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Study Results
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Respimat® Combivent Trial in Chronic Obstructive Pulmonary Disease (COPD)
This study has been completed.
Study NCT00400153   Information provided by Boehringer Ingelheim Pharmaceuticals
First Received: November 15, 2006   Last Updated: July 13, 2009   History of Changes
Study Type: Interventional
Condition: Pulmonary Disease, Chronic Obstructive
Interventions: Drug: Atrovent Respimat (20 mcg) plus placebo COMBIVENT MDI
Drug: COMBIVENT MDI (36/206 mcg ) plus placebo Combivent Respimat
Drug: Combivent Respimat (20 mcg/100 mcg) plus placebo COMBIVENT MDI

  Participant Flow
  Hide Participant Flow

Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Participant Flow:   Overall Study
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
STARTED   486     491     483  
COMPLETED   438     436     422  
NOT COMPLETED   48     55     61  



  Baseline Characteristics
  Hide Baseline Characteristics

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Baseline Measures
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg Total
Number of Participants  
[units: participants]
486 491 483 1460
Age  
[units: years]
Mean ± Standard Deviation
63.8 ± 8.7 64.2 ± 9.2 64.3 ± 8.6 64.1 ± 8.8
Gender  
[units: participants]
       
Female 170 169 166 505
Male 316 322 317 955



  Outcome Measures
  Hide All Outcome Measures

1.  Primary:   FEV1 AUC0-6 at Day 85   [ Before drug administration to 6 hours after drug administration on Day 85 ]

Measure Type Primary
Measure Title FEV1 AUC0-6 at Day 85
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 85
Time Frame Before drug administration to 6 hours after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-6 at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.145 ± 0.007 0.149 ± 0.007 0.119 ± 0.007


Statistical Analysis 1 for FEV1 AUC0-6 at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.7135
Mean Difference (Final Values) [5] -0.0035
Standard Error of the mean ± 0.0095
95% Confidence Interval ( -0.0222 to 0.0152 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  Non-inferiority margin is 0.05 liter
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



2.  Primary:   FEV1 AUC0-4 at Day 85   [ Before drug administration to 4 hours after drug administration on Day 85 ]

Measure Type Primary
Measure Title FEV1 AUC0-4 at Day 85
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 85
Time Frame Before drug administration to 4 hours after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-4 at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.189 ± 0.007 0.190 ± 0.007 0.142 ± 0.007


Statistical Analysis 1 for FEV1 AUC0-4 at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.047
Standard Error of the mean ± 0.01
95% Confidence Interval ( 0.028 to 0.066 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



3.  Primary:   FEV1 AUC4-6 at Day 85   [ Between 4 hours and 6 hours after drug administration on Day 85 ]

Measure Type Primary
Measure Title FEV1 AUC4-6 at Day 85
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 85
Time Frame Between 4 hours and 6 hours after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FEV1 AUC4-6 at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.056 ± 0.008 0.066 ± 0.008 0.073 ± 0.008


Statistical Analysis 1 for FEV1 AUC4-6 at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.1389
Mean Difference (Final Values) [5] -0.017
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.039 to 0.005 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  Non-inferiority margin is 0.05 liters
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



4.  Secondary:   FEV1 AUC0-6 at Day 1   [ Before drug administration to 6 hours after drug administration on Day 1 ]

Measure Type Secondary
Measure Title FEV1 AUC0-6 at Day 1
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 1
Time Frame Before drug administration to 6 hours after drug administration on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-6 at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.173 ± 0.008 0.189 ± 0.008 0.124 ± 0.008


Statistical Analysis 1 for FEV1 AUC0-6 at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.124
Mean Difference (Final Values) [5] -0.016
Standard Error of the mean ± 0.010
95% Confidence Interval ( -0.036 to 0.004 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established for this comparison.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



5.  Secondary:   FEV1 AUC0-6 at Day 29   [ Before drug administration to 6 hours after drug administration on Day 29 ]

Measure Type Secondary
Measure Title FEV1 AUC0-6 at Day 29
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 29
Time Frame Before drug administration to 6 hours after drug administration on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-6 at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.154 ± 0.007 0.161 ± 0.007 0.127 ± 0.007


Statistical Analysis 1 for FEV1 AUC0-6 at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.4888
Mean Difference (Final Values) [5] -0.007
Standard Error of the mean ± 0.01
95% Confidence Interval ( -0.026 to 0.013 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established for this comparison.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



6.  Secondary:   FEV1 AUC0-6 at Day 57   [ Before drug administration to 6 hours after drug administration on Day 57 ]

Measure Type Secondary
Measure Title FEV1 AUC0-6 at Day 57
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 57
Time Frame Before drug administration to 6 hours after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-6 at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.146 ± 0.007 0.16 ± 0.007 0.118 ± 0.007


Statistical Analysis 1 for FEV1 AUC0-6 at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.1433
Mean Difference (Final Values) [5] -0.014
95% Confidence Interval ( -0.033 to 0.005 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established for this comparison.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



7.  Secondary:   FEV1 AUC0-4 at Day 1   [ Before drug administration to 4 hours after drug administration on Day 1 ]

Measure Type Secondary
Measure Title FEV1 AUC0-4 at Day 1
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 1
Time Frame Before drug administration to 4 hours after drug administration on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-4 at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.211 ± 0.008 0.227 ± 0.008 0.149 ± 0.008


Statistical Analysis 1 for FEV1 AUC0-4 at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.061
Standard Error of the mean ± 0.011
95% Confidence Interval ( 0.04 to 0.083 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



