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Single Dose Ranging Study of BI 1744 CL (Olodaterol) in Chronic Obstructive Pulmonary Disease

Single Dose Preliminary Dose-ranging and Safety in Patients With COPD

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01809262
Enrollment
36
Registered
2013-03-12
Start date
2005-12-31
Completion date
2006-11-30
Last updated
2014-06-30

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

Primary objective: To investigate bronchodilator effect and safety of single doses of BI 1744 CL inhaled via Respimat inhaler, Secondary objective: to characterize pharmacokinetics of BI 1744 CL. Olodaterol dose 40 mcg was investigated only in the open-label extension part for additional PK assessments which are not defined as primary or secondary endpoints.

Interventions

DRUGsingle dose of 5 mcg

solution for inhalation

DRUGsingle dose of placebo

solution for inhalation

DRUGsingle dose of 40 mcg

solution for inhalation

DRUGsingle dose of 20 mcg

solution for inhalation

DRUGsingle dose of 2 mcg

solution for inhalation

DRUGsingle dose of 10 mcg

solution for inhalation

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

1. Diagnosis of chronic obstructive pulmonary disease 2. Smoking history of more than 10-pack years

Exclusion criteria

1. History of asthma, allergic rhinitis, myocardial infarction or unstable of life-threatening cardiac arrhythmias 2. Marked baseline prolongation of QT/QTc interval

Design outcomes

Primary

MeasureTime frameDescription
Forced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment24 hours post-dosingForced expiratory volume in one second (FEV1) at 24 hours after a single-dose of study treatment. Means are adjusted with test-day baseline, patient, treatment, and period as fixed effects. Test-day baseline value was defined as the value at 10 minutes before inhalation of study medication.

Secondary

MeasureTime frameDescription
FEV1 AUC 0 - 12 Hours-10 minutes (min), 30min, 1 hour (h), 2h, 3h, 4h, 6h, 8h, 10h and 12h post-dosingThe FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from zero time to 12 hours, using the trapezoidal rule divided by 12 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.
FEV1 AUC 0 - 24 Hours-10 minutes (min), 30min, 1 hour (h), 2h, 3h, 4h, 6h, 8h, 10h, 12h, 14h, 22h, 23h and 24h post-dosingThe FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from zero time to 24 hours, using the trapezoidal rule divided by 24 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.
FEV1 AUC 12 - 24 Hours12h, 14h, 22h, 23h and 24h post-dosingThe FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from 12 hours to 24 hours, using the trapezoidal rule divided by 12 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.
Peak FEV1 From 0 to 3 Hours0 to 3 hours post-dosingPeak FEV1 was defined as the maximum values of FEV1 from 0 to 3 hours.
Peak Forced Vital Capacity (FVC) From 0 to 3 Hours0 to 3 hours post-dosingPeak FVC was defined as the maximum values of FVC from 0 to 3 hours.
FEV1 AUC 0 - 3 Hours-10 minutes (min), 30min, 1 hour (h), 2h and 3h post-dosingThe FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from zero time to 3 hours, using the trapezoidal rule divided by 3 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.
Time to Onset of Response0 to 3 hours post-dosingOnset of the bronchodilator response after a single dose of study treatment was defined as the linear interpolation of the time of the first bronchodilator response and the time of the observation just prior to the first bronchodilator response (even if that is the baseline observation). If none of the FEV1 values in the first 3 hours after dosing exceeded 12% of the pre-dose value, then the onset was set to 3 hours plus 1 minute.
Number of Patients Requiring Rescue Medication on a Test-dayVisits 1,2,4,5,6Number of Patients Requiring Rescue Medication on a Test-day. Salbutamol inhalation aerosol MDI (Ventolin®, 100 μg/actuation) was provided for use as rescue medication. Administration of rescue medication can occur at any point during the pulmonary function testing as deemed necessary by the patient or the investigator.
Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG2 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 (cardiac disorders and investigations).
Laboratory Testing: Average Change From Baseline of Potassium and CalciumBaseline and Visit 6Laboratory testing: Average change from baseline of potassium and calcium measured on test-days
Time to Peak Bronchodilator Response0 to 3 hours post-dosingA bronchodilator response was considered to have been achieved if an FEV1 measurement of at least 12% greater than the test-day baseline value was recorded at any time during the first 3 hours of observation after dosing.

Countries

Netherlands

Participant flow

Recruitment details

A Pharmacokinetic sub-study to characterise the pharmacokinetics of 2 μg to 20 μg Olodaterol was planned in a subset of 18 patients. After preliminary evaluation of the data, an open-label extension was planned to investigate the safety, tolerability, and pharmacokinetics of single doses of 40 μg Olodaterol in the 18 patients of the PK sub-study.

