Tiotropium Once Daily 18 Mcg Versus Salmeterol Twice Daily 50 Mcg on Time to First Exacerbation in COPD Patients.

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Completed
CT.gov ID
NCT00563381
Collaborator
Pfizer (Industry)
7,376
752
2
9.8

Study Details

Study Description

Brief Summary

This is a randomised, double-blind, double-dummy, multinational, multicentre, parallel group trial comparing tiotropium (18 mcg) inhalation capsule via HandiHaler and salmeterol (50 mcg) via MDI in patients with COPD. There will be a two-week run-in period followed by a 52-week randomised treatment phase. Patients who withdraw prematurely from trial medication will be encouraged to remain in the trial and participate in follow-up telephone contacts until their predicted normal exit date from the trial (i.e. 52 weeks after taking the first dose of randomised treatment). The phone calls will be made at all scheduled visits.

The primary objective of this study is to compare the effect of tiotropium (18 mcg) inhalation capsule via HandiHaler with that of salmeterol (50 mcg) via MDI on COPD exacerbations.

The primary endpoint is time to first COPD exacerbation during the 52 week randomised treatment period. A COPD exacerbation will be defined as a complex of respiratory events / symptoms (increase or new onset) of more than one of the following: cough, sputum, wheezing, dyspnoea or chest tightness with at least one symptom lasting at least three days requiring treatment with antibiotics and/or systemic steroids and/or hospitalisation.

The onset of an exacerbation is defined as the onset of the first new or increased reported symptom. The end of the exacerbation should be recorded as defined by the investigator.

Only COPD exacerbations with onset during randomised treatment will be included in the analysis.

Condition or Disease Intervention/Treatment Phase
  • Drug: Tiotropium bromide
  • Drug: Salmeterol
  • Drug: Placebo Salmeterol
  • Drug: Placebo Tiotropium
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
7376 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double
Primary Purpose:
Treatment
Official Title:
Effect of Inhalation of Tiotropium Once Daily 18 Mcg Versus Salmeterol Twice Daily 50 Mcg on Time to First Exacerbation in COPD Patients (a Randomised, Double-blind, Double-dummy, Parallel Group, One-year Study).
Study Start Date :
Jan 1, 2008
Actual Primary Completion Date :
Apr 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Tiotropium + Placebo

patients inhale Tiotropium 18mcg once daily via HandiHaler and Placebo MDI twice daily

Drug: Tiotropium bromide
18 mcg/daily

Drug: Placebo Salmeterol
Placebo identical to Salmeterol device

Active Comparator: Salmeterol + Placebo

patients inhale Salmeterol 50mcg twice daily via MDI and Placebo HandiHaler once daily

Drug: Salmeterol
100 mcg/daily

Drug: Placebo Tiotropium
Placebo identical to Tiotropium device

Outcome Measures

Primary Outcome Measures

  1. First Occurrence of (Moderate or Severe) COPD Exacerbation [52 weeks]

    First occurrence analysed by Cox regression as time to first exacerbation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

Secondary Outcome Measures

  1. COPD Exacerbations Per Patient-year Leading to Hospitalisation [52 weeks]

    An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  2. Number of Participants With at Least One COPD Exacerbation [52 weeks]

    An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  3. COPD Exacerbations Per Patient-year [52 weeks]

  4. First Occurrence of COPD Exacerbation Leading to Hospitalization [52 weeks]

    First occurrence analysed by Cox regression as time to first exacerbation leading to hospitalisation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  5. Number of Participants With at Least One COPD Exacerbation Leading to Hospitalisation [52 weeks]

    An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  6. Occurrence of Premature Discontinuation of Trial Medication [52 weeks]

    Occurrence analysed by Cox regression as time to premature discontinuation of trial medication and reported as hazard ratio

  7. Number of Participants With Premature Discontinuation of Trial Medication [52 weeks]

  8. First Occurrence of COPD Exacerbation or Discontinuation of Trial Medication Because of Worsening of Underlying Disease, Whichever Comes First [52 weeks]

    First occurrence analysed by Cox regression as time to first exacerbation or discontinuation of trial medication because of worsening of underlying disease, whichever comes first and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  9. First Occurrence of COPD Exacerbations Treated With Systemic Steroids [52 weeks]

    First occurrence analysed by Cox regression as time to first exacerbation treated with systemic steroids and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  10. First Occurrence of COPD Exacerbations Treated With Antibiotics [52 weeks]

    First occurrence analysed by Cox regression as time to first exacerbation treated with antibiotics and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  11. First Occurrence of COPD Exacerbations Treated With Systemic Steroids and Antibiotics [52 weeks]

    First occurrence analysed by Cox regression as time to first exacerbation treated with systemic steroids and antibiotics and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  12. COPD Exacerbations Treated With Systemic Steroids Per Patient-year [52 weeks]

    An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  13. COPD Exacerbations Treated With Antibiotics Per Patient-year [52 weeks]

    An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  14. COPD Exacerbations Treated With Systemic Steroids and Antibiotics Per Patient-year [52 weeks]

    An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).

  15. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 1 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  16. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 2 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  17. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 3 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  18. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 4 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  19. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 5 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  20. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 6 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  21. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 7 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  22. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 8 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  23. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 9 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  24. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 10 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  25. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 11 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  26. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 12 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  27. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 13 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  28. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 14 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  29. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 15 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

  30. Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 16 [16 weeks]

    PEFR means peak expiratory flow rate and is measured in liter per minute

Eligibility Criteria

Criteria

Ages Eligible for Study:
40 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. All patients must have a diagnosis of chronic obstructive pulmonary disease (COPD) and must meet the following criteria at Visit 1:

Patients must have relatively stable, moderate to very severe airway obstruction with a post-bronchodilator FEV1 <=70% of predicted normal and FEV1 <=70% of FVC post-bronchodilator (i.e. 30 minutes after inhalation of 4 puffs of 100 µg salbutamol or equivalent SABA). Predicted normal values will be calculated according to ECSC.

For Height measured in inches Males: FEV1 predicted (L) = 4.30 x (height (inches) / 39.37)-0.029 x age (yrs) - 2.49 Females:FEV1 predicted (L) = 3.95 x (height (inches) / 39.37)-0.025 x age (yrs) - 2.60 For Height measured in metres Males: FEV1 predicted (L) = 4.30 x (height (metres)) - 0.029 x age (years) - 2.49 Females: FEV1 predicted (L) = 3.95 x (height (metres)) - 0.025 x age (years) - 2.60

  1. All patients must sign an informed consent consistent with ICH-GCP guidelines prior to participation in the trial.

  2. Male or female patients 40 years of age or older.

  3. Patients with a history of at least one exacerbation within the past year requiring treatment with either antibiotics and/or systemic steroids and/or hospitalisation.

  4. Patients must be current or ex-smokers with a smoking history of >= 10 pack-years. (Patients who have never smoked cigarettes must be excluded.)

  5. Patients must be able to perform all study-related procedures including technically acceptable pulmonary function tests (PFTs).

  6. Patients must be able to inhale medication in a competent manner from the HandiHaler and a metered dose inhaler (MDI).

  7. Patients must be able to maintain records (patient daily diary card) during the study period as required in the protocol.

Exclusion Criteria:
  1. Significant diseases other than COPD. A significant disease is defined as a disease or condition which, in the opinion of the investigator, may put the patient at risk because of participation in the study or may influence either the results of the study or the patients' ability to participate in the study.

  2. Patients with a diagnosis of asthma.

  3. Patients with a life-threatening pulmonary obstruction, or a history of cystic fibrosis.

  4. Patients with known active tuberculosis.

  5. Patients with a known symptomatic prostatic hyperplasia or bladder neck obstruction. Patients with symptomatically-controlled prostatic hyperplasia on medication may be included and should continue their medication.

  6. Patients with known narrow-angle glaucoma.

  7. Patients with a history of myocardial infarction within the year prior to Visit 1.

  8. Patients with a history of hospital admission for heart failure within the year prior to Visit 1.

  9. Patients with cardiac arrhythmia requiring medical or surgical treatment.

  10. Patients with severe cardiovascular disorders.

  11. Patients with a known hypersensitivity to anticholinergic drugs, beta-adrenergics, lactose or any other component of the medication delivery system.

  12. Patients with known moderate or severe renal insufficiency (known creatinine clearance of <= 50 mL/min).

  13. Patients with untreated known hypokalaemia.

  14. Patients with untreated known thyrotoxicosis.

  15. Patients with brittle/unstable diabetes mellitus.

  16. Patients with a history of and/or active significant alcohol or drug abuse. See exclusion criterion 1.

  17. Patients who have taken an investigational drug within 30 days or six half-lives (whichever is greater) prior to Screening Visit (Visit 1).

  18. Use of systemic corticosteroid medication at unstable doses (i.e less than six weeks on stable dose) or at doses in excess of the equivalent of 10 mg prednisolone per day or 20 mg every other day.

  19. Pregnant or nursing women or women of childbearing potential not using a medically approved means of contraception (i.e oral contraceptives, intrauterine devices, diaphragm or subdermal implants e.g Norplant) for at least three months prior to, and for the duration of the trial.

  20. Previous participation (receipt of randomised treatment) in this study.

  21. Patients who are currently participating in another study.

  22. Patients with any respiratory infection or COPD exacerbation in the four weeks prior to the Screening Visit (Visit 1) or during the run-in period should be postponed. In the case of a respiratory infection or COPD exacerbation during the run-in period, the latter may be extended up to four weeks.

