A Study to Evaluate Efficacy and Safety of Tiotropium in Children 6 to 11 Years Old With Moderate Asthma
A Phase II Randomised, Double-blind, Placebo-controlled Incomplete Crossover Trial With 4-week Treatment Periods to Evaluate Efficacy and Safety of Tiotropium Inhalation Solution (Doses of 1.25 µg, 2.5 µg and 5 µg) Delivered Via Respimat® Inhaler Once Daily in the Evening in Children 6 to 11 Yrs Old With Moderate Persistent Asthma
2 other identifiers
interventional
101
6 countries
24
Brief Summary
The aim of this trial is to select an optimum dose may be selected based on bronchodilator efficacy, safety evaluations and pharmacokinetics of tiotropium bromide.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 asthma
Started Aug 2011
24 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 20, 2011
CompletedFirst Posted
Study publicly available on registry
June 28, 2011
CompletedStudy Start
First participant enrolled
August 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedResults Posted
Study results publicly available
December 30, 2013
CompletedApril 15, 2015
March 1, 2015
1.1 years
June 20, 2011
September 23, 2013
March 26, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Forced Expiratory Volume (FEV1) Peak (0-3h) Response
The FEV1 peak (0-3h) response is determined at the end of the 4 week treatment period. This is the difference between the maximum FEV1 measured within the first 3 hours post dosing and the FEV1 baseline measurement. Analysis adjusted for treatment, period, patient and baseline using a mixed model.
Baseline and 4 weeks
Secondary Outcomes (10)
Trough FEV1 Response
Baseline and 4 weeks
Forced Vital Capacity (FVC) Peak (0-3h) Response
Baseline and 4 weeks
FVC Trough Response
Baseline and 4 weeks
FEV1 Area Under the Curve From 0 to 3 h (AUC0-3h) Response
Baseline and 4 weeks
FVC Area Under the Curve From 0 to 3 h (AUC0-3h) Response
Baseline and 4 weeks
- +5 more secondary outcomes
Study Arms (4)
Treatment A
EXPERIMENTALpatients inhale 2 puffs (low dose) once daily in the evening via Respimat inhaler
Treatment B
EXPERIMENTALpatients inhale 2 puffs (medium dose) once daily in the evening via Respimat inhaler
Treatment C
EXPERIMENTALpatients inhale 2 puffs (high dose) once daily in the evening via Respimat inhaler
Treatment D
PLACEBO COMPARATORpatients inhale 2 puffs of placebo inhalation solution matching tiotropium once daily in the evening via Respimat inhaler
Interventions
Eligibility Criteria
You may qualify if:
- All patients' parents (or legally accepted caregivers) must sign and date an informed consent prior to any study procedures including medication washout and restrictions. In addition, an informed assent suitable for this age group has to be obtained from patients.
- Male or female patients between 6 and 11 years of age (up to 1 day prior to their 12th birthday at Visit 1).
- All patients must have at least a 6-month history of asthma at the time of enrolment into the trial.
- All patients must have been on maintenance treatment with inhaled corticosteroids at a stable medium dose - a patient is eligible on =200 µg to =400 µg Budesonide DPI or equivalent.
- All patients must be symptomatic (partly controlled) at Visit 1 (screening) and prior to randomisation at Visit 2 as defined by an ACQ mean score of =1.5.
- All patients must have a pre-bronchodilator FEV1 =60% and =90% of predicted normal at Visit 1. Variation of absolute FEV1 values of Visit 2 (pre-dose) as compared to values at Visit 2 (pre-bronchodilator) must be within ± 30%.
- All patients must demonstrate an increase in FEV1 of =12% 15 to 30 min. after 200 µg salbutamol (albuterol) at Visit 1.
- Patients must be able to inhale from the Respimat® inhaler correctly.
- Patients must be able to perform all trial related procedures including technically acceptable spirometric manoeuvres according to current ATS/ERS standards and the use of the electronic diary/peak flow meter.
You may not qualify if:
- Patients with any of the following characteristics will not be eligible for entry into this study:
- Patients with a significant disease other than asthma.
- Patients with a history of congenital or acquired heart disease, or patients who have been hospitalised for cardiac syncope or failure during the past year.
