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Characterisation of 24-hour FEV1-time Profiles of Inhaled BI 1744 CL and Inhaled Foradil in Patients With Chronic Obstructive Pulmonary Disease

Characterization of 24 Hour Spirometry Profiles of Inhaled BI 1744 CL and Inhaled Foradil in Patients With Chronic Obstructive Pulmonary Disease

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00932646
Enrollment
100
Registered
2009-07-03
Start date
2009-06-30
Completion date
Unknown
Last updated
2016-02-05

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 study is intended to characterize the lung function profile of BI1744 in COPD patients where patients will perform pulmonary function tests at regular intervals for 24 hours at the end of a 6 week treatment period. Each patient will receive all four treatments.

Interventions

DRUGBI 1744 (Olodaterol) Low Dose

BI1744 Respimat low dose once daily and placebo Foradil

DRUGBI 1744 (Olodaterol) Medium Dose

BI1744 Respimat medium dose once daily and placebo Foradil

DRUGPlacebo

Placebo Respimat once daily and placebo Foradil

12 mcg twice daily and placebo Respimat

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

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

Inclusion criteria

* Patients willing to participate with confirmed diagnosis of COPD * 40 years of age or older * having a 10 pack year smoking history * able to perform serial pulmonary function tests * able to use both a DPI and Respimat device

Exclusion criteria

Significant other disease * clinically relevant abnormal hematology, chemistry, or urinalysis * history of asthma * diagnosis of thyrotoxicosis * paroxysmal tachycardia related to beta agonists * history of MI within 1 year, cardiac arrhythmia, hospitalization for heart failure within 1 year * active tuberculosis, cystic fibrosis, clinically evident bronchiectasis * significant alcohol or drug use * pulmonary resection * taking oral beta adrenergics * taking unstable oral steroids * daytime oxygen * enrolled in rehabilitation program * enrolled in another study or taking investigational products * pregnant or nursing women, women of child bearing potential not willing to use two methods of birth control * those who are not willing to comply with pulmonary medication washouts

Design outcomes

Primary

MeasureTime frameDescription
FEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment1 hour (h) and 10 minutes (min) prior to am dose on the first day of treatment (baseline) and -30 min (zero time), 30 min, 60 min, 2 hour (h) , 3 h, 4 h, 6 h, 8 h, 10 h, 11 h 50 min relative to am dose after six weeks of treatmentResponse was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit, just prior to administration of the morning dose of randomized treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FEV1 AUC 0-12h was calculated from 0-12 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.
FEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment1 h and 10 min prior to am dose on the first day of treatment (baseline) and 12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatmentResponse was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit, just prior to administration of the morning dose of randomized treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FEV1 AUC 12-24h was calculated from 12-24 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

Secondary

MeasureTime frameDescription
Peak FEV1 (0-3h) ResponseBaseline and 6 weeksResponse was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Peak values were obtained within 0 - 3 hours after the last am dose after six weeks of treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.
Trough FEV1 ResponseBaseline and 6 weeksResponse was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Trough values were obtained 30 minutes prior to the last am dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.
Forced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response1 hour (h) and 10 minutes (min) prior to am dose on the first day of treatment (baseline) and -30 min (zero time), 30 min, 60 min, 2 hour (h) , 3 h, 4 h, 6 h, 8 h, 10 h, 11 h 50 min relative to am dose after six weeks of treatmentResponse was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FVC AUC 0-12h was calculated using the trapezoidal rule, divided by the observation time to report in litres.
FVC Area Under Curve 12-24 Hours (AUC 12-24h) Response1 h and 10 min prior to am dose on the first day of treatment (baseline) and 12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatmentResponse was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FVC AUC 12-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment1 h and 10 min prior to am dose on the first day of the treatment (baseline) and -30 min, 30 min, 60 min, 2h, 3h, 4h, 6h, 8h, 10h, 11 hr 50 min,12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment.Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.FEV1 AUC 0-24h was calculated from 0-24 hours post-dose using the trapezoidal rule, divided by the observation time (24h) to report in litres.
Peak FVC (0-3h) ResponseBaseline and 6 weeksResponse was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Peak FVC was obtained within 0 - 3 hours after the last am dose of study drug after 6 weeks of treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.
Trough FVC ResponseBaseline and 6 weeksResponse was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Trough values were obtained 30 minutes prior to the last am dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.
Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG6 weeksClinical relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG. New abnormal findings or worsenings of baseline conditions were reported as Adverse Events related to treatment (cardiac disorders and investigations).
FVC Area Under Curve 0-24 Hours (AUC 0-24h) Response1 h and 10 min prior to am dose on the first day of treatment (baseline) and -30 min, 30 min, 60 min, 2h, 3h, 4h, 6h, 8h, 10h, 11 hr 50 min,12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment.Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FVC AUC 0-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.
Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment1 hour (h) prior and 10 minutes (min) prior to first dose (baseline) and -30 min, 30 min, 60 min, 2 h , 3 h, relative to am dose after six weeks of treatmentResponse was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FEV1 AUC 0-3h was calculated from 0-3hours post-dose using the trapezoidal rule, divided by the observation time (3 h) to report in litres.

