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SATisfaction and Adherence to COPD Treatment

SATisfaction and Adherence to COPD Treatment

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02689492
Enrollment
401
Registered
2016-02-24
Start date
2015-12-11
Completion date
2017-09-15
Last updated
2019-08-28

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 present study will explore the patients satisfaction to COPD medical treatment (i.e. pharmacological and not pharmacological treatment) in a clinical real-world setting and how the satisfaction for medical treatment is related to clinical parameters, quality of life, illness perception and treatment adherence evolution. Moreover health care resource consumption will be observed during the observation period.

Interventions

None listed

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
40 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

1. Patients aged equal or more than 40 years 2. Patients must have a documented diagnosis of chronic obstructive pulmonary disease (COPD) 3. Patients with no exacerbations in the last 3 months 4. Patients requiring regular treatment according to GOLD guidelines, i.e.: undergoing stable pharmacological treatment for COPD since at least 3 months 5. Written informed consent to both participation in the study and privacy form 6. Patients capable of discernment and able to read or write in Italian language.

Exclusion criteria

1. Patients who are currently participating in a clinical trial on experimental drugs. 2. Patients naïve to pharmacological treatment for COPD 3. Diagnosis of Asthma COPD Overlap Syndrome (ACOS)

Design outcomes

Primary

MeasureTime frameDescription
The Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodAt enrollment visit, 6-month follow-up visit and 12-month follow-up visit.Patient's self-reported satisfaction or dissatisfaction with pharmacological treatments was measured using the Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4, a validated instrument. The TSQM has total 9 items (TSMQ-9) with responses to nearly all items rated on a 5-point or 7-point rating scale that provide scores on 3 scales: effectiveness (items #1 #2 #3), convenience (items #4 #5 #6) and global satisfaction (items #7 #8 #9). The TSQM-9 domain scores were calculated as recommended by the instrument authors. (i) Effectiveness = \[(item1 + item2 + item3) - 3\]/18\*100, (ii) Convenience = \[(item4 + item5 + item6) - 3\]/18\*100 and (iii) Global satisfaction = \[(item7 + item8 + item9) - 3\]/14\*100. Each domain score can be calculated only if all the three items considered in the calculation of that score are not missing. The TSQM-9 domain scores range from 0 to 100, with higher scores representing higher satisfaction on that domain.

