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Tiotropium+Olodaterol Fixed Dose Combination (FDC) in Chronic Obstructive Pulmonary Disease (OTEMTO 2)

A Randomised, Double-blind, Placebo- and Active-controlled Parallel Group Study to Assess the Efficacy of 12 Weeks of Once Daily Treatment of Two Doses of Orally Inhaled Tiotropium+ Olodaterol Fixed Dose Combination (Delivered by the Respimat Inhaler) in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02006732
Enrollment
809
Registered
2013-12-10
Start date
2013-11-30
Completion date
2014-11-30
Last updated
2016-01-20

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

Conditions

Pulmonary Disease, Chronic Obstructive

Brief summary

The objective of this study is to assess the efficacy and safety of 12 weeks once daily treatment with orally inhaled tiotropium + olodaterol FDC (delivered by the Respimat inhaler) compared with tiotropium and placebo in patients with COPD.

Interventions

DRUGolodaterol

fixed dose combination

DRUGtiotropium

fixed dose combination

DRUGplacebo

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

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

Inclusion criteria

* Diagnosis chronic obstructive pulmonary disease * Relatively stable airway obstruction with post FEV1 \>=30 and \< 80% predicted normal and post FEV1/ FVC \< 70% * Male or female patients, 40 years of age or more * Smoking history more than 10 pack years

Exclusion criteria

* Significant diseases other than COPD * History of asthma * COPD exacerbation in previous 3 months * Completion of pulmonary rehabilitation program within previous 6 weeks or current participation in pulmonary rehabilitation program. * Pregnant or nursing women * Patients unable to comply with pulmonary medication restrictions

Design outcomes

Primary

MeasureTime frameDescription
St. George's Respiratory Questionnaire (SGRQ) Total Score Based on Combined Dataset From This Study and the Replicate Study NCT0196435212 weeks treatmentThis endpoint was evaluated after combining the data from this and the replicate study NCT01964352 as specified in the analysis plan. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life). The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.
FEV1 AUC0-3h Responsebaseline and 12 weeksForced expiratory volume in one second (FEV1) Area under the curve (AUC) 0-3h was calculated as the area under the FEV1-time curve from 0 to 3h post-dose using the trapezoidal rule, divided by the duration (3h) to report in litres. FEV1 AUC0-3h response was defined as FEV1 AUC0-3h minus baseline FEV1. The adjusted mean and standard error (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.
Trough FEV1 Response (Change From Baseline)baseline and 12 weeksTrough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours). It was calculated as the mean of the 2 FEV1 measurements performed 23 h and at 23 h 50 min after inhalation of study medication at day 85. Trough FEV1 response was defines as trough FEV1 minus baseline FEV1. The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.
St. George's Respiratory Questionnaire (SGRQ) Total Score Based on Data From This Individual Study12 weeks treatmentThe SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life). The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Secondary

MeasureTime frameDescription
Trough Forced Vital Capacity (FVC) Response (Change From Baseline)baseline and 12 weeksTrough FVC was defined as the FVC value at the end of the dosing interval (24 hours). It was calculated as the mean of the 2 FVC measurements performed 23 h and at 23 h 50 min after inhalation of study medication at day 85. Trough FVC response was defined as trough FVC minus baseline FVC. The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.
TDI Focal Score Based on Data From This Individual Study12 weeksMahler Transitional Dyspnoea Index (TDI) focal score was performed to measure the effect of the treatment on patients' dyspnoea.(Rating scale of 3 components - change in functional impairment, change in magnitude of tasks, change in magnitude of efforts. Worst score = -9, best score = +9). The adjusted mean (SE) are obtained from fitting an MMRM model including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.
TDI Focal Score Based on Combined Dataset From This Study and the Replicate Study NCT0196435212 weeksThis endpoint was evaluated after combining the data from this and the replicate study NCT01964352 as specified in the analysis plan. Mahler Transitional Dyspnoea Index (TDI) focal score was performed to measure the effect of the treatment on patients' dyspnoea.(Rating scale of 3 components - change in functional impairment, change in magnitude of tasks, change in magnitude of efforts. Worst score = -9, best score = +9). The adjusted mean (SE) are obtained from fitting an MMRM model including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.
FVC AUC0-3h Response (Change From Baseline)baseline and 12 weeksThe adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Countries

Australia, Austria, Canada, Germany, Greece, New Zealand, Norway, Slovakia, South Africa, Sweden, United States

Participant flow

Recruitment details

809 patients were randomised and treated.