Pre-assignment details

This was a randomised, Double-Blind, Placebo-Controlled, 5-Way crossover trial. Each treatment was only administered once in a single dose with a washout period of at least 14 days between treatments.

Participants by arm

ArmCount
Study Total
Total number of patients treated in the study. This was a double-blind, 5-period crossover trial. Each of the 36 patients received placebo and 4 single doses of Olodaterol (Olo) (2 microgram (mcg), 5 mcg, 10 mcg, 20mcg) separated by a wash-out period of at least 14 days.
36
Total36

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009
Period 1 (First Dose + Washout)Adverse Event0000100000
Period 3 (Third Dose + Washout)Adverse Event0100000000

Baseline characteristics

CharacteristicStudy Total
Age, Continuous65.0 years
STANDARD_DEVIATION 9.8
Sex: Female, Male
Female
11 Participants
Sex: Female, Male
Male
25 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
5 / 352 / 354 / 355 / 344 / 35
serious
Total, serious adverse events
1 / 351 / 352 / 350 / 340 / 35

Outcome results

Primary

Forced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment

Forced expiratory volume in one second (FEV1) at 24 hours after a single-dose of study treatment. Means are adjusted with test-day baseline, patient, treatment, and period as fixed effects. Test-day baseline value was defined as the value at 10 minutes before inhalation of study medication.

Time frame: 24 hours post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data for FEV1 at 24 hours.

ArmMeasureValue (MEAN)Dispersion
PlaceboForced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment0.916 LStandard Error 0.014
Olo 2 mcgForced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment0.986 LStandard Error 0.014
Olo 5 mcgForced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment1.015 LStandard Error 0.014
Olo 10 mcgForced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment1.029 LStandard Error 0.014
Olo 20 mcgForced Expiratory Volume in One Second (FEV1) at 24 Hours After a Single-dose of Study Treatment1.035 LStandard Error 0.014
p-value: 0.000595% CI: [0.031, 0.109]ANCOVA
p-value: <0.000195% CI: [0.06, 0.138]ANCOVA
p-value: <0.000195% CI: [0.074, 0.152]ANCOVA
p-value: <0.000195% CI: [0.08, 0.158]ANCOVA
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 (cardiac disorders and investigations).

Time frame: 2 weeks

Population: Safety set

ArmMeasureGroupValue (NUMBER)
PlaceboClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGCardiac disorders0 percentage of participants
PlaceboClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBlood bilirubin increased0.0 percentage of participants
Olo 2 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGCardiac disorders0 percentage of participants
Olo 2 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBlood bilirubin increased0.0 percentage of participants
Olo 5 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGCardiac disorders0 percentage of participants
Olo 5 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBlood bilirubin increased0.0 percentage of participants
Olo 10 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBlood bilirubin increased2.9 percentage of participants
Olo 10 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGCardiac disorders0 percentage of participants
Olo 20 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGCardiac disorders0 percentage of participants
Olo 20 mcgClinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECGBlood bilirubin increased0.0 percentage of participants
Secondary

FEV1 AUC 0 - 12 Hours

The FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from zero time to 12 hours, using the trapezoidal rule divided by 12 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.

Time frame: -10 minutes (min), 30min, 1 hour (h), 2h, 3h, 4h, 6h, 8h, 10h and 12h post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFEV1 AUC 0 - 12 Hours0.954 LStandard Error 0.012
Olo 2 mcgFEV1 AUC 0 - 12 Hours1.053 LStandard Error 0.011
Olo 5 mcgFEV1 AUC 0 - 12 Hours1.093 LStandard Error 0.011
Olo 10 mcgFEV1 AUC 0 - 12 Hours1.108 LStandard Error 0.012
Olo 20 mcgFEV1 AUC 0 - 12 Hours1.138 LStandard Error 0.011
p-value: <0.000195% CI: [0.068, 0.131]ANCOVA
p-value: <0.000195% CI: [0.107, 0.171]ANCOVA
p-value: <0.000195% CI: [0.122, 0.185]ANCOVA
p-value: <0.000195% CI: [0.152, 0.215]ANCOVA
Secondary

FEV1 AUC 0 - 24 Hours

The FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from zero time to 24 hours, using the trapezoidal rule divided by 24 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.