8.  Secondary:   FEV1 AUC0-4 at Day 29   [ Before drug administration to 4 hours after drug administration on Day 29 ]

Measure Type Secondary
Measure Title FEV1 AUC0-4 at Day 29
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 29
Time Frame Before drug administration to 4 hours after drug administration on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-4 at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.197 ± 0.008 0.198 ± 0.008 0.153 ± 0.008


Statistical Analysis 1 for FEV1 AUC0-4 at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.044
Standard Error of the mean ± 0.01
95% Confidence Interval ( 0.024 to 0.065 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



9.  Secondary:   FEV1 AUC0-4 at Day 57   [ Before drug administration to 4 hours after drug administration on Day 57 ]

Measure Type Secondary
Measure Title FEV1 AUC0-4 at Day 57
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 57
Time Frame Before drug administration to 4 hours after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FEV1 AUC0-4 at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.188 ± 0.007 0.200 ± 0.007 0.141 ± 0.007


Statistical Analysis 1 for FEV1 AUC0-4 at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.047
Standard Error of the mean ± 0.01
95% Confidence Interval ( 0.027 to 0.067 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



10.  Secondary:   FEV1 AUC4-6 at Day 1   [ Between 4 hours and 6 hours after drug administration on Day 1 ]

Measure Type Secondary
Measure Title FEV1 AUC4-6 at Day 1
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 1
Time Frame Between 4 hours and 6 hours after drug administration on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FEV1 AUC4-6 at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.1 ± 0.008 0.115 ± 0.009 0.074 ± 0.009


Statistical Analysis 1 for FEV1 AUC4-6 at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.0258
Mean Difference (Final Values) [5] 0.026
Standard Error of the mean ± 0.012
95% Confidence Interval ( 0.003 to 0.049 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



11.  Secondary:   FEV1 AUC4-6 at Day 29   [ Between 4 hours and 6 hours after drug administration on Day 29 ]

Measure Type Secondary
Measure Title FEV1 AUC4-6 at Day 29
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 29
Time Frame Between 4 hours and 6 hours after drug administration on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FEV1 AUC4-6 at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.068 ± 0.008 0.087 ± 0.008 0.078 ± 0.008


Statistical Analysis 1 for FEV1 AUC4-6 at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.3749
Mean Difference (Final Values) [5] -0.01
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.032 to 0.012 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



12.  Secondary:   FEV1 AUC4-6 at Day 57   [ Between 4 hours and 6 hours after drug administration on Day 57 ]

Measure Type Secondary
Measure Title FEV1 AUC4-6 at Day 57
Measure Description Area between the test-day baseline FEV1 and the FEV1 change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 57
Time Frame Between 4 hours and 6 hours after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FEV1 AUC4-6 at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.063 ± 0.008 0.084 ± 0.008 0.073 ± 0.008


Statistical Analysis 1 for FEV1 AUC4-6 at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.3355
Mean Difference (Final Values) [5] -0.011
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.033 to 0.011 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



13.  Secondary:   Peak FEV1 Response at Day 1   [ Within the first 2-hour post-treatment interval on Day 1 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 1
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 1
Time Frame Within the first 2-hour post-treatment interval on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.302 ± 0.008 0.323 ± 0.008 0.237 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.0743
Mean Difference (Final Values) [5] -0.02
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.042 to 0.002 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



14.  Secondary:   Peak FEV1 Response at Day 29   [ Within the first 2-hour post-treatment interval on Day 29 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 29
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 29
Time Frame Within the first 2-hour post-treatment interval on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.302 ± 0.008 0.296 ± 0.008 0.237 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.5711
Mean Difference (Final Values) [5] 0.006
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.015 to 0.028 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



15.  Secondary:   Peak FEV1 Response at Day 57   [ Within the first 2-hour post-treatment interval on Day 57 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 57
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 57
Time Frame Within the first 2-hour post-treatment interval on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.284 ± 0.008 0.296 ± 0.008 0.223 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.2274
Mean Difference (Final Values) [5] -0.013
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.033 to 0.008 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



16.  Secondary:   Peak FEV1 Response at Day 85   [ Within the first 2-hour post-treatment interval on Day 85 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 85
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 85
Time Frame Within the first 2-hour post-treatment interval on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.293 ± 0.008 0.290 ± 0.008 0.225 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.8065
Mean Difference (Final Values) [5] 0.003
Standard Error of the mean ± 0.011
95% Confidence Interval ( -0.018 to 0.024 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



17.  Secondary:   Peak FEV1 Response at Day 1   [ Within the first 2-hour post-treatment interval on Day 1 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 1
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 1
Time Frame Within the first 2-hour post-treatment interval on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.302 ± 0.008 0.323 ± 0.008 0.237 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.065
Standard Error of the mean ± 0.011
95% Confidence Interval ( 0.043 to 0.087 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



18.  Secondary:   Peak FEV1 Response at Day 29   [ Within the first 2-hour post-treatment interval on Day 29 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 29
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 29
Time Frame Within the first 2-hour post-treatment interval on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.302 ± 0.008 0.296 ± 0.008 0.237 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.065
Standard Error of the mean ± 0.011
95% Confidence Interval ( 0.044 to 0.087 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



