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CTRI Number  CTRI/2010/091/000631 [Registered on: 14/07/2010]
Last Modified On: 13/03/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
A clinical trial to study the effects and safety of 2.5 microgram and 5 microgram Tiotropium Inhalation Solution delivered by the Respimat® Inhaler with Tiotropium inhalation capsules 18 microgram delivered by the HandiHaler in patients with Chronic Obstructive Pulmonary Disease (COPD). 
Scientific Title of Study
Modification(s)  
A randomized, active controlled, double blind, double dummy, parallel group, design, multi-centre, trial to compare, the efficacy and safety of 2.5 microgm and 5 microgm Tiotropium Inhalation Solution delivered by the Respimat® Inhaler with Tiotropium inhalation capsules 18 microgm delivered by the HandiHaler® 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
BI 205.452  Protocol Number 
NCT01126437  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Shubhangi Desai 
Designation   
Affiliation  SIRO Clinpharm Pvt. Ltd. 
Address  SIRO Clinpharm Pvt. Ltd.
DIL Complex, Second Floor, S.V. Road, Nr. Tatwagyan Vidyapeeth, Ghodbunder Road
Thane
MAHARASHTRA
400610
India 
Phone  02225848000  
Fax  02225848275  
Email  shubhangi.desai@siroclinpharm.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Shubhangi Desai 
Designation  Head Clinical Operations - Asia Pacific 
Affiliation  SIRO Clinpharm Pvt. Ltd. 
Address  SIRO Clinpharm Pvt. Ltd.
DIL Complex, Second Floor, S.V. Road, Nr. Tatwagyan Vidyapeeth, Ghodbunder Road
Thane
MAHARASHTRA
400610
India 
Phone  02225848000  
Fax  02225848275  
Email  shubhangi.desai@siroclinpharm.com  
 
Source of Monetary or Material Support
Modification(s)  
Boehringer Ingelheim Pharma GmbH & Co. KG Binger Strasse 173 55216 Ingelheim am Rhein Germany 
 
Primary Sponsor
Modification(s)  
Name  Boehringer Ingelheim Pharma GmbH Co KGBinger Strasse Ingelheim am RheinGermany 
Address  Boehringer Ingelheim Pharma GmbH Co KGBinger Strasse Ingelheim am RheinGermany 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL  NIL 
 
Countries of Recruitment
Modification(s)  
  India
Argentina
Australia
Austria
Belgium
Brazil
Bulgaria
Canada
Chile
China
Colombia
Costa Rica
Croatia
Denmark
Ecuador
Finland
France
Georgia
Germany
Greece
Guatemala
Hungary
Ireland
Israel
Italy
Latvia
Lithuania
Malaysia
Mexico
Netherlands
Norway
Panama
Peru
Philippines
Poland
Portugal
Romania
Russian Federation
Serbia
Slovakia
South Africa
Spain
Sweden
Switzerland
Thailand
Tunisia
Turkey
Ukraine
United States of America  
Sites of Study
Modification(s)  
No of Sites = 15  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrMahesh P A   Allergy Asthma Associates  No.1397, 4th Cross, Krishnamurthypuram, Mysore-570 004, Karnataka
Mysore
KARNATAKA 
918212331546

mahesh1971in@yahoo.com 
Dr Pramod Niphadkar  Asthma Allergy Centre  Gurukripa Building, 1st Floor, 66, Hindu Colony, Lane No- 1, D V Pradhan Road, Dadar (East)- 400 014
Mumbai
MAHARASHTRA 
02224135178

dr_niphadkar@vsnl.net 
DrAshish Malpani  Asthma Bhawan  R-3 Sector- 6, Opposite Cinestar Cinema Hall, Vidya Nagar, Jaipur- 302 023
Jaipur
RAJASTHAN 
01412235005

drashish19@gmail.com 
DrAkash L Balki  Cancer Care Clinic  231,Everest Arcade,Sakkardara square,Umred Rd,Near Satkar travels, Nagpur-440009
Nagpur
MAHARASHTRA 
917122705904

akash_balki@yahoo.com 
DrK Jagannath  Chennai Thoracic Research Institute,  47 (53), Sterling Road, Nungambakkam, Chennai- 600034 Tamil Nadu
Chennai
TAMIL NADU 
914428250957

