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NCT03611777

The OPTI Study in Spain Looks at the History Flare-ups in Patients With Chronic Obstructive Pulmonary Disease (COPD) Treated With Inhaled Steroids.

Completed Results posted Last updated 8 April 2021
What this trial tests

trial testing Inhaled corticosteroid in Pulmonary Disease, Chronic Obstructive in 901 participants. Completed in 31 January 2020.

Timeline
14 August 2018
Primary endpoint
31 January 2020
31 January 2020

Quick facts

Lead sponsorBoehringer Ingelheim
StatusCompleted
Study typeOBSERVATIONAL
Enrollment901
Start date14 August 2018
Primary completion31 January 2020
Estimated completion31 January 2020
Sites169 locations across Spain

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — 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.

Percentage of Patients Currently on Inhaled CorticoSteroids (ICS) Who Did Not Have Moderate or Severe Exacerbation in the Year Prior to the Study Visit Primary · 1 year prior to study visit, data collected at study visit (1 day).

Percentage of patients currently on ICS who did not have moderate or severe exacerbation in the year prior to the study visit, (i.e. within the last 365 days before the study visit). Data related to history and details of exacerbations and ICS treatment, as well as data on current ICS treatment was obtained from medical charts. Moderate exacerbation: increase in, or new onset of, ≥ 2 respiratory symptoms (cough, sputum, dyspnea, wheezing, chest tightness) with ≥ 1 symptom lasting ≥ 3 days and leading the patient's attending physician to initiate treatment with systemic corticosteroids and/or

GroupValue95% CI
COPD Patients Treated With ICS at Study Visit62.557.8 – 67.0
Percentage of Patients Currently on Inhaled CorticoSteroids (ICS) Who Have Had Moderate or Severe Exacerbation in the Year Prior to the Study Visit Secondary · 1 year prior to study visit, data collected at study visit (1 day).

Percentage of patients currently on ICS who have had moderate or severe exacerbation in the year prior to the study visit, (i.e. within the last 365 days before the study visit). Data related to history and details of exacerbations and ICS treatment, as well as data on current ICS treatment was obtained from medical charts. Moderate exacerbation: increase in, or new onset of, ≥ 2 respiratory symptoms (cough, sputum, dyspnea, wheezing, chest tightness) with ≥ 1 symptom lasting ≥ 3 days and leading the patient's attending physician to initiate treatment with systemic corticosteroids and/or anti

GroupValue95% CI
COPD Patients Treated With ICS at Study Visit37.532.9 – 42.3
Percentage of Patients Treated With Inhaled CorticoSteroids (ICS) at the Time of Study Visit With or Without Moderate or Severe Exacerbations, in the Previous 2 Years Before the Study Visit Secondary · 2 years prior to study visit, data collected at study visit (1 day).

Percentage of patients with chronic obstructive pulmonary disease (COPD) treated with Inhaled CorticoSteroids (ICS) at the time of study visit with or without moderate or severe exacerbations, in the previous 2 years before the study visit. Data related to history and details of exacerbations and ICS treatment, as well as data on current ICS treatment was obtained from medical charts. Moderate exacerbation: increase in, or new onset of, ≥ 2 respiratory symptoms (cough, sputum, dyspnea, wheezing, chest tightness) with ≥ 1 symptom lasting ≥ 3 days and leading the patient's attending physician t

With moderate or severe exacerbations
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit46.8
Without moderate or severe exacerbations
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit53.2
Percentage of Patients Not Treated With Inhaled CorticoSteroids (ICS) at the Time of Study Visit With or Without Moderate or Severe Exacerbations, Both in the Previous 1 Year and Previous 2 Years Before the Study Visit Secondary · 1 year and 2 years prior to study visit, data collected at study visit (1 day).

