Pulmonary Disease, Chronic Obstructive
Conditions
Brief summary
The primary goal of this post marketing surveillance (PMS) study is to document the efficacy of Tiotropium (Spiriva) to improve physical activity measured by a score that is recommended in national chronic obstructive pulmonary disease (COPD) guidelines for monitoring the course of the disease.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with suspected chronic obstructive pulmonary disease (COPD) * 3 or more positive answers in COPD questionnaire * Age over 40 years
Exclusion criteria
* Patients with any conditions listed in special precautions, drug interactions, and contraindication of Spiriva in the summary of product characteristics * Patient treated with Spiriva in the past year * Patient with history of hypersensitivity to tiotropium bromide, atropine and/or its derivant, i.e. ipratropium, or any component of Spiriva Patient with known narrow-angle glaucoma Patient with known symptomatic prostatic hyperplasia and/or bladder-neck obstruction Patient with known moderate to severe renal impairment (i.e.,creatinine clearance\<=50ml/min) Pregnant or nursing women Patient with any significant disease other than COPD which would exclude him/her from participating in the study Patients with any conditions listed in special precautions, drug interactions, and contraindication of Spiriva in Austrian summary of product characteristics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Activities of Daily Living Score After 3 to 4 Weeks Treatment With Spiriva | Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days) | The scores are final, not a difference in score. Rating scale scored from 0 (no restrictions in activities) to 4 (severe restrictions) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dyspnea Score After 3 to 4 Weeks Treatment With Spiriva | Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days) | The scores are final, not a difference in score. Rating scale scored from 0 (no restrictions in activities) to 4 (severe restrictions) |
| Global Assessment of Efficacy by Patient | Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days) | Rating scale ranging from very good (best value) to not satisfactory (worst value) |
| Global Assessment of Tolerability by Patient | Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days) | Rating scale ranging from very good (best value) to not satisfactory (worst value) |
| Global Assessment of Efficacy by Physician | Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days) | Rating scale ranging from very good (best value) to not satisfactory (worst value) |
| Global Assessment of Tolerability by Physician | Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days) | Rating scale ranging from very good (best value) to not satisfactory (worst value) |
Countries
Austria
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Spiriva® (Tiotropium Bromide) Tiotropium bromide 18μg inhalation capsules once-daily | 687 |
| Total | 687 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Protocol Violation | 67 |
Baseline characteristics
| Characteristic | Spiriva® (Tiotropium Bromide) |
|---|---|
| Age, Continuous | 63.0 years STANDARD_DEVIATION 12.5 |
| Sex/Gender, Customized Female | 269 participants |
| Sex/Gender, Customized Male | 414 participants |
| Sex/Gender, Customized Missing | 4 participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 754 |
| serious Total, serious adverse events | 0 / 754 |
Outcome results
Activities of Daily Living Score After 3 to 4 Weeks Treatment With Spiriva
The scores are final, not a difference in score. Rating scale scored from 0 (no restrictions in activities) to 4 (severe restrictions)
Time frame: Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days)
Population: The discrepancy between the total number of participants and the numbers analyzed for a certain parameter is due to missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Spiriva® (Tiotropium Bromide) | Activities of Daily Living Score After 3 to 4 Weeks Treatment With Spiriva | 1.1 points on a scale | Standard Deviation 0.7 |
Dyspnea Score After 3 to 4 Weeks Treatment With Spiriva
The scores are final, not a difference in score. Rating scale scored from 0 (no restrictions in activities) to 4 (severe restrictions)
Time frame: Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days)
Population: The discrepancy between the total number of participants and the numbers analyzed for a certain parameter is due to missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Spiriva® (Tiotropium Bromide) | Dyspnea Score After 3 to 4 Weeks Treatment With Spiriva | 1.1 points on a scale | Standard Deviation 0.7 |
Global Assessment of Efficacy by Patient
Rating scale ranging from very good (best value) to not satisfactory (worst value)
Time frame: Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days)
Population: The discrepancy between the total number of participants and the numbers analyzed for a certain parameter is due to missing data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Patient | Very good | 373 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Patient | Good | 217 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Patient | Satisfactory | 53 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Patient | Not satisfactory | 3 Participants |
Global Assessment of Efficacy by Physician
Rating scale ranging from very good (best value) to not satisfactory (worst value)
Time frame: Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days)
Population: The discrepancy between the total number of participants and the numbers analyzed for a certain parameter is due to missing data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Physician | Very good | 407 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Physician | Good | 205 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Physician | Satisfactory | 36 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Efficacy by Physician | Not satisfactory | 0 Participants |
Global Assessment of Tolerability by Patient
Rating scale ranging from very good (best value) to not satisfactory (worst value)
Time frame: Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days)
Population: The discrepancy between the total number of participants and the numbers analyzed for a certain parameter is due to missing data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Patient | Very good | 493 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Patient | Good | 142 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Patient | Satisfactory | 11 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Patient | Not satisfactory | 1 Participants |
Global Assessment of Tolerability by Physician
Rating scale ranging from very good (best value) to not satisfactory (worst value)
Time frame: Protocol-defined treatment period between initiation of therapy with Spiriva and the final visit (21 to 28 days)
Population: The discrepancy between the total number of participants and the numbers analyzed for a certain parameter is due to missing data.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Physician | Very good | 540 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Physician | Good | 102 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Physician | Satisfactory | 5 Participants |
| Spiriva® (Tiotropium Bromide) | Global Assessment of Tolerability by Physician | Not satisfactory | 0 Participants |