Contacts and Locations

Locations

Site City State Country Postal Code
1 205.389.1020 Boehringer Ingelheim Investigational Site Feldbach Austria
2 205.389.1010 Boehringer Ingelheim Investigational Site Feldkirch Austria
3 205.389.1011 Boehringer Ingelheim Investigational Site Grimmenstein/Hochegg Austria
4 205.389.1003 Boehringer Ingelheim Investigational Site Gänserndorf Austria
5 205.389.1005 Boehringer Ingelheim Investigational Site Hallein Austria
6 205.389.1023 Boehringer Ingelheim Investigational Site Linz Austria
7 205.389.1001 Boehringer Ingelheim Investigational Site Mittersill Austria
8 205.389.1027 Boehringer Ingelheim Investigational Site Salzburg Austria
9 205.389.1026 Boehringer Ingelheim Investigational Site Schlüßlberg Austria
10 205.389.1016 Boehringer Ingelheim Investigational Site Spittal/Drau Austria
11 205.389.1022 Boehringer Ingelheim Investigational Site Steyr Austria
12 205.389.1002 Boehringer Ingelheim Investigational Site Wien Austria
13 205.389.1006 Boehringer Ingelheim Investigational Site Wien Austria
14 205.389.1014 Boehringer Ingelheim Investigational Site Wien Austria
15 205.389.1018 Boehringer Ingelheim Investigational Site Wien Austria
16 205.389.1021 Boehringer Ingelheim Investigational Site Wien Austria
17 205.389.1029 Boehringer Ingelheim Investigational Site Wien Austria
18 205.389.1017 Boehringer Ingelheim Investigational Site Zwettl Austria
19 205.389.1120 Boehringer Ingelheim Investigational Site Buizingen Belgium
20 205.389.1124 Boehringer Ingelheim Investigational Site Cerexhe Heuseux Belgium
21 205.389.1116 Boehringer Ingelheim Investigational Site Chenée (Liége) Belgium
22 205.389.1121 Boehringer Ingelheim Investigational Site Dour Belgium
23 205.389.1113 Boehringer Ingelheim Investigational Site Gembloux Belgium
24 205.389.1117 Boehringer Ingelheim Investigational Site Gozée Belgium
25 205.389.1126 Boehringer Ingelheim Investigational Site Hasselt Belgium
26 205.389.1129 Boehringer Ingelheim Investigational Site Natoye Belgium
27 205.389.1130 Boehringer Ingelheim Investigational Site Quaregnon Belgium
28 205.389.1115 Boehringer Ingelheim Investigational Site Thuillies Belgium
29 205.389.1107 Boehringer Ingelheim Investigational Site Wetteren Belgium
30 205.389.3911 Boehringer Ingelheim Investigational Site Pazardjik Bulgaria
31 205.389.3903 Boehringer Ingelheim Investigational Site Plovdiv Bulgaria
32 205.389.3915 Boehringer Ingelheim Investigational Site Plovdiv Bulgaria
33 205.389.3918 Boehringer Ingelheim Investigational Site Rousse Bulgaria
34 205.389.3914 Boehringer Ingelheim Investigational Site Sliven Bulgaria
35 205.389.3902 Boehringer Ingelheim Investigational Site Sofia Bulgaria
36 205.389.3906 Boehringer Ingelheim Investigational Site Sofia Bulgaria
37 205.389.3907 Boehringer Ingelheim Investigational Site Sofia Bulgaria
38 205.389.3908 Boehringer Ingelheim Investigational Site Stara Zagora Bulgaria
39 205.389.3916 Boehringer Ingelheim Investigational Site Troyan Bulgaria
40 205.389.3912 Boehringer Ingelheim Investigational Site Varna Bulgaria
41 205.389.3901 Boehringer Ingelheim Investigational Site Veliko Turnovo Bulgaria
42 205.389.1211 Boehringer Ingelheim Investigational Site Benesov Czech Republic
43 205.389.1213 Boehringer Ingelheim Investigational Site Beroun Czech Republic
44 205.389.1220 Boehringer Ingelheim Investigational Site Beroun Czech Republic
45 205.389.1204 Boehringer Ingelheim Investigational Site Brno-Kralovo Pole Czech Republic
46 205.389.1212 Boehringer Ingelheim Investigational Site Cheb Czech Republic
47 205.389.1205 Boehringer Ingelheim Investigational Site Havlickuv Brod Czech Republic
48 205.389.1230 Boehringer Ingelheim Investigational Site Humpolec Czech Republic
49 205.389.1208 Boehringer Ingelheim Investigational Site Jaromer Czech Republic
50 205.389.1219 Boehringer Ingelheim Investigational Site Kyjov Czech Republic
51 205.389.1225 Boehringer Ingelheim Investigational Site Liberec Czech Republic
52 205.389.1218 Boehringer Ingelheim Investigational Site Litomerice Czech Republic
53 205.389.1214 Boehringer Ingelheim Investigational Site Lovosice Czech Republic
54 205.389.1207 Boehringer Ingelheim Investigational Site Neratovice Czech Republic
55 205.389.1222 Boehringer Ingelheim Investigational Site Ostrava Czech Republic
56 205.389.1209 Boehringer Ingelheim Investigational Site Plzen Czech Republic
57 205.389.1216 Boehringer Ingelheim Investigational Site Plzen Czech Republic
58 205.389.1217 Boehringer Ingelheim Investigational Site Praha 13 Czech Republic
59 205.389.1215 Boehringer Ingelheim Investigational Site Praha 17 Czech Republic
60 205.389.1232 Boehringer Ingelheim Investigational Site Praha 3 Czech Republic
61 205.389.1229 Boehringer Ingelheim Investigational Site Praha 4 Czech Republic
62 205.389.1223 Boehringer Ingelheim Investigational Site Praha 5 Czech Republic
63 205.389.1227 Boehringer Ingelheim Investigational Site Praha 5 Czech Republic
64 205.389.1224 Boehringer Ingelheim Investigational Site Praha 6 - Brevnov Czech Republic
65 205.389.1228 Boehringer Ingelheim Investigational Site Prerov Czech Republic
66 205.389.1231 Boehringer Ingelheim Investigational Site Rokycany Czech Republic
67 205.389.1221 Boehringer Ingelheim Investigational Site Strakonice Czech Republic
68 205.389.1206 Boehringer Ingelheim Investigational Site Tremosna Czech Republic
69 205.389.1201 Boehringer Ingelheim Investigational Site Zatec Czech Republic
70 205.389.1210 Boehringer Ingelheim Investigational Site Znojmo Czech Republic
71 205.389.1304 Boehringer Ingelheim Investigational Site Copenhagen Denmark
72 205.389.1309 Boehringer Ingelheim Investigational Site Frederikssund Denmark
73 205.389.1301 Boehringer Ingelheim Investigational Site Helsingor Denmark
74 205.389.1308 Boehringer Ingelheim Investigational Site Helsingør Denmark
75 205.389.1311 Boehringer Ingelheim Investigational Site Holstebro Denmark
76 205.389.1302 Boehringer Ingelheim Investigational Site Næstved Denmark
77 205.389.1303 Boehringer Ingelheim Investigational Site Roskilde Denmark
78 205.389.1310 Boehringer Ingelheim Investigational Site Skive Denmark
79 205.389.1312 Boehringer Ingelheim Investigational Site Sonderborg Denmark
80 205.389.1307 Boehringer Ingelheim Investigational Site Værløse Denmark
81 205.389.1402 Boehringer Ingelheim Investigational Site Helsinki Finland
82 205.389.1416 Boehringer Ingelheim Investigational Site Hyvinkää Finland
83 205.389.1410 Boehringer Ingelheim Investigational Site Jyväskylä Finland
84 205.389.1404 Boehringer Ingelheim Investigational Site Lahti Finland
85 205.389.1417 Boehringer Ingelheim Investigational Site Lappeenranta Finland
86 205.389.1415 Boehringer Ingelheim Investigational Site Lohja Finland
87 205.389.1411 Boehringer Ingelheim Investigational Site Mikkeli Finland
88 205.389.1409 Boehringer Ingelheim Investigational Site Pori Finland
89 205.389.1412 Boehringer Ingelheim Investigational Site Preitilä Paimio Finland
90 205.389.1407 Boehringer Ingelheim Investigational Site Turku Finland
91 205.389.1607 Boehringer Ingelheim Investigational Site Bauge France
92 205.389.1525 Boehringer Ingelheim Investigational Site Beauvais France
93 205.389.1523 Boehringer Ingelheim Investigational Site Bethune France
94 205.389.1571 Boehringer Ingelheim Investigational Site Cestas France
95 205.389.1561 Boehringer Ingelheim Investigational Site Charry le Rouet France
96 205.389.1507 Boehringer Ingelheim Investigational Site Cholet France
97 205.389.1606 Boehringer Ingelheim Investigational Site Ecouflant France
98 205.389.1554 Boehringer Ingelheim Investigational Site Ermont France
99 205.389.1597 Boehringer Ingelheim Investigational Site La Barre de Monts France
100 205.389.1581 Boehringer Ingelheim Investigational Site La Jubaudière France
101 205.389.1536 Boehringer Ingelheim Investigational Site La Roche Sur Yon France
102 205.389.1598 Boehringer Ingelheim Investigational Site La Roche sur Yon France
103 205.389.1501 Boehringer Ingelheim Investigational Site Le Kremlin Bicetre France
104 205.389.1503 Boehringer Ingelheim Investigational Site Le Mans Cedex France
105 205.389.1586 Boehringer Ingelheim Investigational Site Le Pradet France
106 205.389.1528 Boehringer Ingelheim Investigational Site Marseille France
107 205.389.1530 Boehringer Ingelheim Investigational Site Marseille France
108 205.389.1558 Boehringer Ingelheim Investigational Site Marseille France
109 205.389.1564 Boehringer Ingelheim Investigational Site Marseille France
110 205.389.1565 Boehringer Ingelheim Investigational Site Marseille France
111 205.389.1539 Boehringer Ingelheim Investigational Site Montfermeil France
112 205.389.1608 Boehringer Ingelheim Investigational Site Nantes France
113 205.389.1526 Boehringer Ingelheim Investigational Site Nice France
114 205.389.1504 Boehringer Ingelheim Investigational Site Nimes France
115 205.389.1502 Boehringer Ingelheim Investigational Site Ollioules France
116 205.389.1541 Boehringer Ingelheim Investigational Site Orleans France
117 205.389.1527 Boehringer Ingelheim Investigational Site Perpignan France
118 205.389.1532 Boehringer Ingelheim Investigational Site PIERRE BENITE cédex France
119 205.389.1553 Boehringer Ingelheim Investigational Site Rennes cedex 9 France
120 205.389.1555 Boehringer Ingelheim Investigational Site Saint Dié des Vosges France
121 205.389.1575 Boehringer Ingelheim Investigational Site Saint Germain du Puch France
122 205.389.1547 Boehringer Ingelheim Investigational Site Saint Laurent du Var France
123 205.389.1572 Boehringer Ingelheim Investigational Site Saint Laurent France
124 205.389.1567 Boehringer Ingelheim Investigational Site Saint Orens de Cameville France
125 205.389.1577 Boehringer Ingelheim Investigational Site Saint Pierre Montlimard France
126 205.389.1531 Boehringer Ingelheim Investigational Site Saint Quentin France
127 205.389.1569 Boehringer Ingelheim Investigational Site Seysses France
128 205.389.1514 Boehringer Ingelheim Investigational Site St-Etienne France
129 205.389.1510 Boehringer Ingelheim Investigational Site Strasbourg France
130 205.389.1522 Boehringer Ingelheim Investigational Site Strasbourg France
131 205.389.1520 Boehringer Ingelheim Investigational Site Sélestat France
132 205.389.1512 Boehringer Ingelheim Investigational Site Toulon France
133 205.389.1515 Boehringer Ingelheim Investigational Site Toulon France
134 205.389.1519 Boehringer Ingelheim Investigational Site Toulon France
135 205.389.1588 Boehringer Ingelheim Investigational Site Toulon France
136 205.389.1589 Boehringer Ingelheim Investigational Site Toulon France
137 205.389.1590 Boehringer Ingelheim Investigational Site Toulon France
138 205.389.1595 Boehringer Ingelheim Investigational Site Toulon France
139 205.389.1542 Boehringer Ingelheim Investigational Site Toulouse France
140 205.389.1574 Boehringer Ingelheim Investigational Site Villenave D'ornon France
141 205.389.1741 Boehringer Ingelheim Investigational Site Aachen Germany
142 205.389.1857 Boehringer Ingelheim Investigational Site Aalen Germany
143 205.389.1934 Boehringer Ingelheim Investigational Site Auerbach Germany
144 205.389.1868 Boehringer Ingelheim Investigational Site Augsburg Germany
145 205.389.1887 Boehringer Ingelheim Investigational Site Augsburg Germany
146 205.389.1707 Boehringer Ingelheim Investigational Site Bad Lippspringe Germany
147 205.389.1722 Boehringer Ingelheim Investigational Site Bad Pymont Germany
148 205.389.1850 Boehringer Ingelheim Investigational Site Bad Wörishofen Germany
149 205.389.1765 Boehringer Ingelheim Investigational Site Bahrdorf Germany
150 205.389.1792 Boehringer Ingelheim Investigational Site Beckum Germany
151 205.389.1801 Boehringer Ingelheim Investigational Site Bensheim Germany
152 205.389.1946 Boehringer Ingelheim Investigational Site Bensheim Germany
153 205.389.1824 Boehringer Ingelheim Investigational Site Bergisch Gladbach Germany
154 205.389.1709 Boehringer Ingelheim Investigational Site Bergkamen Germany
155 205.389.1750 Boehringer Ingelheim Investigational Site Berkatal-Frankershausen Germany
156 205.389.1701 Boehringer Ingelheim Investigational Site Berlin Germany
157 205.389.1743 Boehringer Ingelheim Investigational Site Berlin Germany
158 205.389.1769 Boehringer Ingelheim Investigational Site Berlin Germany
159 205.389.1789 Boehringer Ingelheim Investigational Site Berlin Germany
160 205.389.1790 Boehringer Ingelheim Investigational Site Berlin Germany
161 205.389.1847 Boehringer Ingelheim Investigational Site Berlin Germany
162 205.389.1855 Boehringer Ingelheim Investigational Site Berlin Germany
163 205.389.1861 Boehringer Ingelheim Investigational Site Berlin Germany
164 205.389.1862 Boehringer Ingelheim Investigational Site Berlin Germany
165 205.389.1867 Boehringer Ingelheim Investigational Site Berlin Germany
166 205.389.1903 Boehringer Ingelheim Investigational Site Berlin Germany
167 205.389.1931 Boehringer Ingelheim Investigational Site Berlin Germany
168 205.389.1932 Boehringer Ingelheim Investigational Site Berlin Germany
169 205.389.1937 Boehringer Ingelheim Investigational Site Berlin Germany
170 205.389.1960 Boehringer Ingelheim Investigational Site Berlin Germany
171 205.389.1969 Boehringer Ingelheim Investigational Site Berlin Germany
172 205.389.1981 Boehringer Ingelheim Investigational Site Berlin Germany
173 205.389.1983 Boehringer Ingelheim Investigational Site Berlin Germany
174 205.389.1984 Boehringer Ingelheim Investigational Site Berlin Germany
175 205.389.1747 Boehringer Ingelheim Investigational Site Bocholt Germany
176 205.389.1808 Boehringer Ingelheim Investigational Site Bochum Germany
177 205.389.1811 Boehringer Ingelheim Investigational Site Bochum Germany
178 205.389.1828 Boehringer Ingelheim Investigational Site Bonn Germany
179 205.389.1870 Boehringer Ingelheim Investigational Site Bonn Germany
180 205.389.1705 Boehringer Ingelheim Investigational Site Borna Germany
181 205.389.1809 Boehringer Ingelheim Investigational Site Brandenburg/Havel Germany
182 205.389.1859 Boehringer Ingelheim Investigational Site Bruchsal Germany
183 205.389.1734 Boehringer Ingelheim Investigational Site Camburg Germany
184 205.389.1923 Boehringer Ingelheim Investigational Site Celle Germany
185 205.389.1901 Boehringer Ingelheim Investigational Site Coswig Germany
186 205.389.1891 Boehringer Ingelheim Investigational Site Cottbus Germany
187 205.389.1858 Boehringer Ingelheim Investigational Site Deggendorf Germany
188 205.389.1784 Boehringer Ingelheim Investigational Site Donaueschingen Germany
