Asthma
Conditions
Brief summary
The study objective is to investigate the safety and effectiveness of Spiriva Respimat in patients with mild to moderate persistent asthma under real-world use
Detailed description
The study is Post-Marketing Surveillance on the Long-Term Use of Spiriva Respimat in Japanese patients with mild to moderate persistent asthma. The patient population who receive Spiriva Respimat and the safety profile is not expected to change. This study can investigate the safety and effectiveness of Spiriva Respimat in patients with mild to moderate persistent asthma under real-world use
Interventions
Drug
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients diagnosed with mild to moderate persistent bronchial asthma * Patient aged ≥ 15 years * Patients who are naive to Spiriva Respimat and receive Spiriva Respimat for the first time for treatment of bronchial asthma on top of at least ICS treatment.
Exclusion criteria
* Patients who have a contraindication to Spiriva Respimat defined in the package insert for Spiriva Respimat * Patients who have been enrolled in this study before.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Suspected Adverse Drug Reactions (ADRs) | From first drug administration until 30 days after last drug administration; up to 337 days | Number of participants with suspected adverse drug reactions (ADRs) is presented. An Adverse Event (AE) was considered to be ADR if either the physician who reported the AE or the sponsor assessed its causal relationship as related. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | baseline and 12 weeks | The change from baseline in asthma control status at week 12 using Asthma prevention and management guideline is presented. Well controlled is a better outcome compared to Insufficiently controlled and Poorly controlled outcomes. Abbreviations used: Baseline (BL), Week 12 (W12), Well-controlled (WC), Insufficiently controlled (IC), Poorly controlled (PC), Unknown (UNK), Missing (MIS); If a patient was well-controlled at baseline and maintained the state until Week 12, the effectiveness was assessed as no change. If a patient insufficiently controlled or poorly controlled at baseline became well-controlled at Week 12, or if a patient was poorly controlled at baseline and became insufficiently controlled at Week 12, Spiriva Respimat was assessed as effective (or the patient assessed as a responder). If the disease condition did not improve in a patient at Week 12 from baseline, Spiriva Respimat was assessed as ineffective (or the patient assessed as a non-responder). |
Countries
Japan
Participant flow
Recruitment details
This was a non-interventional, observational study to collect new real world data (i.e., data under routine medical practice) on safety and effectiveness of Spiriva Respimat treatment in patients.
Pre-assignment details
All participants were screened for eligibility to participate in trial. They attended specialist sites to ensure that they (the participants) met all implemented inclusion/exclusion criteria. Participants were not to be entered to trial if any of the specific entry criteria was violated.
Participants by arm
| Arm | Count |
|---|---|
| Spiriva Respimat Group Patients with mild to moderate persistent asthma treated with Spiriva® 1.25 microgram (μg) Respimat® 60 puffs and Spiriva® 2.5 μg Respimat® 60 puffs (hereinafter, Spiriva Respimat). Daily dose was inhalation of the spray of two puffs of Spiriva 2.5 μg Respimat (5 μg of tiotropium) and the spray of two puffs of Spiriva 1.25 μg Respimat (2.5 μg of tiotropium) in this non-interventional, observational study to collect new real world data (i.e., data under routine medical practice) | 180 |
| Total | 180 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 4 |
| Overall Study | Improved | 12 |
| Overall Study | Insufficient Effectiveness | 8 |
| Overall Study | Lost to Follow-up | 7 |
| Overall Study | No visit after the first visit | 13 |
| Overall Study | Other than specified | 3 |
Baseline characteristics
| Characteristic | Spiriva Respimat Group | — |
|---|---|---|
| Age, Continuous | 59.4 years STANDARD_DEVIATION 16.8 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 112 Participants | — |
| Sex: Female, Male Male | 68 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 180 |
| other Total, other adverse events | 0 / 180 |
| serious Total, serious adverse events | 1 / 180 |
Outcome results
Number of Participants With Suspected Adverse Drug Reactions (ADRs)
Number of participants with suspected adverse drug reactions (ADRs) is presented. An Adverse Event (AE) was considered to be ADR if either the physician who reported the AE or the sponsor assessed its causal relationship as related.
Time frame: From first drug administration until 30 days after last drug administration; up to 337 days
Population: Safety set
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Spiriva Respimat Group | Number of Participants With Suspected Adverse Drug Reactions (ADRs) | 5 Participants |
The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline
The change from baseline in asthma control status at week 12 using Asthma prevention and management guideline is presented. Well controlled is a better outcome compared to Insufficiently controlled and Poorly controlled outcomes. Abbreviations used: Baseline (BL), Week 12 (W12), Well-controlled (WC), Insufficiently controlled (IC), Poorly controlled (PC), Unknown (UNK), Missing (MIS); If a patient was well-controlled at baseline and maintained the state until Week 12, the effectiveness was assessed as no change. If a patient insufficiently controlled or poorly controlled at baseline became well-controlled at Week 12, or if a patient was poorly controlled at baseline and became insufficiently controlled at Week 12, Spiriva Respimat was assessed as effective (or the patient assessed as a responder). If the disease condition did not improve in a patient at Week 12 from baseline, Spiriva Respimat was assessed as ineffective (or the patient assessed as a non-responder).
Time frame: baseline and 12 weeks
Population: Effectiveness set that excluded patients who were not associated with effectiveness data available (pulmonary function test or laboratory values related to asthma control status) as defined at baseline and/or on treatment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-WC W12-PC | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL- WC W12-WC | 9 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-WC W12-IC | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-WC W12-UNK | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-WC W12-MIS | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-IC W12-WC | 68 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-IC W12-IC | 39 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-IC W12-PC | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-IC W12-UNK | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-IC W12-MIS | 6 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-PC W12-WC | 11 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-PC W12-IC | 10 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-PC W12-PC | 6 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-PC W12-UNK | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-PC W12-MIS | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-UNK W12-WC | 3 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-UNK W12-IC | 1 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-UNK W12-PC | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-UNK W12-UNK | 4 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-UNK W12-MIS | 1 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-MIS W12-WC | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-MIS W12-IC | 1 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-MIS W12-PC | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-MIS W12-UNK | 0 participants |
| Spiriva Respimat Group | The Change From Baseline in Asthma Control Status at Week 12 Using Asthma Prevention and Management Guideline | BL-MIS W12-MIS | 0 participants |