40 and older, any sex, with Pulmonary Disease, Chronic Obstructive. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Variability in Daily FEV1, Estimated by Coefficient of VariationPrimary· up to 10 days
FEV1 is the maximal amount of air that can be forcefully exhaled in one second. During each study period, pre- and post-bronchodilator spirometry for evaluation of FEV1 was performed at study visits as follows: prior to administration of the first short-acting bronchodilator, approximately 1 hour after administration of the first bronchodilator (1 hour), and approximately 1 hour after administration of the second short-acting bronchodilator (2 hours). Variability in daily FEV1 was measured as the fluctuation around the mean FEV1 data collected from Day 1 to Day 10. Variability was measured by
Pre-dose/non-bronchodilator
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.081
± 0.0394
Ipratropium Followed by Albuterol/Salbutamol
0.079
± 0.0372
Albuterol/Salbutamol (A/S) alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.059
± 0.0276
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.054
± 0.0232
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.072
± 0.0406
Ipratropium followed by A/S, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.063
± 0.0327
The Maximal Bronchodilator Response for the First Administered AgentSecondary· up to 10 days
The maximal bronchodilator response for the first administered agent is defined as the FEV1 (the maximal amount of air that can be forcefully exhaled in one second) 1 hour post-dose of the first bronchodilator minus the pre-dose. The maximal bronchodilator response for the second agent is defined as the FEV1 1 hour post-dose of the second bronchodilator minus the FEV1 at 1 hour post-dose of the first bronchodilator. The maximal bronchodilator response for the combination is defined as the FEV1 (the maximal amount of air that can be forcefully exhaled in one second) at 1 hour post-administratio
First agent, albuterol/salbutamol (A/S)
Group
Value
95% CI
All Randomized Participants
0.269
± 0.0174
First agent, ipratropium
Group
Value
95% CI
All Randomized Participants
0.243
± 0.0174
Second agent, A/S
Group
Value
95% CI
All Randomized Participants
0.094
± 0.0123
Second agent, ipratropium
Group
Value
95% CI
All Randomized Participants
0.094
± 0.0123
A/S followed by ipratropium
Group
Value
95% CI
All Randomized Participants
0.363
± 0.0200
Ipratropium followed by A/S
Group
Value
95% CI
All Randomized Participants
0.337
± 0.0200
Percentage of Days for Which Participants Achieved a >=12% and 200 Milliliter (mL) Increase From Baseline in FEV1Secondary· up to 35 days
FEV1 is the maximal amount of air that can be forcefully exhaled in one second. During each study period, pre- and post-bronchodilator spirometry for evaluation of FEV1 was performed at study visits as follows: approximately 1 hour after administration of the first bronchodilator (1 hour), and approximately 1 hour after administration of the second short-acting bronchodilator (2 hours).
Albuterol/Salbutamol (A/S) alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
58.4
± 38.26
Ipratropium Follwed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
71.7
± 35.51
Ipratropium Follwed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Follwed by Albuterol/Salbutamol
55.4
± 39.34
Ipratropium followed by A/S, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Follwed by Albuterol/Salbutamol
69.1
± 36.82
Percentage of Days for Which Participants Achieved a Threshold Increase From Baseline in FEV1 of 100 mL, 200 mL, and 250 mLSecondary· up to 35 days
FEV1 is the maximal amount of air that can be forcefully exhaled in one second. During each study period, pre- and post-bronchodilator spirometry for evaluation of FEV1 was performed at study visits as follows: approximately 1 hour after administration of the first bronchodilator (1 hour), and approximately 1 hour after administration of the second short-acting bronchodilator (2 hours).