189 205.389.1713 Boehringer Ingelheim Investigational Site Dortmund Germany
190 205.389.1706 Boehringer Ingelheim Investigational Site Dresden Germany
191 205.389.1967 Boehringer Ingelheim Investigational Site Düren Germany
192 205.389.1814 Boehringer Ingelheim Investigational Site Engelskirchen Germany
193 205.389.1773 Boehringer Ingelheim Investigational Site Ense Germany
194 205.389.1727 Boehringer Ingelheim Investigational Site Eppelborn-Bubach Germany
195 205.389.1864 Boehringer Ingelheim Investigational Site Erfurt Germany
196 205.389.1940 Boehringer Ingelheim Investigational Site Erlangen Germany
197 205.389.1900 Boehringer Ingelheim Investigational Site Eschwege Germany
198 205.389.1758 Boehringer Ingelheim Investigational Site Essen Germany
199 205.389.1975 Boehringer Ingelheim Investigational Site Essen Germany
200 205.389.1982 Boehringer Ingelheim Investigational Site Essen Germany
201 205.389.1724 Boehringer Ingelheim Investigational Site Ettlingen Germany
202 205.389.1806 Boehringer Ingelheim Investigational Site Feldkirchen-Westerham Germany
203 205.389.1976 Boehringer Ingelheim Investigational Site Forchheim Germany
204 205.389.1795 Boehringer Ingelheim Investigational Site Frankenberg Germany
205 205.389.1905 Boehringer Ingelheim Investigational Site Frankfurt/Main Germany
206 205.389.1752 Boehringer Ingelheim Investigational Site Fuldatal-Ihringshausen Germany
207 205.389.1943 Boehringer Ingelheim Investigational Site Föhren Germany
208 205.389.1971 Boehringer Ingelheim Investigational Site Fürth Germany
209 205.389.1766 Boehringer Ingelheim Investigational Site Gars Germany
210 205.389.1977 Boehringer Ingelheim Investigational Site Gelsenkirchen Germany
211 205.389.1744 Boehringer Ingelheim Investigational Site Georgensgmünd Germany
212 205.389.1875 Boehringer Ingelheim Investigational Site Gießen Germany
213 205.389.1836 Boehringer Ingelheim Investigational Site Gifhorn Germany
214 205.389.1914 Boehringer Ingelheim Investigational Site Goch Germany
215 205.389.1886 Boehringer Ingelheim Investigational Site Greiz Germany
216 205.389.1768 Boehringer Ingelheim Investigational Site Grünberg Germany
217 205.389.1751 Boehringer Ingelheim Investigational Site Göttingen Germany
218 205.389.1831 Boehringer Ingelheim Investigational Site Hagen Germany
219 205.389.1827 Boehringer Ingelheim Investigational Site Halle Germany
220 205.389.1917 Boehringer Ingelheim Investigational Site Hamburg Germany
221 205.389.1924 Boehringer Ingelheim Investigational Site Hamburg Germany
222 205.389.1925 Boehringer Ingelheim Investigational Site Hamburg Germany
223 205.389.1980 Boehringer Ingelheim Investigational Site Hamburg Germany
224 205.389.1716 Boehringer Ingelheim Investigational Site Hammah Germany
225 205.389.1702 Boehringer Ingelheim Investigational Site Hammelburg Germany
226 205.389.1802 Boehringer Ingelheim Investigational Site Hannover Germany
227 205.389.1712 Boehringer Ingelheim Investigational Site Harsewinkel Germany
228 205.389.1738 Boehringer Ingelheim Investigational Site Hauzenberg Germany
229 205.389.1860 Boehringer Ingelheim Investigational Site Hemmingen Germany
230 205.389.1949 Boehringer Ingelheim Investigational Site Höchstädt Germany
231 205.389.1726 Boehringer Ingelheim Investigational Site Ingelheim Germany
232 205.389.1873 Boehringer Ingelheim Investigational Site Karlsruhe Germany
233 205.389.1838 Boehringer Ingelheim Investigational Site Kaufbeuren Germany
234 205.389.1839 Boehringer Ingelheim Investigational Site Koblenz Germany
235 205.389.1881 Boehringer Ingelheim Investigational Site Krefeld Germany
236 205.389.1786 Boehringer Ingelheim Investigational Site Krumpa Germany
237 205.389.1704 Boehringer Ingelheim Investigational Site Käbschütztal-Krögis Germany
238 205.389.1892 Boehringer Ingelheim Investigational Site Köln Germany
239 205.389.1974 Boehringer Ingelheim Investigational Site Köln Germany
240 205.389.1813 Boehringer Ingelheim Investigational Site Köthen Germany
241 205.389.1902 Boehringer Ingelheim Investigational Site Landsberg Germany
242 205.389.1837 Boehringer Ingelheim Investigational Site Leipzig Germany
243 205.389.1841 Boehringer Ingelheim Investigational Site Leipzig Germany
244 205.389.1894 Boehringer Ingelheim Investigational Site Leipzig Germany
245 205.389.1908 Boehringer Ingelheim Investigational Site Leipzig Germany
246 205.389.1874 Boehringer Ingelheim Investigational Site Leonberg Germany
247 205.389.1955 Boehringer Ingelheim Investigational Site Limburg Germany
248 205.389.1904 Boehringer Ingelheim Investigational Site Lorch Germany
249 205.389.1877 Boehringer Ingelheim Investigational Site Lübeck Germany
250 205.389.1823 Boehringer Ingelheim Investigational Site Lützen Germany
251 205.389.1879 Boehringer Ingelheim Investigational Site Magdeburg Germany
252 205.389.1840 Boehringer Ingelheim Investigational Site Mannheim Germany
253 205.389.1978 Boehringer Ingelheim Investigational Site Mannheim Germany
254 205.389.1866 Boehringer Ingelheim Investigational Site Marburg Germany
255 205.389.1871 Boehringer Ingelheim Investigational Site Marburg Germany
256 205.389.1926 Boehringer Ingelheim Investigational Site Marburg Germany
257 205.389.1776 Boehringer Ingelheim Investigational Site Marl Germany
258 205.389.1779 Boehringer Ingelheim Investigational Site Merrbusch Germany
259 205.389.1799 Boehringer Ingelheim Investigational Site München Germany
260 205.389.1815 Boehringer Ingelheim Investigational Site München Germany
261 205.389.1817 Boehringer Ingelheim Investigational Site München Germany
262 205.389.1843 Boehringer Ingelheim Investigational Site München Germany
263 205.389.1952 Boehringer Ingelheim Investigational Site Neubrandenburg Germany
264 205.389.1948 Boehringer Ingelheim Investigational Site Neuss Germany
265 205.389.1958 Boehringer Ingelheim Investigational Site Neuwied Germany
266 205.389.1805 Boehringer Ingelheim Investigational Site Neuötting Germany
267 205.389.1830 Boehringer Ingelheim Investigational Site Niesky Germany
268 205.389.1711 Boehringer Ingelheim Investigational Site Nussbach Germany
269 205.389.1781 Boehringer Ingelheim Investigational Site Oberdorla Germany
270 205.389.1753 Boehringer Ingelheim Investigational Site Paderborn Germany
271 205.389.1810 Boehringer Ingelheim Investigational Site Paderborn Germany
272 205.389.1854 Boehringer Ingelheim Investigational Site Paderborn Germany
273 205.389.1756 Boehringer Ingelheim Investigational Site Pirmasens Germany
274 205.389.1794 Boehringer Ingelheim Investigational Site Potsdam Germany
275 205.389.1899 Boehringer Ingelheim Investigational Site Potsdam Germany
276 205.389.1842 Boehringer Ingelheim Investigational Site Radebeul Germany
277 205.389.1897 Boehringer Ingelheim Investigational Site Rathenow Germany
278 205.389.1950 Boehringer Ingelheim Investigational Site Raubach Germany
279 205.389.1783 Boehringer Ingelheim Investigational Site Riesa Germany
280 205.389.1826 Boehringer Ingelheim Investigational Site Riesa Germany
281 205.389.1742 Boehringer Ingelheim Investigational Site Rostock Germany
282 205.389.1816 Boehringer Ingelheim Investigational Site Rüdersdorf Germany
283 205.389.1883 Boehringer Ingelheim Investigational Site Rüsselsheim Germany
284 205.389.1878 Boehringer Ingelheim Investigational Site Saarlouis Germany
285 205.389.1833 Boehringer Ingelheim Investigational Site Schmallenberg-Grafschaft Germany
286 205.389.1973 Boehringer Ingelheim Investigational Site Schmölln Germany
287 205.389.1979 Boehringer Ingelheim Investigational Site Schwetzingen Germany
288 205.389.1856 Boehringer Ingelheim Investigational Site Simmern Germany
289 205.389.1918 Boehringer Ingelheim Investigational Site Solingen Germany
290 205.389.1822 Boehringer Ingelheim Investigational Site Steinfurt Germany
291 205.389.1728 Boehringer Ingelheim Investigational Site Sulzbach Germany
292 205.389.1717 Boehringer Ingelheim Investigational Site Templin Germany
293 205.389.1882 Boehringer Ingelheim Investigational Site Treuenbrietzen Germany
294 205.389.1745 Boehringer Ingelheim Investigational Site Wallerfing Germany
295 205.389.1800 Boehringer Ingelheim Investigational Site Wardenburg Germany
296 205.389.1885 Boehringer Ingelheim Investigational Site Weißenhorn Germany
297 205.389.1927 Boehringer Ingelheim Investigational Site Westerstede Germany
298 205.389.1825 Boehringer Ingelheim Investigational Site Weyhe Germany
299 205.389.1863 Boehringer Ingelheim Investigational Site Wiesbaden Germany
300 205.389.1968 Boehringer Ingelheim Investigational Site Wilhelmshaven Germany
301 205.389.1807 Boehringer Ingelheim Investigational Site Wilster Germany
302 205.389.1754 Boehringer Ingelheim Investigational Site Wolfsburg Germany
303 205.389.1919 Boehringer Ingelheim Investigational Site Wuppertal Germany
304 205.389.1898 Boehringer Ingelheim Investigational Site Zerbst Germany
305 205.389.2001 Boehringer Ingelheim Investigational Site Budapest Hungary
306 205.389.2005 Boehringer Ingelheim Investigational Site Budapest Hungary
307 205.389.2006 Boehringer Ingelheim Investigational Site Budapest Hungary
308 205.389.2009 Boehringer Ingelheim Investigational Site Budapest Hungary
309 205.389.2016 Boehringer Ingelheim Investigational Site Budapest Hungary
310 205.389.2018 Boehringer Ingelheim Investigational Site Budapest Hungary
311 205.389.2027 Boehringer Ingelheim Investigational Site Budapest Hungary
312 205.389.2007 Boehringer Ingelheim Investigational Site Debrecen Hungary
313 205.389.2035 Boehringer Ingelheim Investigational Site Deszk Hungary
314 205.389.2015 Boehringer Ingelheim Investigational Site Dunaújváros Hungary
315 205.389.2011 Boehringer Ingelheim Investigational Site Füzesabony Hungary
316 205.389.2013 Boehringer Ingelheim Investigational Site Gyor Hungary
317 205.389.2028 Boehringer Ingelheim Investigational Site Gyula Hungary
318 205.389.2014 Boehringer Ingelheim Investigational Site Jászberény Hungary
319 205.389.2021 Boehringer Ingelheim Investigational Site Kecskemét Hungary
320 205.389.2025 Boehringer Ingelheim Investigational Site Komárom Hungary
321 205.389.2024 Boehringer Ingelheim Investigational Site Mosdós Hungary
322 205.389.2026 Boehringer Ingelheim Investigational Site Mosonmagyaróvár Hungary
323 205.389.2031 Boehringer Ingelheim Investigational Site Nyíregyháza Hungary
324 205.389.2002 Boehringer Ingelheim Investigational Site Pécs Hungary
325 205.389.2017 Boehringer Ingelheim Investigational Site Ráckeve Hungary
326 205.389.2003 Boehringer Ingelheim Investigational Site Siófok Hungary
327 205.389.2010 Boehringer Ingelheim Investigational Site Szarvas Hungary
328 205.389.2019 Boehringer Ingelheim Investigational Site Szentendre Hungary
329 205.389.2022 Boehringer Ingelheim Investigational Site Százhalombatta Hungary
330 205.389.2030 Boehringer Ingelheim Investigational Site Tatabánya Hungary
331 205.389.2029 Boehringer Ingelheim Investigational Site Törökbálint Hungary
332 205.389.2020 Boehringer Ingelheim Investigational Site Veszprém Hungary
333 205.389.2008 Boehringer Ingelheim Investigational Site Érd Hungary
334 205.389.2101 Boehringer Ingelheim Investigational Site Afula Israel
335 205.389.2110 Boehringer Ingelheim Investigational Site Ashkelon Israel
336 205.389.2106 Boehringer Ingelheim Investigational Site Be'er-Sheva Israel
337 205.389.2112 Boehringer Ingelheim Investigational Site Hadera Israel
338 205.389.2107 Boehringer Ingelheim Investigational Site Haifa Israel
339 205.389.2111 Boehringer Ingelheim Investigational Site Haifa Israel
340 205.389.2108 Boehringer Ingelheim Investigational Site Holon Israel
341 205.389.2104 Boehringer Ingelheim Investigational Site Jerusalem Israel
342 205.389.2114 Boehringer Ingelheim Investigational Site Jerusalem Israel
343 205.389.2116 Boehringer Ingelheim Investigational Site Nahariya Israel
344 205.389.2102 Boehringer Ingelheim Investigational Site Petah Tiqwa Israel
345 205.389.2105 Boehringer Ingelheim Investigational Site Rehovot Israel
346 205.389.2103 Boehringer Ingelheim Investigational Site Tel Hashomer Israel
347 205.389.2117 Boehringer Ingelheim Investigational Site Zerifin Israel
348 205.389.2211 Boehringer Ingelheim Investigational Site Brescia Italy
349 205.389.2206 Boehringer Ingelheim Investigational Site Cagliari Italy
350 205.389.2223 Boehringer Ingelheim Investigational Site Catania Italy
351 205.389.2209 Boehringer Ingelheim Investigational Site Ferrara Italy
352 205.389.2214 Boehringer Ingelheim Investigational Site Genova Italy
353 205.389.2215 Boehringer Ingelheim Investigational Site Lecco Italy
354 205.389.2221 Boehringer Ingelheim Investigational Site Milano Italy
355 205.389.2226 Boehringer Ingelheim Investigational Site Milano Italy
356 205.389.2224 Boehringer Ingelheim Investigational Site Modena Italy
357 205.389.2203 Boehringer Ingelheim Investigational Site Montescano (PV) Italy
358 205.389.2230 Boehringer Ingelheim Investigational Site Napoli Italy
359 205.389.2201 Boehringer Ingelheim Investigational Site Novara Italy
360 205.389.2229 Boehringer Ingelheim Investigational Site Pavia Italy
361 205.389.2227 Boehringer Ingelheim Investigational Site Pisa Italy
362 205.389.2205 Boehringer Ingelheim Investigational Site Roma Italy
363 205.389.2228 Boehringer Ingelheim Investigational Site Roma Italy
364 205.389.2210 Boehringer Ingelheim Investigational Site Sassari Italy
365 205.389.2232 Boehringer Ingelheim Investigational Site Treviso Italy
366 205.389.2315 Boehringer Ingelheim Investigational Site Balvi Latvia
367 205.389.2305 Boehringer Ingelheim Investigational Site Daugavpils Latvia
368 205.389.2313 Boehringer Ingelheim Investigational Site Jelgava Latvia
369 205.389.2311 Boehringer Ingelheim Investigational Site Kraslava Latvia
370 205.389.2312 Boehringer Ingelheim Investigational Site Kuldiga Latvia
371 205.389.2301 Boehringer Ingelheim Investigational Site Riga Latvia
372 205.389.2303 Boehringer Ingelheim Investigational Site Riga Latvia
373 205.389.2307 Boehringer Ingelheim Investigational Site Riga Latvia
374 205.389.2310 Boehringer Ingelheim Investigational Site Riga Latvia
375 205.389.2306 Boehringer Ingelheim Investigational Site Talsi Latvia
376 205.389.2314 Boehringer Ingelheim Investigational Site Tukums Latvia
377 205.389.2304 Boehringer Ingelheim Investigational Site Valmiera Latvia
378 205.389.2302 Boehringer Ingelheim Investigational Site Ventspils Latvia
379 205.389.2401 Boehringer Ingelheim Investigational Site Alytus Lithuania
380 205.389.2402 Boehringer Ingelheim Investigational Site Kaunas Lithuania
