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Efficacy and Safety of 4 Weeks of Treatment With Orally Inhaled BI1744/Tiotropium Bromide in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Randomised, Double-blind, Cross-over Study to Assess the Efficacy and Safety of 4 Weeks of Once Daily Treatment of 2 Doses of Orally Inhaled BI 1744 CL, Each in Fixed Dose Combination (FDC) With 5 Microgram Tiotropium Bromide (Delivered by the Respimat® Inhaler) in Patients With COPD

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00720499
Enrollment
141
Registered
2008-07-22
Start date
2008-07-31
Completion date
Unknown
Last updated
2015-08-17

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

Conditions

Pulmonary Disease, Chronic Obstructive

Brief summary

The primary objective of this study is to determine the optimum dose(s) of BI 1744 CL administered with 5 microgram tiotropium bromide solution for inhalation, delivered by the Respimat® inhaler, once daily for four weeks in patients with chronic obstructive pulmonary disease (COPD).

Interventions

DRUGBI 1744 CL plus tiotropium bromide

BI 1744 CL plus tiotropium bromide fixed dose combination; Solution for inhalation via Respimat® Inhaler (A5); Oral inhalation

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

1. All patients must sign an informed consent consistent with ICH-GCP guidelines prior to participation in the trial, which includes medication washout and restrictions 2. All patients must have a diagnosis of chronic obstructive pulmonary disease and must meet the following spirometric criteria: Patients must have relatively stable airway obstruction with a post-bronchodilator FEV1 \>= 30% of predicted normal and \<80% of predicted normal and a post-bronchodilator FEV1 / FVC \<70% at Visit 1 3. Male or female patients, 40 years of age or older 4. Patients must be current or ex-smokers with a smoking history of more than 10 pack years 5. Patients must be able to perform technically acceptable pulmonary function tests and PEF measurements, and must be able to maintain records (Patient Daily e-Diary) during the study period as required in the protocol 6. Patients must be able to inhale medication in a competent manner from the Respimat inhaler and from a metered dose inhaler (MDI). 7. additional inclusion criteria apply.

Exclusion criteria

1. Patients with a significant disease other than COPD 2. Patients with clinically relevant abnormal baseline haematology, blood chemistry, or urinalysis; 3. Patients with a history of asthma or a total blood eosinophil count \>= 600/mm3. 4. Patients with any of the following conditions:a diagnosis of thyrotoxicosis, a diagnosis of paroxysmal tachycardia (\>100 beats per minute), a marked baseline prolongation of QT/QTc interval (e.g. repeated demonstration of a QTcF\* interval \> 450 ms), a history of additional risk factors for Torsade de Pointes (TdP) (e.g. heart failure, hypokalemia, family history of Long QT Syndrome) 5. Patients with any of the following conditions:a history of myocardial infarction within 1 year of screening visit (Visit 1), a diagnosis of clinically relevant cardiac arrhythmia, known active tuberculosis, a malignancy for which patient has undergone resection, radiation therapy or chemotherapy within last five years, a history of life-threatening pulmonary obstruction, a history of cystic fibrosis, clinically evident bronchiectasis, a history of significant alcohol or drug abuse 6. Patients who have undergone thoracotomy with pulmonary resection 7. Patients who regularly use daytime oxygen therapy for more than one hour per day and in the investigator's opinion will be unable to abstain from the use of oxygen therapy during clinic visits. 8. Pregnant or nursing women 9. Women of childbearing potential not using two effective method of birth control (one barrier and one non-barrier). Female patients will be considered to be of childbearing potential unless surgically sterilised by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years 10. Patients who have previously been randomized in this study or are currently participating in another study 11. Patients who are unable to comply with pulmonary medication restrictions prior to randomization 12. Patients who have taken an investigational drug within one month or six half lives (whichever is greater) prior to Screening Visit 13. additional

Design outcomes

Primary

MeasureTime frameDescription
Trough Forced Expiratory Volume in One Second (FEV1) Response [L] After Four Weeks of Treatment.1 hour (h), 10 minutes (min) before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29Trough FEV1 was defined as the mean of the 2 FEV1 values at the end of the dosing interval, 24 hours post-drug administration. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Secondary