Percentage of patients with chronic obstructive pulmonary disease (COPD) treated with Inhaled CorticoSteroids (ICS) at the time of study visit with or without moderate or serve exacerbations, both in the previous 1 year and previous 2 years before the study visit. Data related to history and details of exacerbations and ICS treatment, as well as data on current ICS treatment was obtained from medical charts. Moderate exacerbation: increase in, or new onset of, ≥ 2 respiratory symptoms (cough, sputum, dyspnea, wheezing, chest tightness) with ≥ 1 symptom lasting ≥ 3 days and leading the patient

1 year prior study visit: With moderate or severe exacerbations
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit16.6
1 year prior study visit: Without moderate or severe exacerbations
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit83.4
2 years prior study visit: With moderate or severe exacerbation
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit22.8
2 years prior study visit: Without moderate or severe exacerbations
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit77.2
Number of Moderate or Severe Exacerbations in Patients Treated With Inhaled Corticosteroids (ICS) at the Time of Study Visit, Both in Previous 1 Year and Previous 2 Years Before the Study Visit Secondary · 1 year and 2 years prior to study visit, data collected at study visit.

Number of moderate or severe exacerbations in chronic obstructive pulmonary disease (COPD) patients treated with ICS at the time of study visit, both in previous 1 year and previous 2 years before the study visit. Data related to history and details of exacerbations and ICS treatment, as well as data on current ICS treatment was obtained from medical charts. Moderate exacerbation: increase in, or new onset of, ≥ 2 respiratory symptoms (cough, sputum, dyspnea, wheezing, chest tightness) with ≥ 1 symptom lasting ≥ 3 days and leading the patient's attending physician to initiate treatment with s

1 year prior study visit
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit0.72± 1.23
2 years prior to study visit
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit1.27± 1.99
Number of Moderate or Severe Exacerbations in Patients Not Treated With Inhaled Corticosteroids (ICS) at the Time of Study Visit, Both in Previous 1 Year and Previous 2 Years Before the Study Visit Secondary · 1 year and 2 years prior to study visit, data collected at study visit.

Number of moderate or severe exacerbations in chronic obstructive pulmonary disease (COPD) patients not treated with ICS at the time of study visit, both in previous 1 year and previous 2 years before the study visit.Data related to history and details of exacerbations and ICS treatment, as well as data on current ICS treatment was obtained from medical charts. Moderate exacerbation: increase in, or new onset of, ≥ 2 respiratory symptoms (cough, sputum, dyspnea, wheezing, chest tightness) with ≥ 1 symptom lasting ≥ 3 days and leading the patient's attending physician to initiate treatment wit

1 year prior study visit
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit0.26± 0.77
2 years prior study visit
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit0.43± 1.25
Percentage of Patients Using Rescue Medication Secondary · 1 year (last year) and 2 years (last 2 years) prior to study visit, data was collected at study visit (1 day).

Percentage of patients who used rescue medication (by type of rescue medication) in the last year and in the last two years. This percentage was calculated using as denominator the FAS set and was stratified by ICS treatment in the study visit. Data was obtained from medical charts. SABA: Short-acting beta2- agonists \[\*\]: Salbutamol alone, terbutaline alone and salbutamol in combination (IPRATROPIUM BROMIDE /SALBUTAMOL) are included.

Last 2 years: Use of rescue medication (overall)
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit43.9
COPD Patients Treated With ICS at Study Visit65.7
Last 2 years: Rescue Medication - SABA
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit35.4
COPD Patients Treated With ICS at Study Visit58.6
Last 2 years: Rescue Medication - SABA[*] (including salbutamol in combinations)
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit35.4
COPD Patients Treated With ICS at Study Visit58.8
Last 2 years: Rescue Medication - Others
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit10.0
COPD Patients Treated With ICS at Study Visit12.3
Last 2 years: R03AC: Selective Beta-2-Adrenoreceptor Agonists
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit35.6
COPD Patients Treated With ICS at Study Visit58.6
Last 2 years: R03BB: Anticholinergics
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit9.2
COPD Patients Treated With ICS at Study Visit10.9
Last year: Use of rescue medication (overall)
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit41.4
COPD Patients Treated With ICS at Study Visit63.9
Last year: Rescue medication - SABA
GroupValue95% CI
COPD Patients Not Treated With ICS at Study Visit33.0
COPD Patients Treated With ICS at Study Visit56.9
Number of Patients With Adherence to Treatment Recommendations According Spanish COPD Guidelines (GesEPOC) 2017 Secondary · 1 year prior to study visit, data collected at study visit (1 day).