Countries

United States

Participant flow

Pre-assignment details

This was a randomised, double-blind, double dummy, placebo- and active-controlled, 4 way crossover trial. The duration of each treatment period was 6 weeks with a 14 day washout period between treatments.

Participants by arm

ArmCount
Study Total
Total number of patients treated in the study. This was a randomised, double-blind, double dummy, placebo- and active-controlled, 4 way crossover trial. 99 patients were assigned randomly to one of 4 treatment sequences in which they received each of 4 treatments, two doses (5 microgram (mcg) or 10 mcg) of Olodaterol (Olo) once daily (qd) delivered via the Respimat inhaler or Foradil (Form) 12 mcg twice daily (bid) delivered via the Aerolizer inhaler or equivalent placebo delivered by Respimat Inhaler or Aerolizer Inhaler. The duration of each treatment period was 6 weeks with a 14 day washout period between treatments.
100
Total100

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event2111
Overall StudyLost to Follow-up2100
Overall StudyWithdrawal by Subject1130

Baseline characteristics

CharacteristicStudy Total
Age, Continuous63.5 years
STANDARD_DEVIATION 8.2
Sex: Female, Male
Female
46 Participants
Sex: Female, Male
Male
54 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
9 / 949 / 9312 / 957 / 93
serious
Total, serious adverse events
3 / 944 / 933 / 955 / 93

Outcome results

Primary

FEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit, just prior to administration of the morning dose of randomized treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FEV1 AUC 0-12h was calculated from 0-12 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

Time frame: 1 hour (h) and 10 minutes (min) prior to am dose on the first day of treatment (baseline) and -30 min (zero time), 30 min, 60 min, 2 hour (h) , 3 h, 4 h, 6 h, 8 h, 10 h, 11 h 50 min relative to am dose after six weeks of treatment

Population: Full analysis set (FAS). FAS is defined as all patients with the baseline (pre-dose) date and any evaluable post-dosing data for the first co-primary endpoint FEV1AUC 0-12h.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboFEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment-0.022 LiterStandard Error 0.024
Olo 5 mcg qdFEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment0.150 LiterStandard Error 0.024
Olo 10 mcg qdFEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment0.152 LiterStandard Error 0.024
Form 12 mcg BidFEV1 Area Under Curve 0-12 h (AUC 0-12h) Response After Six Weeks of Treatment0.136 LiterStandard Error 0.024
p-value: <0.000195% CI: [0.139, 0.205]Mixed Models Analysis
p-value: <0.000195% CI: [0.14, 0.208]Mixed Models Analysis
p-value: <0.000195% CI: [0.124, 0.191]Mixed Models Analysis
Primary

FEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the -1 hour and -10 minute measurements performed in the morning of the first treatment visit, just prior to administration of the morning dose of randomized treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FEV1 AUC 12-24h was calculated from 12-24 hours post-dose using the trapezoidal rule, divided by the observation time (12h) to report in litres.

Time frame: 1 h and 10 min prior to am dose on the first day of treatment (baseline) and 12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment

Population: Full analysis set (FAS).

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboFEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment-0.048 LiterStandard Error 0.025
Olo 5 mcg qdFEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment0.069 LiterStandard Error 0.025
Olo 10 mcg qdFEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment0.072 LiterStandard Error 0.025
Form 12 mcg BidFEV1 Area Under Curve 12-24h (AUC 12-24h) Response After Six Weeks of Treatment0.107 LiterStandard Error 0.025
p-value: <0.000195% CI: [0.082, 0.154]Mixed Models Analysis
p-value: <0.000195% CI: [0.084, 0.157]Mixed Models Analysis
p-value: <0.000195% CI: [0.119, 0.191]Mixed Models Analysis
Secondary

Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG

Clinical relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG. New abnormal findings or worsenings of baseline conditions were reported as Adverse Events related to treatment (cardiac disorders and investigations).

