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Trial · NCT05402020

Effectiveness of Tiotropium + Olodaterol Versus Inhaled Corticosteroids (ICS) + Long-acting β2-agonists (LABA) Among COPD Patients in Taiwan

NCT05402020, Completed, Boehringer Ingelheim; results first posted 2024-08-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Effectiveness of Tiotropium + Olodaterol Versus Inhaled Corticosteroids (ICS) + Long-acting β2-agonists (LABA) Among COPD Patients in Taiwan. Trials, record NCT05402020. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05402020

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Effectiveness of Tiotropium + Olodaterol Versus Inhaled Corticosteroids (ICS) + Long-acting β2-agonists (LABA) Among COPD Patients in Taiwan
NCT number
NCT05402020
Status
Completed
Enrollment
17,018 participants, actual
Lead sponsor
Boehringer Ingelheim
Conditions
Pulmonary Disease, Chronic Obstructive
Interventions
Tiotropium (Tio), Inhaled corticosteroids (ICS), Olodaterol (Olo), Long-acting β2-agonists (LABA)
First posted
2022-06-02
Last updated
2024-08-09
Results first posted
2024-08-09
Limitations and caveats
Clinically important parameters and reasons for using medications were not available. Anticipated is that a certain level of misclassification of disease conditions occurred. Not accounting for such confounders may have resulted in biased findings. Follow-up was censored resulting in limited follow-up time. This may have compromised statistical power, but was not likely to contribute substantial bias in the comparisons. SEAP template does not contain a document date as per internal SOP.

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Subjects With Event First Moderate or Severe COPD Exacerbations After Index DateFrom the index date (the first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Number of subjects with event first moderate or severe COPD exacerbations after index date. The first dispensing of either Tio/Olo or ICS/LABA combined inhaler was defined as the index date. Definition of moderate or severe COPD exacerbation: 1. Moderate exacerbation was defined as an outpatient visit with a diagnosis code for COPD in any field and a prescription for an oral corticosteroid or an antibiotic for respiratory infections 2. Severe exacerbation was defined as a hospitalization or emergency room visit with a primary diagnosis for COPD
SecondaryNumber of Subjects With Event Triple Therapy Escalation After Index DateFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Number of subjects with event triple therapy escalation, defined as any LAMA/ICS/LABA fixed dose combination or any concurrent use for 30 consecutive days of the following: 1. any LAMA/LABA fixed dose combination + any ICS single formulation 2. any LAMA single formulation + any ICS/LABA fixed dose combination 3. any LAMA single formulation + any LABA single formulation + any ICS single formulation The event date was the 30th day after initiation of triple therapy.
SecondaryIncidence Rate of Triple Therapy InitiationFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Incidence rate of triple therapy initiation (first event per patient). Triple therapy escalation, defined as any LAMA/ICS/LABA fixed dose combination or any concurrent use for 30 consecutive days of the following: 1. any LAMA/LABA fixed dose combination + any ICS single formulation 2. any LAMA single formulation + any ICS/LABA fixed dose combination 3. any LAMA single formulation + any LABA single formulation + any ICS single formulation Incidence rate calculated as (total number of patients in the cohort experiencing an event of interest for the first time during the given time period) / (total person-time at risk from current use of treatment of cohort during the given period).
SecondaryNumber of Subjects With Event First Hospitalization for Community-acquired Pneumonia After EntryFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.Number of subjects with event the first hospitalization for community-acquired pneumonia after initiation of study drug.
SecondaryAnnualized Rate of Prescriptions of Rescue Medications After the Index DateFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Annualized rate of prescriptions of rescue medications after the index date. Rescue medications were defined as free or combination use of short-acting beta-agonist (SABA) or short-acting muscarinic antagonist (SAMA) or SABA/SAMA. Annualized rates were calculated for each cohort as follows: (total number of events in the cohort during the given time period) / (total person-year at risk from current use of treatment of cohort during the given period).
SecondaryAnnualized Rate of COPD Exacerbations After Index DateFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Annualized rate of moderate or severe COPD exacerbation after the index date. Annualized rate is calculated as follows: number of moderate or severe COPD exacerbations/total patient year at risk=number of exacerbations per patient year. Definitions of moderate or severe COPD exacerbation were: 1. Moderate exacerbation was defined as an outpatient visit with a diagnosis code for COPD in any field + a prescription for an oral corticosteroid or an antibiotic for respiratory infections, prescriptions within 30 days of each other were considered as continuation of the initial exacerbation. 2. Severe exacerbation was defined as a hospitalization or emergency room visit with a primary diagnosis for COPD; hospitalizations or emergency room visits within 30 days of each other were considered as continuation of the initial exacerbation.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Subjects With Event First Moderate or Severe COPD Exacerbations After Index DateFrom the index date (the first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Propensity score matched cohorts: Subjects were 1:1 propensity score matched between cohorts. The two groups were comparable with regards to year of treatment initiation, season of treatment initiation, prior treatment for Chronic Obstructive Pulmonary Disease (COPD), use of respiratory drugs of interest, frequency and severity of COPD exacerbation, prevalence of major comorbidity, Charlson Comorbidity Index, and concomitant medications.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Subjects With Event Triple Therapy Escalation After Index DateFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Propensity score matched cohorts: Subjects were 1:1 propensity score matched between cohorts. The two groups were comparable with regards to year of treatment initiation, season of treatment initiation, prior treatment for Chronic Obstructive Pulmonary Disease (COPD), use of respiratory drugs of interest, frequency and severity of COPD exacerbation, prevalence of major comorbidity, Charlson Comorbidity Index, and concomitant medications.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIncidence Rate of Triple Therapy InitiationFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Propensity score matched cohorts: Subjects were 1:1 propensity score matched between cohorts. The two groups were comparable with regards to year of treatment initiation, season of treatment initiation, prior treatment for Chronic Obstructive Pulmonary Disease (COPD), use of respiratory drugs of interest, frequency and severity of COPD exacerbation, prevalence of major comorbidity, Charlson Comorbidity Index, and concomitant medications.
Events(escalations per 1000 person yearsNUMBER
SECONDARYNumber of Subjects With Event First Hospitalization for Community-acquired Pneumonia After EntryFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Propensity score matched cohorts: Subjects were 1:1 propensity score matched between cohorts. The two groups were comparable with regards to year of treatment initiation, season of treatment initiation, prior treatment for Chronic Obstructive Pulmonary Disease (COPD), use of respiratory drugs of interest, frequency and severity of COPD exacerbation, prevalence of major comorbidity, Charlson Comorbidity Index, and concomitant medications.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAnnualized Rate of Prescriptions of Rescue Medications After the Index DateFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Propensity score matched cohorts: Subjects were 1:1 propensity score matched between cohorts. The two groups were comparable with regards to year of treatment initiation, season of treatment initiation, prior treatment for Chronic Obstructive Pulmonary Disease (COPD), use of respiratory drugs of interest, frequency and severity of COPD exacerbation, prevalence of major comorbidity, Charlson Comorbidity Index, and concomitant medications.
Events (prescriptions) per Person-yearNUMBER
SECONDARYAnnualized Rate of COPD Exacerbations After Index DateFrom the index date (The first dispensing of either Tio/Olo or ICS/LABA combined inhaler) until first event, up to 6 years.
Propensity score matched cohorts: Subjects were 1:1 propensity score matched between cohorts. The two groups were comparable with regards to year of treatment initiation, season of treatment initiation, prior treatment for Chronic Obstructive Pulmonary Disease (COPD), use of respiratory drugs of interest, frequency and severity of COPD exacerbation, prevalence of major comorbidity, Charlson Comorbidity Index, and concomitant medications.
Events (exacerbations) per Person-yearNUMBER