MeasureTime frameDescription
Individual FEV1 Measurements1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29Individual FEV1 measurements \[L\] at each time point on Day 29. The presented means are adjusted.
FEV1 AUC 0-3h, Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29FEV1 Area Under the Curve (AUC) 0-3h, response \[L\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
FEV1 Peak 0-3h Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29FEV1 peak value over the time from 0 to 3 hours (peak 0-3h) response \[L\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
FEV1, AUC (0-6h) Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29FEV1, AUC (0-6h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
FEV1 (Unsupervised) AUC (6-12h) Response6 hours (h), 9h and 12h after drug administration on day 29FEV1 (unsupervised) AUC (6-12h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
Trough FVC Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on day 15, in addition 4h, 5h, 6h after drug administration on day 29Trough Forced Vital Capacity (FVC) response \[L\] on days 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
Individual FVC Measurements1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29Individual FVC measurements \[L\] at each time point The categories correspond to the planned times for FVC measurements on Day 29. The presented means are adjusted.
FVC AUC (0-3h) Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29FVC AUC (0-3h) response \[L\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
FVC AUC (0-6h) Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29FVC AUC (0-6h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
Weekly Mean Morning PEFRWeeks 1,2,3 and 4Weekly mean morning PEFR \[L/min\] on weeks 1,2,3 and 4. The presented means are adjusted.
FVC Peak 0-3h Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on day 29FVC peak 0-3h response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
PEFR AUC (0-3h) Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29Peak Expiratory Flow Rate (PEFR) AUC (0-3h) response \[L/min\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
PEFR Peak 0-3h Response1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29PEFR peak 0-3h response \[L/min\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
Trough FEV1 Response [L] After 2 Weeks of Treatment1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on day 15Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).
Weekly Mean Evening PEFRWeeks 1,2,3 and 4Weekly mean evening PEFR \[L/min\] on weeks 1,2,3 and 4. The presented means are adjusted.
Weekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Weeks 1,2,3 and 4Weekly mean number of occasions of rescue therapy used per day (as occasion require (PRN) salbutamol \[albuterol\]) on weeks 1,2,3 and 4. The means presented are the adjusted mean of weekly mean.
Patient Global Rating4 weeksPatient global rating scores treatment comparison after 4 weeks The score was evaluated on a 7-point scale : * 1 : very much better * 2 : much better * 3 : a little better * 4 : no change * 5 : a little worse * 6 : much worse * 7 : very much worse The presented means are adjusted.
Physician's Global EvaluationDays 15 and 29Physician's global evaluation score on days 15 and 29 The score was evaluated on a 8-points scale : * Poor : 1,2 * Fair : 3,4 * Good : 5,6 * Excellent : 7,8 The presented means are adjusted
Clinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical Examination14 weeksClinically significant abnormalities for blood chemistry, haematology, urinalysis and physical examination
Overall Marked Changes From Baseline in Vital SignsBaseline to week 14Overall marked changes from baseline in systolic blood pressure, diastolic blood pressure and pulse rate.
12-lead ECG Heart RateBaseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 2912-lead Electrocardiogram (ECG) Heart rate baseline and change from baseline values at other time points in Beats Per Minute (BPM) Statistics for each planned time from baseline to day 29.
12-lead ECG PR IntervalsBaseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 2912-lead ECG PR intervals baseline and change from baseline at other timepoints in milliseconds. Statistics for each planned time from baseline to day 29.
12-lead ECG QRS IntervalsBaseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 2912-lead ECG QRS intervals baseline and change from baseline at other time points in milliseconds Statistics for each planned time from baseline to day 29.
12-lead ECG QTcF IntervalsBaseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 2912-lead ECG corrected heart rate (QT) interval, using Fridericia method (QTcF), baseline and change from baseline at other time points in milliseconds. Statistics for each planned time from baseline to day 29.
12-lead ECG QTcB IntervalsBaseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 2912-lead ECG heart rate corrected QT interval, using Bazett method (QTcB), baseline and change from baseline at other time points in milliseconds. Statistics for each planned time from baseline to day 29.
12-lead ECG QT IntervalsBaseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 2912-lead ECG QT intervals baseline and change from baseline at other time points in milliseconds. Statistics for each planned time from baseline to day 29.
AUC (0-6H) FEV1 (Unsupervised), AUC (0-6H) PEFR (Unsupervised), FVC Peak (0-3h), AUC (6-12h) FEV1 (Unsupervised), AUC (6-12h) PEFR (Unsupervised), Individual PEFR Measurements (Supervised and Unsupervised), Individual PEFR Measurements (Unsupervised)4 weeks* AUC (0-6h) for FEV1, and PEFR (unsupervised) after first dose and after 2 and 4 weeks of treatment were not analysed in the study report because the pertinent information from the unsupervised Pulmonary Function Tests (PFTs) was for the time interval from 6 to 12 hours post-dosing. * FVC peak 0-3h response after the first dose and at Week 2 (supervised) and AUC (6-12h) for FEV1 and PEFR after the first dose and at Week 2 (unsupervised) were not analysed in the study report. * Individual PEFR (supervised) measurements and individual FEV1 and PEFR (unsupervised) measurements at each time point were not analysed in the study report.
PEFR AUC (6-12h) Response1 hour (h) and 10 minutes before drug administration on day 1 and 6h, 9h and 12h after drug administration on day 29PEFR AUC (6-12h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Countries

Belgium, Canada, Germany, United States

Participant flow

Pre-assignment details

This was a randomised, 2-way cross-over trial. 141 patients were randomized to one of 2 treatments sequences and treated. It was a double-blind trial in which each treatment period lasted 4 weeks. During the 2 week pre-treatment run-in and during the 2 week washout between treatment periods, patients received open-label tiotropium 5µg.

Participants by arm

ArmCount
Overall Study
A randomised, double-blind, 2-way cross-over study. The two treatment periods were separated by a wash-out period of 14 days during which they received open-label Tiotropium 5 mcg. The 2 treatments, administered once daily in the morning via the respimat inhaler, were : * Fixed dose combination (FDC) of Tiotropium 5 µg and Olodaterol 2 µg * Fixed dose combination (FDC) of Tiotropium 5 µg and Olodaterol 5 µg
141
Total141

Withdrawals & dropouts

PeriodReasonFG000FG001
Treatment Period 1 (4 Weeks)Adverse Event20
Treatment Period 1 (4 Weeks)Protocol Violation12
Treatment Period 2 (4 Weeks)Adverse Event23

Baseline characteristics

CharacteristicOverall Study
Age, Continuous63.67 years
STANDARD_DEVIATION 8.19
Sex: Female, Male
Female
48 Participants
Sex: Female, Male
Male
93 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
23 / 13916 / 138
serious
Total, serious adverse events
3 / 1395 / 138

Outcome results

Primary

Trough Forced Expiratory Volume in One Second (FEV1) Response [L] After Four Weeks of Treatment.

Trough FEV1 was defined as the mean of the 2 FEV1 values at the end of the dosing interval, 24 hours post-drug administration. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1 hour (h), 10 minutes (min) before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29

Population: Full analysis Set (FAS) which included all randomized patients who received at least one dose of study medication and had baseline data and Washout Period for at least 1 efficacy endpoint for each treatment period.