19.  Secondary:   Peak FEV1 Response at Day 57   [ Within the first 2-hour post-treatment interval on Day 57 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 57
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 57
Time Frame Within the first 2-hour post-treatment interval on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.284 ± 0.008 0.296 ± 0.008 0.223 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.06
Standard Error of the mean ± 0.011
95% Confidence Interval ( 0.04 to 0.081 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



20.  Secondary:   Peak FEV1 Response at Day 85   [ Within the first 2-hour post-treatment interval on Day 85 ]

Measure Type Secondary
Measure Title Peak FEV1 Response at Day 85
Measure Description Maximum change in recorded FEV1 value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 85
Time Frame Within the first 2-hour post-treatment interval on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FEV1 Response at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.293 ± 0.008 0.290 ± 0.008 0.225 ± 0.008


Statistical Analysis 1 for Peak FEV1 Response at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.068
Standard Error of the mean ± 0.011
95% Confidence Interval ( 0.047 to 0.089 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



21.  Secondary:   Time to Onset of Therapeutic FEV1 Response at Day 1   [ Within the first 2-hour post-treatment interval at Day 1 ]

Measure Type Secondary
Measure Title Time to Onset of Therapeutic FEV1 Response at Day 1
Measure Description Achievement of recorded FEV1 measurement of at least 1.15 times of the corresponding test-day baseline value at any time during the first 2 hours of observation after drug administration at Day 1
Time Frame Within the first 2-hour post-treatment interval at Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Onset of Therapeutic FEV1 Response at Day 1
[units: Minutes]
13 12 28

No statistical analysis provided for Time to Onset of Therapeutic FEV1 Response at Day 1



22.  Secondary:   Time to Onset of Therapeutic FEV1 Response at Day 29   [ Within the first 2-hour post-treatment interval at Day 29 ]

Measure Type Secondary
Measure Title Time to Onset of Therapeutic FEV1 Response at Day 29
Measure Description Achievement of recorded FEV1 measurement of at least 1.15 times of the corresponding test-day baseline value at any time during the first 2 hours of observation after drug administration at Day 29
Time Frame Within the first 2-hour post-treatment interval at Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Onset of Therapeutic FEV1 Response at Day 29
[units: Minutes]
12 13 27

No statistical analysis provided for Time to Onset of Therapeutic FEV1 Response at Day 29



23.  Secondary:   Time to Onset of Therapeutic FEV1 Response at Day 57   [ Within the first 2-hour post-treatment interval at Day 57 ]

Measure Type Secondary
Measure Title Time to Onset of Therapeutic FEV1 Response at Day 57
Measure Description Achievement of recorded FEV1 measurement of at least 1.15 times of the corresponding test-day baseline value at any time during the first 2 hours of observation after drug administration at Day 57
Time Frame Within the first 2-hour post-treatment interval at Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Onset of Therapeutic FEV1 Response at Day 57
[units: Minutes]
13 12 29

No statistical analysis provided for Time to Onset of Therapeutic FEV1 Response at Day 57



24.  Secondary:   Time to Onset of Therapeutic FEV1 Response at Day 85   [ Within the first 2-hour post-treatment interval at Day 85 ]

Measure Type Secondary
Measure Title Time to Onset of Therapeutic FEV1 Response at Day 85
Measure Description Achievement of recorded FEV1 measurement of at least 1.15 times of the corresponding test-day baseline value at any time during the first 2 hours of observation after drug administration at Day 85
Time Frame Within the first 2-hour post-treatment interval at Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Onset of Therapeutic FEV1 Response at Day 85
[units: Minutes]
12 13 27

No statistical analysis provided for Time to Onset of Therapeutic FEV1 Response at Day 85



25.  Secondary:   Duration of Therapeutic FEV1 Response at Day 1   [ During the 6-hour observation period after drug administration at Day 1 ]

Measure Type Secondary
Measure Title Duration of Therapeutic FEV1 Response at Day 1
Measure Description The time interval between the onset and the the termination of a therapeutic FEV1 response (at least 1.15 times the corresponding test-day baseline value) during the 6-hour observation period at Day 1
Time Frame During the 6-hour observation period after drug administration at Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Duration of Therapeutic FEV1 Response at Day 1
[units: Minutes]
189 219 104

No statistical analysis provided for Duration of Therapeutic FEV1 Response at Day 1



26.  Secondary:   Duration of Therapeutic FEV1 Response at Day 29   [ During the 6-hour observation period after drug administration at Day 29 ]

Measure Type Secondary
Measure Title Duration of Therapeutic FEV1 Response at Day 29
Measure Description The time interval between the onset and the the termination of a therapeutic FEV1 response (at least 1.15 times the corresponding test-day baseline value) during the 6-hour observation period at Day 29
Time Frame During the 6-hour observation period after drug administration at Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Duration of Therapeutic FEV1 Response at Day 29
[units: Minutes]
170 178 122

No statistical analysis provided for Duration of Therapeutic FEV1 Response at Day 29



27.  Secondary:   Duration of Therapeutic FEV1 Response at Day 57   [ During the 6-hour observation period after drug administration at Day 57 ]

Measure Type Secondary
Measure Title Duration of Therapeutic FEV1 Response at Day 57
Measure Description The time interval between the onset and the the termination of a therapeutic FEV1 response (at least 1.15 times the corresponding test-day baseline value) during the 6-hour observation period at Day 57
Time Frame During the 6-hour observation period after drug administration at Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Duration of Therapeutic FEV1 Response at Day 57
[units: Minutes]
165 194 84

No statistical analysis provided for Duration of Therapeutic FEV1 Response at Day 57