Secondary

MeasureTime frameDescription
The Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Up to 12 monthsA regression model was estimated, where the dependent variable was the effectiveness domain score and the independent variables were: age and gender (at enrollment), number of exacerbations, relevant spirometry parameters (Forced expiratory volume in the 1st second (FEV1) % of the predicted), level of dyspnea (MMRC score classes: 0-4), impact of COPD on a patient's life (CAT total score: 0-40) and treatment adherence (MMAS-4 score classes: 0-4) collected during observational period. Because dependent variable was collected at each study visit, repeated measures model was estimated taking into account all available values for dependent and independent variables. Mean is actually estimate of beta values. Visit 1 is at enrollment, visit 2 is at 6 months and visit 3 is at 12 months.
The Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Up to 12 monthsA regression model was estimated, where the dependent variable was the convenience domain score and the independent variables were: age and gender (at enrollment), number of exacerbations, relevant spirometry parameters (Forced expiratory volume in the 1st second (FEV1) % of the predicted), level of dyspnea (MMRC score classes: 0-4), impact of COPD on a patient's life (CAT total score: 0-40) and treatment adherence (MMAS-4 score classes: 0-4) collected during observational period. Because dependent variable was collected at each study visit, repeated measures model was estimated taking into account all available values for dependent and independent variables. Mean is actually estimate of beta values. Visit 1 is at enrollment, visit 2 is at 6 months and visit 3 is at 12 months.
Measurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.At enrollment visit, 6-month follow-up visit and 12-month follow-up visitPatient's disease perception was evaluated by Brief Illness Perception Questionnaire (B-IPQ) consist 8 questionnaires rated 1 - 10 response scale. Mean total score ranges from 8-80, where a greater score indicated a more threatening view of COPD. Adherence was measured using Morisky Medication Adherence Scale, 4 items (MMAS-4) questionnaire which consists of 4 questions. Items are summed to give an adherence score ranging from 0 to 4, where a higher score indicated a greater adherence grade. Patients' health status was measured using the COPD Assessment Test (CAT) questionnaire that consists of 8-items in which patients can choose a score from 0 to 5. The total score ranges from 0 to 40, where a higher score indicated a worst impact of symptoms on the patient's daily activities. Dyspnea was measured using Modified Medical Research Council Dyspnea Scale (MMRC) with a 0-to-4 grading system. It had 0-to-4 grading system, with higher score indicating a higher level of dyspnea.
The Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation PeriodUp to 12 monthsHealth care resources consumption related to COPD, COPD exacerbations and COPD-drug-related adverse events was computed during observational period in terms of number of (inward and day-hospital) hospitalizations, number of emergency room accesses, number of General Practitioner (GP) visits, specialist visits and laboratory tests or examinations. Hospitalization (Number Analyzed) - Number of hospitalizations not in ICU during observation period per patient, Emergency room accesses (Number Analyzed) - Number of Emergency room accesses during observation period per patient, Specialist Outpatient Visits (Number Analyzed) - Number of specialist outpatient visits per patient during observation period, GP Visits (Number Analyzed) - Number of general practitioner visits per patient during observation period, Laboratory Tests (Number Analyzed) - Number of tests per patient during observation period.
Correlation Between Patients' Satisfaction and Resource Utilization12-month follow-up visitCorrelation indexes were calculated between treatment satisfaction domain scores of TSQM-9 and healthcare resource consumption at 12-month follow-up visit. Hospitalization - Number of hospitalizations not in ICU during observation period per patient, Specialist Outpatient - Number of specialist outpatient visits per patient during observation period, E = Effectiveness at 12 months and C = Convenience at 12 months
The Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Up to 12 monthsA regression model was estimated, where the dependent variable was the global satisfaction domain score and the independent variables were: age and gender (at enrollment), number of exacerbations, relevant spirometry parameters (Forced expiratory volume in the 1st second (FEV1) % of the predicted), level of dyspnea (MMRC score classes: 0-4), impact of COPD on a patient's life (CAT total score: 0-40) and treatment adherence (MMAS-4 score classes: 0-4) collected during observational period. Because dependent variable was collected at each study visit, repeated measures model was estimated taking into account all available values for dependent and independent variables. Mean is actually estimate of beta values.Visit 1 is at enrollment, visit 2 is at 6 months and visit 3 is at 12 months.

Countries

Italy

Participant flow

Recruitment details

This was a multi-center, non-interventional (observational), prospective cohort study based mainly on newly-collected data for Chronic obstructive pulmonary disease (COPD) patients. No treatments were administered to the patients on the protocol basis, since this was a non-interventional study. The total number of enrolled patients was 401.

Pre-assignment details

All patients were screened for eligibility to participate in the trial. Patients attended specialist sites to ensure that all patients met all inclusion/exclusion criteria. Patients were not to be entered to trial if any one of the specific entry criteria were not met.

Participants by arm

ArmCount
Total COPD Patients
Patients were enrolled (enrollment phase was 10 months) in the SAT (SATisfaction and adherence to COPD treatment) study and they were evaluable for the analyses and follow-up visits were scheduled at 6 and 12 months. All patients had a baseline Treatment Satisfaction Questionnaire- 9 items (TSQM-9) usable for the baseline data analysis and were included in the Full Analysis Set (FAS).
401
Total401

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath9
Overall StudyLost to Follow-up61
Overall StudyOther than listed1
Overall StudyPhysician Decision2
Overall StudyWithdrawal by Subject11
Overall StudyWithdrawal/Loss To Follow-Up1
Overall StudyWithdrawal/ Physician's Decision1

Baseline characteristics

CharacteristicTotal COPD Patients
Age, Continuous71.7 Years
STANDARD_DEVIATION 7.6
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
400 Participants
Sex: Female, Male
Female
102 Participants
Sex: Female, Male
Male
299 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
9 / 401
other
Total, other adverse events
0 / 401
serious
Total, serious adverse events
12 / 401