jagannath@sify.com 
DrJagdeep Whig  Dayanand Medical College & Hospital (D M C & Hospital)  Tagore Nagar, Civil Lines, Ludhiana- 141 001
Ludhiana
PUNJAB 
01614687502

vice.principal@dmch.edu 
DrNarendra Khippal  Dr. Khippals Clinic  Bunglow no.2, In front of Krishnakripa 2, Subhash Nagar Shopping centre, Jaipur – 302016
Jaipur
RAJASTHAN 
01414007619

drnkhippal@rediffmail.com 
DrRajesh Swaranakar  Getwell Hospital  20/1, Khare Marg, Dhantoli, Nagpur-440015
Nagpur
MAHARASHTRA 
917122440112

rajeshswarnakar@yahoo.co.in 
DrE Ravindra Reddy  Kamineni Hospital  Lal Bahadur Nagar, Dilsukh Nagar, Cross Road, Hyderabad – 500 068
Hyderabad
ANDHRA PRADESH 
04039879700

rvndrreddy@yahoo.com 
DrV Nanda Gopal  Karthik Polyclinic - Asthma Allergy Respiratary Care  101/67, Karunanidhi Nagar, Behind Sungam Chintamani, Trichy road, Ramanathapuram, Coimbatore – 641045, Tamil Nadu, India
Coimbatore
TAMIL NADU 
914224223383

dr_nanda@yahoo.com 
DrPradyut Waghray  Kunal Institute of Medical Specialities Pvt. Ltd.  5-9-41/1/A, New MLA quarter lane, Basher bagh, Hyderabad-500029
Hyderabad
ANDHRA PRADESH 
04023232946

pradyut_waghray@rediffmail.com 
DrPuneet Rhijwani  Mahatma Gandhi Medical College & Hospital  R I C C O Institutional Area, Sitapura, Tonk Road, Jaipur- 302 022
Jaipur
RAJASTHAN 
01412771777

puneet284@rediffmail.com 
DrK Srikanth  P S G Institute of Medical Science & Research  Avinash road,Peelamedu, Coimbatore-641 004,Tamil Nadu,India
Coimbatore
TAMIL NADU 
914222570170

drsrikanthcbe@yahoo.com 
DrRaj Bhagat  Pathik  Behind Paldi Bus stand, Dashaporwad Society Naka, Paldi, Ahmedabad - 380007, Gujarat
Ahmadabad
GUJARAT 
07926588062

rajpurvi@yahoo.com 
DrManish Jain  Shwaas Centre, Navkar Hospital  11,Shubham Apartment, Central Spine, Vidhyadharnagar, Jaipur-302023,Rajasthan
Jaipur
RAJASTHAN 
01412338257