381 205.389.2403 Boehringer Ingelheim Investigational Site Kaunas Lithuania
382 205.389.2404 Boehringer Ingelheim Investigational Site Kaunas Lithuania
383 205.389.2406 Boehringer Ingelheim Investigational Site Kaunas Lithuania
384 205.389.2409 Boehringer Ingelheim Investigational Site Kaunas Lithuania
385 205.389.2407 Boehringer Ingelheim Investigational Site Klaipeda Lithuania
386 205.389.2411 Boehringer Ingelheim Investigational Site Klaipeda Lithuania
387 205.389.2408 Boehringer Ingelheim Investigational Site Siauliai Lithuania
388 205.389.2410 Boehringer Ingelheim Investigational Site Utena Lithuania
389 205.389.2405 Boehringer Ingelheim Investigational Site Vilnius Lithuania
390 205.389.2412 Boehringer Ingelheim Investigational Site Vilnius Lithuania
391 205.389.2413 Boehringer Ingelheim Investigational Site Vilnius Lithuania
392 205.389.2414 Boehringer Ingelheim Investigational Site Vilnius Lithuania
393 205.389.2504 Boehringer Ingelheim Investigational Site Rotterdam Netherlands
394 205.389.2508 Boehringer Ingelheim Investigational Site te Leiderdrop Netherlands
395 205.389.2510 Boehringer Ingelheim Investigational Site Velp Netherlands
396 205.389.2511 Boehringer Ingelheim Investigational Site Zoetermeer Netherlands
397 205.389.2614 Boehringer Ingelheim Investigational Site Alesund Norway
398 205.389.2604 Boehringer Ingelheim Investigational Site Bekkestua Norway
399 205.389.2601 Boehringer Ingelheim Investigational Site Elverum Norway
400 205.389.2611 Boehringer Ingelheim Investigational Site Follebu Norway
401 205.389.2602 Boehringer Ingelheim Investigational Site Hamar Norway
402 205.389.2610 Boehringer Ingelheim Investigational Site Harstad Norway
403 205.389.2613 Boehringer Ingelheim Investigational Site Harstad Norway
404 205.389.2609 Boehringer Ingelheim Investigational Site Hønefoss Norway
405 205.389.2608 Boehringer Ingelheim Investigational Site Lørenskog Norway
406 205.389.2605 Boehringer Ingelheim Investigational Site Oslo Norway
407 205.389.2612 Boehringer Ingelheim Investigational Site Oslo Norway
408 205.389.2616 Boehringer Ingelheim Investigational Site Stavanger Norway
409 205.389.2708 Boehringer Ingelheim Investigational Site Bialystok Poland
410 205.389.2744 Boehringer Ingelheim Investigational Site Bialystok Poland
411 205.389.2762 Boehringer Ingelheim Investigational Site Bialystok Poland
412 205.389.2765 Boehringer Ingelheim Investigational Site Bialystok Poland
413 205.389.2778 Boehringer Ingelheim Investigational Site Bielsko-Biala Poland
414 205.389.2706 Boehringer Ingelheim Investigational Site Bienkowka 410 Poland
415 205.389.2750 Boehringer Ingelheim Investigational Site Brzesko Poland
416 205.389.2758 Boehringer Ingelheim Investigational Site Bydgoszcz Poland
417 205.389.2773 Boehringer Ingelheim Investigational Site Bystra Poland
418 205.389.2800 Boehringer Ingelheim Investigational Site Chodziez Poland
419 205.389.2712 Boehringer Ingelheim Investigational Site Czestochowa Poland
420 205.389.2774 Boehringer Ingelheim Investigational Site Czestochowa Poland
421 205.389.2815 Boehringer Ingelheim Investigational Site Dzialdowo Poland
422 205.389.2787 Boehringer Ingelheim Investigational Site Elblag Poland
423 205.389.2715 Boehringer Ingelheim Investigational Site Gdansk Poland
424 205.389.2723 Boehringer Ingelheim Investigational Site Gdansk Poland
425 205.389.2743 Boehringer Ingelheim Investigational Site Gdansk Poland
426 205.389.2764 Boehringer Ingelheim Investigational Site Gdansk Poland
427 205.389.2802 Boehringer Ingelheim Investigational Site Gdansk Poland
428 205.389.2801 Boehringer Ingelheim Investigational Site Gorzow Wlkp Poland
429 205.389.2805 Boehringer Ingelheim Investigational Site Ilawa Poland
430 205.389.2791 Boehringer Ingelheim Investigational Site Inowroclaw Poland
431 205.389.2705 Boehringer Ingelheim Investigational Site Katowice Poland
432 205.389.2749 Boehringer Ingelheim Investigational Site Katowice Poland
433 205.389.2771 Boehringer Ingelheim Investigational Site Katowice Poland
434 205.389.2759 Boehringer Ingelheim Investigational Site Koszalin Poland
435 205.389.2711 Boehringer Ingelheim Investigational Site Krakow Poland
436 205.389.2722 Boehringer Ingelheim Investigational Site Krakow Poland
437 205.389.2747 Boehringer Ingelheim Investigational Site Krakow Poland
438 205.389.2753 Boehringer Ingelheim Investigational Site Krakow Poland
439 205.389.2798 Boehringer Ingelheim Investigational Site Krakow Poland
440 205.389.2748 Boehringer Ingelheim Investigational Site Kraków Poland
441 205.389.2757 Boehringer Ingelheim Investigational Site Kutno Poland
442 205.389.2727 Boehringer Ingelheim Investigational Site Leszno Poland
443 205.389.2701 Boehringer Ingelheim Investigational Site Lodz Poland
444 205.389.2709 Boehringer Ingelheim Investigational Site Lodz Poland
445 205.389.2716 Boehringer Ingelheim Investigational Site Lodz Poland
446 205.389.2724 Boehringer Ingelheim Investigational Site Lodz Poland
447 205.389.2732 Boehringer Ingelheim Investigational Site Lodz Poland
448 205.389.2746 Boehringer Ingelheim Investigational Site Lodz Poland
449 205.389.2751 Boehringer Ingelheim Investigational Site Lodz Poland
450 205.389.2804 Boehringer Ingelheim Investigational Site Lomza Poland
451 205.389.2741 Boehringer Ingelheim Investigational Site Lublin Poland
452 205.389.2776 Boehringer Ingelheim Investigational Site Lublin Poland
453 205.389.2817 Boehringer Ingelheim Investigational Site Lublin Poland
454 205.389.2760 Boehringer Ingelheim Investigational Site Olawa Poland
455 205.389.2756 Boehringer Ingelheim Investigational Site Olsztyn Poland
456 205.389.2816 Boehringer Ingelheim Investigational Site Olsztyn Poland
457 205.389.2702 Boehringer Ingelheim Investigational Site Ostrow Wielkopolska Poland
458 205.389.2726 Boehringer Ingelheim Investigational Site Pabianice Poland
459 205.389.2795 Boehringer Ingelheim Investigational Site Plawno Poland
460 205.389.2730 Boehringer Ingelheim Investigational Site Plock Poland
461 205.389.2703 Boehringer Ingelheim Investigational Site Poznan Poland
462 205.389.2719 Boehringer Ingelheim Investigational Site Poznan Poland
463 205.389.2737 Boehringer Ingelheim Investigational Site Poznan Poland
464 205.389.2766 Boehringer Ingelheim Investigational Site Poznan Poland
465 205.389.2769 Boehringer Ingelheim Investigational Site Poznan Poland
466 205.389.2813 Boehringer Ingelheim Investigational Site Poznan Poland
467 205.389.2763 Boehringer Ingelheim Investigational Site Proszowice Poland
468 205.389.2767 Boehringer Ingelheim Investigational Site Pruszkow Poland
469 205.389.2768 Boehringer Ingelheim Investigational Site Radom Poland
470 205.389.2792 Boehringer Ingelheim Investigational Site Sandomierz Poland
471 205.389.2781 Boehringer Ingelheim Investigational Site Sieradz Poland
472 205.389.2725 Boehringer Ingelheim Investigational Site Skierniewice Poland
473 205.389.2777 Boehringer Ingelheim Investigational Site Szczecin - Zdunowo Poland
474 205.389.2782 Boehringer Ingelheim Investigational Site Szczecin - Zdunowo Poland
475 205.389.2718 Boehringer Ingelheim Investigational Site Szczecin Poland
476 205.389.2739 Boehringer Ingelheim Investigational Site Szczecin Poland
477 205.389.2772 Boehringer Ingelheim Investigational Site Szczecin Poland
478 205.389.2738 Boehringer Ingelheim Investigational Site Tarnow Poland
479 205.389.2799 Boehringer Ingelheim Investigational Site Tarnow Poland
480 205.389.2810 Boehringer Ingelheim Investigational Site Tczew Poland
481 205.389.2775 Boehringer Ingelheim Investigational Site Torun Poland
482 205.389.2754 Boehringer Ingelheim Investigational Site Tranow Poland
483 205.389.2806 Boehringer Ingelheim Investigational Site Turek Poland
484 205.389.2803 Boehringer Ingelheim Investigational Site Wabrzenzo Poland
485 205.389.2707 Boehringer Ingelheim Investigational Site Warsaw Poland
486 205.389.2714 Boehringer Ingelheim Investigational Site Warsaw Poland
487 205.389.2728 Boehringer Ingelheim Investigational Site Warsaw Poland
488 205.389.2734 Boehringer Ingelheim Investigational Site Warszawa Poland
489 205.389.2812 Boehringer Ingelheim Investigational Site Warszawa Poland
490 205.389.2818 Boehringer Ingelheim Investigational Site Warszawa Poland
491 205.389.2710 Boehringer Ingelheim Investigational Site Wodzislaw Slaski Poland
492 205.389.2721 Boehringer Ingelheim Investigational Site Wroclaw Poland
493 205.389.2731 Boehringer Ingelheim Investigational Site Wroclaw Poland
494 205.389.2736 Boehringer Ingelheim Investigational Site Wroclaw Poland
495 205.389.2752 Boehringer Ingelheim Investigational Site Wroclaw Poland
496 205.389.2761 Boehringer Ingelheim Investigational Site Wroclaw Poland
497 205.389.2780 Boehringer Ingelheim Investigational Site Wroclaw Poland
498 205.389.2793 Boehringer Ingelheim Investigational Site Wroclaw Poland
499 205.389.2783 Boehringer Ingelheim Investigational Site Zabrze Poland
500 205.389.2735 Boehringer Ingelheim Investigational Site Zakopane Poland
501 205.389.2770 Boehringer Ingelheim Investigational Site Zgierz Poland
502 205.389.2912 Boehringer Ingelheim Investigational Site Angra do Heroísmo Portugal
503 205.389.2911 Boehringer Ingelheim Investigational Site Barreiro Portugal
504 205.389.2904 Boehringer Ingelheim Investigational Site Faro Portugal
505 205.389.2910 Boehringer Ingelheim Investigational Site Figueira da Foz Portugal
506 205.389.2907 Boehringer Ingelheim Investigational Site Guarda Portugal
507 205.389.2914 Boehringer Ingelheim Investigational Site Lisboa Portugal
508 205.389.2917 Boehringer Ingelheim Investigational Site Lisboa Portugal
509 205.389.2905 Boehringer Ingelheim Investigational Site Santa Maria da Feira Portugal
510 205.389.2909 Boehringer Ingelheim Investigational Site Santiago do Cacem Portugal
511 205.389.2903 Boehringer Ingelheim Investigational Site Torres Vedras Portugal
512 205.389.3009 Boehringer Ingelheim Investigational Site Brasov Romania
513 205.389.3018 Boehringer Ingelheim Investigational Site Brasov Romania
514 205.389.3023 Boehringer Ingelheim Investigational Site Brasov Romania
515 205.389.3025 Boehringer Ingelheim Investigational Site Bucharest Romania
516 205.389.3001 Boehringer Ingelheim Investigational Site Bucuresti Romania
517 205.389.3002 Boehringer Ingelheim Investigational Site Bucuresti Romania
518 205.389.3004 Boehringer Ingelheim Investigational Site Bucuresti Romania
519 205.389.3006 Boehringer Ingelheim Investigational Site Bucuresti Romania
520 205.389.3007 Boehringer Ingelheim Investigational Site Bucuresti Romania
521 205.389.3012 Boehringer Ingelheim Investigational Site Bucuresti Romania
522 205.389.3013 Boehringer Ingelheim Investigational Site Bucuresti Romania
523 205.389.3016 Boehringer Ingelheim Investigational Site Constanta Romania
524 205.389.3019 Boehringer Ingelheim Investigational Site Constanta Romania
525 205.389.3015 Boehringer Ingelheim Investigational Site Craiova Romania
526 205.389.3008 Boehringer Ingelheim Investigational Site Iasi Romania
527 205.389.3014 Boehringer Ingelheim Investigational Site Iasi Romania
528 205.389.3022 Boehringer Ingelheim Investigational Site Iasi Romania
529 205.389.3024 Boehringer Ingelheim Investigational Site Iasi Romania
530 205.389.3005 Boehringer Ingelheim Investigational Site Oradea Romania
531 205.389.3017 Boehringer Ingelheim Investigational Site Tg. Mures Romania
532 205.389.3021 Boehringer Ingelheim Investigational Site Timisoara Romania
533 205.389.3174 Boehringer Ingelheim Investigational Site Arkhangelsk Russian Federation
534 205.389.3113 Boehringer Ingelheim Investigational Site Barnaul Russian Federation
535 205.389.3131 Boehringer Ingelheim Investigational Site Barnaul Russian Federation
536 205.389.3105 Boehringer Ingelheim Investigational Site Chelyabinsk Russian Federation
537 205.389.3182 Boehringer Ingelheim Investigational Site Chelyabinsk Russian Federation
538 205.389.3183 Boehringer Ingelheim Investigational Site Chelyabinsk Russian Federation
539 205.389.3184 Boehringer Ingelheim Investigational Site Chelyabinsk Russian Federation
540 205.389.3116 Boehringer Ingelheim Investigational Site Ekaterinburg Russian Federation
541 205.389.3138 Boehringer Ingelheim Investigational Site Ekaterinburg Russian Federation
542 205.389.3148 Boehringer Ingelheim Investigational Site Ekaterinburg Russian Federation
543 205.389.3166 Boehringer Ingelheim Investigational Site Ekaterinburg Russian Federation
544 205.389.3186 Boehringer Ingelheim Investigational Site Gatchina (Leningradskaya oblast) Russian Federation
545 205.389.3193 Boehringer Ingelheim Investigational Site Kaliningrad Russian Federation
546 205.389.3104 Boehringer Ingelheim Investigational Site Kazan Russian Federation
547 205.389.3111 Boehringer Ingelheim Investigational Site Kemerovo Russian Federation
548 205.389.3120 Boehringer Ingelheim Investigational Site Kirov Russian Federation
549 205.389.3170 Boehringer Ingelheim Investigational Site Krasnodar Russian Federation
550 205.389.3132 Boehringer Ingelheim Investigational Site Krasnoyarsk Russian Federation
551 205.389.3103 Boehringer Ingelheim Investigational Site Moscow Russian Federation
552 205.389.3106 Boehringer Ingelheim Investigational Site Moscow Russian Federation
553 205.389.3107 Boehringer Ingelheim Investigational Site Moscow Russian Federation
554 205.389.3108 Boehringer Ingelheim Investigational Site Moscow Russian Federation
555 205.389.3109 Boehringer Ingelheim Investigational Site Moscow Russian Federation
556 205.389.3125 Boehringer Ingelheim Investigational Site Moscow Russian Federation
557 205.389.3127 Boehringer Ingelheim Investigational Site Moscow Russian Federation
558 205.389.3128 Boehringer Ingelheim Investigational Site Moscow Russian Federation
559 205.389.3130 Boehringer Ingelheim Investigational Site Moscow Russian Federation
560 205.389.3134 Boehringer Ingelheim Investigational Site Moscow Russian Federation
561 205.389.3136 Boehringer Ingelheim Investigational Site Moscow Russian Federation
562 205.389.3139 Boehringer Ingelheim Investigational Site Moscow Russian Federation
563 205.389.3140 Boehringer Ingelheim Investigational Site Moscow Russian Federation
564 205.389.3143 Boehringer Ingelheim Investigational Site Moscow Russian Federation
565 205.389.3149 Boehringer Ingelheim Investigational Site Moscow Russian Federation
566 205.389.3151 Boehringer Ingelheim Investigational Site Moscow Russian Federation
567 205.389.3156 Boehringer Ingelheim Investigational Site Moscow Russian Federation
568 205.389.3157 Boehringer Ingelheim Investigational Site Moscow Russian Federation