- Patients with any unstable or life-threatening cardiac arrhythmia, including cardiac arrhythmia requiring intervention (e.g. pacemaker implantation, catheter ablation etc.) or a change in drug therapy within the past year.
- Patients with a malignancy for which the patient has undergone resection, radiation therapy or chemotherapy within the last five years.
- Patients with clinically significant lung diseases other than asthma, such as CF, or bronchopulmonary dysplasia.
- Patients with known active tuberculosis.
- Patients who are currently in a pulmonary rehabilitation program or have completed a pulmonary rehabilitation program in the 6 weeks prior to the screening visit (Visit 1).
- Patients with known hypersensitivity to anticholinergic drugs, BAC, EDTA or any other components of the tiotropium inhalation solution.
- Patients with known narrow-angle glaucoma, or any other disease where anticholinergic treatment is contraindicated.
- Patients with moderate to severe renal impairment, as defined by a creatinine clearance \<50 mL/min./1.73 m2 BSA, as tiotropium is a predominantly renally excreted drug.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Boehringer Ingelheimlead
- Pfizercollaborator
Study Sites (24)
205.425.49005 Boehringer Ingelheim Investigational Site
Bochum, Germany
205.425.49004 Boehringer Ingelheim Investigational Site
Dresden, Germany
205.425.49002 Boehringer Ingelheim Investigational Site
Koblenz, Germany
205.425.36001 Boehringer Ingelheim Investigational Site
Budapest, Hungary
205.425.36003 Boehringer Ingelheim Investigational Site
Budapest, Hungary
205.425.36002 Boehringer Ingelheim Investigational Site
Mosdós, Hungary
205.425.36004 Boehringer Ingelheim Investigational Site
Szeged, Hungary
205.425.37101 Boehringer Ingelheim Investigational Site
Baldone, Latvia
205.425.37105 Boehringer Ingelheim Investigational Site
Balvi, Latvia
205.425.37104 Boehringer Ingelheim Investigational Site
Daugavpils, Latvia
205.425.37106 Boehringer Ingelheim Investigational Site
Dubulti, Latvia
205.425.37102 Boehringer Ingelheim Investigational Site
Riga, Latvia
205.425.37103 Boehringer Ingelheim Investigational Site
Riga, Latvia
205.425.37004 Boehringer Ingelheim Investigational Site
Kaunas, Lithuania
205.425.37003 Boehringer Ingelheim Investigational Site
Tauragė, Lithuania
205.425.37001 Boehringer Ingelheim Investigational Site
Vilnius, Lithuania
205.425.37002 Boehringer Ingelheim Investigational Site
Vilnius, Lithuania
205.425.07003 Boehringer Ingelheim Investigational Site
Moscow, Russia
205.425.07004 Boehringer Ingelheim Investigational Site
Moscow, Russia
205.425.07001 Boehringer Ingelheim Investigational Site
Saint Petersburg, Russia
205.425.07002 Boehringer Ingelheim Investigational Site
Saint Petersburg, Russia
205.425.38002 Boehringer Ingelheim Investigational Site
Donetsk, Ukraine
205.425.38004 Boehringer Ingelheim Investigational Site
Kiev, Ukraine
205.425.38003 Boehringer Ingelheim Investigational Site
Zaporizhya, Ukraine
Related Publications (1)
Vogelberg C, Moroni-Zentgraf P, Leonaviciute-Klimantaviciene M, Sigmund R, Hamelmann E, Engel M, Szefler S. A randomised dose-ranging study of tiotropium Respimat(R) in children with symptomatic asthma despite inhaled corticosteroids. Respir Res. 2015 Feb 7;16(1):20. doi: 10.1186/s12931-015-0175-9.
PMID: 25851298DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Boehringer Ingelheim Call Center
- Organization
- Boehringer Ingelheim Pharmaceuticals
Study Officials
- STUDY CHAIR
Boehringer Ingelheim
Boehringer Ingelheim
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 20, 2011
First Posted
June 28, 2011
Study Start
August 1, 2011
Primary Completion
September 1, 2012
Study Completion
September 1, 2012
Last Updated
April 15, 2015
Results First Posted
December 30, 2013
Record last verified: 2015-03