Outcome results

Primary

The Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation Period

Patient's self-reported satisfaction or dissatisfaction with pharmacological treatments was measured using the Treatment Satisfaction Questionnaire for Medication (TSQM) Version 1.4, a validated instrument. The TSQM has total 9 items (TSMQ-9) with responses to nearly all items rated on a 5-point or 7-point rating scale that provide scores on 3 scales: effectiveness (items #1 #2 #3), convenience (items #4 #5 #6) and global satisfaction (items #7 #8 #9). The TSQM-9 domain scores were calculated as recommended by the instrument authors. (i) Effectiveness = \[(item1 + item2 + item3) - 3\]/18\*100, (ii) Convenience = \[(item4 + item5 + item6) - 3\]/18\*100 and (iii) Global satisfaction = \[(item7 + item8 + item9) - 3\]/14\*100. Each domain score can be calculated only if all the three items considered in the calculation of that score are not missing. The TSQM-9 domain scores range from 0 to 100, with higher scores representing higher satisfaction on that domain.

Time frame: At enrollment visit, 6-month follow-up visit and 12-month follow-up visit.

Population: Full Analysis Set (FAS): FAS includes all enrolled patients evaluable for baseline data analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Enrollment VisitThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodConvenience (0-100)75.8 Unit on ScaleStandard Deviation 15.9
Enrollment VisitThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodEffectiveness (0-100)64.2 Unit on ScaleStandard Deviation 17.2
Enrollment VisitThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodGlobal satisfaction (0-100)65.7 Unit on ScaleStandard Deviation 17.1
6-month Follow-upThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodConvenience (0-100)75.7 Unit on ScaleStandard Deviation 15.8
6-month Follow-upThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodEffectiveness (0-100)66.2 Unit on ScaleStandard Deviation 16.3
6-month Follow-upThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodGlobal satisfaction (0-100)67.5 Unit on ScaleStandard Deviation 16.9
12-month Follow-upThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodEffectiveness (0-100)67.1 Unit on ScaleStandard Deviation 15.1
12-month Follow-upThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodGlobal satisfaction (0-100)67.3 Unit on ScaleStandard Deviation 15.4
12-month Follow-upThe Patients' Satisfaction With Chronic Obstructive Pulmonary Disease (COPD) Medical Treatments During a 12-month Observation PeriodConvenience (0-100)76.1 Unit on ScaleStandard Deviation 14
Secondary

Correlation Between Patients' Satisfaction and Resource Utilization

Correlation indexes were calculated between treatment satisfaction domain scores of TSQM-9 and healthcare resource consumption at 12-month follow-up visit. Hospitalization - Number of hospitalizations not in ICU during observation period per patient, Specialist Outpatient - Number of specialist outpatient visits per patient during observation period, E = Effectiveness at 12 months and C = Convenience at 12 months

Time frame: 12-month follow-up visit

Population: FAS

ArmMeasureGroupValue (NUMBER)
Enrollment VisitCorrelation Between Patients' Satisfaction and Resource UtilizationSpecialist Outpatient_E-0.14945 Spearman's correlation coefficients
Enrollment VisitCorrelation Between Patients' Satisfaction and Resource UtilizationHospitalization_C-0.13233 Spearman's correlation coefficients
Secondary

Measurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.

Patient's disease perception was evaluated by Brief Illness Perception Questionnaire (B-IPQ) consist 8 questionnaires rated 1 - 10 response scale. Mean total score ranges from 8-80, where a greater score indicated a more threatening view of COPD. Adherence was measured using Morisky Medication Adherence Scale, 4 items (MMAS-4) questionnaire which consists of 4 questions. Items are summed to give an adherence score ranging from 0 to 4, where a higher score indicated a greater adherence grade. Patients' health status was measured using the COPD Assessment Test (CAT) questionnaire that consists of 8-items in which patients can choose a score from 0 to 5. The total score ranges from 0 to 40, where a higher score indicated a worst impact of symptoms on the patient's daily activities. Dyspnea was measured using Modified Medical Research Council Dyspnea Scale (MMRC) with a 0-to-4 grading system. It had 0-to-4 grading system, with higher score indicating a higher level of dyspnea.