28.  Secondary:   Duration of Therapeutic FEV1 Response at Day 85   [ During the 6-hour observation period after drug administration at Day 85 ]

Measure Type Secondary
Measure Title Duration of Therapeutic FEV1 Response at Day 85
Measure Description The time interval between the onset and the the termination of a therapeutic FEV1 response (at least 1.15 times the corresponding test-day baseline value) during the 6-hour observation period at Day 85
Time Frame During the 6-hour observation period after drug administration at Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Duration of Therapeutic FEV1 Response at Day 85
[units: Minutes]
168 172 70

No statistical analysis provided for Duration of Therapeutic FEV1 Response at Day 85



29.  Secondary:   Time to Peak FEV1 Response at Day 1   [ Within the 6-hour post-treatment observation period at Day 1 ]

Measure Type Secondary
Measure Title Time to Peak FEV1 Response at Day 1
Measure Description The first time point at which the maximum change in recorded FEV1 data from the corresponding test-day baseline occurred during the 6-hours observation period after drug administration at Day 1
Time Frame Within the 6-hour post-treatment observation period at Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Peak FEV1 Response at Day 1
[units: Minutes]
60 60 120

No statistical analysis provided for Time to Peak FEV1 Response at Day 1



30.  Secondary:   Time to Peak FEV1 Response at Day 29   [ Within the 6-hour post-treatment observation period at Day 29 ]

Measure Type Secondary
Measure Title Time to Peak FEV1 Response at Day 29
Measure Description The first time point at which the maximum change in recorded FEV1 data from the corresponding test-day baseline occurred during the 6-hours observation period after drug administration at Day 29
Time Frame Within the 6-hour post-treatment observation period at Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Peak FEV1 Response at Day 29
[units: Minutes]
60 60 120

No statistical analysis provided for Time to Peak FEV1 Response at Day 29



31.  Secondary:   Time to Peak FEV1 Response at Day 57   [ Within the 6-hour post-treatment observation period at Day 57 ]

Measure Type Secondary
Measure Title Time to Peak FEV1 Response at Day 57
Measure Description The first time point at which the maximum change in recorded FEV1 data from the corresponding test-day baseline occurred during the 6-hours observation period after drug administration at Day 57
Time Frame Within the 6-hour post-treatment observation period at Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Peak FEV1 Response at Day 57
[units: Minutes]
60 60 60

No statistical analysis provided for Time to Peak FEV1 Response at Day 57



32.  Secondary:   Time to Peak FEV1 Response at Day 85   [ Within the 6-hour post-treatment observation period at Day 85 ]

Measure Type Secondary
Measure Title Time to Peak FEV1 Response at Day 85
Measure Description The first time point at which the maximum change in recorded FEV1 data from the corresponding test-day baseline occurred during the 6-hours observation period after drug administration at Day 85
Time Frame Within the 6-hour post-treatment observation period at Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Time to Peak FEV1 Response at Day 85
[units: Minutes]
60 60 60

No statistical analysis provided for Time to Peak FEV1 Response at Day 85



33.  Secondary:   FVC AUC0-6 at Day 1   [ Before drug administration to 6 hours after drug administration at Day 1 ]

Measure Type Secondary
Measure Title FVC AUC0-6 at Day 1
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 1
Time Frame Before drug administration to 6 hours after drug administration at Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-6 at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.337 ± 0.015 0.354 ± 0.015 0.25 ± 0.016


Statistical Analysis 1 for FVC AUC0-6 at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.417
Mean Difference (Final Values) [5] -0.017
Standard Error of the mean ± 0.021
95% Confidence Interval ( -0.058 to 0.024 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



34.  Secondary:   FVC AUC0-6 at Day 29   [ Before drug administration to 6 hours after drug administration at Day 29 ]

Measure Type Secondary
Measure Title FVC AUC0-6 at Day 29
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 29
Time Frame Before drug administration to 6 hours after drug administration at Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-6 at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.3 ± 0.015 0.319 ± 0.015 0.246 ± 0.015


Statistical Analysis 1 for FVC AUC0-6 at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.3505
Mean Difference (Final Values) [5] -0.019
Standard Error of the mean ± 0.02
95% Confidence Interval ( -0.059 to 0.021 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



35.  Secondary:   FVC AUC0-6 at Day 57   [ Before drug administration to 6 hours after drug administration on Day 57 ]

Measure Type Secondary
Measure Title FVC AUC0-6 at Day 57
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 57
Time Frame Before drug administration to 6 hours after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-6 at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.284 ± 0.015 0.303 ± 0.015 0.22 ± 0.015


Statistical Analysis 1 for FVC AUC0-6 at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.3499
Mean Difference (Final Values) [5] -0.019
Standard Error of the mean ± 0.02
95% Confidence Interval ( -0.058 to 0.021 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



36.  Secondary:   FVC AUC0-6 at Day 85   [ Before drug administration to 6 hours after drug administration on Day 85 ]

Measure Type Secondary
Measure Title FVC AUC0-6 at Day 85
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 6 hours divided by 6 at Day 85
Time Frame Before drug administration to 6 hours after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-6 at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.279 ± 0.015 0.283 ± 0.015 0.219 ± 0.015


Statistical Analysis 1 for FVC AUC0-6 at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.8288
Mean Difference (Final Values) [5] -0.004
Standard Error of the mean ± 0.02
95% Confidence Interval ( -0.044 to 0.035 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