Participants by arm

ArmCount
Placebo
Once daily 2 puffs solution of placebo for inhalation with Respimat
202
Tiotropium 5 μg
Once daily 2 puffs solution of 2.5 μg tiotropium for inhalation with Respimat
203
Tiotropium 2.5 μg+ Olodaterol 5 μg
Once daily 2 puffs solution of 1.25 μg tiotropium / 2.5 μg olodaterol for inhalation with Respimat.
202
Tiotropium 5 μg + Olodaterol 5 μg
Once daily 2 puffs solution of 2.5 μg tiotropium / 2.5 μg olodaterol for inhalation with Respimat.
202
Total809

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event10742
Overall StudyLack of Efficacy6311
Overall StudyLost to Follow-up0100
Overall StudyProtocol Violation1100
Overall StudyWithdrawal by Subject3041

Baseline characteristics

CharacteristicPlaceboTiotropium 5 μgTiotropium 2.5 μg+ Olodaterol 5 μgTiotropium 5 μg + Olodaterol 5 μgTotal
Age, Continuous64.0 years
STANDARD_DEVIATION 8.3
64.7 years
STANDARD_DEVIATION 8.4
64.4 years
STANDARD_DEVIATION 8.6
65.2 years
STANDARD_DEVIATION 8.5
64.6 years
STANDARD_DEVIATION 8.4
Sex: Female, Male
Female
85 Participants73 Participants76 Participants69 Participants303 Participants
Sex: Female, Male
Male
117 Participants130 Participants126 Participants133 Participants506 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
34 / 20215 / 20325 / 20214 / 202
serious
Total, serious adverse events
4 / 20212 / 2034 / 2026 / 202

Outcome results

Primary

FEV1 AUC0-3h Response

Forced expiratory volume in one second (FEV1) Area under the curve (AUC) 0-3h was calculated as the area under the FEV1-time curve from 0 to 3h post-dose using the trapezoidal rule, divided by the duration (3h) to report in litres. FEV1 AUC0-3h response was defined as FEV1 AUC0-3h minus baseline FEV1. The adjusted mean and standard error (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: baseline and 12 weeks

Population: Patients from the Full Analysis Set (FAS): This patient set included all randomized and treated patients who had a baseline and at least one postbaseline measurement for any of the primary efficacy endpoints.

ArmMeasureValue (MEAN)Dispersion
PlaceboFEV1 AUC0-3h Response-0.006 LStandard Error 0.014
Tiotropium 5 μgFEV1 AUC0-3h Response0.188 LStandard Error 0.013
Tiotropium 2.5 μg+ Olodaterol 5 μgFEV1 AUC0-3h Response0.279 LStandard Error 0.014
Tiotropium 5 μg + Olodaterol 5 μgFEV1 AUC0-3h Response0.293 LStandard Error 0.013
p-value: <0.000195% CI: [0.261, 0.336]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.069, 0.141]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.246, 0.323]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.053, 0.128]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.156, 0.232]Mixed Effects Model for Repeated Measure
p-value: 0.449995% CI: [-0.023, 0.051]Mixed Effects Model for Repeated Measure
Primary

St. George's Respiratory Questionnaire (SGRQ) Total Score Based on Combined Dataset From This Study and the Replicate Study NCT01964352

This endpoint was evaluated after combining the data from this and the replicate study NCT01964352 as specified in the analysis plan. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life). The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: 12 weeks treatment

Population: Patients from FAS after combining the data from this and the replicate study NCT01964352

ArmMeasureValue (MEAN)Dispersion
PlaceboSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Combined Dataset From This Study and the Replicate Study NCT0196435242.265 units on a scaleStandard Error 0.511
Tiotropium 5 μgSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Combined Dataset From This Study and the Replicate Study NCT0196435239.694 units on a scaleStandard Error 0.498
Tiotropium 2.5 μg+ Olodaterol 5 μgSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Combined Dataset From This Study and the Replicate Study NCT0196435238.419 units on a scaleStandard Error 0.494
Tiotropium 5 μg + Olodaterol 5 μgSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Combined Dataset From This Study and the Replicate Study NCT0196435237.597 units on a scaleStandard Error 0.492
p-value: <0.000195% CI: [-6.06, -3.276]Mixed Effects Model for Repeated Measure
p-value: 0.002895% CI: [-3.471, -0.723]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [-5.24, -2.451]Mixed Effects Model for Repeated Measure
p-value: 0.069695% CI: [-2.651, 0.102]Mixed Effects Model for Repeated Measure
p-value: 0.000395% CI: [-3.971, -1.171]Mixed Effects Model for Repeated Measure
p-value: 0.238795% CI: [-2.191, 0.546]Mixed Effects Model for Repeated Measure
Primary