Time frame: At enrollment visit, 6-month follow-up visit and 12-month follow-up visit

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Enrollment VisitMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.B-IPQ (8-80)41.8 Unit on ScaleStandard Deviation 11.3
Enrollment VisitMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.MMAS-4 (0-4)3.4 Unit on ScaleStandard Deviation 0.9
Enrollment VisitMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.CAT score (0-40)15.7 Unit on ScaleStandard Deviation 7.8
Enrollment VisitMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.Patients' dyspnea (MMRC)1.6 Unit on ScaleStandard Deviation 1.1
6-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.Patients' dyspnea (MMRC)1.8 Unit on ScaleStandard Deviation 1.1
6-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.B-IPQ (8-80)42.0 Unit on ScaleStandard Deviation 10
6-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.CAT score (0-40)15.9 Unit on ScaleStandard Deviation 7.6
6-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.MMAS-4 (0-4)3.5 Unit on ScaleStandard Deviation 0.9
12-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.Patients' dyspnea (MMRC)1.7 Unit on ScaleStandard Deviation 1.1
12-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.MMAS-4 (0-4)3.5 Unit on ScaleStandard Deviation 0.9
12-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.CAT score (0-40)15.1 Unit on ScaleStandard Deviation 7.5
12-month Follow-upMeasurements of Patient Disease Perception, Adherence to COPD Treatment, Health Status and Dyspnea Over 12-months Observation Period.B-IPQ (8-80)42.6 Unit on ScaleStandard Deviation 10.5
Secondary

The Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation Period

Health care resources consumption related to COPD, COPD exacerbations and COPD-drug-related adverse events was computed during observational period in terms of number of (inward and day-hospital) hospitalizations, number of emergency room accesses, number of General Practitioner (GP) visits, specialist visits and laboratory tests or examinations. Hospitalization (Number Analyzed) - Number of hospitalizations not in ICU during observation period per patient, Emergency room accesses (Number Analyzed) - Number of Emergency room accesses during observation period per patient, Specialist Outpatient Visits (Number Analyzed) - Number of specialist outpatient visits per patient during observation period, GP Visits (Number Analyzed) - Number of general practitioner visits per patient during observation period, Laboratory Tests (Number Analyzed) - Number of tests per patient during observation period.

Time frame: Up to 12 months

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Enrollment VisitThe Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation PeriodHospitalization0.1 Number of eventsStandard Deviation 0.4
Enrollment VisitThe Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation PeriodEmergency room accesses0.1 Number of eventsStandard Deviation 0.2
Enrollment VisitThe Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation PeriodSpecialist Outpatient Visits0.2 Number of eventsStandard Deviation 0.7
Enrollment VisitThe Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation PeriodGP Visits0.4 Number of eventsStandard Deviation 0.9
Enrollment VisitThe Health Care Resources Utilization According to the Italian National Health Service (INHS) During a 12-month Observation PeriodLaboratory Tests0.7 Number of eventsStandard Deviation 3.1
Secondary

The Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.

A regression model was estimated, where the dependent variable was the convenience domain score and the independent variables were: age and gender (at enrollment), number of exacerbations, relevant spirometry parameters (Forced expiratory volume in the 1st second (FEV1) % of the predicted), level of dyspnea (MMRC score classes: 0-4), impact of COPD on a patient's life (CAT total score: 0-40) and treatment adherence (MMAS-4 score classes: 0-4) collected during observational period. Because dependent variable was collected at each study visit, repeated measures model was estimated taking into account all available values for dependent and independent variables. Mean is actually estimate of beta values. Visit 1 is at enrollment, visit 2 is at 6 months and visit 3 is at 12 months.

Time frame: Up to 12 months

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Visit 2 vs Visit 1-0.1907 Beta coefficient estimateStandard Error 1.0026
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Visit 3 vs Visit 10.1130 Beta coefficient estimateStandard Error 0.9902
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Age-0.2438 Beta coefficient estimateStandard Error 0.0858
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Gender (Female vs Male)0.1682 Beta coefficient estimateStandard Error 1.5588
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Number of exacerbations in the year before Visit 1-1.0434 Beta coefficient estimateStandard Error 0.907
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.FEV1 predicted (%) at enrollment0.0348 Beta coefficient estimateStandard Error 0.0329
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.MMAS-4 score class at Visit 1 (Score = 2 vs 4)-5.4461 Beta coefficient estimateStandard Error 1.8328
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.MMAS-4 score class at Visit 1 (Score = 3 vs 4)-4.2513 Beta coefficient estimateStandard Error 1.6786
Enrollment VisitThe Relationship Between Treatment Satisfaction - Convenience Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.CAT score at Visit 1-0.0782 Beta coefficient estimateStandard Error 0.0949
Secondary

The Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.