569 205.389.3163 Boehringer Ingelheim Investigational Site Moscow Russian Federation
570 205.389.3164 Boehringer Ingelheim Investigational Site Moscow Russian Federation
571 205.389.3167 Boehringer Ingelheim Investigational Site Moscow Russian Federation
572 205.389.3168 Boehringer Ingelheim Investigational Site Moscow Russian Federation
573 205.389.3171 Boehringer Ingelheim Investigational Site Moscow Russian Federation
574 205.389.3196 Boehringer Ingelheim Investigational Site Moscow Russian Federation
575 205.389.3188 Boehringer Ingelheim Investigational Site Murmansk Russian Federation
576 205.389.3953 Boehringer Ingelheim Investigational Site Nizhniy Novgorod Russian Federation
577 205.389.3169 Boehringer Ingelheim Investigational Site Nizhny Novgorod Russian Federation
578 205.389.3112 Boehringer Ingelheim Investigational Site Novosibirsk Russian Federation
579 205.389.3114 Boehringer Ingelheim Investigational Site Novosibirsk Russian Federation
580 205.389.3129 Boehringer Ingelheim Investigational Site Novosibirsk Russian Federation
581 205.389.3141 Boehringer Ingelheim Investigational Site Novosibirsk Russian Federation
582 205.389.3153 Boehringer Ingelheim Investigational Site Novosibirsk Russian Federation
583 205.389.3175 Boehringer Ingelheim Investigational Site Novosibirsk Russian Federation
584 205.389.3126 Boehringer Ingelheim Investigational Site Orenburg Russian Federation
585 205.389.3185 Boehringer Ingelheim Investigational Site Perm Russian Federation
586 205.389.3192 Boehringer Ingelheim Investigational Site Petrozavodsk Russian Federation
587 205.389.3179 Boehringer Ingelheim Investigational Site Pskov Russian Federation
588 205.389.3190 Boehringer Ingelheim Investigational Site Pskov Russian Federation
589 205.389.3199 Boehringer Ingelheim Investigational Site Pyatigorsk, Russian Federation
590 205.389.3159 Boehringer Ingelheim Investigational Site Rostov-on-Don Russian Federation
591 205.389.3197 Boehringer Ingelheim Investigational Site Ryazan Russian Federation
592 205.389.3198 Boehringer Ingelheim Investigational Site Saint Petersburg Russian Federation
593 205.389.3110 Boehringer Ingelheim Investigational Site Saratov Russian Federation
594 205.389.3951 Boehringer Ingelheim Investigational Site Saratov Russian Federation
595 205.389.3191 Boehringer Ingelheim Investigational Site St-Petersburg Russian Federation
596 205.389.3119 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
597 205.389.3121 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
598 205.389.3122 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
599 205.389.3123 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
600 205.389.3135 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
601 205.389.3137 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
602 205.389.3145 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
603 205.389.3146 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
604 205.389.3160 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
605 205.389.3161 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
606 205.389.3176 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
607 205.389.3177 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
608 205.389.3178 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
609 205.389.3180 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
610 205.389.3181 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
611 205.389.3189 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
612 205.389.3195 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
613 205.389.3950 Boehringer Ingelheim Investigational Site St. Petersburg Russian Federation
614 205.389.3165 Boehringer Ingelheim Investigational Site St.Peterburg Russian Federation
615 205.389.3117 Boehringer Ingelheim Investigational Site St.Petersburg Russian Federation
616 205.389.3147 Boehringer Ingelheim Investigational Site St.Petersburg Russian Federation
617 205.389.3152 Boehringer Ingelheim Investigational Site St.Petersburg Russian Federation
618 205.389.3101 Boehringer Ingelheim Investigational Site Tomsk Russian Federation
619 205.389.3102 Boehringer Ingelheim Investigational Site Tomsk Russian Federation
620 205.389.3133 Boehringer Ingelheim Investigational Site Tomsk Russian Federation
621 205.389.3144 Boehringer Ingelheim Investigational Site Tomsk Russian Federation
622 205.389.3194 Boehringer Ingelheim Investigational Site Velikiy Novgorod Russian Federation
623 205.389.3118 Boehringer Ingelheim Investigational Site Yaroslavl Russian Federation
624 205.389.3155 Boehringer Ingelheim Investigational Site Yaroslavl Russian Federation
625 205.389.3208 Boehringer Ingelheim Investigational Site Bratislava Slovakia
626 205.389.3204 Boehringer Ingelheim Investigational Site Kosice Slovakia
627 205.389.3209 Boehringer Ingelheim Investigational Site Kosice Slovakia
628 205.389.3205 Boehringer Ingelheim Investigational Site Prievidza Slovakia
629 205.389.3210 Boehringer Ingelheim Investigational Site Revuca Slovakia
630 205.389.3203 Boehringer Ingelheim Investigational Site Spisska Nova Ves Slovakia
631 205.389.3202 Boehringer Ingelheim Investigational Site Trnava Slovakia
632 205.389.3207 Boehringer Ingelheim Investigational Site Vrable Slovakia
633 205.389.3301 Boehringer Ingelheim Investigational Site Golnik Slovenia
634 205.389.3308 Boehringer Ingelheim Investigational Site Grosuplje Slovenia
635 205.389.3304 Boehringer Ingelheim Investigational Site Jesenice Slovenia
636 205.389.3302 Boehringer Ingelheim Investigational Site Kamnik Slovenia
637 205.389.3303 Boehringer Ingelheim Investigational Site Ljubljana Slovenia
638 205.389.3306 Boehringer Ingelheim Investigational Site Topolsica Slovenia
639 205.389.3410 Boehringer Ingelheim Investigational Site Badajoz Spain
640 205.389.3403 Boehringer Ingelheim Investigational Site Badalona (Barcelona) Spain
641 205.389.3401 Boehringer Ingelheim Investigational Site Barcelona Spain
642 205.389.3402 Boehringer Ingelheim Investigational Site Barcelona Spain
643 205.389.3428 Boehringer Ingelheim Investigational Site Barcelona Spain
644 205.389.3430 Boehringer Ingelheim Investigational Site Cartagena Spain
645 205.389.3416 Boehringer Ingelheim Investigational Site Cáceres Spain
646 205.389.3425 Boehringer Ingelheim Investigational Site Elche Spain
647 205.389.3408 Boehringer Ingelheim Investigational Site Las Palmas de Gran Canarias Spain
648 205.389.3405 Boehringer Ingelheim Investigational Site Lleida Spain
649 205.389.3404 Boehringer Ingelheim Investigational Site Madrid Spain
650 205.389.3406 Boehringer Ingelheim Investigational Site Madrid Spain
651 205.389.3414 Boehringer Ingelheim Investigational Site Málaga Spain
652 205.389.3431 Boehringer Ingelheim Investigational Site Pontevedra Spain
653 205.389.3419 Boehringer Ingelheim Investigational Site Requena Spain
654 205.389.3427 Boehringer Ingelheim Investigational Site Reus Spain
655 205.389.3422 Boehringer Ingelheim Investigational Site Sagunto Spain
656 205.389.3420 Boehringer Ingelheim Investigational Site San Juan Spain
657 205.389.3415 Boehringer Ingelheim Investigational Site Santander Spain
658 205.389.3421 Boehringer Ingelheim Investigational Site Santiago de Compostela Spain
659 205.389.3407 Boehringer Ingelheim Investigational Site Terrasa (Barcelona) Spain
660 205.389.3413 Boehringer Ingelheim Investigational Site Valencia Spain
661 205.389.3426 Boehringer Ingelheim Investigational Site Valencia Spain
662 205.389.3417 Boehringer Ingelheim Investigational Site Valladolid Spain
663 205.389.3821 Boehringer Ingelheim Investigational Site Adana Turkey
664 205.389.3808 Boehringer Ingelheim Investigational Site Ankara Turkey
665 205.389.3810 Boehringer Ingelheim Investigational Site Ankara Turkey
666 205.389.3817 Boehringer Ingelheim Investigational Site Bursa Turkey
667 205.389.3819 Boehringer Ingelheim Investigational Site Erzurum Turkey
668 205.389.3812 Boehringer Ingelheim Investigational Site Istanbul Turkey
669 205.389.3827 Boehringer Ingelheim Investigational Site Izmir Turkey
670 205.389.3813 Boehringer Ingelheim Investigational Site Izmit Turkey
671 205.389.3820 Boehringer Ingelheim Investigational Site Kahramanmaras Turkey
672 205.389.3825 Boehringer Ingelheim Investigational Site Malatya Turkey
673 205.389.3809 Boehringer Ingelheim Investigational Site Sihhiye Ankara Turkey
674 205.389.3807 Boehringer Ingelheim Investigational Site Yenisehir-IZMIR Turkey
675 205.389.3521 Boehringer Ingelheim Investigational Site AR Crimea Ukraine
676 205.389.3516 Boehringer Ingelheim Investigational Site Cherkassy Ukraine
677 205.389.3549 Boehringer Ingelheim Investigational Site Chernivtsi Ukraine
678 205.389.3509 Boehringer Ingelheim Investigational Site Dnipropetrovsk Ukraine
679 205.389.3510 Boehringer Ingelheim Investigational Site Dnipropetrovsk Ukraine
680 205.389.3511 Boehringer Ingelheim Investigational Site Dnipropetrovsk Ukraine
681 205.389.3523 Boehringer Ingelheim Investigational Site Dnipropetrovsk Ukraine
682 205.389.3514 Boehringer Ingelheim Investigational Site Donetsk Ukraine
683 205.389.3524 Boehringer Ingelheim Investigational Site Donetsk Ukraine
684 205.389.3533 Boehringer Ingelheim Investigational Site Ivano-Frankivsk Ukraine
685 205.389.3506 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
686 205.389.3507 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
687 205.389.3508 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
688 205.389.3520 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
689 205.389.3522 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
690 205.389.3532 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
691 205.389.3539 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
692 205.389.3541 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
693 205.389.3543 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
694 205.389.3555 Boehringer Ingelheim Investigational Site Kharkiv Ukraine
695 205.389.3501 Boehringer Ingelheim Investigational Site Kiev Ukraine
696 205.389.3502 Boehringer Ingelheim Investigational Site Kiev Ukraine
697 205.389.3503 Boehringer Ingelheim Investigational Site Kiev Ukraine
698 205.389.3550 Boehringer Ingelheim Investigational Site Kiev Ukraine
699 205.389.3552 Boehringer Ingelheim Investigational Site Kiev Ukraine
700 205.389.3553 Boehringer Ingelheim Investigational Site Kiev Ukraine
701 205.389.3504 Boehringer Ingelheim Investigational Site Kyiv Ukraine
702 205.389.3525 Boehringer Ingelheim Investigational Site Kyiv Ukraine
703 205.389.3526 Boehringer Ingelheim Investigational Site Kyiv Ukraine
704 205.389.3528 Boehringer Ingelheim Investigational Site Kyiv Ukraine
705 205.389.3534 Boehringer Ingelheim Investigational Site Kyiv Ukraine
706 205.389.3535 Boehringer Ingelheim Investigational Site Kyiv Ukraine
707 205.389.3536 Boehringer Ingelheim Investigational Site Kyiv Ukraine
708 205.389.3538 Boehringer Ingelheim Investigational Site Kyiv Ukraine
709 205.389.3551 Boehringer Ingelheim Investigational Site Kyiv Ukraine
710 205.389.3545 Boehringer Ingelheim Investigational Site Lugansk Ukraine
711 205.389.3512 Boehringer Ingelheim Investigational Site Lviv Ukraine
712 205.389.3530 Boehringer Ingelheim Investigational Site Lviv Ukraine
713 205.389.3540 Boehringer Ingelheim Investigational Site Lviv Ukraine
714 205.389.3554 Boehringer Ingelheim Investigational Site Lviv Ukraine
715 205.389.3556 Boehringer Ingelheim Investigational Site m.Donetsk Ukraine
716 205.389.3513 Boehringer Ingelheim Investigational Site m.Odesa Ukraine
717 205.389.3519 Boehringer Ingelheim Investigational Site Odesa Ukraine
718 205.389.3542 Boehringer Ingelheim Investigational Site Odesa Ukraine
719 205.389.3527 Boehringer Ingelheim Investigational Site Odessa Ukraine
720 205.389.3531 Boehringer Ingelheim Investigational Site Poltava Ukraine
721 205.389.3517 Boehringer Ingelheim Investigational Site Simferopil Ukraine
722 205.389.3518 Boehringer Ingelheim Investigational Site Ternopil Ukraine
723 205.389.3529 Boehringer Ingelheim Investigational Site Vinnitsa Ukraine
724 205.389.3515 Boehringer Ingelheim Investigational Site Zaporizhzhya Ukraine
725 205.389.3547 Boehringer Ingelheim Investigational Site Zaporizhzhya Ukraine
726 205.389.3548 Boehringer Ingelheim Investigational Site Zaporizhzhya Ukraine
727 205.389.3601 Boehringer Ingelheim Investigational Site Bath United Kingdom
728 205.389.3630 Boehringer Ingelheim Investigational Site Bexhill on Sea United Kingdom
729 205.389.3636 Boehringer Ingelheim Investigational Site Bexhill-on-Sea United Kingdom
730 205.389.3608 Boehringer Ingelheim Investigational Site Birmingham United Kingdom
731 205.389.3605 Boehringer Ingelheim Investigational Site Blackburn United Kingdom
732 205.389.3609 Boehringer Ingelheim Investigational Site Bolton United Kingdom
733 205.389.3640 Boehringer Ingelheim Investigational Site Burbage United Kingdom
734 205.389.3643 Boehringer Ingelheim Investigational Site Chesterfield United Kingdom
735 205.389.3627 Boehringer Ingelheim Investigational Site Corsham United Kingdom
736 205.389.3606 Boehringer Ingelheim Investigational Site Coventry United Kingdom
737 205.389.3633 Boehringer Ingelheim Investigational Site Coventry United Kingdom
738 205.389.3639 Boehringer Ingelheim Investigational Site Frome United Kingdom
739 205.389.3602 Boehringer Ingelheim Investigational Site Glasgow United Kingdom
740 205.389.3632 Boehringer Ingelheim Investigational Site Irvine United Kingdom
741 205.389.3623 Boehringer Ingelheim Investigational Site London United Kingdom
742 205.389.3638 Boehringer Ingelheim Investigational Site Middlesex United Kingdom
743 205.389.3616 Boehringer Ingelheim Investigational Site Newcastle upon Tyne United Kingdom
744 205.389.3618 Boehringer Ingelheim Investigational Site Paisley United Kingdom
745 205.389.3622 Boehringer Ingelheim Investigational Site Radstock United Kingdom
746 205.389.3626 Boehringer Ingelheim Investigational Site Randalstown United Kingdom
747 205.389.3604 Boehringer Ingelheim Investigational Site Soham United Kingdom
748 205.389.3613 Boehringer Ingelheim Investigational Site St Just, Penzance United Kingdom
749 205.389.3624 Boehringer Ingelheim Investigational Site Sunderland United Kingdom
750 205.389.3635 Boehringer Ingelheim Investigational Site Wansford, Peterborough United Kingdom
751 205.389.3631 Boehringer Ingelheim Investigational Site Windsor United Kingdom
752 205.389.3612 Boehringer Ingelheim Investigational Site Wrexham United Kingdom