37.  Secondary:   FVC AUC0-4 at Day 1   [ Before drug administration to 4 hours after drug administration on Day 1 ]

Measure Type Secondary
Measure Title FVC AUC0-4 at Day 1
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 1
Time Frame Before drug administration to 4 hours after drug administration on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-4 at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.408 ± 0.016 0.422 ± 0.016 0.297 ± 0.016


Statistical Analysis 1 for FVC AUC0-4 at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.112
Standard Error of the mean ± 0.022
95% Confidence Interval ( 0.069 to 0.154 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



38.  Secondary:   FVC AUC0-4 at Day 29   [ Before drug administration to 4 hours after drug administration on Day 29 ]

Measure Type Secondary
Measure Title FVC AUC0-4 at Day 29
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 29
Time Frame Before drug administration to 4 hours after drug administration on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-4 at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.381 ± 0.015 0.388 ± 0.015 0.291 ± 0.016


Statistical Analysis 1 for FVC AUC0-4 at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.09
Standard Error of the mean ± 0.021
95% Confidence Interval ( 0.049 to 0.132 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



39.  Secondary:   FVC AUC0-4 at Day 57   [ Before drug administration to 4 hours after drug administration on Day 57 ]

Measure Type Secondary
Measure Title FVC AUC0-4 at Day 57
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 57
Time Frame Before drug administration to 4 hours after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-4 at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.361 ± 0.015 0.380 ± 0.015 0.264 ± 0.015


Statistical Analysis 1 for FVC AUC0-4 at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.097
Standard Error of the mean ± 0.021
95% Confidence Interval ( 0.056 to 0.138 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



40.  Secondary:   FVC AUC0-4 at Day 85   [ Before drug administration to 4 hours after drug administration on Day 85 ]

Measure Type Secondary
Measure Title FVC AUC0-4 at Day 85
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 0 to 4 hours divided by 4 at Day 85
Time Frame Before drug administration to 4 hours after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
FVC AUC0-4 at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.359 ± 0.015 0.359 ± 0.015 0.265 ± 0.015


Statistical Analysis 1 for FVC AUC0-4 at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.094
Standard Error of the mean ± 0.021
95% Confidence Interval ( 0.054 to 0.135 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



41.  Secondary:   FVC AUC4-6 at Day 1   [ Between 4 hours and 6 hours after drug administration on Day 1 ]

Measure Type Secondary
Measure Title FVC AUC4-6 at Day 1
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 1
Time Frame Between 4 hours and 6 hours after drug administration on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FVC AUC4-6 at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.2 ± 0.017 0.221 ± 0.017 0.156 ± 0.018


Statistical Analysis 1 for FVC AUC4-6 at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.0688
Mean Difference (Final Values) [5] 0.043
Standard Error of the mean ± 0.024
95% Confidence Interval ( -0.003 to 0.09 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



42.  Secondary:   FVC AUC4-6 at Day 29   [ Between 4 hours and 6 hours after drug administration on Day 29 ]

Measure Type Secondary
Measure Title FVC AUC4-6 at Day 29
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 29
Time Frame Between 4 hours and 6 hours after drug administration on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FVC AUC4-6 at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.137 ± 0.017 0.180 ± 0.017 0.156 ± 0.017


Statistical Analysis 1 for FVC AUC4-6 at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.3895
Mean Difference (Final Values) [5] -0.02
Standard Error of the mean ± 0.023
95% Confidence Interval ( -0.064 to 0.025 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



43.  Secondary:   FVC AUC4-6 at Day 57   [ Between 4 hours and 6 hours after drug administration on Day 57 ]

Measure Type Secondary
Measure Title FVC AUC4-6 at Day 57
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 57
Time Frame Between 4 hours and 6 hours after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FVC AUC4-6 at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.128 ± 0.016 0.147 ± 0.016 0.13 ± 0.017


Statistical Analysis 1 for FVC AUC4-6 at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.959
Mean Difference (Final Values) [5] -0.001
Standard Error of the mean ± 0.022
95% Confidence Interval ( -0.045 to 0.042 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



44.  Secondary:   FVC AUC4-6 at Day 85   [ Between 4 hours and 6 hours after drug administration on Day 85 ]

Measure Type Secondary
Measure Title FVC AUC4-6 at Day 85
Measure Description Area between the test-day baseline FVC and the FVC change from the test-day baseline curve from 4 to 6 hours divided by 2 at Day 85
Time Frame Between 4 hours and 6 hours after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data 4-6 hours

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
447 449 427
FVC AUC4-6 at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.117 ± 0.017 0.130 ± 0.017 0.124 ± 0.017


Statistical Analysis 1 for FVC AUC4-6 at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.7652
Mean Difference (Final Values) [5] -0.007
Standard Error of the mean ± 0.023
95% Confidence Interval ( -0.053 to 0.039 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



45.  Secondary:   Peak FVC Response at Day 1   [ Within the first 2-hour post-treatment interval at Day 1 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 1
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 1
Time Frame Within the first 2-hour post-treatment interval at Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.6 ± 0.017 0.612 ± 0.017 0.479 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.6244
Mean Difference (Final Values) [5] -0.011
Standard Error of the mean ± 0.023
95% Confidence Interval ( -0.057 to 0.034 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



46.  Secondary:   Peak FVC Response at Day 29   [ Within the first 2-hour post-treatment interval at Day 29 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 29
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 29
Time Frame Within the first 2-hour post-treatment interval at Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.594 ± 0.017 0.591 ± 0.017 0.465 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.873
Mean Difference (Final Values) [5] 0.004
Standard Error of the mean ± 0.023
95% Confidence Interval ( -0.041 to 0.049 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