Time frame: 6 weeks

ArmMeasureGroupValue (NUMBER)
PlaceboClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGECG QT prolonged0 participants
PlaceboClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGTachycardia0 participants
PlaceboClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBundle branch block right0 participants
Olo 5 mcg qdClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGECG QT prolonged0 participants
Olo 5 mcg qdClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGTachycardia0 participants
Olo 5 mcg qdClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBundle branch block right0 participants
Olo 10 mcg qdClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBundle branch block right1 participants
Olo 10 mcg qdClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGECG QT prolonged1 participants
Olo 10 mcg qdClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGTachycardia0 participants
Form 12 mcg BidClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGECG QT prolonged0 participants
Form 12 mcg BidClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGTachycardia1 participants
Form 12 mcg BidClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBundle branch block right0 participants
Secondary

Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.FEV1 AUC 0-24h was calculated from 0-24 hours post-dose using the trapezoidal rule, divided by the observation time (24h) to report in litres.

Time frame: 1 h and 10 min prior to am dose on the first day of the treatment (baseline) and -30 min, 30 min, 60 min, 2h, 3h, 4h, 6h, 8h, 10h, 11 hr 50 min,12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment.

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment-0.035 LiterStandard Error 0.024
Olo 5 mcg qdForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment0.110 LiterStandard Error 0.024
Olo 10 mcg qdForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment0.112 LiterStandard Error 0.024
Form 12 mcg BidForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-24 h (AUC 0-24h) Response After Six Weeks of Treatment0.121 LiterStandard Error 0.024
p-value: <0.000195% CI: [0.114, 0.176]Mixed Models Analysis
p-value: <0.000195% CI: [0.116, 0.179]Mixed Models Analysis
p-value: <0.000195% CI: [0.125, 0.187]Mixed Models Analysis
Secondary

Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FEV1 AUC 0-3h was calculated from 0-3hours post-dose using the trapezoidal rule, divided by the observation time (3 h) to report in litres.

Time frame: 1 hour (h) prior and 10 minutes (min) prior to first dose (baseline) and -30 min, 30 min, 60 min, 2 h , 3 h, relative to am dose after six weeks of treatment

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment0.004 LiterStandard Error 0.024
Olo 5 mcg qdForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment0.190 LiterStandard Error 0.025
Olo 10 mcg qdForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment0.202 LiterStandard Error 0.025
Form 12 mcg BidForced Expiratory Volume in 1 Second (FEV1) Area Under Curve 0-3 h (AUC 0-3h) Response After Six Weeks of Treatment0.217 LiterStandard Error 0.025
p-value: <0.000195% CI: [0.149, 0.223]Mixed Models Analysis
p-value: <0.000195% CI: [0.162, 0.235]Mixed Models Analysis
p-value: <0.000195% CI: [0.176, 0.25]Mixed Models Analysis
Secondary

Forced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FVC AUC 0-12h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame: 1 hour (h) and 10 minutes (min) prior to am dose on the first day of treatment (baseline) and -30 min (zero time), 30 min, 60 min, 2 hour (h) , 3 h, 4 h, 6 h, 8 h, 10 h, 11 h 50 min relative to am dose after six weeks of treatment

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboForced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response-0.032 LiterStandard Error 0.04
Olo 5 mcg qdForced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response0.219 LiterStandard Error 0.04
Olo 10 mcg qdForced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response0.214 LiterStandard Error 0.04
Form 12 mcg BidForced Vital Capacity (FVC) Area Under Curve 0-12 Hours (AUC 0-12h) Response0.203 LiterStandard Error 0.04
p-value: <0.000195% CI: [0.195, 0.306]Mixed Models Analysis
p-value: <0.000195% CI: [0.19, 0.302]Mixed Models Analysis
p-value: <0.000195% CI: [0.179, 0.291]Mixed Models Analysis
Secondary

FVC Area Under Curve 0-24 Hours (AUC 0-24h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FVC AUC 0-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame: 1 h and 10 min prior to am dose on the first day of treatment (baseline) and -30 min, 30 min, 60 min, 2h, 3h, 4h, 6h, 8h, 10h, 11 hr 50 min,12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment.

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboFVC Area Under Curve 0-24 Hours (AUC 0-24h) Response-0.055 LiterStandard Error 0.039
Olo 5 mcg qdFVC Area Under Curve 0-24 Hours (AUC 0-24h) Response0.151 LiterStandard Error 0.039
Olo 10 mcg qdFVC Area Under Curve 0-24 Hours (AUC 0-24h) Response0.147 LiterStandard Error 0.039
Form 12 mcg BidFVC Area Under Curve 0-24 Hours (AUC 0-24h) Response0.174 LiterStandard Error 0.039
p-value: <0.000195% CI: [0.155, 0.258]Mixed Models Analysis
p-value: <0.000195% CI: [0.15, 0.255]Mixed Models Analysis
p-value: <0.000195% CI: [0.176, 0.281]Mixed Models Analysis
Secondary

FVC Area Under Curve 12-24 Hours (AUC 12-24h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random. FVC AUC 12-24h was calculated using the trapezoidal rule, divided by the observation time to report in litres.