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgTrough Forced Expiratory Volume in One Second (FEV1) Response [L] After Four Weeks of Treatment.0.057 LitresStandard Error 0.013
Olo 5 µg + Tio5 µgTrough Forced Expiratory Volume in One Second (FEV1) Response [L] After Four Weeks of Treatment.0.055 LitresStandard Error 0.013
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.893795% CI: [-0.035, 0.031]ANCOVA
Secondary

12-lead ECG Heart Rate

12-lead Electrocardiogram (ECG) Heart rate baseline and change from baseline values at other time points in Beats Per Minute (BPM) Statistics for each planned time from baseline to day 29.

Time frame: Baseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 29

Population: TS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateBaseline72.96 BPMStandard Deviation 12.86
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay1 1:00-2.09 BPMStandard Deviation 7.6
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay15 -0:30 (N=137, 137)0.42 BPMStandard Deviation 11.09
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay15 0:10 (N=135, 136)-1.61 BPMStandard Deviation 8.77
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay29 -0:30 (N=134, 136)-0.69 BPMStandard Deviation 8.71
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay29 1:00 (N=132, 135)-2.34 BPMStandard Deviation 9.75
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay1 0:10-1.44 BPMStandard Deviation 6.04
Olo 2 µg + Tio 5 µg12-lead ECG Heart RateDay29 0:10 (N=132, 135)-2.14 BPMStandard Deviation 9.25
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay1 0:10-1.01 BPMStandard Deviation 5.63
Olo 5 µg + Tio5 µg12-lead ECG Heart RateBaseline72.38 BPMStandard Deviation 11.96
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay29 0:10 (N=132, 135)-0.24 BPMStandard Deviation 9.5
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay1 1:00-1.6 BPMStandard Deviation 7.45
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay29 -0:30 (N=134, 136)1.68 BPMStandard Deviation 9.43
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay15 -0:30 (N=137, 137)1.1 BPMStandard Deviation 8.88
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay29 1:00 (N=132, 135)-0.73 BPMStandard Deviation 8.98
Olo 5 µg + Tio5 µg12-lead ECG Heart RateDay15 0:10 (N=135, 136)-0.79 BPMStandard Deviation 8.97
Secondary

12-lead ECG PR Intervals

12-lead ECG PR intervals baseline and change from baseline at other timepoints in milliseconds. Statistics for each planned time from baseline to day 29.

Time frame: Baseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 29

Population: TS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay29 1:00 (N=132, 135)1.98 mSStandard Deviation 17.91
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay1 1:00 (N=139, 137)2.12 mSStandard Deviation 13.94
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsBaseline160.03 mSStandard Deviation 24.94
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay15 -0:30 (N=136, 137)0.55 mSStandard Deviation 12.56
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay29 0:10 (N=132, 135)-0.29 mSStandard Deviation 13.9
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay15 0:10 (N=135, 136)0.28 mSStandard Deviation 12.17
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay1 0:10-1.02 mSStandard Deviation 12.05
Olo 2 µg + Tio 5 µg12-lead ECG PR IntervalsDay29 -0:30 (N=134, 135)-1.29 mSStandard Deviation 13.45
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay29 1:00 (N=132, 135)0.22 mSStandard Deviation 13.05
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay29 -0:30 (N=134, 135)-0.19 mSStandard Deviation 15.35
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay29 0:10 (N=132, 135)-2.05 mSStandard Deviation 16.39
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsBaseline160.69 mSStandard Deviation 29.28
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay1 0:10-1.86 mSStandard Deviation 17.53
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay1 1:00 (N=139, 137)0.09 mSStandard Deviation 11.07
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay15 -0:30 (N=136, 137)-0.95 mSStandard Deviation 20.17
Olo 5 µg + Tio5 µg12-lead ECG PR IntervalsDay15 0:10 (N=135, 136)-1.24 mSStandard Deviation 15.08
Secondary

12-lead ECG QRS Intervals

12-lead ECG QRS intervals baseline and change from baseline at other time points in milliseconds Statistics for each planned time from baseline to day 29.

Time frame: Baseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 29

Population: TS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay15 -0:30 (N=137, 137)-0.55 mSStandard Deviation 7.48
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay29 1:00 (N=132, 135)-0.33 mSStandard Deviation 7.5
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay29 -0:30 (N=134, 136)-0.44 mSStandard Deviation 7.55
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsBaseline92.71 mSStandard Deviation 11.92
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay15 0:10 (N=135, 136)-0.67 mSStandard Deviation 6.73
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay1 0:10-0.28 mSStandard Deviation 6.29
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay29 0:10 (N=132, 135)-1.27 mSStandard Deviation 6.63
Olo 2 µg + Tio 5 µg12-lead ECG QRS IntervalsDay1 1:00-0.47 mSStandard Deviation 6.39
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay29 0:10 (N=132, 135)-0.82 mSStandard Deviation 7.16
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay15 -0:30 (N=137, 137)-0.44 mSStandard Deviation 7.73
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay15 0:10 (N=135, 136)-0.32 mSStandard Deviation 7.9
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay29 -0:30 (N=134, 136)-0.75 mSStandard Deviation 7.4
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay1 1:000.31 mSStandard Deviation 6.34
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay29 1:00 (N=132, 135)-0.39 mSStandard Deviation 7.9
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsBaseline92.41 mSStandard Deviation 12.14
Olo 5 µg + Tio5 µg12-lead ECG QRS IntervalsDay1 0:10-0.65 mSStandard Deviation 6.63
Secondary

12-lead ECG QTcB Intervals

12-lead ECG heart rate corrected QT interval, using Bazett method (QTcB), baseline and change from baseline at other time points in milliseconds. Statistics for each planned time from baseline to day 29.