47.  Secondary:   Peak FVC Response at Day 57   [ Within the first 2-hour post-treatment interval at Day 57 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 57
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 57
Time Frame Within the first 2-hour post-treatment interval at Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.562 ± 0.017 0.577 ± 0.017 0.445 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.5294
Mean Difference (Final Values) [5] -0.015
Standard Error of the mean ± 0.023
95% Confidence Interval ( -0.06 to 0.031 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



48.  Secondary:   Peak FVC Response at Day 85   [ Within the first 2-hour post-treatment interval at Day 85 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 85
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 85
Time Frame Within the first 2-hour post-treatment interval at Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.575 ± 0.017 0.562 ± 0.017 0.449 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.563
Mean Difference (Final Values) [5] 0.013
Standard Error of the mean ± 0.023
95% Confidence Interval ( -0.032 to 0.058 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



49.  Secondary:   Peak FVC Response at Day 1   [ Within the first 2-hour post-treatment interval at Day 1 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 1
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 1
Time Frame Within the first 2-hour post-treatment interval at Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 1
[units: liters]
Least Squares Mean ± Standard Error
0.6 ± 0.017 0.612 ± 0.017 0.479 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 1
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.121
Standard Error of the mean ± 0.024
95% Confidence Interval ( 0.075 to 0.167 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



50.  Secondary:   Peak FVC Response at Day 29   [ Within the first 2-hour post-treatment interval at Day 29 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 29
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 29
Time Frame Within the first 2-hour post-treatment interval at Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 29
[units: liters]
Least Squares Mean ± Standard Error
0.594 ± 0.017 0.591 ± 0.017 0.465 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.129
Standard Error of the mean ± 0.023
95% Confidence Interval ( 0.084 to 0.174 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



51.  Secondary:   Peak FVC Response at Day 57   [ Within the first 2-hour post-treatment interval at Day 57 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 57
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 57
Time Frame Within the first 2-hour post-treatment interval at Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 57
[units: liters]
Least Squares Mean ± Standard Error
0.562 ± 0.017 0.577 ± 0.017 0.445 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.118
Standard Error of the mean ± 0.023
95% Confidence Interval ( 0.072 to 0.163 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



52.  Secondary:   Peak FVC Response at Day 85   [ Within the first 2-hour post-treatment interval at Day 85 ]

Measure Type Secondary
Measure Title Peak FVC Response at Day 85
Measure Description Maximum change in recorded FVC value from the corresponding test-day baseline within the first 2 hours after drug administration on Day 85
Time Frame Within the first 2-hour post-treatment interval at Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Pulmonary Function Test Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
474 482 468
Peak FVC Response at Day 85
[units: liters]
Least Squares Mean ± Standard Error
0.575 ± 0.017 0.562 ± 0.017 0.449 ± 0.017


Statistical Analysis 1 for Peak FVC Response at Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] < 0.0001
Mean Difference (Final Values) [4] 0.126
Standard Error of the mean ± 0.023
95% Confidence Interval ( 0.081 to 0.171 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



53.  Secondary:   Rescue Medication Use on Pulmonary Test Day 1   [ During the 6-hour pulmonary function testing after drug administration on Day 1 ]

Measure Type Secondary
Measure Title Rescue Medication Use on Pulmonary Test Day 1
Measure Description Number of patients used rescue medication during the 6-hour pulmonary function testing after drug administration on Day 1
Time Frame During the 6-hour pulmonary function testing after drug administration on Day 1  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
Rescue Medication Use on Pulmonary Test Day 1
[units: patients]
8 9 7

No statistical analysis provided for Rescue Medication Use on Pulmonary Test Day 1



54.  Secondary:   Rescue Medication Use on Pulmonary Test Day 29   [ During the 6-hour pulmonary function testing after drug administration on Day 29 ]

Measure Type Secondary
Measure Title Rescue Medication Use on Pulmonary Test Day 29
Measure Description Number of patients used rescue medication during the 6-hour pulmonary function testing after drug administration on Day 29
Time Frame During the 6-hour pulmonary function testing after drug administration on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
Rescue Medication Use on Pulmonary Test Day 29
[units: patients]
10 7 7

No statistical analysis provided for Rescue Medication Use on Pulmonary Test Day 29



55.  Secondary:   Rescue Medication Use on Pulmonary Test Day 57   [ During the 6-hour pulmonary function testing after drug administration on Day 57 ]

Measure Type Secondary
Measure Title Rescue Medication Use on Pulmonary Test Day 57
Measure Description Number of patients used rescue medication during the 6-hour pulmonary function testing after drug administration on Day 57
Time Frame During the 6-hour pulmonary function testing after drug administration on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
Rescue Medication Use on Pulmonary Test Day 57
[units: patients]
7 7 6

No statistical analysis provided for Rescue Medication Use on Pulmonary Test Day 57



56.  Secondary:   Rescue Medication Use on Pulmonary Test Day 85   [ During the 6-hour pulmonary function testing after drug administration on Day 85 ]

Measure Type Secondary
Measure Title Rescue Medication Use on Pulmonary Test Day 85
Measure Description Number of patients used rescue medication during the 6-hour pulmonary function testing after drug administration on Day 85
Time Frame During the 6-hour pulmonary function testing after drug administration on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
Rescue Medication Use on Pulmonary Test Day 85
[units: patients]
5 7 10