Time frame: -10 minutes (min), 30min, 1 hour (h), 2h, 3h, 4h, 6h, 8h, 10h, 12h, 14h, 22h, 23h and 24h post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFEV1 AUC 0 - 24 Hours0.923 LStandard Error 0.011
Olo 2 mcgFEV1 AUC 0 - 24 Hours1.009 LStandard Error 0.011
Olo 5 mcgFEV1 AUC 0 - 24 Hours1.040 LStandard Error 0.011
Olo 10 mcgFEV1 AUC 0 - 24 Hours1.061 LStandard Error 0.011
Olo 20 mcgFEV1 AUC 0 - 24 Hours1.085 LStandard Error 0.011
p-value: <0.000195% CI: [0.056, 0.117]ANCOVA
p-value: <0.000195% CI: [0.087, 0.148]ANCOVA
p-value: <0.000195% CI: [0.107, 0.168]ANCOVA
p-value: <0.000195% CI: [0.132, 0.193]ANCOVA
Secondary

FEV1 AUC 0 - 3 Hours

The FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from zero time to 3 hours, using the trapezoidal rule divided by 3 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.

Time frame: -10 minutes (min), 30min, 1 hour (h), 2h and 3h post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFEV1 AUC 0 - 3 Hours0.997 LStandard Error 0.011
Olo 2 mcgFEV1 AUC 0 - 3 Hours1.105 LStandard Error 0.011
Olo 5 mcgFEV1 AUC 0 - 3 Hours1.152 LStandard Error 0.011
Olo 10 mcgFEV1 AUC 0 - 3 Hours1.158 LStandard Error 0.011
Olo 20 mcgFEV1 AUC 0 - 3 Hours1.189 LStandard Error 0.011
p-value: <0.000195% CI: [0.077, 0.139]ANCOVA
p-value: <0.000195% CI: [0.124, 0.186]ANCOVA
p-value: <0.000195% CI: [0.13, 0.192]ANCOVA
p-value: <0.000195% CI: [0.161, 0.223]ANCOVA
Secondary

FEV1 AUC 12 - 24 Hours

The FEV1 AUC was calculated as the area under the curve above zero as the horizontal axis from 12 hours to 24 hours, using the trapezoidal rule divided by 12 hours to give the results in litres. The test-day baseline (defined as the pulmonary function test (PFT) at 10 minutes before inhalation of study medication) was assigned to time zero.

Time frame: 12h, 14h, 22h, 23h and 24h post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboFEV1 AUC 12 - 24 Hours0.891 LStandard Error 0.012
Olo 2 mcgFEV1 AUC 12 - 24 Hours0.965 LStandard Error 0.012
Olo 5 mcgFEV1 AUC 12 - 24 Hours0.987 LStandard Error 0.012
Olo 10 mcgFEV1 AUC 12 - 24 Hours1.014 LStandard Error 0.012
Olo 20 mcgFEV1 AUC 12 - 24 Hours1.032 LStandard Error 0.012
p-value: <0.000195% CI: [0.041, 0.108]ANCOVA
p-value: <0.000195% CI: [0.062, 0.13]ANCOVA
p-value: <0.000195% CI: [0.089, 0.156]ANCOVA
p-value: <0.000195% CI: [0.107, 0.174]ANCOVA
Secondary

Laboratory Testing: Average Change From Baseline of Potassium and Calcium

Laboratory testing: Average change from baseline of potassium and calcium measured on test-days

Time frame: Baseline and Visit 6

Population: Safety set.

ArmMeasureGroupValue (GEOMETRIC_MEAN)
PlaceboLaboratory Testing: Average Change From Baseline of Potassium and CalciumPotassium (N=17, 18, 17, 17, 18)1.03 mmol/L
PlaceboLaboratory Testing: Average Change From Baseline of Potassium and CalciumCalcium (N=18, 18, 17, 17, 18)1.02 mmol/L
Olo 2 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumPotassium (N=17, 18, 17, 17, 18)1.01 mmol/L
Olo 2 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumCalcium (N=18, 18, 17, 17, 18)1.00 mmol/L
Olo 5 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumPotassium (N=17, 18, 17, 17, 18)0.99 mmol/L
Olo 5 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumCalcium (N=18, 18, 17, 17, 18)1.00 mmol/L
Olo 10 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumCalcium (N=18, 18, 17, 17, 18)1.01 mmol/L
Olo 10 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumPotassium (N=17, 18, 17, 17, 18)0.98 mmol/L
Olo 20 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumPotassium (N=17, 18, 17, 17, 18)0.97 mmol/L
Olo 20 mcgLaboratory Testing: Average Change From Baseline of Potassium and CalciumCalcium (N=18, 18, 17, 17, 18)1.01 mmol/L
Secondary

Number of Patients Requiring Rescue Medication on a Test-day

Number of Patients Requiring Rescue Medication on a Test-day. Salbutamol inhalation aerosol MDI (Ventolin®, 100 μg/actuation) was provided for use as rescue medication. Administration of rescue medication can occur at any point during the pulmonary function testing as deemed necessary by the patient or the investigator.

Time frame: Visits 1,2,4,5,6

Population: Safety set which consisted of all randomised patients who had taken at least one dose of study medication.