St. George's Respiratory Questionnaire (SGRQ) Total Score Based on Data From This Individual Study

The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life). The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: 12 weeks treatment

Population: Patients from FAS

ArmMeasureValue (MEAN)Dispersion
PlaceboSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Data From This Individual Study42.575 units on a scaleStandard Error 0.711
Tiotropium 5 μgSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Data From This Individual Study39.729 units on a scaleStandard Error 0.694
Tiotropium 2.5 μg+ Olodaterol 5 μgSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Data From This Individual Study38.909 units on a scaleStandard Error 0.691
Tiotropium 5 μg + Olodaterol 5 μgSt. George's Respiratory Questionnaire (SGRQ) Total Score Based on Data From This Individual Study38.011 units on a scaleStandard Error 0.683
p-value: <0.000195% CI: [-6.499, -2.629]Mixed Effects Model for Repeated Measure
p-value: 0.07895% CI: [-3.628, 0.193]Mixed Effects Model for Repeated Measure
p-value: 0.000295% CI: [-5.611, -1.721]Mixed Effects Model for Repeated Measure
p-value: 0.402895% CI: [-2.741, 1.102]Mixed Effects Model for Repeated Measure
p-value: 0.004295% CI: [-4.796, -0.897]Mixed Effects Model for Repeated Measure
p-value: 0.355595% CI: [-2.804, 1.008]Mixed Effects Model for Repeated Measure
Primary

Trough FEV1 Response (Change From Baseline)

Trough FEV1 was defined as the FEV1 value at the end of the dosing interval (24 hours). It was calculated as the mean of the 2 FEV1 measurements performed 23 h and at 23 h 50 min after inhalation of study medication at day 85. Trough FEV1 response was defines as trough FEV1 minus baseline FEV1. The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: baseline and 12 weeks

Population: Patients from FAS

ArmMeasureValue (MEAN)Dispersion
PlaceboTrough FEV1 Response (Change From Baseline)-0.003 LStandard Error 0.014
Tiotropium 5 μgTrough FEV1 Response (Change From Baseline)0.124 LStandard Error 0.013
Tiotropium 2.5 μg+ Olodaterol 5 μgTrough FEV1 Response (Change From Baseline)0.166 LStandard Error 0.013
Tiotropium 5 μg + Olodaterol 5 μgTrough FEV1 Response (Change From Baseline)0.163 LStandard Error 0.013
p-value: <0.000195% CI: [0.129, 0.203]Mixed Effects Model for Repeated Measure
p-value: 0.039595% CI: [0.002, 0.076]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.132, 0.207]Mixed Effects Model for Repeated Measure
p-value: 0.026995% CI: [0.005, 0.079]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.09, 0.165]Mixed Effects Model for Repeated Measure
p-value: 0.866995% CI: [-0.04, 0.034]Mixed Effects Model for Repeated Measure
Secondary

FVC AUC0-3h Response (Change From Baseline)

The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: baseline and 12 weeks

Population: Patients from FAS

ArmMeasureValue (MEAN)Dispersion
PlaceboFVC AUC0-3h Response (Change From Baseline)-0.018 LStandard Error 0.025
Tiotropium 5 μgFVC AUC0-3h Response (Change From Baseline)0.266 LStandard Error 0.023
Tiotropium 2.5 μg+ Olodaterol 5 μgFVC AUC0-3h Response (Change From Baseline)0.436 LStandard Error 0.024
Tiotropium 5 μg + Olodaterol 5 μgFVC AUC0-3h Response (Change From Baseline)0.414 LStandard Error 0.023
p-value: <0.000195% CI: [0.366, 0.498]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.084, 0.212]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.387, 0.522]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.105, 0.236]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.217, 0.35]Mixed Effects Model for Repeated Measure
p-value: 0.497495% CI: [-0.087, 0.042]Mixed Effects Model for Repeated Measure
Secondary

TDI Focal Score Based on Combined Dataset From This Study and the Replicate Study NCT01964352

This endpoint was evaluated after combining the data from this and the replicate study NCT01964352 as specified in the analysis plan. Mahler Transitional Dyspnoea Index (TDI) focal score was performed to measure the effect of the treatment on patients' dyspnoea.(Rating scale of 3 components - change in functional impairment, change in magnitude of tasks, change in magnitude of efforts. Worst score = -9, best score = +9). The adjusted mean (SE) are obtained from fitting an MMRM model including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: 12 weeks

Population: Patients from FAS after combining the data from this and the replicate study NCT01964352