Sponsors and Collaborators

  • Boehringer Ingelheim
  • Pfizer

Investigators

  • Study Chair: Boehringer Ingelheim, Boehringer Ingelheim

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00563381
Other Study ID Numbers:
  • 205.389
  • EUDRACT2007-001840-33
First Posted:
Nov 26, 2007
Last Update Posted:
Dec 24, 2013
Last Verified:
Jul 1, 2012

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail There were 8 patients (4:4 on Tiotropium and Salmeterol respectively) randomized but not treated
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Period Title: Overall Study
STARTED 3707 3669
COMPLETED 3122 3021
NOT COMPLETED 585 648

Baseline Characteristics

Arm/Group Title Tiotropium Salmeterol Total
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily Total of all reporting groups
Overall Participants 3707 3669 7376
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
62.9
(9.0)
62.8
(9.0)
62.9
(9.0)
Sex: Female, Male (Count of Participants)
Female
948
25.6%
922
25.1%
1870
25.4%
Male
2759
74.4%
2747
74.9%
5506
74.6%
Race/Ethnicity, Customized (Number) [Number]
Asian
5
0.1%
3
0.1%
8
0.1%
Black
9
0.2%
9
0.2%
18
0.2%
White
3693
99.6%
3657
99.7%
7350
99.6%