A/S alone, 1 hour, 100 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
81.6
± 31.35
Ipratropium Follwed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium, 2 hours, 100 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
85.2
± 29.92
Ipratropium Follwed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour, 100 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Follwed by Albuterol/Salbutamol
72.9
± 38.06
Ipratropium followed by A/S, 2 hours, 100 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Follwed by Albuterol/Salbutamol
81.2
± 33.46
A/S alone, 1 hour, 200 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
59.2
± 38.20
Ipratropium Follwed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium, 2 hours, 200 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
72.7
± 35.25
Ipratropium Follwed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour, 200 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Follwed by Albuterol/Salbutamol
56.0
± 39.54
Ipratropium followed by A/S, 2 hours, 200 mL
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Follwed by Albuterol/Salbutamol
70.5
± 36.23
Variability in Daily FEV1, Estimated by Half Range (i.e., Half the Difference Between Maximum and Minimum Values)Primary· up to 10 days
FEV1 is the maximal amount of air that can be forcefully exhaled in one second. During each study period, pre- and post-bronchodilator spirometry for evaluation of FEV1 was performed at study visits as follows: prior to administration of the first short-acting bronchodilator, approximately 1 hour after administration of the first bronchodilator (1 hour), and approximately 1 hour after administration of the second short-acting bronchodilator (2 hours). Variability in daily FEV1 was measured as the fluctuation around the mean FEV1 data collected from Day 1 to Day 10. Variability was measured by
Pre-dose/non-bronchodilator
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.136
± 0.0627
Ipratropium Followed by Albuterol/Salbutamol
0.135
± 0.0780
Albuterol/Salbutamol (A/S) alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.125
± 0.0525
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.122
± 0.0542
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.145
± 0.0805
Ipratropium followed by A/S, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.137
± 0.0726
Variability in Daily Inspiratory Capacity (IC), Estimated by Coefficient of VariationSecondary· up to 10 days
IC is the the total amount of air that can be drawn into the lungs after normal expiration. During each study period, pre- and post-bronchodilator spirometry for evaluation of IC was performed at study visits as follows: prior to administration of the first short-acting bronchodilator, approximately 1 hour after administration of the first bronchodilator (1 hour), and approximately 1 hour after administration of the second short-acting bronchodilator (2 hours). Variability in daily IC was measured as the fluctuation around the mean IC data collected from Day 1 to Day 10. Variability was measur
Pre-dose/non-bronchodilator
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.078
± 0.0305
Ipratropium Followed by Albuterol/Salbutamol
0.083
± 0.0374
Albuterol/Salbutamol (A/S) alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.069
± 0.0310
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium (A+I), 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.070
± 0.0373
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.072
± 0.0353
Ipratropium followed by A/S (I+A), 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.066
± 0.0307
Variability in Daily IC, Estimated by Half Range (i.e., Half the Difference Between Maximum and Minimum)Secondary· up to 10 days
IC is the the total amount of air that can be drawn into the lungs after normal expiration. During each study period, pre- and post-bronchodilator spirometry for evaluation of IC was performed at study visits as follows: prior to administration of the first short-acting bronchodilator, approximately 1 hour after administration of the first bronchodilator (1 hour), and approximately 1 hour after administration of the second short-acting bronchodilator (2 hours). Variability in daily IC was measured as the fluctuation around the mean IC data collected from Day 1 to Day 10. Variability was measur
Pre-dose/non-bronchodilator
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.225
± 0.1017
Ipratropium Followed by Albuterol/Salbutamol
0.236
± 0.1166
Albuterol/Salbutamol (A/S) alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.229
± 0.1004
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
A/S followed by ipratropium, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
0.233
± 0.1132
Ipratropium Followed by Albuterol/Salbutamol
NA
± NA
Ipratropium alone, 1 hour
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.235
± 0.1026
Ipratropium followed by A/S, 2 hours
Group
Value
95% CI
Albuterol/Salbutamol Followed by Ipratropium
NA
± NA
Ipratropium Followed by Albuterol/Salbutamol
0.221
± 0.1066
Adverse events — posted to ClinicalTrials.gov
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The objective of this study is to assess the daily variation in bronchodilator response to an inhaled short acting beta2-agonist (albuterol/salbutamol) and an inhaled short acting anticholinergic (ipratropium) individually and when used in combination in subjects with COPD.
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by GlaxoSmithKline
Last refreshed: 20 June 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01691482.