Time frame: Baseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 29

Population: TS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsBaseline418.12 mSStandard Deviation 24.67
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay1 0:10-2.18 mSStandard Deviation 16.32
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay1 1:00 (N=138, 138)-2.57 mSStandard Deviation 15.95
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay15 -0:30 (N=137, 137)0.93 mSStandard Deviation 18.23
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay15 0:10 (N=135, 136)-2.51 mSStandard Deviation 20.37
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay29 -0:30 (N=134, 136)-1.87 mSStandard Deviation 20.43
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay29 0:10 (N=132, 135)-3.13 mSStandard Deviation 19.45
Olo 2 µg + Tio 5 µg12-lead ECG QTcB IntervalsDay29 1:00 (N=132, 135)-2.55 mSStandard Deviation 23.88
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay29 1:00 (N=132, 135)-1.69 mSStandard Deviation 19.75
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsBaseline415.56 mSStandard Deviation 23.35
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay15 0:10 (N=135, 136)-1.76 mSStandard Deviation 20.51
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay1 0:100.05 mSStandard Deviation 16.14
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay29 0:10 (N=132, 135)-2.33 mSStandard Deviation 20.35
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay1 1:00 (N=138, 138)-2.2 mSStandard Deviation 18.05
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay29 -0:30 (N=134, 136)1.43 mSStandard Deviation 21.52
Olo 5 µg + Tio5 µg12-lead ECG QTcB IntervalsDay15 -0:30 (N=137, 137)0.91 mSStandard Deviation 19.72
Secondary

12-lead ECG QTcF Intervals

12-lead ECG corrected heart rate (QT) interval, using Fridericia method (QTcF), baseline and change from baseline at other time points in milliseconds. Statistics for each planned time from baseline to day 29.

Time frame: Baseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 29

Population: TS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsBaseline405.63 mSStandard Deviation 21.42
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay1 0:10-0.89 mSStandard Deviation 12.85
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay1 1:00 (N=138, 138)-0.69 mSStandard Deviation 12.79
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay15 -0:30 (N=137, 137)0.55 mSStandard Deviation 14.28
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay15 0:10 (N=135, 136)-1.16 mSStandard Deviation 16.67
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay29 -0:30 (N=134, 136)-1.35 mSStandard Deviation 17.18
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay29 0:10 (N=132, 135)-1.22 mSStandard Deviation 15.05
Olo 2 µg + Tio 5 µg12-lead ECG QTcF IntervalsDay29 1:00 (N=132, 135)-0.56 mSStandard Deviation 18.24
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay29 1:00 (N=132, 135)-1.05 mSStandard Deviation 16.49
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsBaseline403.53 mSStandard Deviation 20.49
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay15 0:10 (N=135, 136)-1.02 mSStandard Deviation 17.37
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay1 0:100.97 mSStandard Deviation 13.49
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay29 0:10 (N=132, 135)-2.08 mSStandard Deviation 16.56
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay1 1:00 (N=138, 138)-0.61 mSStandard Deviation 15.19
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay29 -0:30 (N=134, 136)-0.24 mSStandard Deviation 17.39
Olo 5 µg + Tio5 µg12-lead ECG QTcF IntervalsDay15 -0:30 (N=137, 137)-0.03 mSStandard Deviation 16.5
Secondary

12-lead ECG QT Intervals

12-lead ECG QT intervals baseline and change from baseline at other time points in milliseconds. Statistics for each planned time from baseline to day 29.

Time frame: Baseline, then 10min, 1h after drug administration on day 1, 30min before and 10min after drug administration on day 15, in addition 1h after drug administration on day 29

Population: TS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsBaseline382.73 mSStandard Deviation 31.87
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay1 1:00 (N=138, 138)2.97 mSStandard Deviation 15.89
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay15 0:10 (N=135, 136)1.44 mSStandard Deviation 20.59
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay29 -0:30 (N=134, 136)-0.59 mSStandard Deviation 20.91
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay1 0:101.59 mSStandard Deviation 13.09
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay29 0:10 (N=132, 135)2.27 mSStandard Deviation 19.24
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay29 1:00 (N=132, 135)3.14 mSStandard Deviation 19.28
Olo 2 µg + Tio 5 µg12-lead ECG QT IntervalsDay15 -0:30 (N=137, 137)-0.09 mSStandard Deviation 19.95
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay29 1:00 (N=132, 135)0.2 mSStandard Deviation 20.51
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay15 -0:30 (N=137, 137)-1.76 mSStandard Deviation 20.16
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay15 0:10 (N=135, 136)0.53 mSStandard Deviation 21.28
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay29 0:10 (N=132, 135)-1.73 mSStandard Deviation 20.83
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsBaseline381.33 mSStandard Deviation 29.42
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay1 0:102.69 mSStandard Deviation 13.82
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay1 1:00 (N=138, 138)2.33 mSStandard Deviation 18.02
Olo 5 µg + Tio5 µg12-lead ECG QT IntervalsDay29 -0:30 (N=134, 136)-3.14 mSStandard Deviation 20.13
Secondary

AUC (0-6H) FEV1 (Unsupervised), AUC (0-6H) PEFR (Unsupervised), FVC Peak (0-3h), AUC (6-12h) FEV1 (Unsupervised), AUC (6-12h) PEFR (Unsupervised), Individual PEFR Measurements (Supervised and Unsupervised), Individual PEFR Measurements (Unsupervised)

* AUC (0-6h) for FEV1, and PEFR (unsupervised) after first dose and after 2 and 4 weeks of treatment were not analysed in the study report because the pertinent information from the unsupervised Pulmonary Function Tests (PFTs) was for the time interval from 6 to 12 hours post-dosing. * FVC peak 0-3h response after the first dose and at Week 2 (supervised) and AUC (6-12h) for FEV1 and PEFR after the first dose and at Week 2 (unsupervised) were not analysed in the study report. * Individual PEFR (supervised) measurements and individual FEV1 and PEFR (unsupervised) measurements at each time point were not analysed in the study report.