Outcome Measures

1. Primary Outcome
Title First Occurrence of (Moderate or Severe) COPD Exacerbation
Description First occurrence analysed by Cox regression as time to first exacerbation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
1277
1414
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.83
Confidence Interval () 95%
0.77 to 0.90
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title COPD Exacerbations Per Patient-year Leading to Hospitalisation
Description An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Mean (95% Confidence Interval) [Hospitalizations per patient-year]
0.09
0.13
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium vs. Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Poisson regression
Comments Poisson regression correcting for overdisperion and adjusted for treatment exposure
Method of Estimation Estimation Parameter Rate ratio (ratio of incidence rates)
Estimated Value 0.73
Confidence Interval () 95%
0.66 to 0.82
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.04
Estimation Comments
3. Secondary Outcome
Title Number of Participants With at Least One COPD Exacerbation
Description An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Participants with (at least one) event
1277
34.4%
1414
38.5%
Participants with no event
2430
65.6%
2255
61.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.90
Confidence Interval () 95%
0.85 to 0.95
Parameter Dispersion Type:
Value:
Estimation Comments
4. Secondary Outcome
Title COPD Exacerbations Per Patient-year
Description
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Mean (95% Confidence Interval) [exacerbations per patient-year]
0.64
0.72
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0017
Comments
Method Poisson regression
Comments Poisson regression correcting for overdisperion and adjusted for treatment exposure
Method of Estimation Estimation Parameter Rate ratio (ratio of incidence rates)
Estimated Value 0.89
Confidence Interval () 95%
0.83 to 0.96
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.03
Estimation Comments
5. Secondary Outcome
Title First Occurrence of COPD Exacerbation Leading to Hospitalization
Description First occurrence analysed by Cox regression as time to first exacerbation leading to hospitalisation and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
262
336
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.72
Confidence Interval () 95%
0.61 to 0.85
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Number of Participants With at Least One COPD Exacerbation Leading to Hospitalisation
Description An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Participants with (at least one) event
262
7.1%
336
9.2%
Participants with no event
3445
92.9%
3333
90.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.77
Confidence Interval () 95%
0.66 to 0.89
Parameter Dispersion Type:
Value:
Estimation Comments
7. Secondary Outcome
Title Occurrence of Premature Discontinuation of Trial Medication
Description Occurrence analysed by Cox regression as time to premature discontinuation of trial medication and reported as hazard ratio
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
585
648
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0242
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.88
Confidence Interval () 95%
0.78 to 0.98
Parameter Dispersion Type:
Value:
Estimation Comments
8. Secondary Outcome
Title Number of Participants With Premature Discontinuation of Trial Medication
Description
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Participants with (at least one) event
585
15.8%
648
17.7%
Participants with no event
3122
84.2%
3021
82.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0406
Comments
Method Cochran-Mantel-Haenszel
Comments
Method of Estimation Estimation Parameter Risk Ratio (RR)
Estimated Value 0.90
Confidence Interval () 95%
0.82 to 1.00
Parameter Dispersion Type:
Value:
Estimation Comments
9. Secondary Outcome
Title First Occurrence of COPD Exacerbation or Discontinuation of Trial Medication Because of Worsening of Underlying Disease, Whichever Comes First
Description First occurrence analysed by Cox regression as time to first exacerbation or discontinuation of trial medication because of worsening of underlying disease, whichever comes first and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
1316
1448
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.84
Confidence Interval () 95%
0.78 to 0.91
Parameter Dispersion Type:
Value:
Estimation Comments
10. Secondary Outcome
Title First Occurrence of COPD Exacerbations Treated With Systemic Steroids
Description First occurrence analysed by Cox regression as time to first exacerbation treated with systemic steroids and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
715
852
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.77
Confidence Interval () 95%
0.69 to 0.85
Parameter Dispersion Type:
Value:
Estimation Comments
11. Secondary Outcome
Title First Occurrence of COPD Exacerbations Treated With Antibiotics
Description First occurrence analysed by Cox regression as time to first exacerbation treated with antibiotics and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
1154
1259
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.85
Confidence Interval () 95%
0.78 to 0.92
Parameter Dispersion Type:
Value:
Estimation Comments
12. Secondary Outcome
Title First Occurrence of COPD Exacerbations Treated With Systemic Steroids and Antibiotics
Description First occurrence analysed by Cox regression as time to first exacerbation treated with systemic steroids and antibiotics and reported as hazard ratio. An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Number [number of first occurrences]
562
671
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments Treatment effect adjusted for pooled centre
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.76
Confidence Interval () 95%
0.68 to 0.86
Parameter Dispersion Type:
Value:
Estimation Comments
13. Secondary Outcome
Title COPD Exacerbations Treated With Systemic Steroids Per Patient-year
Description An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Mean (95% Confidence Interval) [exacerbations per patient-year]
0.33
0.41
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Poisson regression
Comments Poisson regression correcting for overdispersion and adjusted for treatment exposure
Method of Estimation Estimation Parameter Rate ratio (ratio of incidence rates)
Estimated Value 0.82
Confidence Interval () 95%
0.76 to 0.90
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.04
Estimation Comments
14. Secondary Outcome
Title COPD Exacerbations Treated With Antibiotics Per Patient-year
Description An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Mean (95% Confidence Interval) [exacerbations per patient-year]
0.53
0.59
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0036
Comments
Method Poisson regression
Comments Poisson regression correcting for overdisperion and adjusted for treatment exposure
Method of Estimation Estimation Parameter Rate ratio (ratio of incidence rates)
Estimated Value 0.90
Confidence Interval () 95%
0.84 to 0.97
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.03
Estimation Comments
15. Secondary Outcome
Title COPD Exacerbations Treated With Systemic Steroids and Antibiotics Per Patient-year
Description An exacerbation was defined as an increase or new onset of more than 1 symptom (cough, sputum, wheezing, dyspnoea, chest tightness), with at least 1 symptom lasting at least 3 days and requiring treatment with systemic steroids and/or antibiotics (moderate exacerbation) or hospitalisation (severe exacerbation).
Time Frame 52 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, and were documented to have taken at least one dose of double-blind treatment
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 3707 3669
Mean (95% Confidence Interval) [exacerbations per patient-year]
0.23
0.28
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Poisson regression
Comments Poisson regression correcting for overdisperion and adjusted for treatment exposure
Method of Estimation Estimation Parameter Rate ratio (ratio of incidence rates)
Estimated Value 0.80
Confidence Interval () 95%
0.73 to 0.88
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.04
Estimation Comments
16. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 1
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2446 2434
Mean (Standard Error) [liter per minute (L/min)]
222.85
(0.81)
224.45
(0.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1035
Comments
Method Mixed Effects Repeated Measures Model
Comments Mixed effects repeated measures model (MMRM) (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.60
Confidence Interval () 95%
-3.53 to 0.33
Parameter Dispersion Type:
Value:
Estimation Comments
17. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 2
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2413 2377
Mean (Standard Error) [liter per minute (L/min)]
225.15
(0.81)
227.21
(0.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0369
Comments
Method Mixed Effects Repeated Measures Model
Comments Mixed effects repeated measures model (MRMM)(fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week).
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -2.06
Confidence Interval () 95%
-3.99 to -0.12
Parameter Dispersion Type:
Value:
Estimation Comments
18. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 3
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2394 2357
Mean (Standard Error) [liter per minute (L/min)]
226.31
(0.81)
228.38
(0.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0362
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -2.07
Confidence Interval () 95%
-4.00 to -0.13
Parameter Dispersion Type:
Value:
Estimation Comments
19. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 4
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2380 2349
Mean (Standard Error) [liter per minute (L/min)]
227.37
(0.81)
229.25
(0.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0573
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.88
Confidence Interval () 95%
-3.82 to 0.06
Parameter Dispersion Type:
Value:
Estimation Comments
20. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 5
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2360 2335
Mean (Standard Error) [liter per minute (L/min)]
228.27
(0.81)
229.37
(0.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2641
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.10
Confidence Interval () 95%
-3.04 to 0.83
Parameter Dispersion Type:
Value:
Estimation Comments
21. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 6
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2351 2319
Mean (Standard Error) [liter per minute (L/min)]
228.80
(0.82)
229.81
(0.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3068
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.01
Confidence Interval () 95%
-2.95 to 0.93
Parameter Dispersion Type:
Value:
Estimation Comments
22. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 7
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2339 2306
Mean (Standard Error) [liter per minute (L/min)]
229.35
(0.82)
230.13
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4299
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.78
Confidence Interval () 95%
-2.72 to 1.16
Parameter Dispersion Type:
Value:
Estimation Comments
23. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 8
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2319 2278
Mean (Standard Error) [liter per minute (L/min)]
229.95
(0.82)
230.43
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6277
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.48
Confidence Interval () 95%
-2.42 to 1.46
Parameter Dispersion Type:
Value:
Estimation Comments
24. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 9
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2279 2234
Mean (Standard Error) [liter per minute (L/min)]
229.72
(0.82)
230.57
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3931
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.85
Confidence Interval () 95%
-2.80 to 1.10
Parameter Dispersion Type:
Value:
Estimation Comments
25. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 10
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2285 2235
Mean (Standard Error) [liter per minute (L/min)]
230.30
(0.82)
231.27
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3297
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.97
Confidence Interval () 95%
-2.92 to 0.98
Parameter Dispersion Type:
Value:
Estimation Comments
26. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 11
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2289 2228
Mean (Standard Error) [liter per minute (L/min)]
230.61
(0.82)
231.91
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1904
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.30
Confidence Interval () 95%
-3.25 to 0.65
Parameter Dispersion Type:
Value:
Estimation Comments
27. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 12
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2286 2214
Mean (Standard Error) [liter per minute (L/min)]
231.04
(0.82)
232.04
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3172
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.99
Confidence Interval () 95%
-2.94 to 0.95
Parameter Dispersion Type:
Value:
Estimation Comments
28. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 13
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2278 2212
Mean (Standard Error) [liter per minute (L/min)]
231.23
(0.82)
231.89
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5017
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.67
Confidence Interval () 95%
-2.62 to 1.28
Parameter Dispersion Type:
Value:
Estimation Comments
29. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 14
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2264 2211
Mean (Standard Error) [liter per minute (L/min)]
231.19
(0.82)
232.42
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2174
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.23
Confidence Interval () 95%
-3.18 to 0.72
Parameter Dispersion Type:
Value:
Estimation Comments
30. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 15
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2256 2193
Mean (Standard Error) [liter per minute (L/min)]
231.64
(0.82)
232.75
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2682
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -1.10
Confidence Interval () 95%
-3.05 to 0.85
Parameter Dispersion Type:
Value:
Estimation Comments
31. Secondary Outcome
Title Pre-dose Morning PEFR Measured by Patients at Home During the First Four Months of Randomised Treatment (Weekly Means Will be Calculated), Week 16
Description PEFR means peak expiratory flow rate and is measured in liter per minute
Time Frame 16 weeks

Outcome Measure Data

Analysis Population Description
All patients who received study medication, were randomised, were documented to have taken at least one dose of double-blind treatment, gave informed consent to genotyping, took part in the pre-specified part of the genotyping analysis, and who have evaluable blood samples
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
Measure Participants 2240 2174
Mean (Standard Error) [liter per minute (L/min)]
232.06
(0.82)
232.65
(0.82)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Tiotropium, Salmeterol
Comments Tiotropium versus Salmeterol
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5520
Comments
Method Mixed Effects Repeated Measures Model
Comments MMRM (fixed terms: treatment, centre, week, treatment*week; covariates: baseline PEFR, baseline PEFR*week)
Method of Estimation Estimation Parameter difference in peak expiratory flow rates
Estimated Value -0.59
Confidence Interval () 95%
-2.55 to 1.36
Parameter Dispersion Type:
Value:
Estimation Comments