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Subjects With Event First Moderate or Severe COPD Exacerbations After Index DateTiotropium + Olodaterol Cohort - Propensity Score Matched424Participants
Number of Subjects With Event First Moderate or Severe COPD Exacerbations After Index DateInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched375Participants
Number of Subjects With Event Triple Therapy Escalation After Index DateTiotropium + Olodaterol Cohort - Propensity Score Matched122Participants
Number of Subjects With Event Triple Therapy Escalation After Index DateInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched153Participants
Incidence Rate of Triple Therapy InitiationTiotropium + Olodaterol Cohort - Propensity Score Matched76.295% Confidence Interval 74.5 to 77.9Events(escalations per 1000 person years
Incidence Rate of Triple Therapy InitiationInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched114.295% Confidence Interval 112.1 to 116.3Events(escalations per 1000 person years
Number of Subjects With Event First Hospitalization for Community-acquired Pneumonia After EntryTiotropium + Olodaterol Cohort - Propensity Score Matched11Participants
Number of Subjects With Event First Hospitalization for Community-acquired Pneumonia After EntryInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched11Participants
Annualized Rate of Prescriptions of Rescue Medications After the Index DateTiotropium + Olodaterol Cohort - Propensity Score Matched0.8695% Confidence Interval 0.01 to 5.33Events (prescriptions) per Person-year
Annualized Rate of Prescriptions of Rescue Medications After the Index DateInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched1.0395% Confidence Interval 0.03 to 5.62Events (prescriptions) per Person-year

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTiotropium + Olodaterol Cohort3,815
Overall StudySTARTEDInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort13,203
Overall StudyPropensity Score-matched CohortsTiotropium + Olodaterol Cohort3,752
Overall StudyPropensity Score-matched CohortsInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort3,752
Overall StudyCOMPLETEDTiotropium + Olodaterol Cohort3,815
Overall StudyCOMPLETEDInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort13,203
Overall StudyNOT COMPLETEDTiotropium + Olodaterol Cohort0
Overall StudyNOT COMPLETEDInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTiotropium + Olodaterol Cohort00
Total, all-cause mortalityInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort00
Total, other adverse eventsTiotropium + Olodaterol Cohort00
Total, other adverse eventsInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort00
Total, serious adverse eventsTiotropium + Olodaterol Cohort00
Total, serious adverse eventsInhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort00

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Tiotropium + Olodaterol Cohort - Propensity Score Matched vs Inhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched: Number of Subjects With Event First Moderate or Severe COPD Exacerbations After Index Date
Trial comparisons
Tiotropium + Olodaterol Cohort - Propensity Score Matched vs Inhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched: Number of Subjects With Event First Hospitalization for Community-acquired Pneumonia After Entry
Trial comparisons
Tiotropium + Olodaterol Cohort - Propensity Score Matched vs Inhaled Corticosteroids (ICS) + Long-acting ß2 Agonists (LABA) Cohort - Propensity Score Matched: Number of Subjects With Event Triple Therapy Escalation After Index Date
Trial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05402020

GET https://conductscience.org/api/trials/v1/NCT05402020/registered