Number of patients with adherence to treatment recommendations according GesEPOC 2017 guidelines, stratified by risk and phenotypes. Adherence: Patients treated with Inhaled CorticoSteroids (ICS) that according to GesEPOC 2017 should had been treated with ICS; Patients not treated with ICS that according to GesEPOC 2017 should not had been treated with ICS. Non-adherence: Patients treated with ICS but according to GesEPOC 2017 should not have been treated with ICS; Patients not treated with ICS but according to GesEPOC 2017 should have been treated with ICS. Low risk: Patients with Forced E

Global
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit150
COPD Patients Not Treated With ICS at Study Visit423
COPD Patients Treated With ICS at Study Visit265
COPD Patients Not Treated With ICS at Study Visit39
Low Risk
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit0
COPD Patients Not Treated With ICS at Study Visit214
COPD Patients Treated With ICS at Study Visit112
COPD Patients Not Treated With ICS at Study Visit0
High Risk
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit150
COPD Patients Not Treated With ICS at Study Visit209
COPD Patients Treated With ICS at Study Visit153
COPD Patients Not Treated With ICS at Study Visit39
Percentage of Patients With ICS-related Adverse Events Secondary · 2 years prior to study visit, data collected at study visit (1 day).

Percentage of patients with adverse reactions commonly related to Inhaled CorticoSteroids (ICS), which were predefined in the eCRF and per protocol. In this sense, it could be the case of a patient reporting a commonly ICS-related adverse event, without current treatment with ICS at the time of the study visit. Data were obtained from medical charts. Results were reported for COPD patients overall (both arms combined), as the outcome is not related with the current ICS treatment of a patient.

GroupValue95% CI
Patients With COPD - Overall1.55
General Patient Profile - Body Mass Index (BMI) Secondary · 2 years prior to study visit, data collected at study visit (1 day).

General patient profile for patients treated with inhaled corticosteroid (ICS) and patients not treated with ICS - Body Mass Index (BMI). Weight (in kg) and height (in cm) were collected in the electronic case report form (eCRF). Body Mass Index was calculated (with last measure available): BMI (kg/m\^2) = weight (kg)/ height (m). BMI is categorized into 5 categories according to the World Health Organization (WHO): Underweight: BMI\< 18.5 kg/m\^2; Normal weight: 18.5 kg/m\^2 ≤ BMI ≤ 25 kg/m\^2; Overweight: 25 kg/m\^2\< BMI ≤ 30 kg/m\^2; Obese: 30 kg/m\^2 \< BMI ≤ 35 kg/m\^2; Severely Obese:

GroupValue95% CI
COPD Patients Treated With ICS at Study Visit28.38± 5.26
COPD Patients Not Treated With ICS at Study Visit28.37± 5.11
General Patient Profile - Number of Patients by Smoking Habit Secondary · 2 years prior to study visit, data collected at study visit (1 day).

General patient profile for patients treated with inhaled corticosteroids (ICS) and not treated with ICS. Number of patients by smoking habit (non-smoker, smoker, ex-smoker).

Non-smoker
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit36
COPD Patients Not Treated With ICS at Study Visit42
Smoker
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit124
COPD Patients Not Treated With ICS at Study Visit157
Ex-smoker
GroupValue95% CI
COPD Patients Treated With ICS at Study Visit270
COPD Patients Not Treated With ICS at Study Visit270
General Patient Profile - Time Since Chronic Obstructive Pulmonary Disease (COPD) Diagnosis Secondary · Data collected at study visit.

General patient profile for patients treated with inhaled corticosteroids (ICS) and not treated with ICS - time since COPD diagnosis. The year of the COPD diagnosis was collected in the electronic case report form (eCRF). The number of years since diagnosis was obtained as the difference between year of study visit and year of COPD diagnosis (+1).

GroupValue95% CI
COPD Patients Treated With ICS at Study Visit10.19± 6.10
COPD Patients Not Treated With ICS at Study Visit8.93± 5.48

Sponsor's own description

This non-Interventional, descriptive, cross-sectional cohort and multicentre study will be conducted with COPD patients attended at Spanish Primary Care offices.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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