Adverse Events

Time Frame 52 weeks (while on treatment with study drugs + 30 days)
Adverse Event Reporting Description The term "Chronic obstructive pulmonary disease" under "Other Adverse Events" contains number of patients with exacerbations which the investigator entered via AE reporting. They were consolidated with the exacerbation events used for efficacy analysis which were collected via separate designated case report form pages.
Arm/Group Title Tiotropium Salmeterol
Arm/Group Description Tiotropium 18 mcg once daily (QD) inhalation (powder) via HandiHaler® and matching Placebo metered dose inhaler (MDI) twice daily (BID) Salmeterol 50 mcg (2 actuations of 25 mcg) twice daily inhalation (suspension) via MDI and Placebo HandiHaler® once daily
All Cause Mortality
Tiotropium Salmeterol
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Tiotropium Salmeterol
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 545/3707 (14.7%) 606/3669 (16.5%)
Blood and lymphatic system disorders
Anaemia 1/3707 (0%) 3/3669 (0.1%)
Haemorrhagic anaemia 1/3707 (0%) 0/3669 (0%)
Iron deficiency anaemia 1/3707 (0%) 0/3669 (0%)
Lymphadenopathy 0/3707 (0%) 1/3669 (0%)
Splenitis 1/3707 (0%) 0/3669 (0%)
Cardiac disorders
Acute coronary syndrome 2/3707 (0.1%) 2/3669 (0.1%)
Acute myocardial infarction 3/3707 (0.1%) 1/3669 (0%)
Angina pectoris 9/3707 (0.2%) 5/3669 (0.1%)
Angina unstable 2/3707 (0.1%) 2/3669 (0.1%)
Arrhythmia 1/3707 (0%) 1/3669 (0%)
Arrhythmia supraventricular 1/3707 (0%) 0/3669 (0%)
Arteriosclerosis coronary artery 1/3707 (0%) 1/3669 (0%)
Atrial fibrillation 12/3707 (0.3%) 14/3669 (0.4%)
Atrial flutter 1/3707 (0%) 1/3669 (0%)
Atrioventricular block 0/3707 (0%) 1/3669 (0%)
Atrioventricular block second degree 0/3707 (0%) 1/3669 (0%)
Bradycardia 0/3707 (0%) 1/3669 (0%)
Cardiac arrest 2/3707 (0.1%) 2/3669 (0.1%)
Cardiac failure 17/3707 (0.5%) 21/3669 (0.6%)
Cardiac failure acute 2/3707 (0.1%) 1/3669 (0%)
Cardiac failure chronic 0/3707 (0%) 1/3669 (0%)
Cardiac failure congestive 1/3707 (0%) 0/3669 (0%)
Cardiac fibrillation 1/3707 (0%) 0/3669 (0%)
Cardiogenic shock 1/3707 (0%) 0/3669 (0%)
Cardiomyopathy 3/3707 (0.1%) 0/3669 (0%)
Cardiopulmonary failure 4/3707 (0.1%) 3/3669 (0.1%)
Cardiovascular disorder 0/3707 (0%) 1/3669 (0%)
Cardiovascular insufficiency 4/3707 (0.1%) 0/3669 (0%)
Congestive cardiomyopathy 0/3707 (0%) 1/3669 (0%)
Cor pulmonale 4/3707 (0.1%) 5/3669 (0.1%)
Cor pulmonale chronic 1/3707 (0%) 2/3669 (0.1%)
Coronary artery disease 4/3707 (0.1%) 5/3669 (0.1%)
Coronary artery insufficiency 1/3707 (0%) 2/3669 (0.1%)
Coronary artery stenosis 2/3707 (0.1%) 1/3669 (0%)
Dressler's syndrome 1/3707 (0%) 0/3669 (0%)
Extrasystoles 0/3707 (0%) 2/3669 (0.1%)
Ischaemic cardiomyopathy 1/3707 (0%) 1/3669 (0%)
Left ventricular failure 2/3707 (0.1%) 0/3669 (0%)
Mitral valve stenosis 1/3707 (0%) 0/3669 (0%)
Myocardial infarction 20/3707 (0.5%) 13/3669 (0.4%)
Myocardial ischaemia 11/3707 (0.3%) 6/3669 (0.2%)
Nodal rhythm 1/3707 (0%) 0/3669 (0%)
Pericarditis 0/3707 (0%) 1/3669 (0%)
Postinfarction angina 1/3707 (0%) 0/3669 (0%)
Right ventricular failure 1/3707 (0%) 4/3669 (0.1%)
Sinoatrial block 0/3707 (0%) 1/3669 (0%)
Sinus bradycardia 1/3707 (0%) 0/3669 (0%)
Supraventricular tachycardia 1/3707 (0%) 0/3669 (0%)
Tachyarrhythmia 1/3707 (0%) 0/3669 (0%)
Tachycardia 1/3707 (0%) 1/3669 (0%)
Ventricular fibrillation 0/3707 (0%) 1/3669 (0%)
Ear and labyrinth disorders
Tinnitus 0/3707 (0%) 1/3669 (0%)
Tympanosclerosis 0/3707 (0%) 1/3669 (0%)
Vertigo 0/3707 (0%) 1/3669 (0%)
Vestibular ataxia 1/3707 (0%) 0/3669 (0%)
Vestibular disorder 1/3707 (0%) 0/3669 (0%)
Endocrine disorders
Hypercalcaemia of malignancy 0/3707 (0%) 1/3669 (0%)
Hyperthyroidism 0/3707 (0%) 1/3669 (0%)
Hypoparathyroidism 1/3707 (0%) 0/3669 (0%)
Hypothyroidism 1/3707 (0%) 0/3669 (0%)
Eye disorders
Cataract 6/3707 (0.2%) 3/3669 (0.1%)
Eye disorder 1/3707 (0%) 0/3669 (0%)
Eyelid ptosis 1/3707 (0%) 0/3669 (0%)
Glaucoma 0/3707 (0%) 1/3669 (0%)
Iridocyclitis 0/3707 (0%) 1/3669 (0%)
Retinal detachment 0/3707 (0%) 1/3669 (0%)
Scleritis 1/3707 (0%) 0/3669 (0%)
Visual impairment 1/3707 (0%) 0/3669 (0%)
Gastrointestinal disorders
Abdominal pain 2/3707 (0.1%) 4/3669 (0.1%)
Abdominal pain upper 3/3707 (0.1%) 0/3669 (0%)
Anal polyp 0/3707 (0%) 1/3669 (0%)
Colitis 0/3707 (0%) 1/3669 (0%)
Colonic polyp 1/3707 (0%) 0/3669 (0%)
Diarrhoea 2/3707 (0.1%) 2/3669 (0.1%)
Diverticulitis oesophageal 0/3707 (0%) 1/3669 (0%)
Diverticulum 0/3707 (0%) 1/3669 (0%)
Duodenal perforation 0/3707 (0%) 1/3669 (0%)
Duodenal ulcer 3/3707 (0.1%) 2/3669 (0.1%)
Duodenal ulcer haemorrhage 1/3707 (0%) 1/3669 (0%)
Dyspepsia 0/3707 (0%) 1/3669 (0%)
Enamel anomaly 0/3707 (0%) 1/3669 (0%)
Enteritis 1/3707 (0%) 0/3669 (0%)
Epiploic appendagitis 1/3707 (0%) 0/3669 (0%)
Gastric ulcer 1/3707 (0%) 1/3669 (0%)
Gastric ulcer haemorrhage 2/3707 (0.1%) 1/3669 (0%)
Gastric ulcer perforation 1/3707 (0%) 0/3669 (0%)
Gastritis 3/3707 (0.1%) 2/3669 (0.1%)
Gastritis erosive 1/3707 (0%) 0/3669 (0%)
Gastroduodenitis 0/3707 (0%) 1/3669 (0%)
Gastrointestinal haemorrhage 0/3707 (0%) 1/3669 (0%)
Haemorrhoidal haemorrhage 0/3707 (0%) 1/3669 (0%)
Haemorrhoids 2/3707 (0.1%) 1/3669 (0%)
Ileus 1/3707 (0%) 0/3669 (0%)
Inflammatory bowel disease 0/3707 (0%) 1/3669 (0%)
Inguinal hernia 2/3707 (0.1%) 1/3669 (0%)
Intestinal infarction 0/3707 (0%) 1/3669 (0%)
Intestinal ischaemia 1/3707 (0%) 0/3669 (0%)
Intestinal obstruction 1/3707 (0%) 0/3669 (0%)
Mesenteric artery thrombosis 1/3707 (0%) 0/3669 (0%)
Pancreatic necrosis 1/3707 (0%) 0/3669 (0%)
Pancreatitis acute 2/3707 (0.1%) 2/3669 (0.1%)
Pancreatitis haemorrhagic 1/3707 (0%) 0/3669 (0%)
Pancreatitis relapsing 0/3707 (0%) 1/3669 (0%)
Parotid gland enlargement 0/3707 (0%) 1/3669 (0%)
Peptic ulcer 0/3707 (0%) 1/3669 (0%)
Peptic ulcer perforation 1/3707 (0%) 0/3669 (0%)
Peritonitis 1/3707 (0%) 1/3669 (0%)
Rectal polyp 1/3707 (0%) 0/3669 (0%)
Subileus 0/3707 (0%) 1/3669 (0%)
Varices oesophageal 0/3707 (0%) 1/3669 (0%)
General disorders
Chest pain 4/3707 (0.1%) 6/3669 (0.2%)
Chills 0/3707 (0%) 1/3669 (0%)
Death 3/3707 (0.1%) 7/3669 (0.2%)
Device dislocation 1/3707 (0%) 1/3669 (0%)
Drowning 2/3707 (0.1%) 0/3669 (0%)
Drug intolerance 0/3707 (0%) 1/3669 (0%)
Gait disturbance 0/3707 (0%) 1/3669 (0%)
General physical health deterioration 0/3707 (0%) 1/3669 (0%)
Hernia 0/3707 (0%) 1/3669 (0%)
Hypothermia 0/3707 (0%) 1/3669 (0%)
Inflammation 0/3707 (0%) 1/3669 (0%)
Malaise 0/3707 (0%) 1/3669 (0%)
Multi-organ failure 5/3707 (0.1%) 0/3669 (0%)
Oedema peripheral 0/3707 (0%) 2/3669 (0.1%)
Pyrexia 1/3707 (0%) 1/3669 (0%)
Sudden cardiac death 0/3707 (0%) 1/3669 (0%)
Sudden death 0/3707 (0%) 2/3669 (0.1%)
Hepatobiliary disorders
Bile duct obstruction 1/3707 (0%) 0/3669 (0%)
Cholangitis 0/3707 (0%) 1/3669 (0%)
Cholecystitis 2/3707 (0.1%) 3/3669 (0.1%)
Cholecystitis acute 3/3707 (0.1%) 0/3669 (0%)
Cholecystitis chronic 1/3707 (0%) 0/3669 (0%)
Cholelithiasis 3/3707 (0.1%) 0/3669 (0%)
Gallbladder polyp 0/3707 (0%) 1/3669 (0%)
Jaundice 0/3707 (0%) 1/3669 (0%)
Liver disorder 2/3707 (0.1%) 1/3669 (0%)
Immune system disorders
Anaphylactic reaction 0/3707 (0%) 1/3669 (0%)
Infections and infestations
Actinomycosis 0/3707 (0%) 1/3669 (0%)
Appendicitis 2/3707 (0.1%) 1/3669 (0%)
Borrelia infection 0/3707 (0%) 1/3669 (0%)
Bronchiectasis 1/3707 (0%) 0/3669 (0%)
Bronchitis 3/3707 (0.1%) 1/3669 (0%)
Bronchitis bacterial 1/3707 (0%) 1/3669 (0%)
Bronchopneumonia 4/3707 (0.1%) 3/3669 (0.1%)
Candidiasis 1/3707 (0%) 0/3669 (0%)
Cellulitis 0/3707 (0%) 3/3669 (0.1%)
Cholangitis suppurative 1/3707 (0%) 0/3669 (0%)
Clostridium difficile colitis 0/3707 (0%) 1/3669 (0%)
Dermatitis infected 1/3707 (0%) 0/3669 (0%)
Diabetic gangrene 0/3707 (0%) 1/3669 (0%)
Diverticulitis 0/3707 (0%) 1/3669 (0%)
Empyema 1/3707 (0%) 0/3669 (0%)
Erysipelas 0/3707 (0%) 1/3669 (0%)
Gangrene 0/3707 (0%) 1/3669 (0%)
Gastroenteritis 3/3707 (0.1%) 0/3669 (0%)
Groin abscess 0/3707 (0%) 1/3669 (0%)
H1N1 influenza 1/3707 (0%) 0/3669 (0%)
Hepatitis B 0/3707 (0%) 1/3669 (0%)
Hepatitis C 1/3707 (0%) 0/3669 (0%)
Herpes zoster 1/3707 (0%) 0/3669 (0%)
Infection 0/3707 (0%) 1/3669 (0%)
Infective exacerbation of chronic obstructive airways disease 2/3707 (0.1%) 4/3669 (0.1%)
Influenza 0/3707 (0%) 2/3669 (0.1%)
Kidney infection 1/3707 (0%) 0/3669 (0%)
Laryngitis 1/3707 (0%) 0/3669 (0%)
Lobar pneumonia 3/3707 (0.1%) 1/3669 (0%)
Lower respiratory tract infection 3/3707 (0.1%) 1/3669 (0%)
Lung abscess 1/3707 (0%) 2/3669 (0.1%)
Lyme disease 1/3707 (0%) 0/3669 (0%)
Nosocomial infection 0/3707 (0%) 1/3669 (0%)
Oesophageal candidiasis 0/3707 (0%) 1/3669 (0%)
Oral candidiasis 1/3707 (0%) 0/3669 (0%)
Orchitis 0/3707 (0%) 2/3669 (0.1%)
Otitis media chronic 0/3707 (0%) 1/3669 (0%)
Peritonsillar abscess 0/3707 (0%) 2/3669 (0.1%)
Pilonidal cyst 0/3707 (0%) 1/3669 (0%)
Pneumonia 54/3707 (1.5%) 64/3669 (1.7%)
Pneumonia necrotising 0/3707 (0%) 1/3669 (0%)
Pneumonia staphylococcal 1/3707 (0%) 0/3669 (0%)
Pneumonia streptococcal 1/3707 (0%) 0/3669 (0%)
Pneumonia viral 0/3707 (0%) 1/3669 (0%)
Post procedural infection 0/3707 (0%) 1/3669 (0%)
Pseudomembranous colitis 0/3707 (0%) 1/3669 (0%)
Pulmonary tuberculosis 1/3707 (0%) 1/3669 (0%)
Pyelonephritis 2/3707 (0.1%) 1/3669 (0%)
Pyothorax 0/3707 (0%) 1/3669 (0%)
Respiratory tract infection 1/3707 (0%) 4/3669 (0.1%)
Rickettsiosis 1/3707 (0%) 0/3669 (0%)
Sepsis 3/3707 (0.1%) 2/3669 (0.1%)
Septic shock 2/3707 (0.1%) 2/3669 (0.1%)
Sinusitis 0/3707 (0%) 1/3669 (0%)
Staphylococcal infection 0/3707 (0%) 1/3669 (0%)
Staphylococcal sepsis 2/3707 (0.1%) 0/3669 (0%)
Subcutaneous abscess 1/3707 (0%) 0/3669 (0%)
Superinfection bacterial 1/3707 (0%) 0/3669 (0%)
Tracheobronchitis 1/3707 (0%) 0/3669 (0%)
Tuberculosis 1/3707 (0%) 2/3669 (0.1%)
Upper respiratory tract infection 0/3707 (0%) 4/3669 (0.1%)
Urinary tract infection 5/3707 (0.1%) 1/3669 (0%)
Wound sepsis 1/3707 (0%) 0/3669 (0%)
Injury, poisoning and procedural complications
Accident at work 0/3707 (0%) 1/3669 (0%)
Alcohol poisoning 0/3707 (0%) 1/3669 (0%)
Arthropod sting 0/3707 (0%) 1/3669 (0%)
Cerebral haemorrhage traumatic 0/3707 (0%) 1/3669 (0%)
Chest injury 1/3707 (0%) 1/3669 (0%)
Concussion 1/3707 (0%) 0/3669 (0%)
Contusion 2/3707 (0.1%) 2/3669 (0.1%)
Fall 9/3707 (0.2%) 7/3669 (0.2%)
Femoral neck fracture 1/3707 (0%) 1/3669 (0%)
Femur fracture 2/3707 (0.1%) 1/3669 (0%)
Fibula fracture 1/3707 (0%) 0/3669 (0%)
Foot fracture 0/3707 (0%) 1/3669 (0%)
Frostbite 0/3707 (0%) 1/3669 (0%)
Hand fracture 1/3707 (0%) 0/3669 (0%)
Head injury 3/3707 (0.1%) 1/3669 (0%)
Humerus fracture 1/3707 (0%) 2/3669 (0.1%)
Joint injury 1/3707 (0%) 0/3669 (0%)
Ligament rupture 1/3707 (0%) 0/3669 (0%)
Lumbar vertebral fracture 0/3707 (0%) 1/3669 (0%)
Multiple drug overdose 0/3707 (0%) 1/3669 (0%)
Multiple injuries 0/3707 (0%) 1/3669 (0%)
Muscle rupture 1/3707 (0%) 0/3669 (0%)
Postoperative wound complication 1/3707 (0%) 0/3669 (0%)
Radius fracture 0/3707 (0%) 1/3669 (0%)
Rib fracture 4/3707 (0.1%) 0/3669 (0%)
Road traffic accident 4/3707 (0.1%) 1/3669 (0%)
Spinal column injury 1/3707 (0%) 0/3669 (0%)
Spinal compression fracture 0/3707 (0%) 1/3669 (0%)
Spinal fracture 0/3707 (0%) 1/3669 (0%)
Subdural haematoma 3/3707 (0.1%) 0/3669 (0%)
Tendon rupture 2/3707 (0.1%) 0/3669 (0%)
Thermal burn 0/3707 (0%) 1/3669 (0%)
Thoracic vertebral fracture 0/3707 (0%) 1/3669 (0%)
Tibia fracture 1/3707 (0%) 0/3669 (0%)
Wound 1/3707 (0%) 0/3669 (0%)
Investigations
Arteriogram coronary 1/3707 (0%) 0/3669 (0%)
Investigation 0/3707 (0%) 1/3669 (0%)
Weight decreased 2/3707 (0.1%) 1/3669 (0%)
Metabolism and nutrition disorders
Cachexia 0/3707 (0%) 2/3669 (0.1%)
Diabetes mellitus 1/3707 (0%) 4/3669 (0.1%)
Diabetes mellitus inadequate control 0/3707 (0%) 1/3669 (0%)
Hyperglycaemia 1/3707 (0%) 0/3669 (0%)
Hyperkalaemia 1/3707 (0%) 0/3669 (0%)
Hypertriglyceridaemia 1/3707 (0%) 0/3669 (0%)
Hypokalaemia 1/3707 (0%) 1/3669 (0%)
Hypomagnesaemia 1/3707 (0%) 0/3669 (0%)
Hyponatraemia 0/3707 (0%) 1/3669 (0%)
Tetany 1/3707 (0%) 0/3669 (0%)
Musculoskeletal and connective tissue disorders
Arthritis 0/3707 (0%) 1/3669 (0%)
Arthropathy 1/3707 (0%) 0/3669 (0%)
Back pain 2/3707 (0.1%) 4/3669 (0.1%)
Bone pain 0/3707 (0%) 2/3669 (0.1%)
Bursitis 1/3707 (0%) 0/3669 (0%)
Dental alveolar anomaly 0/3707 (0%) 1/3669 (0%)
Dupuytren's contracture 1/3707 (0%) 0/3669 (0%)
Intervertebral disc protrusion 1/3707 (0%) 1/3669 (0%)
Lumbar spinal stenosis 0/3707 (0%) 1/3669 (0%)
Muscle atrophy 0/3707 (0%) 1/3669 (0%)
Musculoskeletal chest pain 0/3707 (0%) 1/3669 (0%)
Neck pain 0/3707 (0%) 1/3669 (0%)
Osteoarthritis 1/3707 (0%) 5/3669 (0.1%)
Osteochondrosis 1/3707 (0%) 1/3669 (0%)
Osteoporosis 0/3707 (0%) 2/3669 (0.1%)
Pain in extremity 0/3707 (0%) 1/3669 (0%)
Polymyalgia rheumatica 0/3707 (0%) 1/3669 (0%)
Rotator cuff syndrome 1/3707 (0%) 0/3669 (0%)
Soft tissue necrosis 0/3707 (0%) 1/3669 (0%)
Spinal disorder 1/3707 (0%) 0/3669 (0%)
Spinal osteoarthritis 1/3707 (0%) 0/3669 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma 3/3707 (0.1%) 1/3669 (0%)
Benign breast neoplasm 1/3707 (0%) 0/3669 (0%)
Bladder cancer 4/3707 (0.1%) 1/3669 (0%)
Bladder neoplasm 1/3707 (0%) 0/3669 (0%)
Bladder papilloma 1/3707 (0%) 0/3669 (0%)
Bladder transitional cell carcinoma 0/3707 (0%) 2/3669 (0.1%)
Breast cancer 0/3707 (0%) 2/3669 (0.1%)
Bronchial carcinoma 4/3707 (0.1%) 2/3669 (0.1%)
Carcinoid tumour pulmonary 0/3707 (0%) 1/3669 (0%)
Cholesteatoma 0/3707 (0%) 1/3669 (0%)
Chronic lymphocytic leukaemia 1/3707 (0%) 0/3669 (0%)
Colon cancer 0/3707 (0%) 2/3669 (0.1%)
Gallbladder cancer 0/3707 (0%) 1/3669 (0%)
Gastric cancer 1/3707 (0%) 0/3669 (0%)
Haemangioma of liver 1/3707 (0%) 0/3669 (0%)
Hepatic neoplasm 1/3707 (0%) 0/3669 (0%)
Hepatic neoplasm malignant 0/3707 (0%) 2/3669 (0.1%)
Histiocytosis 1/3707 (0%) 0/3669 (0%)
Hypopharyngeal cancer 0/3707 (0%) 2/3669 (0.1%)
Lip neoplasm malignant stage unspecified 1/3707 (0%) 0/3669 (0%)
Lipoma 1/3707 (0%) 0/3669 (0%)
Lung adenocarcinoma 0/3707 (0%) 1/3669 (0%)
Lung carcinoma cell type unspecified stage III 1/3707 (0%) 0/3669 (0%)
Lung neoplasm 1/3707 (0%) 1/3669 (0%)
Lung neoplasm malignant 9/3707 (0.2%) 7/3669 (0.2%)
Lung squamous cell carcinoma stage unspecified 1/3707 (0%) 2/3669 (0.1%)
Lymphocytic leukaemia 0/3707 (0%) 1/3669 (0%)
Lymphoma 1/3707 (0%) 0/3669 (0%)
Malignant melanoma 0/3707 (0%) 1/3669 (0%)
Metastases to bone 0/3707 (0%) 1/3669 (0%)
Metastases to central nervous system 1/3707 (0%) 1/3669 (0%)
Metastases to liver 0/3707 (0%) 3/3669 (0.1%)
Metastases to lung 0/3707 (0%) 1/3669 (0%)
Metastases to lymph nodes 0/3707 (0%) 1/3669 (0%)
Metastases to peritoneum 1/3707 (0%) 0/3669 (0%)
Metastases to retroperitoneum 0/3707 (0%) 1/3669 (0%)
Metastasis 1/3707 (0%) 0/3669 (0%)
Metastatic carcinoid tumour 0/3707 (0%) 1/3669 (0%)
Metastatic gastric cancer 1/3707 (0%) 0/3669 (0%)
Neoplasm malignant 2/3707 (0.1%) 0/3669 (0%)
Non-small cell lung cancer 2/3707 (0.1%) 3/3669 (0.1%)
Oral papilloma 1/3707 (0%) 0/3669 (0%)
Pancreatic carcinoma 2/3707 (0.1%) 2/3669 (0.1%)
Pancreatic carcinoma metastatic 1/3707 (0%) 1/3669 (0%)
Pancreatic neoplasm 0/3707 (0%) 1/3669 (0%)
Paraneoplastic syndrome 0/3707 (0%) 1/3669 (0%)
Pharyngeal cancer stage unspecified 1/3707 (0%) 0/3669 (0%)
Pleural mesothelioma 1/3707 (0%) 0/3669 (0%)
Prostate cancer 2/3707 (0.1%) 2/3669 (0.1%)
Prostatic adenoma 1/3707 (0%) 0/3669 (0%)
Rectal cancer 0/3707 (0%) 1/3669 (0%)
Renal neoplasm 1/3707 (0%) 1/3669 (0%)
Salivary gland cancer 1/3707 (0%) 0/3669 (0%)
Small cell lung cancer stage unspecified 2/3707 (0.1%) 0/3669 (0%)
Tongue neoplasm malignant stage unspecified 1/3707 (0%) 0/3669 (0%)
Tonsil cancer 0/3707 (0%) 1/3669 (0%)
Nervous system disorders
Axonal neuropathy 0/3707 (0%) 1/3669 (0%)
Brain oedema 2/3707 (0.1%) 3/3669 (0.1%)
Carotid artery stenosis 1/3707 (0%) 1/3669 (0%)
Cerebral circulatory failure 1/3707 (0%) 0/3669 (0%)
Cerebral haematoma 0/3707 (0%) 1/3669 (0%)
Cerebral haemorrhage 1/3707 (0%) 1/3669 (0%)
Cerebral ischaemia 2/3707 (0.1%) 0/3669 (0%)
Cerebrovascular accident 3/3707 (0.1%) 9/3669 (0.2%)
Cervical root pain 0/3707 (0%) 1/3669 (0%)
Coma 0/3707 (0%) 2/3669 (0.1%)
Convulsion 0/3707 (0%) 2/3669 (0.1%)
Diabetic ketoacidotic hyperglycaemic coma 1/3707 (0%) 0/3669 (0%)
Dizziness 1/3707 (0%) 0/3669 (0%)
Encephalopathy 1/3707 (0%) 0/3669 (0%)
Epilepsy 1/3707 (0%) 0/3669 (0%)
Headache 0/3707 (0%) 1/3669 (0%)
Hypercapnic encephalopathy 0/3707 (0%) 1/3669 (0%)
Ischaemic stroke 3/3707 (0.1%) 2/3669 (0.1%)
Neuralgia 0/3707 (0%) 1/3669 (0%)
Paresis 1/3707 (0%) 0/3669 (0%)
Polyneuropathy 1/3707 (0%) 1/3669 (0%)
Postictal state 0/3707 (0%) 1/3669 (0%)
Sciatica 1/3707 (0%) 1/3669 (0%)
Subarachnoid haemorrhage 1/3707 (0%) 1/3669 (0%)
Syncope 5/3707 (0.1%) 2/3669 (0.1%)
Transient ischaemic attack 3/3707 (0.1%) 2/3669 (0.1%)
Psychiatric disorders
Alcohol abuse 0/3707 (0%) 1/3669 (0%)
Alcoholism 0/3707 (0%) 2/3669 (0.1%)
Completed suicide 1/3707 (0%) 1/3669 (0%)
Confusional state 0/3707 (0%) 2/3669 (0.1%)
Delirium tremens 0/3707 (0%) 1/3669 (0%)
Depression 3/3707 (0.1%) 3/3669 (0.1%)
Drug abuse 1/3707 (0%) 0/3669 (0%)
Renal and urinary disorders
Glomerulonephritis chronic 1/3707 (0%) 0/3669 (0%)
Haematuria 0/3707 (0%) 1/3669 (0%)
Nephropathy 0/3707 (0%) 1/3669 (0%)
Renal failure 4/3707 (0.1%) 1/3669 (0%)
Renal failure acute 3/3707 (0.1%) 1/3669 (0%)
Urinary retention 4/3707 (0.1%) 0/3669 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 1/3707 (0%) 1/3669 (0%)
Epididymitis 0/3707 (0%) 1/3669 (0%)
Prostatitis 1/3707 (0%) 1/3669 (0%)
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema 0/3707 (0%) 1/3669 (0%)
Acute respiratory failure 1/3707 (0%) 4/3669 (0.1%)
Allergic granulomatous angiitis 1/3707 (0%) 0/3669 (0%)
Aspiration 0/3707 (0%) 1/3669 (0%)
Atelectasis 1/3707 (0%) 0/3669 (0%)
Bronchopneumopathy 1/3707 (0%) 0/3669 (0%)
Bronchostenosis 0/3707 (0%) 1/3669 (0%)
Bullous lung disease 1/3707 (0%) 3/3669 (0.1%)
Chronic obstructive pulmonary disease 270/3707 (7.3%) 335/3669 (9.1%)
Chronic respiratory failure 2/3707 (0.1%) 1/3669 (0%)
Dyspnoea 1/3707 (0%) 5/3669 (0.1%)
Eosinophilic pneumonia 0/3707 (0%) 1/3669 (0%)
Epistaxis 1/3707 (0%) 2/3669 (0.1%)
Haemoptysis 4/3707 (0.1%) 1/3669 (0%)
Haemothorax 3/3707 (0.1%) 0/3669 (0%)
Hydrothorax 1/3707 (0%) 2/3669 (0.1%)
Hypoxia 0/3707 (0%) 1/3669 (0%)
Lung infiltration 1/3707 (0%) 0/3669 (0%)
Nasal polyps 0/3707 (0%) 1/3669 (0%)
Oropharyngeal swelling 0/3707 (0%) 1/3669 (0%)
Pleural effusion 3/3707 (0.1%) 1/3669 (0%)
Pleurisy 1/3707 (0%) 1/3669 (0%)
Pneumothorax 3/3707 (0.1%) 5/3669 (0.1%)
Pulmonary artery thrombosis 2/3707 (0.1%) 0/3669 (0%)
Pulmonary embolism 7/3707 (0.2%) 6/3669 (0.2%)
Pulmonary fibrosis 1/3707 (0%) 0/3669 (0%)
Pulmonary granuloma 1/3707 (0%) 0/3669 (0%)
Pulmonary hypertension 1/3707 (0%) 3/3669 (0.1%)
Pulmonary oedema 1/3707 (0%) 0/3669 (0%)
Respiratory arrest 0/3707 (0%) 1/3669 (0%)
Respiratory disorder 0/3707 (0%) 1/3669 (0%)
Respiratory failure 16/3707 (0.4%) 20/3669 (0.5%)
Throat lesion 1/3707 (0%) 0/3669 (0%)
Vasomotor rhinitis 1/3707 (0%) 0/3669 (0%)
Skin and subcutaneous tissue disorders
Actinic keratosis 1/3707 (0%) 0/3669 (0%)
Drug eruption 1/3707 (0%) 0/3669 (0%)
Psoriasis 1/3707 (0%) 0/3669 (0%)
Seborrhoeic dermatitis 1/3707 (0%) 0/3669 (0%)
Skin ulcer 0/3707 (0%) 2/3669 (0.1%)
Social circumstances
Social problem 1/3707 (0%) 0/3669 (0%)
Surgical and medical procedures
Alcohol detoxification 0/3707 (0%) 1/3669 (0%)
Intraocular lens implant 1/3707 (0%) 0/3669 (0%)
Surgery 1/3707 (0%) 0/3669 (0%)
Vocal cord polypectomy 0/3707 (0%) 1/3669 (0%)
Vascular disorders
Aortic aneurysm 2/3707 (0.1%) 4/3669 (0.1%)
Aortic dissection 1/3707 (0%) 1/3669 (0%)
Aortic stenosis 1/3707 (0%) 0/3669 (0%)
Arteriosclerosis 3/3707 (0.1%) 3/3669 (0.1%)
Arteriosclerosis obliterans 1/3707 (0%) 2/3669 (0.1%)
Arteriovenous fistula 1/3707 (0%) 0/3669 (0%)
Circulatory collapse 5/3707 (0.1%) 1/3669 (0%)
Deep vein thrombosis 5/3707 (0.1%) 1/3669 (0%)
Embolism 0/3707 (0%) 1/3669 (0%)
Femoral artery occlusion 0/3707 (0%) 1/3669 (0%)
Haematoma 1/3707 (0%) 0/3669 (0%)
Hypertension 9/3707 (0.2%) 5/3669 (0.1%)
Hypertensive crisis 3/3707 (0.1%) 4/3669 (0.1%)
Hypotension 1/3707 (0%) 0/3669 (0%)
Iliac artery occlusion 1/3707 (0%) 1/3669 (0%)
Peripheral arterial occlusive disease 4/3707 (0.1%) 2/3669 (0.1%)
Peripheral embolism 0/3707 (0%) 1/3669 (0%)
Peripheral ischaemia 1/3707 (0%) 0/3669 (0%)
Superior vena caval occlusion 1/3707 (0%) 0/3669 (0%)
Vascular occlusion 1/3707 (0%) 0/3669 (0%)
Venous thrombosis 0/3707 (0%) 1/3669 (0%)
Other (Not Including Serious) Adverse Events
Tiotropium Salmeterol
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 495/3707 (13.4%) 581/3669 (15.8%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 495/3707 (13.4%) 581/3669 (15.8%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Any publication of the result of this trial must be consistent with the Boehringer Ingelheim publication policy. The rights of the investigator and of the sponsor with regard to publication of the results of this trial are described in the investigator contract.

Results Point of Contact

Name/Title Boehringer Ingelheim Call Center
Organization Boehringer Ingelheim Pharmaceuticals
Phone 1-800-243-0127
Email clintriage.rdg@boehringer-ingelheim.com
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00563381
Other Study ID Numbers:
  • 205.389
  • EUDRACT2007-001840-33
First Posted:
Nov 26, 2007
Last Update Posted:
Dec 24, 2013
Last Verified:
Jul 1, 2012