Time frame: 4 weeks

Population: No patients analyzed in the study report.

Secondary

Clinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical Examination

Clinically significant abnormalities for blood chemistry, haematology, urinalysis and physical examination

Time frame: 14 weeks

Population: Treated Set (TS) including all randomized patients who received at least one dose of study medication.

ArmMeasureGroupValue (NUMBER)
Olo 2 µg + Tio 5 µgClinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical ExaminationCreatinine phosphokinase increased8 participants
Olo 2 µg + Tio 5 µgClinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical ExaminationEosinophils increased3 participants
Olo 2 µg + Tio 5 µgClinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical ExaminationUrinalysis0 participants
Olo 5 µg + Tio5 µgClinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical ExaminationCreatinine phosphokinase increased7 participants
Olo 5 µg + Tio5 µgClinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical ExaminationEosinophils increased3 participants
Olo 5 µg + Tio5 µgClinically Significant Abnormalities for Blood Chemistry, Haematology, Urinalysis and Physical ExaminationUrinalysis0 participants
Secondary

FEV1 AUC 0-3h, Response

FEV1 Area Under the Curve (AUC) 0-3h, response \[L\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFEV1 AUC 0-3h, ResponseDay 10.168 LitresStandard Error 0.006
Olo 2 µg + Tio 5 µgFEV1 AUC 0-3h, ResponseDay 150.174 LitresStandard Error 0.012
Olo 2 µg + Tio 5 µgFEV1 AUC 0-3h, ResponseDay 290.201 LitresStandard Error 0.011
Olo 5 µg + Tio5 µgFEV1 AUC 0-3h, ResponseDay 10.173 LitresStandard Error 0.006
Olo 5 µg + Tio5 µgFEV1 AUC 0-3h, ResponseDay 150.194 LitresStandard Error 0.012
Olo 5 µg + Tio5 µgFEV1 AUC 0-3h, ResponseDay 290.200 LitresStandard Error 0.011
Comparison: Test Day 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.519895% CI: [-0.01, 0.021]ANCOVA
Comparison: Test Day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed)p-value: 0.21195% CI: [-0.011, 0.051]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed)p-value: 0.936895% CI: [-0.029, 0.027]ANCOVA
Secondary

FEV1, AUC (0-6h) Response

FEV1, AUC (0-6h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFEV1, AUC (0-6h) Response0.202 LitresStandard Error 0.012
Olo 5 µg + Tio5 µgFEV1, AUC (0-6h) Response0.206 LitresStandard Error 0.012
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.790695% CI: [-0.026, 0.034]ANCOVA
Secondary

FEV1 Peak 0-3h Response

FEV1 peak value over the time from 0 to 3 hours (peak 0-3h) response \[L\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFEV1 Peak 0-3h ResponseDay 10.269 LitresStandard Error 0.008
Olo 2 µg + Tio 5 µgFEV1 Peak 0-3h ResponseDay 150.257 LitresStandard Error 0.014
Olo 2 µg + Tio 5 µgFEV1 Peak 0-3h ResponseDay 290.288 LitresStandard Error 0.014
Olo 5 µg + Tio5 µgFEV1 Peak 0-3h ResponseDay 10.262 LitresStandard Error 0.008
Olo 5 µg + Tio5 µgFEV1 Peak 0-3h ResponseDay 150.279 LitresStandard Error 0.015
Olo 5 µg + Tio5 µgFEV1 Peak 0-3h ResponseDay 290.294 LitresStandard Error 0.014
Comparison: Test Day 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed)p-value: 0.533995% CI: [-0.027, 0.014]ANCOVA
Comparison: Test day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed)p-value: 0.240895% CI: [-0.015, 0.058]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed)p-value: 0.713995% CI: [-0.029, 0.042]ANCOVA
Secondary

FEV1 (Unsupervised) AUC (6-12h) Response

FEV1 (unsupervised) AUC (6-12h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 6 hours (h), 9h and 12h after drug administration on day 29

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFEV1 (Unsupervised) AUC (6-12h) Response0.106 LitresStandard Error 0.029
Olo 5 µg + Tio5 µgFEV1 (Unsupervised) AUC (6-12h) Response0.114 LitresStandard Error 0.029
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.847395% CI: [-0.067, 0.082]ANCOVA
Secondary

FVC AUC (0-3h) Response

FVC AUC (0-3h) response \[L\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFVC AUC (0-3h) ResponseDay 10.273 LitresStandard Error 0.012
Olo 2 µg + Tio 5 µgFVC AUC (0-3h) ResponseDay 150.271 LitresStandard Error 0.02
Olo 2 µg + Tio 5 µgFVC AUC (0-3h) ResponseDay 290.275 LitresStandard Error 0.021
Olo 5 µg + Tio5 µgFVC AUC (0-3h) ResponseDay 10.275 LitresStandard Error 0.012
Olo 5 µg + Tio5 µgFVC AUC (0-3h) ResponseDay 150.308 LitresStandard Error 0.021
Olo 5 µg + Tio5 µgFVC AUC (0-3h) ResponseDay 290.303 LitresStandard Error 0.022
Comparison: Test day 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed)p-value: 0.938495% CI: [-0.029, 0.032]ANCOVA
Comparison: Test day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.158395% CI: [-0.014, 0.088]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.291495% CI: [-0.025, 0.082]ANCOVA
Secondary

FVC AUC (0-6h) Response

FVC AUC (0-6h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFVC AUC (0-6h) Response0.283 LitresStandard Error 0.023
Olo 5 µg + Tio5 µgFVC AUC (0-6h) Response0.318 LitresStandard Error 0.024
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.248595% CI: [-0.024, 0.094]ANCOVA
Secondary

FVC Peak 0-3h Response

FVC peak 0-3h response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on day 29

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgFVC Peak 0-3h Response0.444 LitresStandard Error 0.033
Olo 5 µg + Tio5 µgFVC Peak 0-3h Response0.490 LitresStandard Error 0.034
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.287595% CI: [-0.039, 0.13]ANCOVA
Secondary

Individual FEV1 Measurements

Individual FEV1 measurements \[L\] at each time point on Day 29. The presented means are adjusted.