ArmMeasureValue (NUMBER)
PlaceboNumber of Patients Requiring Rescue Medication on a Test-day4 Number of Patients
Olo 2 mcgNumber of Patients Requiring Rescue Medication on a Test-day4 Number of Patients
Olo 5 mcgNumber of Patients Requiring Rescue Medication on a Test-day0 Number of Patients
Olo 10 mcgNumber of Patients Requiring Rescue Medication on a Test-day1 Number of Patients
Olo 20 mcgNumber of Patients Requiring Rescue Medication on a Test-day1 Number of Patients
Secondary

Peak FEV1 From 0 to 3 Hours

Peak FEV1 was defined as the maximum values of FEV1 from 0 to 3 hours.

Time frame: 0 to 3 hours post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboPeak FEV1 From 0 to 3 Hours1.043 LStandard Error 0.013
Olo 2 mcgPeak FEV1 From 0 to 3 Hours1.164 LStandard Error 0.013
Olo 5 mcgPeak FEV1 From 0 to 3 Hours1.209 LStandard Error 0.013
Olo 10 mcgPeak FEV1 From 0 to 3 Hours1.219 LStandard Error 0.014
Olo 20 mcgPeak FEV1 From 0 to 3 Hours1.256 LStandard Error 0.013
p-value: <0.000195% CI: [0.084, 0.158]ANCOVA
p-value: <0.000195% CI: [0.129, 0.203]ANCOVA
p-value: <0.000195% CI: [0.139, 0.214]ANCOVA
p-value: <0.000195% CI: [0.176, 0.25]ANCOVA
Secondary

Peak Forced Vital Capacity (FVC) From 0 to 3 Hours

Peak FVC was defined as the maximum values of FVC from 0 to 3 hours.

Time frame: 0 to 3 hours post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint

ArmMeasureValue (MEAN)Dispersion
PlaceboPeak Forced Vital Capacity (FVC) From 0 to 3 Hours3.134 LStandard Error 0.035
Olo 2 mcgPeak Forced Vital Capacity (FVC) From 0 to 3 Hours3.440 LStandard Error 0.035
Olo 5 mcgPeak Forced Vital Capacity (FVC) From 0 to 3 Hours3.489 LStandard Error 0.035
Olo 10 mcgPeak Forced Vital Capacity (FVC) From 0 to 3 Hours3.485 LStandard Error 0.035
Olo 20 mcgPeak Forced Vital Capacity (FVC) From 0 to 3 Hours3.589 LStandard Error 0.035
p-value: <0.000195% CI: [0.21, 0.402]ANCOVA
p-value: <0.000195% CI: [0.258, 0.452]ANCOVA
p-value: <0.000195% CI: [0.253, 0.447]ANCOVA
p-value: <0.000195% CI: [0.359, 0.551]ANCOVA
Secondary

Time to Onset of Response

Onset of the bronchodilator response after a single dose of study treatment was defined as the linear interpolation of the time of the first bronchodilator response and the time of the observation just prior to the first bronchodilator response (even if that is the baseline observation). If none of the FEV1 values in the first 3 hours after dosing exceeded 12% of the pre-dose value, then the onset was set to 3 hours plus 1 minute.

Time frame: 0 to 3 hours post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboTime to Onset of Response148.9 minutesStandard Deviation 56.2
Olo 2 mcgTime to Onset of Response91.5 minutesStandard Deviation 73.6
Olo 5 mcgTime to Onset of Response57.5 minutesStandard Deviation 68.5
Olo 10 mcgTime to Onset of Response59.9 minutesStandard Deviation 69.6
Olo 20 mcgTime to Onset of Response38.2 minutesStandard Deviation 48.1
Secondary

Time to Peak Bronchodilator Response

A bronchodilator response was considered to have been achieved if an FEV1 measurement of at least 12% greater than the test-day baseline value was recorded at any time during the first 3 hours of observation after dosing.

Time frame: 0 to 3 hours post-dosing

Population: Full Analysis Set (FAS): The FAS consisted of all treatment periods with baseline data and post-dosing data available for this endpoint.

ArmMeasureValue (MEAN)Dispersion
PlaceboTime to Peak Bronchodilator Response102.0 minutesStandard Deviation 57.4
Olo 2 mcgTime to Peak Bronchodilator Response92.6 minutesStandard Deviation 55.1
Olo 5 mcgTime to Peak Bronchodilator Response98.6 minutesStandard Deviation 53.8
Olo 10 mcgTime to Peak Bronchodilator Response83.8 minutesStandard Deviation 46.6
Olo 20 mcgTime to Peak Bronchodilator Response96.9 minutesStandard Deviation 39.9

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