In chronic obstructive pulmonary disease (COPD), the airways of the lungs are narrowed or blocked. Bronchodilators are drugs usually delivered through inhalers which help open up the airways. Tiotropium is a type of bronchodilator drug known as a long-acting muscarinic antagonist (LAMA). For a long time tiotropium was the only available LAMA. More recently, a new LAMA called aclidinium has been approved for use in COPD. There are potentially important differences between these two medications that might have an impact on the treatment of COPD patients. In this study we aim to compare the effects of tiotropium and aclidinium in people with COPD. The main comparison will be done using a very sensitive breathing test called impulse oscillometry
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Asthma and Allergy Research Group, University of Dundee
Dundee, United Kingdom
Change in trough R5 from baseline after chronic dosing
Time frame: 4 to 6 weeks
Remaining impulse oscillometry (IOS) variables (R20,R5-R20,X5,AX,RF)
Time frame: 4 to 6 weeks
Spirometry (FEV1, FEF25-75, FVC)
Time frame: 4 to 6 weeks
Relaxed VC (RVC) with RVC to FVC ratio
Time frame: 4 to 6 weeks
Six-minute walk test (includes oxygen saturation measurements and Borg dyspnoea score)
Time frame: 4 to 6 weeks
Domiciliary PIKO-6 measurements for FEV1 and FEV6
Time frame: 4 to 6 weeks
St. George's Respiratory Questionnaire (SGRQ)
Time frame: 4 to 6 weeks
Baseline Dyspnea Index-Transition Dyspnea Index (BDI-TDI)
Time frame: 4 to 6 weeks
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