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NCT01691482

A Study to Look at Day to Day Changes in Lung Function in COPD Subjects Taking Albuterol/Salbutamol and Ipratropium

Completed Phase 4 Results posted Last updated 20 June 2018
What this trial tests

Phase 4 trial testing Albuterol/salbutamol in Pulmonary Disease, Chronic Obstructive in 56 participants. Completed in 22 October 2012.

Timeline
23 July 2012
Primary endpoint
1 October 2012
22 October 2012

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment56
Start date23 July 2012
Primary completion1 October 2012
Estimated completion22 October 2012
Sites2 locations across United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

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 Variation 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
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.081± 0.0394
Ipratropium Followed by Albuterol/Salbutamol0.079± 0.0372
Albuterol/Salbutamol (A/S) alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.059± 0.0276
Ipratropium Followed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.054± 0.0232
Ipratropium Followed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.072± 0.0406
Ipratropium followed by A/S, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.063± 0.0327
The Maximal Bronchodilator Response for the First Administered Agent Secondary · 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)
GroupValue95% CI
All Randomized Participants0.269± 0.0174
First agent, ipratropium
GroupValue95% CI
All Randomized Participants0.243± 0.0174
Second agent, A/S
GroupValue95% CI
All Randomized Participants0.094± 0.0123
Second agent, ipratropium
GroupValue95% CI
All Randomized Participants0.094± 0.0123
A/S followed by ipratropium
GroupValue95% CI
All Randomized Participants0.363± 0.0200
Ipratropium followed by A/S
GroupValue95% CI
All Randomized Participants0.337± 0.0200
Percentage of Days for Which Participants Achieved a >=12% and 200 Milliliter (mL) Increase From Baseline in FEV1 Secondary · 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
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium58.4± 38.26
Ipratropium Follwed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium71.7± 35.51
Ipratropium Follwed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Follwed by Albuterol/Salbutamol55.4± 39.34
Ipratropium followed by A/S, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Follwed by Albuterol/Salbutamol69.1± 36.82
Percentage of Days for Which Participants Achieved a Threshold Increase From Baseline in FEV1 of 100 mL, 200 mL, and 250 mL Secondary · 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
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium81.6± 31.35
Ipratropium Follwed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium, 2 hours, 100 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium85.2± 29.92
Ipratropium Follwed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour, 100 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Follwed by Albuterol/Salbutamol72.9± 38.06
Ipratropium followed by A/S, 2 hours, 100 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Follwed by Albuterol/Salbutamol81.2± 33.46
A/S alone, 1 hour, 200 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium59.2± 38.20
Ipratropium Follwed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium, 2 hours, 200 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium72.7± 35.25
Ipratropium Follwed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour, 200 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Follwed by Albuterol/Salbutamol56.0± 39.54
Ipratropium followed by A/S, 2 hours, 200 mL
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Follwed by Albuterol/Salbutamol70.5± 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
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.136± 0.0627
Ipratropium Followed by Albuterol/Salbutamol0.135± 0.0780
Albuterol/Salbutamol (A/S) alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.125± 0.0525
Ipratropium Followed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.122± 0.0542
Ipratropium Followed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.145± 0.0805
Ipratropium followed by A/S, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.137± 0.0726
Variability in Daily Inspiratory Capacity (IC), Estimated by Coefficient of Variation 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
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.078± 0.0305
Ipratropium Followed by Albuterol/Salbutamol0.083± 0.0374
Albuterol/Salbutamol (A/S) alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.069± 0.0310
Ipratropium Followed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium (A+I), 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.070± 0.0373
Ipratropium Followed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.072± 0.0353
Ipratropium followed by A/S (I+A), 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.066± 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
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.225± 0.1017
Ipratropium Followed by Albuterol/Salbutamol0.236± 0.1166
Albuterol/Salbutamol (A/S) alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.229± 0.1004
Ipratropium Followed by Albuterol/SalbutamolNA± NA
A/S followed by ipratropium, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by Ipratropium0.233± 0.1132
Ipratropium Followed by Albuterol/SalbutamolNA± NA
Ipratropium alone, 1 hour
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.235± 0.1026
Ipratropium followed by A/S, 2 hours
GroupValue95% CI
Albuterol/Salbutamol Followed by IpratropiumNA± NA
Ipratropium Followed by Albuterol/Salbutamol0.221± 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.

All Randomized Participants
Serious: 1/56 (2%)
Deaths:

Serious adverse events (1 terms)

ReactionSystemAll Randomized Participants
DeathGeneral disorders
Other adverse events (28 terms — click to expand)

ReactionSystemAll Randomized Participants
HeadacheNervous system disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Increased upper airway secretionRespiratory, thoracic and mediastinal disorders
Painful respirationRespiratory, thoracic and mediastinal disorders
SneezingRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
Chest discomfortGeneral disorders
Influenza like illnessGeneral disorders
Oedema peripheralGeneral disorders
ExcoriationInjury, poisoning and procedural complications
FallInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Radius fractureInjury, poisoning and procedural complications
Tooth fractureInjury, poisoning and procedural complications
Bacterial infectionInfections and infestations
Herpes zosterInfections and infestations
NasopharyngitisInfections and infestations
RhinitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Joint swellingMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
HaematuriaRenal and urinary disorders

Most-reported serious reactions: Death.

Data from ClinicalTrials.gov NCT01691482 adverse events section.

Sponsor's own description

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):

  1. Bronchodilator reversibility in patients with COPD revisited: short-term reproducibility.
    Pascoe S, Wu W, Zhu CQ, Singh D. · · 2016 · cited 7× · PMID 27621609 · DOI 10.2147/copd.s108723
  2. Daily variation in lung function in COPD patients with combined albuterol and ipratropium: results from a 4-week, randomized, crossover study.
    Singh D, Zhu CQ, Sharma S, Church A, et al · · 2015 · cited 5× · PMID 25197005 · DOI 10.1016/j.pupt.2014.08.010

Verify or expand the search:

Other trials of Albuterol/salbutamol

Trials testing the same drug.

Other recruiting trials for Pulmonary Disease, Chronic Obstructive

Currently open trials in the same condition.

Other GlaxoSmithKline trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing