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Differential Trough Effects of 'Triple Therapy' on Pulmonary Function in Chronic Obstructive Pulmonary Disease (COPD) (FARD12)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00996697
Recruitment Status : Completed
First Posted : October 16, 2009
Last Update Posted : April 12, 2019
Information provided by (Responsible Party):
Brian J Lipworth, University of Dundee

Brief Summary:
Different medications are often used in combination for the condition COPD (chronic obstructive pulmonary disease). Some medicines act by opening the airways (bronchodilators) and some act as anti-inflammatories (steroids). More recently an approach of using a combination inhaler (containing a steroid and a long-acting bronchodilator) at the same time as a long acting bronchodilator of a different group of medicines (anti-cholinergics inhalers) has been used. This approach is sometimes called 'triple therapy'. Studies which have looked at these combinations usually use only standard blowing tests (spirometry) to test these medicines and focus on the effects of the medicines at their highest (peak) levels. It is some ways more relevant to study these medicines towards to end of the dose period (trough)- just before the next dose. This is when there is less medicine in the system, and differences in drug effects are more obvious. There are also more detailed breathing tests than spirometry which get a more detailed picture of the way the lungs respond to bronchodilator medicines. The investigators have studied 'triple therapy' in COPD, by measuring the effects at the end of the dosing interval (trough) using a range of detailed respiratory tests.

Condition or disease Intervention/treatment Phase
COPD Drug: Budesonide/formoterol and tiotropium Drug: Budesonide/formoterol and placebo Phase 4

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 23 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Proof Of Concept Study To Evaluate Tiotropium as Add-on Therapy to Inhaled Budesonide/Formoterol Combination in COPD
Study Start Date : October 2006
Actual Primary Completion Date : September 2008
Actual Study Completion Date : September 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: COPD Lung Diseases

Arm Intervention/treatment
Active Comparator: Triple therapy
Symbicort and tiotropium
Drug: Budesonide/formoterol and tiotropium
Symbicort 200/2, 2puff bid plus tiotropium 18mcg/day

Placebo Comparator: Combination therapy
Symbicort and placebo
Drug: Budesonide/formoterol and placebo
Symbicort 200/6 2puff bid and placebo

Primary Outcome Measures :
  1. Change in trough FEV1 for tiotropium compared to placebo when added to formoterol/budesonide combination [ Time Frame: 2 weeks ]

Secondary Outcome Measures :
  1. Change in IOS and bodyplethysmography at trough for tiotropium compared to placebo when added to formoterol/budesonide combination [ Time Frame: 2 weeks ]
  2. Change in spirometry, IOS and Bodyplethysmography at trough for formoterol/budesonide compared to washed-out baseline [ Time Frame: 4 weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   50 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Current or ex-smokers
  • aged over 50years
  • FEV1/FVC ratio less than 0.7
  • FEV1 less than 60% predicted

Exclusion Criteria:

  • Diagnosis of asthma, ABPA or bronchiectasis
  • Recent RTI or steroid use
  • Inability to perform study procedures or to give informed consent
  • Known sensitivity to trial medications

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00996697

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United Kingdom
Asthma and Allergy Research Group, Ninewells Hospital and Medical School
Dundee, Tayside, United Kingdom, DD1 9SY
Sponsors and Collaborators
Brian J Lipworth
Publications of Results:
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Responsible Party: Brian J Lipworth, Professor (Clinical) Airway allergy and COPD, University of Dundee Identifier: NCT00996697    
Other Study ID Numbers: FARD12
First Posted: October 16, 2009    Key Record Dates
Last Update Posted: April 12, 2019
Last Verified: April 2019
Keywords provided by Brian J Lipworth, University of Dundee:
COPD (chronic obstructive pulmonary disease)
Additional relevant MeSH terms:
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Pulmonary Disease, Chronic Obstructive
Lung Diseases, Obstructive
Lung Diseases
Respiratory Tract Diseases
Formoterol Fumarate
Tiotropium Bromide
Budesonide, Formoterol Fumarate Drug Combination
Anti-Inflammatory Agents
Bronchodilator Agents
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Asthmatic Agents
Respiratory System Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Adrenergic beta-2 Receptor Agonists
Adrenergic beta-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Cholinergic Antagonists
Cholinergic Agents