseline, 60 minutes

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Vital Capacity (Baseline, 60 Minutes)3.22 litresStandard Deviation 0.85
TiotropiumForced Vital Capacity (Baseline, 60 Minutes)3.48 litresStandard Deviation 0.84
Secondary

Forced Vital Capacity (Baseline, Pre-dose)

Forced vital capacity (baseline, pre-dose)

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Vital Capacity (Baseline, Pre-dose)3.17 litresStandard Deviation 0.82
TiotropiumForced Vital Capacity (Baseline, Pre-dose)3.24 litresStandard Deviation 0.81
Secondary

FVC AUC0-3 at Baseline

Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h)

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFVC AUC0-3 at Baseline3.17 litres * hoursStandard Deviation 0.82
TiotropiumFVC AUC0-3 at Baseline3.24 litres * hoursStandard Deviation 0.81
Secondary

FVC AUC0-3 at Week 16 Minus Baseline

Change from baseline in Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h)(week 16)

Time frame: baseline, week 16

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFVC AUC0-3 at Week 16 Minus Baseline-0.06 litres * hoursStandard Deviation 0.39
TiotropiumFVC AUC0-3 at Week 16 Minus Baseline0.24 litres * hoursStandard Deviation 0.43
Secondary

FVC AUC0-3 at Week 24 Minus Baseline

Change from baseline in Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h) (week 24)

Time frame: baseline, week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboFVC AUC0-3 at Week 24 Minus Baseline-0.11 litres * hoursStandard Error 0.03
TiotropiumFVC AUC0-3 at Week 24 Minus Baseline0.19 litres * hoursStandard Error 0.03
Comparison: tiotropium versus placebop-value: <0.00195% CI: [0.24, 0.38]ANCOVA
Secondary

FVC AUC0-3 at Week 8 Minus Baseline

Change from baseline in Forced vital capacity (FVC) area under the curve from 0-3 hours (AUC0-3h) (week 8)

Time frame: baseline, week 8

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFVC AUC0-3 at Week 8 Minus Baseline-0.01 litres * hoursStandard Deviation 0.35
TiotropiumFVC AUC0-3 at Week 8 Minus Baseline0.28 litres * hoursStandard Deviation 0.39
Secondary

Number of Participants With Categorical Scores on Patient's Global Assessment (Baseline)

The patient's global assessment was based on the subject's need to take additional medications for breathing, their need for emergency room or hospital visits for COPD, and severity and amount of coughing, wheezing, and/or breathing discomfort experienced, and the impact of these symptoms on the subject's ability to exercise and perform daily activities. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Baseline)Poor/Fair72 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Baseline)Good111 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Baseline)Excellent23 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Baseline)Poor/Fair95 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Baseline)Good117 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Baseline)Excellent15 Participants
Comparison: tiotropium versus placebop-value: 0.223Cochran-Mantel-Haenszel
Secondary

Number of Participants With Categorical Scores on Patient's Global Assessment (Week 12)

The patient's global assessment was based on the subject's need to take additional medications for breathing, their need for emergency room or hospital visits for COPD, and severity and amount of coughing, wheezing, and/or breathing discomfort experienced, and the impact of these symptoms on the subject's ability to exercise and perform daily activities. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.

Time frame: week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 12)Poor/Fair62 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 12)Good127 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 12)Excellent17 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 12)Poor/Fair53 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 12)Good132 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 12)Excellent35 Participants
Comparison: tiotropium versus placebop-value: 0.01Cochran-Mantel-Haenszel
Secondary

Number of Participants With Categorical Scores on Patient's Global Assessment (Week 24)

The patient's global assessment was based on the subject's need to take additional medications for breathing, their need for emergency room or hospital visits for COPD, and severity and amount of coughing, wheezing, and/or breathing discomfort experienced, and the impact of these symptoms on the subject's ability to exercise and perform daily activities. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.