No statistical analysis provided for Rescue Medication Use on Pulmonary Test Day 85



57.  Secondary:   Night-time Rescue Medication Use   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Night-time Rescue Medication Use
Measure Description The mean number of puffs of rescue medication used during the night-time per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
471 467 454
Night-time Rescue Medication Use
[units: puffs]
Least Squares Mean ± Standard Error
0.977 ± 0.047 0.977 ± 0.047 0.997 ± 0.048


Statistical Analysis 1 for Night-time Rescue Medication Use
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.9943
Mean Difference (Final Values) [5] -0.00045
Standard Error of the mean ± 0.06396
95% Confidence Interval ( -0.1259 to 0.125 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



58.  Secondary:   Night-time Rescue Medication Use   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Night-time Rescue Medication Use
Measure Description The mean number of puffs of rescue medication used during the night-time per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
471 467 454
Night-time Rescue Medication Use
[units: puffs]
Least Squares Mean ± Standard Error
0.977 ± 0.047 0.977 ± 0.047 0.997 ± 0.048


Statistical Analysis 1 for Night-time Rescue Medication Use
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.7569
Mean Difference (Final Values) [4] -0.01995
Standard Error of the mean ± 0.06441
95% Confidence Interval ( -0.1463 to 0.1064 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



59.  Secondary:   Daytime Rescue Medication Use   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Daytime Rescue Medication Use
Measure Description The mean number of puffs of rescue medication used during the daytime per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
453 458 438
Daytime Rescue Medication Use
[units: puffs]
Least Squares Mean ± Standard Error
2.3 ± 0.089 2.191 ± 0.089 2.456 ± 0.09


Statistical Analysis 1 for Daytime Rescue Medication Use
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.3659
Mean Difference (Final Values) [5] 0.1091
Standard Error of the mean ± 0.1206
95% Confidence Interval ( -0.1276 to 0.3458 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



60.  Secondary:   Daytime Rescue Medication Use   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Daytime Rescue Medication Use
Measure Description The mean number of puffs of rescue medication used during the daytime per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
453 458 438
Daytime Rescue Medication Use
[units: puffs]
Least Squares Mean ± Standard Error
2.3 ± 0.089 2.191 ± 0.089 2.456 ± 0.09


Statistical Analysis 1 for Daytime Rescue Medication Use
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.203
Mean Difference (Final Values) [4] -0.1554
Standard Error of the mean ± 0.122
95% Confidence Interval ( -0.3947 to 0.08395 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



61.  Secondary:   Night-time Symptom Score   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Night-time Symptom Score
Measure Description The weekly mean night-time symptom score per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
471 467 454
Night-time Symptom Score
[units: unit]
Least Squares Mean ± Standard Error
0.922 ± 0.023 0.914 ± 0.024 0.857 ± 0.024


Statistical Analysis 1 for Night-time Symptom Score
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.809
Mean Difference (Final Values) [5] 0.007734
Standard Error of the mean ± 0.03199
95% Confidence Interval ( -0.05503 to 0.0705 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



62.  Secondary:   Night-time Symptom Score   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Night-time Symptom Score
Measure Description The weekly mean night-time symptom score per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
471 467 454
Night-time Symptom Score
[units: unit]
Least Squares Mean ± Standard Error
0.922 ± 0.023 0.914 ± 0.024 0.857 ± 0.024


Statistical Analysis 1 for Night-time Symptom Score
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.044
Mean Difference (Final Values) [4] 0.06501
Standard Error of the mean ± 0.03225
95% Confidence Interval ( 0.001746 to 0.1283 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



63.  Secondary:   Daytime Symptom Score   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Daytime Symptom Score
Measure Description The weekly mean daytime symptom score per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
452 456 437
Daytime Symptom Score
[units: unit]
Least Squares Mean ± Standard Error
1.015 ± 0.022 1.002 ± 0.022 0.999 ± 0.022


Statistical Analysis 1 for Daytime Symptom Score
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.6674
Mean Difference (Final Values) [5] 0.0129
Standard Error of the mean ± 0.03002
95% Confidence Interval ( -0.04598 to 0.07179 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



64.  Secondary:   Daytime Symptom Score   [ During the 2-week baseline washout period and the 12-week treatment period ]

Measure Type Secondary
Measure Title Daytime Symptom Score
Measure Description The weekly mean daytime symptom score per week during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
452 456 437
Daytime Symptom Score
[units: unit]
Least Squares Mean ± Standard Error
1.015 ± 0.022 1.002 ± 0.022 0.999 ± 0.022


Statistical Analysis 1 for Daytime Symptom Score
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.604
Mean Difference (Final Values) [4] 0.01573
Standard Error of the mean ± 0.03033
95% Confidence Interval ( -0.04376 to 0.07523 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



65.  Secondary:   Trough Peak Expiratory Flow Rate (PEFR)   [ During the 2-week baseline washout period and the 12-week treatment period and PEFR taken before administration of study medication ]

Measure Type Secondary
Measure Title Trough Peak Expiratory Flow Rate (PEFR)
Measure Description The weekly mean trough PEFR during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period and PEFR taken before administration of study medication  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
441 444 426
Trough Peak Expiratory Flow Rate (PEFR)
[units: liters/min]
Least Squares Mean ± Standard Error
191.95 ± 1.51 190.290 ± 1.526 189.51 ± 1.551