A regression model was estimated, where the dependent variable was the effectiveness domain score and the independent variables were: age and gender (at enrollment), number of exacerbations, relevant spirometry parameters (Forced expiratory volume in the 1st second (FEV1) % of the predicted), level of dyspnea (MMRC score classes: 0-4), impact of COPD on a patient's life (CAT total score: 0-40) and treatment adherence (MMAS-4 score classes: 0-4) collected during observational period. Because dependent variable was collected at each study visit, repeated measures model was estimated taking into account all available values for dependent and independent variables. Mean is actually estimate of beta values. Visit 1 is at enrollment, visit 2 is at 6 months and visit 3 is at 12 months.

Time frame: Up to 12 months

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Visit 2 vs Visit 10.9639 Beta coefficient estimateStandard Error 1.145
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Visit 3 vs Visit 11.8419 Beta coefficient estimateStandard Error 1.297
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Age-0.0566 Beta coefficient estimateStandard Error 0.1015
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Gender (Female vs Male)0.6152 Beta coefficient estimateStandard Error 1.8658
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Number of exacerbations in the year before Visit 10.1913 Beta coefficient estimateStandard Error 1.0683
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.FEV1 predicted (%) at enrollment0.0924 Beta coefficient estimateStandard Error 0.0387
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.MMAS-4 score class at Visit 1 (Score = 2 vs 4)-1.7866 Beta coefficient estimateStandard Error 2.1787
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.MMAS-4 score class at Visit 1 (Score = 3 vs 4)-1.3991 Beta coefficient estimateStandard Error 2.0051
Enrollment VisitThe Relationship Between Treatment Satisfaction - Effectiveness Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.CAT score at Visit 1-0.2645 Beta coefficient estimateStandard Error 0.1137
Secondary

The Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.

A regression model was estimated, where the dependent variable was the global satisfaction domain score and the independent variables were: age and gender (at enrollment), number of exacerbations, relevant spirometry parameters (Forced expiratory volume in the 1st second (FEV1) % of the predicted), level of dyspnea (MMRC score classes: 0-4), impact of COPD on a patient's life (CAT total score: 0-40) and treatment adherence (MMAS-4 score classes: 0-4) collected during observational period. Because dependent variable was collected at each study visit, repeated measures model was estimated taking into account all available values for dependent and independent variables. Mean is actually estimate of beta values.Visit 1 is at enrollment, visit 2 is at 6 months and visit 3 is at 12 months.

Time frame: Up to 12 months

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Visit 2 vs Visit 12.2165 Beta coefficient estimateStandard Error 1.0757
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Visit 3 vs Visit 12.4258 Beta coefficient estimateStandard Error 1.1032
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Age-0.1139 Beta coefficient estimateStandard Error 0.1005
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Gender (Female vs Male)1.6246 Beta coefficient estimateStandard Error 1.8334
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.Number of exacerbations in the year before Visit 1-0.8055 Beta coefficient estimateStandard Error 1.0599
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.FEV1 predicted (%) at enrollment0.0748 Beta coefficient estimateStandard Error 0.0385
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.MMAS-4 score class at Visit 1 (Score = 2 vs 4)-2.2278 Beta coefficient estimateStandard Error 2.1607
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.MMAS-4 score class at Visit 1 (Score = 3 vs 4)-5.4749 Beta coefficient estimateStandard Error 1.9726
Enrollment VisitThe Relationship Between Treatment Satisfaction - Global Satisfaction Domain and Demographics, Clinical Parameters and Patient Reported Outcome (PROs) During a 12-month Observation Period.CAT score at Visit 1-0.2445 Beta coefficient estimateStandard Error 0.1117

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026