Time frame: week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 24)Poor/Fair66 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 24)Good116 Participants
PlaceboNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 24)Excellent19 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 24)Poor/Fair56 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 24)Good128 Participants
TiotropiumNumber of Participants With Categorical Scores on Patient's Global Assessment (Week 24)Excellent32 Participants
Comparison: tiotropium versus placebop-value: 0.086Cochran-Mantel-Haenszel
Secondary

Number of Participants With Categorical Scores on Physician's Global Assessment (Baseline)

The physician's global assessment reflected the physician's opinion of the participant's overall clinical condition with respect to COPD. The evaluation was based on the participant's use of concomitant medications, as well as the number and severity of COPD exacerbations and related emergency room visits and/or hospitalizations since the last visit. The frequency and severity of symptoms ( cough, dyspnea, wheezing) and the impact of these on the participant's ability to exercise were considered. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Baseline)Poor/Fair62 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Baseline)Good122 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Baseline)Excellent23 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Baseline)Poor/Fair78 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Baseline)Good132 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Baseline)Excellent17 Participants
Comparison: tiotropium versus placebop-value: 0.174Cochran-Mantel-Haenszel
Secondary

Number of Participants With Categorical Scores on Physician's Global Assessment (Week 12)

The physician's global assessment reflected the physician's opinion of the participant's overall clinical condition with respect to COPD. The evaluation was based on the participant's use of concomitant medications, as well as the number and severity of COPD exacerbations and related emergency room visits and/or hospitalizations since the last visit. The frequency and severity of symptoms ( cough, dyspnea, wheezing) and the impact of these on the participant's ability to exercise were considered. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.

Time frame: week 12

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 12)Poor/Fair49 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 12)Good135 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 12)Excellent20 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 12)Poor/Fair50 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 12)Good134 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 12)Excellent36 Participants
Comparison: tiotropium versus placebop-value: 0.186Cochran-Mantel-Haenszel
Secondary

Number of Participants With Categorical Scores on Physician's Global Assessment (Week 24)

The physician's global assessment reflected the physician's opinion of the participant's overall clinical condition with respect to COPD. The evaluation was based on the participant's use of concomitant medications, as well as the number and severity of COPD exacerbations and related emergency room visits and/or hospitalizations since the last visit. The frequency and severity of symptoms ( cough, dyspnea, wheezing) and the impact of these on the participant's ability to exercise were considered. Range: 1-2 = Poor, 3-4 = Fair 5-6 = Good, 7-8 = Excellent.

Time frame: week 24

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 24)Poor/Fair51 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 24)Good128 Participants
PlaceboNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 24)Excellent22 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 24)Poor/Fair41 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 24)Good136 Participants
TiotropiumNumber of Participants With Categorical Scores on Physician's Global Assessment (Week 24)Excellent39 Participants
Comparison: tiotropium versus placebop-value: 0.045Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Baseline)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: baseline

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Baseline)Yes126 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Baseline)No58 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Baseline)Yes143 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Baseline)No60 Participants
Comparison: tiotropium versus placebop-value: 0.996Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Week 12)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: week 12

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Week 12)Yes118 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Week 12)No71 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 12)Yes139 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 12)No60 Participants
Comparison: tiotropium versus placebop-value: 0.215Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Week 16)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: week 16

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Week 16)No71 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Week 16)Yes116 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 16)No60 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 16)Yes133 Participants
Comparison: tiotropium versus placebop-value: 0.205Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Week 20)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: week 20

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Week 20)No61 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Week 20)Yes127 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 20)No56 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 20)Yes134 Participants
Comparison: tiotropium versus placebop-value: 0.622Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Week 24)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: week 24

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Week 24)Yes118 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Week 24)No64 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 24)Yes136 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 24)No60 Participants
Comparison: tiotropium versus placebop-value: 0.446Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Week 4)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: week 4

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Week 4)Yes129 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Week 4)No58 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 4)Yes154 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 4)No50 Participants
Comparison: tiotropium versus placebop-value: 0.196Cochran-Mantel-Haenszel
Secondary

Number of Participants With Healthy Lifestyle (Week 8)

Healthy lifestyle defined as 30 minutes of activity \> 3 metabolic equivalent levels for 70% of eligible days. Two categories: Yes, no

Time frame: week 8

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Healthy Lifestyle (Week 8)Yes125 Participants
PlaceboNumber of Participants With Healthy Lifestyle (Week 8)No66 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 8)Yes137 Participants
TiotropiumNumber of Participants With Healthy Lifestyle (Week 8)No60 Participants
Comparison: tiotropium versus placebop-value: 0.8Cochran-Mantel-Haenszel
Secondary

Number of Steps Per Day (Baseline)

Number of steps per day (baseline)

Time frame: baseline

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Steps Per Day (Baseline)7343.4 StepsStandard Deviation 3711.8
TiotropiumNumber of Steps Per Day (Baseline)7366.1 StepsStandard Deviation 3816
Secondary

Peak Forced Expiratory Volume in 1 Second (Baseline)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1.

