Spiolto® Respimat® (Tiotropium/Olodaterol) Versus Triple Combination Therapy in Everyday Clinical Treatment Practice for Chronic Obstructive Pulmonary Disease (EVELUT®)

Launched by BOEHRINGER INGELHEIM · May 15, 2019

Keywords

ClinConnect Summary

COPD patients on LABA/ICS maintenance therapy with dyspnea (mMRC ≥ 1) and other symptoms (CATTM ≥ 10), who are switched to either Spiolto® Respimat® in the new reusable inhaler or any triple therapy (LAMA + LABA + ICS) as an open or fixed combination according to approved SmPCs at baseline at the discretion of their attending physician.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• Patients can be included if all of the following criteria are met:
• • Diagnosis of COPD
• • Symptomatic (with regard to dyspnea (mMRC Dyspnea score ≥1) AND with regard to symptoms (CAT Score ≥10) at the same time)
• • Patients on LABA/ICS maintenance therapy who are switched to Spiolto® Respimat® in the new reusable inhaler or a free/fixed triple combination of LABA + LAMA + ICS at Visit 1 at the discretion of the treating physician.
• • Adults who are contractually capable and mentally able to understand and follow the instructions of the study personnel
• • Male or female
• • Patients aged ≥40 years of age
• • Written informed consent prior to study participation
• • The patient is willing and able to follow the procedures outlined in the protocol
• Exclusion Criteria:
• • Patients with contraindications acc. to SmPC
• • Patients not on LABA/ICS maintenance treatment at visit 1, e.g., mono or dual bronchodilation only, ICS only, or a triple combination of LAMA + LABA + ICS (either as a fixed combination product or as separate components)
• • Lack of informed consent
• • Pregnant and/or lactating females
• • Acute exacerbation of COPD (within 4 weeks prior to Visit 1)
• • Frequently exacerbating patients, i. e. patients with ≥2 moderate exacerbations within the last 12 months or ≥1 exacerbation leading to hospitalization within the last 12 months
• • Acute respiratory failure (pH \<7,35 and/ or respiratory rate \>30/min within 3 months prior to Visit 1)
• • History or current diagnosis of asthma
• • History or current diagnosis of asthma-COPD overlap
• • History or current diagnosis of allergic rhinitis within the last 5 years
• • History or current diagnosis of lung cancer within the last 5 years
• • Participation in a parallel interventional clinical trial
• • mild exacerbation: additional use of short-acting bronchodilators and treated by the patient without consulting a physician
• • moderate exacerbation: treatment includes medical prescription of a systemic corticosteroid and/or antibiotic
• • severe exacerbation: exacerbation leading to hospitalization