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements-1:001.426 LitresStandard Error 0.013
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements-0:101.434 LitresStandard Error 0.014
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements2:001.617 LitresStandard Error 0.012
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements3:001.601 LitresStandard Error 0.015
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements4:001.582 LitresStandard Error 0.016
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements0:051.497 LitresStandard Error 0.014
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements0:301.541 LitresStandard Error 0.012
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements1:001.570 LitresStandard Error 0.012
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements5:001.571 LitresStandard Error 0.013
Olo 2 µg + Tio 5 µgIndividual FEV1 Measurements6:001.547 LitresStandard Error 0.013
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements6:001.551 LitresStandard Error 0.013
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements-1:001.417 LitresStandard Error 0.013
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements-0:101.438 LitresStandard Error 0.014
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements1:001.570 LitresStandard Error 0.012
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements0:301.534 LitresStandard Error 0.012
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements2:001.614 LitresStandard Error 0.012
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements0:051.498 LitresStandard Error 0.014
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements3:001.606 LitresStandard Error 0.015
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements5:001.570 LitresStandard Error 0.014
Olo 5 µg + Tio5 µgIndividual FEV1 Measurements4:001.606 LitresStandard Error 0.016
Secondary

Individual FVC Measurements

Individual FVC measurements \[L\] at each time point The categories correspond to the planned times for FVC measurements on Day 29. The presented means are adjusted.

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h, 4h, 5h, 6h after drug administration on day 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgIndividual FVC Measurements1:003.093 LitresStandard Error 0.023
Olo 2 µg + Tio 5 µgIndividual FVC Measurements-0:102.892 LitresStandard Error 0.024
Olo 2 µg + Tio 5 µgIndividual FVC Measurements5:003.109 LitresStandard Error 0.025
Olo 2 µg + Tio 5 µgIndividual FVC Measurements0:053.009 LitresStandard Error 0.024
Olo 2 µg + Tio 5 µgIndividual FVC Measurements4:003.143 LitresStandard Error 0.039
Olo 2 µg + Tio 5 µgIndividual FVC Measurements0:303.067 LitresStandard Error 0.023
Olo 2 µg + Tio 5 µgIndividual FVC Measurements2:003.154 LitresStandard Error 0.023
Olo 2 µg + Tio 5 µgIndividual FVC Measurements6:003.061 LitresStandard Error 0.023
Olo 2 µg + Tio 5 µgIndividual FVC Measurements3:003.147 LitresStandard Error 0.037
Olo 2 µg + Tio 5 µgIndividual FVC Measurements-1:002.894 LitresStandard Error 0.023
Olo 5 µg + Tio5 µgIndividual FVC Measurements6:003.083 LitresStandard Error 0.023
Olo 5 µg + Tio5 µgIndividual FVC Measurements1:003.112 LitresStandard Error 0.023
Olo 5 µg + Tio5 µgIndividual FVC Measurements3:003.201 LitresStandard Error 0.038
Olo 5 µg + Tio5 µgIndividual FVC Measurements4:003.204 LitresStandard Error 0.04
Olo 5 µg + Tio5 µgIndividual FVC Measurements5:003.131 LitresStandard Error 0.025
Olo 5 µg + Tio5 µgIndividual FVC Measurements-1:002.899 LitresStandard Error 0.024
Olo 5 µg + Tio5 µgIndividual FVC Measurements-0:102.907 LitresStandard Error 0.024
Olo 5 µg + Tio5 µgIndividual FVC Measurements0:053.032 LitresStandard Error 0.025
Olo 5 µg + Tio5 µgIndividual FVC Measurements2:003.189 LitresStandard Error 0.023
Olo 5 µg + Tio5 µgIndividual FVC Measurements0:303.083 LitresStandard Error 0.024
Secondary

Overall Marked Changes From Baseline in Vital Signs

Overall marked changes from baseline in systolic blood pressure, diastolic blood pressure and pulse rate.

Time frame: Baseline to week 14

Population: TS

ArmMeasureGroupValue (NUMBER)
Olo 2 µg + Tio 5 µgOverall Marked Changes From Baseline in Vital SignsDiastolic blood pressure decreased13 participants
Olo 2 µg + Tio 5 µgOverall Marked Changes From Baseline in Vital SignsDiastolic blood pressure increased19 participants
Olo 2 µg + Tio 5 µgOverall Marked Changes From Baseline in Vital SignsSystolic blood pressure increased16 participants
Olo 2 µg + Tio 5 µgOverall Marked Changes From Baseline in Vital SignsSystolic blood pressure decreased10 participants
Olo 2 µg + Tio 5 µgOverall Marked Changes From Baseline in Vital SignsPulse rate increased10 participants
Olo 2 µg + Tio 5 µgOverall Marked Changes From Baseline in Vital SignsPulse rate decreased19 participants
Olo 5 µg + Tio5 µgOverall Marked Changes From Baseline in Vital SignsDiastolic blood pressure increased15 participants
Olo 5 µg + Tio5 µgOverall Marked Changes From Baseline in Vital SignsPulse rate increased13 participants
Olo 5 µg + Tio5 µgOverall Marked Changes From Baseline in Vital SignsSystolic blood pressure decreased11 participants
Olo 5 µg + Tio5 µgOverall Marked Changes From Baseline in Vital SignsSystolic blood pressure increased23 participants
Olo 5 µg + Tio5 µgOverall Marked Changes From Baseline in Vital SignsPulse rate decreased10 participants
Olo 5 µg + Tio5 µgOverall Marked Changes From Baseline in Vital SignsDiastolic blood pressure decreased17 participants
Secondary

Patient Global Rating

Patient global rating scores treatment comparison after 4 weeks The score was evaluated on a 7-point scale : * 1 : very much better * 2 : much better * 3 : a little better * 4 : no change * 5 : a little worse * 6 : much worse * 7 : very much worse The presented means are adjusted.