dtlung@hotmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 15  
Name of Committee  Approval Status 
Cerebral Independent Review Board,Hyderabad  Approved 
CLINICOM Committee for Evaluation of Protocols for Clinical Research  Approved 
CLINICOM Committee for Evaluation of Protocols for Clinical Research - Dr Bhagat  Approved 
CLINICOM Committee for Evaluation of Protocols for Clinical Research - Dr Nandagopal V  Approved 
Ethics Committee for Asthma, Allergy and COPD(ECAAC), Dadar  Approved 
Ethics Committee of Bansal Hospital and Research Centre, Jaipur  Approved 
Ethics Committee of Central Thorasic Research Institute  Approved 
Ethics Committee, Allergy Asthma Associates, Mysore  Approved 
Independent Ethics Committee, Get well Hospital and Research Institute, Nagpur  Approved 
Institutional Ethics Committee of Mahatma Gandhi Medical College and Hospital, Jaipur  Approved 
Institutional Ethics Committee, Kamineni Hospitals, Hyderabad  Approved 
Institutional Ethics Committee, Dayanand Medical College and Hospital, Ludhiana  Approved 
Institutional Human Ethics Committee, PSG IMS and R, Coimbatore  Approved 
Medcity Independent Ethics Committee of Chest Care Hospital, Nagpur  Approved 
S.R.Kalla Memorial Ethical Committee for Human Research, Jaipur  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Pulmonary Disease, Chronic Obstructive,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Tiotropium Inhalation Capsule 18 micro gram  Substance (INN): Tiotropium Pharmaceutical form: Inhalation capsule Unit strength: 18 micro gram Route of administration: Oral inhalation via HandiHaler® device Dosage regimen: 1 inhalation once daily (a.m. dosing) 
Intervention  Tiotropium Inhalation solution 2.5 microgm  Substance (INN): Tiotropium Pharmaceutical form: Inhalation solution Unit strength: 2.5 microgm (1.25 microgm per puff) Route of administration:Oral inhalation via Respimat® inhaler Dosage regimen: 2 inhalations once daily (a.m. dosing) Substance 
Intervention  Tiotropium Inhalation solution 5 micro gram  Substance (INN): Tiotropium Pharmaceutical form: Inhalation solution Unit strength: 5 microgram (2.25 micro gram per puff) Route of administration: Oral inhalation via Respimat® inhaler Dosage regimen: 2 inhalations once daily (a.m. dosing) Substance  
Comparator Agent  Tiotropium placebo Inhalation capsule   Substance (INN): Tiotropium placebo Pharmaceutical form: Inhalation capsule Unit strength: Placebo Route of administration: Oral inhalation via HandiHaler® device Dosage regimen: 1 inhalation once daily (a.m. dosing) 
Comparator Agent  Tiotropium placebo Inhalation solution  Substance (INN): Tiotropium placebo Pharmaceutical form: Inhalation solution Unit strength: Placebo Route of administration: Oral inhalation via Respimat® inhaler Dosage regimen: 2 inhalations once daily (a.m. dosing) 
 
Inclusion Criteria
Modification(s)  
Age From  40.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. All patients must sign an informed consent consistent with International Conference on Harmonization Good Clinical Practice (ICH-GCP) guidelines prior to participation in the trial, which includes medication washout and restrictions.
2. Male or female patients 40 years of age or older.
3. Patients must be current or ex-smokers with a smoking history of 10 pack-years. (Patients who have never smoked cigarettes must be excluded)
4. All patients must have a diagnosis of COPD (P06-12085), and must meet the following criteria: Relatively stable airway obstruction with a post-bronchodilator FEV1 less than 70% of predicted normal and post-bronchodilator FEV1 / FVC less than 70% 
 
ExclusionCriteria 
Details  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 the patients ability to participate in the study. 2.Patients with a recent history (i.e., six months or less) of myocardial infarction. 3.Patients with any unstable or life-threatening cardiac arrhythmia requiring intervention or change in drug therapy during the last year. 4.Hospitalisation for cardiac failure (New York Heart Association (NYHA) Class III or IV) during the past year. 5.Known active tuberculosis. 6.Patients with a history of asthma, cystic fibrosis, bronchiectasis, interstitial lung disease, or pulmonary thromboembolic disease. 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Centralized 
Blinding/Masking
Modification(s)  
Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
1. Time to death (all-cause mortality)  24 Months  
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
1. Time to first major adverse cardiovascular event  24 Months 
2. Number of COPD exacerbations  24 Months 
3. Time to first hospitalization due to COPD exacerbation  24 Months 
4. Number of hospitalizations due to COPD exacerbation   24 Months 
 
Target Sample Size
Modification(s)  
Total Sample Size="16800"
Sample Size from India="500" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
24/06/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  14/05/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="3"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
A randomized, active controlled, double blind, double dummy, parallel group, design, multi-centre, trial to compare, the efficacy and safety of 2.5 microgm and 5 microgm Tiotropium Inhalation Solution delivered by the Respimat® Inhaler with Tiotropium inhalation capsules 18 microgm delivered by the HandiHaler® in patients with Chronic Obstructive Pulmonary Disease (COPD). The primary outcome measures will be Time to death (all-cause mortality) and Time to first COPD exacerbation. The secondary outcomes will be Time to first major adverse cardiovascular event, Number of COPD exacerbations, Time to first hospitalisation due to COPD exacerbation and Number of hospitalisations due to COPD exacerbations. Target Sample size for India-500 subjects  
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