Time frame: 1 h and 10 min prior to am dose on the first day of treatment (baseline) and 12 h 30 min, 13 h, 14 h, 22 h, 23 h, and 23 h 50 min relative to am dose after six weeks of treatment

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboFVC Area Under Curve 12-24 Hours (AUC 12-24h) Response-0.078 LiterStandard Error 0.041
Olo 5 mcg qdFVC Area Under Curve 12-24 Hours (AUC 12-24h) Response0.083 LiterStandard Error 0.041
Olo 10 mcg qdFVC Area Under Curve 12-24 Hours (AUC 12-24h) Response0.079 LiterStandard Error 0.041
Form 12 mcg BidFVC Area Under Curve 12-24 Hours (AUC 12-24h) Response0.144 LiterStandard Error 0.041
p-value: <0.000195% CI: [0.101, 0.222]Mixed Models Analysis
p-value: <0.000195% CI: [0.096, 0.218]Mixed Models Analysis
p-value: <0.000195% CI: [0.162, 0.284]Mixed Models Analysis
Secondary

Peak FEV1 (0-3h) Response

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Peak values were obtained within 0 - 3 hours after the last am dose after six weeks of treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.

Time frame: Baseline and 6 weeks

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPeak FEV1 (0-3h) Response0.076 LiterStandard Error 0.026
Olo 5 mcg qdPeak FEV1 (0-3h) Response0.268 LiterStandard Error 0.026
Olo 10 mcg qdPeak FEV1 (0-3h) Response0.273 LiterStandard Error 0.026
Form 12 mcg BidPeak FEV1 (0-3h) Response0.293 LiterStandard Error 0.026
p-value: <0.000195% CI: [0.154, 0.23]Mixed Models Analysis
p-value: <0.000195% CI: [0.158, 0.235]Mixed Models Analysis
p-value: <0.000195% CI: [0.178, 0.255]Mixed Models Analysis
Secondary

Peak FVC (0-3h) Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Peak FVC was obtained within 0 - 3 hours after the last am dose of study drug after 6 weeks of treatment. Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.

Time frame: Baseline and 6 weeks

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboPeak FVC (0-3h) Response0.138 LiterStandard Error 0.043
Olo 5 mcg qdPeak FVC (0-3h) Response0.436 LiterStandard Error 0.043
Olo 10 mcg qdPeak FVC (0-3h) Response0.440 LiterStandard Error 0.043
Form 12 mcg BidPeak FVC (0-3h) Response0.475 LiterStandard Error 0.043
p-value: <0.000195% CI: [0.233, 0.365]Mixed Models Analysis
p-value: <0.000195% CI: [0.236, 0.369]Mixed Models Analysis
p-value: <0.000195% CI: [0.271, 0.405]Mixed Models Analysis
Secondary

Trough FEV1 Response

Response was defined as change from baseline. Study baseline FEV1 was defined as the mean of the available pre-dose FEV1 values at the randomisation visit. Trough values were obtained 30 minutes prior to the last am dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.

Time frame: Baseline and 6 weeks

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboTrough FEV1 Response0.012 LiterStandard Error 0.03
Olo 5 mcg qdTrough FEV1 Response0.109 LiterStandard Error 0.03
Olo 10 mcg qdTrough FEV1 Response0.115 LiterStandard Error 0.03
Form 12 mcg BidTrough FEV1 Response0.093 LiterStandard Error 0.03
p-value: 0.000395% CI: [0.045, 0.148]Mixed Models Analysis
p-value: 0.000195% CI: [0.051, 0.155]Mixed Models Analysis
p-value: 0.002695% CI: [0.028, 0.132]Mixed Models Analysis
Secondary

Trough FVC Response

Response was defined as change from baseline. Study baseline FVC was defined as the mean of the available pre-dose FVC values at the randomisation visit. Trough values were obtained 30 minutes prior to the last am dose of study drug after six weeks of treatment . Means are adjusted using a mixed effects model with center, treatment and period as fixed effects and patient within center as random.

Time frame: Baseline and 6 weeks

Population: FAS

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboTrough FVC Response-0.007 LiterStandard Error 0.053
Olo 5 mcg qdTrough FVC Response0.125 LiterStandard Error 0.053
Olo 10 mcg qdTrough FVC Response0.133 LiterStandard Error 0.054
Form 12 mcg BidTrough FVC Response0.141 LiterStandard Error 0.054
p-value: 0.016395% CI: [0.024, 0.239]Mixed Models Analysis
p-value: 0.011895% CI: [0.031, 0.247]Mixed Models Analysis
p-value: 0.007695% CI: [0.04, 0.256]Mixed Models Analysis

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026