Time frame: 4 weeks

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgPatient Global Rating3.207 units on a scaleStandard Error 0.091
Olo 5 µg + Tio5 µgPatient Global Rating3.093 units on a scaleStandard Error 0.09
Comparison: Based on a ANCOVA with terms for treatment, centre, patient within centre and period (all effects fixed).p-value: 0.326995% CI: [-0.342, 0.115]ANCOVA
Secondary

PEFR AUC (0-3h) Response

Peak Expiratory Flow Rate (PEFR) AUC (0-3h) response \[L/min\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgPEFR AUC (0-3h) ResponseDay 1527.817 Litres / minuteStandard Error 2.483
Olo 2 µg + Tio 5 µgPEFR AUC (0-3h) ResponseDay 127.159 Litres / minuteStandard Error 1.604
Olo 2 µg + Tio 5 µgPEFR AUC (0-3h) ResponseDay 2932.395 Litres / minuteStandard Error 2.101
Olo 5 µg + Tio5 µgPEFR AUC (0-3h) ResponseDay 1534.128 Litres / minuteStandard Error 2.507
Olo 5 µg + Tio5 µgPEFR AUC (0-3h) ResponseDay 128.143 Litres / minuteStandard Error 1.619
Olo 5 µg + Tio5 µgPEFR AUC (0-3h) ResponseDay 2933.947 Litres / minuteStandard Error 2.121
Comparison: Test day 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.629995% CI: [-3.046, 5.015]ANCOVA
Comparison: Test day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.047595% CI: [0.07, 12.553]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.56295% CI: [-3.729, 6.833]ANCOVA
Secondary

PEFR AUC (6-12h) Response

PEFR AUC (6-12h) response \[L\] on day 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1 hour (h) and 10 minutes before drug administration on day 1 and 6h, 9h and 12h after drug administration on day 29

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgPEFR AUC (6-12h) Response24.830 Litres / minuteStandard Error 3.634
Olo 5 µg + Tio5 µgPEFR AUC (6-12h) Response24.130 Litres / minuteStandard Error 3.599
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.880895% CI: [-9.914, 8.514]ANCOVA
Secondary

PEFR Peak 0-3h Response

PEFR peak 0-3h response \[L/min\] on days 1, 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on days 1, 15 and 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgPEFR Peak 0-3h ResponseDay 149.125 Litres / minuteStandard Error 1.843
Olo 2 µg + Tio 5 µgPEFR Peak 0-3h ResponseDay 1546.355 Litres / minuteStandard Error 2.801
Olo 2 µg + Tio 5 µgPEFR Peak 0-3h ResponseDay 2952.497 Litres / minuteStandard Error 2.466
Olo 5 µg + Tio5 µgPEFR Peak 0-3h ResponseDay 148.946 Litres / minuteStandard Error 1.861
Olo 5 µg + Tio5 µgPEFR Peak 0-3h ResponseDay 1552.835 Litres / minuteStandard Error 2.827
Olo 5 µg + Tio5 µgPEFR Peak 0-3h ResponseDay 2955.596 Litres / minuteStandard Error 2.49
Comparison: Test day 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.939195% CI: [-4.812, 4.454]ANCOVA
Comparison: Test day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.070995% CI: [-0.56, 13.52]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.324595% CI: [-3.1, 9.298]ANCOVA
Secondary

Physician's Global Evaluation

Physician's global evaluation score on days 15 and 29 The score was evaluated on a 8-points scale : * Poor : 1,2 * Fair : 3,4 * Good : 5,6 * Excellent : 7,8 The presented means are adjusted

Time frame: Days 15 and 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgPhysician's Global EvaluationDay 295.085 units on a scaleStandard Error 0.063
Olo 2 µg + Tio 5 µgPhysician's Global EvaluationDay 155.084 units on a scaleStandard Error 0.07
Olo 5 µg + Tio5 µgPhysician's Global EvaluationDay 155.079 units on a scaleStandard Error 0.07
Olo 5 µg + Tio5 µgPhysician's Global EvaluationDay 295.065 units on a scaleStandard Error 0.063
Comparison: Test day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.955795% CI: [-0.181, 0.171]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.809695% CI: [-0.178, 0.14]ANCOVA
Secondary

Trough FEV1 Response [L] After 2 Weeks of Treatment

Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on day 15

Population: FAS

ArmMeasureValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgTrough FEV1 Response [L] After 2 Weeks of Treatment0.037 LitresStandard Error 0.015
Olo 5 µg + Tio5 µgTrough FEV1 Response [L] After 2 Weeks of Treatment0.059 LitresStandard Error 0.015
Comparison: Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.242595% CI: [-0.015, 0.061]ANCOVA
Secondary

Trough FVC Response

Trough Forced Vital Capacity (FVC) response \[L\] on days 15 and 29. Response is defined as the change from baseline, baseline is defined as the mean of the 2 pre-treatment timepoints (-1 hour and -10 minutes) before first drug administration in each treatment period. The presented means are adjusted based on an ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).