ArmMeasureValue (MEAN)Dispersion
PlaceboTDI Focal Score Based on Combined Dataset From This Study and the Replicate Study NCT019643520.111 Units on a scaleStandard Error 0.139
Tiotropium 5 μgTDI Focal Score Based on Combined Dataset From This Study and the Replicate Study NCT019643521.140 Units on a scaleStandard Error 0.136
Tiotropium 2.5 μg+ Olodaterol 5 μgTDI Focal Score Based on Combined Dataset From This Study and the Replicate Study NCT019643521.722 Units on a scaleStandard Error 0.134
Tiotropium 5 μg + Olodaterol 5 μgTDI Focal Score Based on Combined Dataset From This Study and the Replicate Study NCT019643521.734 Units on a scaleStandard Error 0.134
p-value: <0.000195% CI: [1.245, 2]Mixed Effects Model for Repeated Measure
p-value: 0.001995% CI: [0.22, 0.967]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [1.232, 1.989]Mixed Effects Model for Repeated Measure
p-value: 0.002395% CI: [0.207, 0.956]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.649, 1.41]Mixed Effects Model for Repeated Measure
p-value: 0.949495% CI: [-0.359, 0.383]Mixed Effects Model for Repeated Measure
Secondary

TDI Focal Score Based on Data From This Individual Study

Mahler Transitional Dyspnoea Index (TDI) focal score was performed to measure the effect of the treatment on patients' dyspnoea.(Rating scale of 3 components - change in functional impairment, change in magnitude of tasks, change in magnitude of efforts. Worst score = -9, best score = +9). The adjusted mean (SE) are obtained from fitting an MMRM model including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: 12 weeks

Population: Patients from FAS

ArmMeasureValue (MEAN)Dispersion
PlaceboTDI Focal Score Based on Data From This Individual Study0.337 Units on a scaleStandard Error 0.195
Tiotropium 5 μgTDI Focal Score Based on Data From This Individual Study0.950 Units on a scaleStandard Error 0.191
Tiotropium 2.5 μg+ Olodaterol 5 μgTDI Focal Score Based on Data From This Individual Study1.599 Units on a scaleStandard Error 0.189
Tiotropium 5 μg + Olodaterol 5 μgTDI Focal Score Based on Data From This Individual Study1.531 Units on a scaleStandard Error 0.187
p-value: <0.000195% CI: [0.665, 1.725]Mixed Effects Model for Repeated Measure
p-value: 0.029695% CI: [0.058, 1.106]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.73, 1.796]Mixed Effects Model for Repeated Measure
p-value: 0.015995% CI: [0.122, 1.178]Mixed Effects Model for Repeated Measure
p-value: 0.024895% CI: [0.078, 1.148]Mixed Effects Model for Repeated Measure
p-value: 0.798495% CI: [-0.59, 0.454]Mixed Effects Model for Repeated Measure
Secondary

Trough Forced Vital Capacity (FVC) Response (Change From Baseline)

Trough FVC was defined as the FVC value at the end of the dosing interval (24 hours). It was calculated as the mean of the 2 FVC measurements performed 23 h and at 23 h 50 min after inhalation of study medication at day 85. Trough FVC response was defined as trough FVC minus baseline FVC. The adjusted mean (SE) are obtained from fitting a mixed effect model repeated measures (MMRM) including fixed effects of treatment, planned test day, treatment by test day interaction, baseline, and baseline by test day interaction; patient as a random effect; spatial power covariance structure for within-patient errors and Kenward-Roger approximation of denominator degrees of freedom.

Time frame: baseline and 12 weeks

Population: Patients from FAS

ArmMeasureValue (MEAN)Dispersion
PlaceboTrough Forced Vital Capacity (FVC) Response (Change From Baseline)-0.021 LStandard Error 0.024
Tiotropium 5 μgTrough Forced Vital Capacity (FVC) Response (Change From Baseline)0.170 LStandard Error 0.023
Tiotropium 2.5 μg+ Olodaterol 5 μgTrough Forced Vital Capacity (FVC) Response (Change From Baseline)0.284 LStandard Error 0.023
Tiotropium 5 μg + Olodaterol 5 μgTrough Forced Vital Capacity (FVC) Response (Change From Baseline)0.231 LStandard Error 0.023
p-value: 0.000595% CI: [0.049, 0.178]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.126, 0.256]Mixed Effects Model for Repeated Measure
p-value: 0.108995% CI: [-0.117, 0.012]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.187, 0.317]Mixed Effects Model for Repeated Measure
p-value: 0.061495% CI: [-0.003, 0.125]Mixed Effects Model for Repeated Measure
p-value: <0.000195% CI: [0.24, 0.37]Mixed Effects Model for Repeated Measure

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026