Time frame: Baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboPeak Forced Expiratory Volume in 1 Second (Baseline)1.71 litresStandard Deviation 0.45
TiotropiumPeak Forced Expiratory Volume in 1 Second (Baseline)1.74 litresStandard Deviation 0.46
Secondary

Peak Forced Vital Capacity (FVC) (Baseline)

Peak FEV1 defined as the maximum of the observed values over 30, 60, 120, and 180 minutes post-dose for FEV1.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboPeak Forced Vital Capacity (FVC) (Baseline)3.17 litresStandard Deviation 0.82
TiotropiumPeak Forced Vital Capacity (FVC) (Baseline)3.24 litresStandard Deviation 0.81
Secondary

Physical Activity (Light Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per Day

Light intensity is less than three metabolic equivalents. Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm.

Time frame: baseline

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (MEAN)Dispersion
PlaceboPhysical Activity (Light Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per Day6.9 ln(minutes)Standard Deviation 0.24
TiotropiumPhysical Activity (Light Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per Day6.8 ln(minutes)Standard Deviation 0.27
Secondary

Physical Activity (Moderate or Higher Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per Day

Moderate or higher intensity is greater than or equal to three metabolic equivalents Metabolic equivalent threshold (MET): Unit used to estimate the metabolic cost of physical activity, in terms of multiples of the subject's resting metabolic rate. One metabolic equivalent is, by convention, 3.5 ml of O2 uptake per minute per kilogram body weight, and theoretically approximates the resting metabolic rate. ln in measure value unit means natural logarithm

Time frame: baseline

Population: Activity evaluable set population: All subjects included in the Full Analysis Set (FAS), who had physical activity and energy expenditure data available for \>= 12 weeks, and who wore the activity monitor for \>11 hours for at least 4 days

ArmMeasureValue (MEAN)Dispersion
PlaceboPhysical Activity (Moderate or Higher Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per Day4.2 ln(minutes)Standard Deviation 0.96
TiotropiumPhysical Activity (Moderate or Higher Intensity; Baseline) in Logarithm of Average Time Spent in Minutes Per Day4.3 ln(minutes)Standard Deviation 0.92
Secondary

Trough Forced Expiratory Volume in 1 Second (FEV1)(Baseline)

Trough FEV1 defined as the FEV1 measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FEV1 was the pre-treatment FEV1 measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: Baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboTrough Forced Expiratory Volume in 1 Second (FEV1)(Baseline)1.71 litresStandard Deviation 0.45
TiotropiumTrough Forced Expiratory Volume in 1 Second (FEV1)(Baseline)1.74 litresStandard Deviation 0.46
Secondary

Trough Forced Vital Capacity (Baseline)

Trough FVC defined as the FVC measured at 10 minutes prior to the end of the dosing interval, approximately 24 hours post drug administration. Baseline FVC was the pre-treatment FVC measured at Week 0 in the morning 10 minutes prior to the administration of the first dose of the study medication.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboTrough Forced Vital Capacity (Baseline)3.17 litresStandard Deviation 0.82
TiotropiumTrough Forced Vital Capacity (Baseline)3.24 litresStandard Deviation 0.81
Secondary

Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Baseline)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Baseline)25.4 units on a scaleStandard Deviation 21.43
TiotropiumWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment Due to Health (Baseline)28 units on a scaleStandard Deviation 22.32
Secondary

Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health17.2 units on a scaleStandard Deviation 20.24
TiotropiumWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Impairment While Working Due to Health21.1 units on a scaleStandard Deviation 21.08
Secondary

Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Baseline)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Baseline)19.3 units on a scaleStandard Deviation 22.17
TiotropiumWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Overall Work Impairment Due to Health (Baseline)22.0 units on a scaleStandard Deviation 22.06
Secondary

Work Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Baseline)

WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Absenteeism, Presenteeism, Work productivity loss, Activity Impairment Scores range from 0 to 100 for each of the above 4 types; higher scores indicate greater impairment.

Time frame: baseline

Population: Full Analysis Set (FAS): All randomized subjects who received at least 1 dose of study drug, had baseline and at least 1 post baseline data measurement available for the primary endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Baseline)5.5 units on a scaleStandard Deviation 19.31
TiotropiumWork Productivity as Assessed by the Work Productivity and Activity Impairment (WPAI) Questionnaire: Work Time Missed Due to Health (Baseline)2.7 units on a scaleStandard Deviation 12.35

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