Time frame: 1h, 10min before drug administration and 5min, 30min, 1h, 2h, 3h after drug administration on day 15, in addition 4h, 5h, 6h after drug administration on day 29

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgTrough FVC ResponseDay 150.072 LitresStandard Error 0.024
Olo 2 µg + Tio 5 µgTrough FVC ResponseDay 290.066 LitresStandard Error 0.022
Olo 5 µg + Tio5 µgTrough FVC ResponseDay 150.104 LitresStandard Error 0.025
Olo 5 µg + Tio5 µgTrough FVC ResponseDay 290.076 LitresStandard Error 0.023
Comparison: Test Day 15. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.294495% CI: [-0.029, 0.094]ANCOVA
Comparison: Test day 29. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.71895% CI: [-0.046, 0.066]ANCOVA
Secondary

Weekly Mean Evening PEFR

Weekly mean evening PEFR \[L/min\] on weeks 1,2,3 and 4. The presented means are adjusted.

Time frame: Weeks 1,2,3 and 4

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgWeekly Mean Evening PEFRWeek 1262.21 Litres / minuteStandard Error 2.026
Olo 2 µg + Tio 5 µgWeekly Mean Evening PEFRWeek 2261.08 Litres / minuteStandard Error 2.146
Olo 2 µg + Tio 5 µgWeekly Mean Evening PEFRWeek 3258.62 Litres / minuteStandard Error 1.959
Olo 2 µg + Tio 5 µgWeekly Mean Evening PEFRWeek 4261.38 Litres / minuteStandard Error 1.942
Olo 5 µg + Tio5 µgWeekly Mean Evening PEFRWeek 4260.34 Litres / minuteStandard Error 1.94
Olo 5 µg + Tio5 µgWeekly Mean Evening PEFRWeek 1265.51 Litres / minuteStandard Error 2.024
Olo 5 µg + Tio5 µgWeekly Mean Evening PEFRWeek 3260.32 Litres / minuteStandard Error 1.956
Olo 5 µg + Tio5 µgWeekly Mean Evening PEFRWeek 2262.47 Litres / minuteStandard Error 2.144
Comparison: Test Week 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.203795% CI: [-1.813, 8.418]ANCOVA
Comparison: Test Week 2. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.611895% CI: [-4.027, 6.813]ANCOVA
Comparison: Test Week 3. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.498895% CI: [-3.251, 6.64]ANCOVA
Comparison: Test Week 4. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.675795% CI: [-5.944, 3.865]ANCOVA
Secondary

Weekly Mean Morning PEFR

Weekly mean morning PEFR \[L/min\] on weeks 1,2,3 and 4. The presented means are adjusted.

Time frame: Weeks 1,2,3 and 4

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgWeekly Mean Morning PEFRWeek 1244.16 Litres / minuteStandard Error 1.713
Olo 2 µg + Tio 5 µgWeekly Mean Morning PEFRWeek 3242.31 Litres / minuteStandard Error 1.805
Olo 2 µg + Tio 5 µgWeekly Mean Morning PEFRWeek 2242.38 Litres / minuteStandard Error 1.842
Olo 2 µg + Tio 5 µgWeekly Mean Morning PEFRWeek 4242.90 Litres / minuteStandard Error 2
Olo 5 µg + Tio5 µgWeekly Mean Morning PEFRWeek 2243.72 Litres / minuteStandard Error 1.821
Olo 5 µg + Tio5 µgWeekly Mean Morning PEFRWeek 1245.28 Litres / minuteStandard Error 1.693
Olo 5 µg + Tio5 µgWeekly Mean Morning PEFRWeek 4244.56 Litres / minuteStandard Error 1.977
Olo 5 µg + Tio5 µgWeekly Mean Morning PEFRWeek 3242.97 Litres / minuteStandard Error 1.784
Comparison: Test week 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.608195% CI: [-3.19, 5.429]ANCOVA
Comparison: Test Week 2. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.568695% CI: [-3.296, 5.973]ANCOVA
Comparison: Test Week 3. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.776595% CI: [-3.888, 5.194]ANCOVA
Comparison: Test Week 4. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.516695% CI: [-3.379, 6.686]ANCOVA
Secondary

Weekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])

Weekly mean number of occasions of rescue therapy used per day (as occasion require (PRN) salbutamol \[albuterol\]) on weeks 1,2,3 and 4. The means presented are the adjusted mean of weekly mean.

Time frame: Weeks 1,2,3 and 4

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Olo 2 µg + Tio 5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 11.294 number of occasions / dayStandard Error 0.063
Olo 2 µg + Tio 5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 31.369 number of occasions / dayStandard Error 0.071
Olo 2 µg + Tio 5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 21.472 number of occasions / dayStandard Error 0.068
Olo 2 µg + Tio 5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 41.403 number of occasions / dayStandard Error 0.071
Olo 5 µg + Tio5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 21.352 number of occasions / dayStandard Error 0.067
Olo 5 µg + Tio5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 11.305 number of occasions / dayStandard Error 0.062
Olo 5 µg + Tio5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 41.363 number of occasions / dayStandard Error 0.069
Olo 5 µg + Tio5 µgWeekly Mean Number of Occasions of Rescue Therapy Used Per Day (PRN Salbutamol [Albuterol])Week 31.367 number of occasions / dayStandard Error 0.07
Comparison: Test Week 1. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.890195% CI: [-0.147, 0.169]ANCOVA
Comparison: Test Week 2. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.164795% CI: [-0.29, 0.05]ANCOVA
Comparison: Test Week 3. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.982295% CI: [-0.18, 0.176]ANCOVA
Comparison: Test Week 4. Based on a ANCOVA with terms for baseline, treatment, centre, patient within centre and period (all effects fixed).p-value: 0.654295% CI: [-0.218, 0.137]ANCOVA

Source: ClinicalTrials.gov · Data processed: Mar 15, 2026