Statistical Analysis 1 for Trough Peak Expiratory Flow Rate (PEFR)
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.4238
Mean Difference (Final Values) [5] 1.6526
Standard Error of the mean ± 2.0653
95% Confidence Interval ( -2.3995 to 5.7047 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



66.  Secondary:   Trough PEFR   [ During the 2-week baseline washout period and the 12-week treatment period and PEFR taken before administration of study medication ]

Measure Type Secondary
Measure Title Trough PEFR
Measure Description The weekly mean trough PEFR during the entire study (including baseline and on-treatment period)
Time Frame During the 2-week baseline washout period and the 12-week treatment period and PEFR taken before administration of study medication  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Full Analysis Set for Diary Data

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
441 444 426
Trough PEFR
[units: liters/min]
Least Squares Mean ± Standard Error
191.95 ± 1.51 190.290 ± 1.526 189.51 ± 1.551


Statistical Analysis 1 for Trough PEFR
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.2431
Mean Difference (Final Values) [4] 2.4376
Standard Error of the mean ± 2.0874
95% Confidence Interval ( -1.6578 to 6.533 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



67.  Secondary:   Physician's Global Evaluation Score on Pulmonary Function Testing Day 29   [ Prior to pulmonary function test on Day 29 ]

Measure Type Secondary
Measure Title Physician's Global Evaluation Score on Pulmonary Function Testing Day 29
Measure Description Physician's Global Evaluation score is based on the need for concomitant medication, number and severity of exacerbations since the last visit, severity of cough, ability to exercise, amount of wheezing, etc.
Time Frame Prior to pulmonary function test on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
480 487 481
Physician's Global Evaluation Score on Pulmonary Function Testing Day 29
[units: score]
Least Squares Mean ± Standard Error
4.936 ± 0.041 4.859 ± 0.041 4.99 ± 0.041


Statistical Analysis 1 for Physician's Global Evaluation Score on Pulmonary Function Testing Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.173
Mean Difference (Final Values) [5] 0.077
Standard Error of the mean ± 0.056
95% Confidence Interval ( -0.034 to 0.187 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



68.  Secondary:   Physician's Global Evaluation Score on Pulmonary Function Testing Day 57   [ Prior to pulmonary function test on Day 57 ]

Measure Type Secondary
Measure Title Physician's Global Evaluation Score on Pulmonary Function Testing Day 57
Measure Description Physician's Global Evaluation score is based on the need for concomitant medication, number and severity of exacerbations since the last visit, severity of cough, ability to exercise, amount of wheezing, etc.
Time Frame Prior to pulmonary function test on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
480 487 481
Physician's Global Evaluation Score on Pulmonary Function Testing Day 57
[units: score]
Least Squares Mean ± Standard Error
4.971 ± 0.045 4.965 ± 0.045 5.04 ± 0.046


Statistical Analysis 1 for Physician's Global Evaluation Score on Pulmonary Function Testing Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.924
Mean Difference (Final Values) [5] 0.006
Standard Error of the mean ± 0.062
95% Confidence Interval ( -0.115 to 0.127 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



69.  Secondary:   Physician's Global Evaluation Score on Pulmonary Function Testing Day 85   [ Prior to pulmonary function test on Day 85 ]

Measure Type Secondary
Measure Title Physician's Global Evaluation Score on Pulmonary Function Testing Day 85
Measure Description Physician's Global Evaluation score is based on the need for concomitant medication, number and severity of exacerbations since the last visit, severity of cough, ability to exercise, amount of wheezing, etc.
Time Frame Prior to pulmonary function test on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
480 487 481
Physician's Global Evaluation Score on Pulmonary Function Testing Day 85
[units: score]
Least Squares Mean ± Standard Error
5.115 ± 0.048 5.018 ± 0.048 5.097 ± 0.048


Statistical Analysis 1 for Physician's Global Evaluation Score on Pulmonary Function Testing Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. COMBIVENT CFC-MDI 36/206 Mcg
Non-Inferiority/Equivalence Test [2] Yes
Method [3] ANCOVA
P Value [4] 0.139
Mean Difference (Final Values) [5] 0.097
Standard Error of the mean ± 0.065
95% Confidence Interval ( -0.031 to 0.225 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  No text entered.
[2] Details of power calculation, definition of non-inferiority margin, and other key parameters:
  This analysis is purely exploratory. Non-inferiority margin is not established.
[3] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[4] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[5] Other relevant estimation information:
  No text entered.



70.  Secondary:   Physician's Global Evaluation Score on Pulmonary Function Testing Day 29   [ Prior to pulmonary function test on Day 29 ]

Measure Type Secondary
Measure Title Physician's Global Evaluation Score on Pulmonary Function Testing Day 29
Measure Description Physician's Global Evaluation score is based on the need for concomitant medication, number and severity of exacerbations since the last visit, severity of cough, ability to exercise, amount of wheezing, etc.
Time Frame Prior to pulmonary function test on Day 29  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
480 487 481
Physician's Global Evaluation Score on Pulmonary Function Testing Day 29
[units: score]
Least Squares Mean ± Standard Error
4.936 ± 0.041 4.859 ± 0.041 4.99 ± 0.041


Statistical Analysis 1 for Physician's Global Evaluation Score on Pulmonary Function Testing Day 29
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.336
Mean Difference (Final Values) [4] -0.054
Standard Error of the mean ± 0.056
95% Confidence Interval ( -0.165 to 0.056 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



71.  Secondary:   Physician's Global Evaluation Score on Pulmonary Function Testing Day 57   [ Prior to pulmonary function test on Day 57 ]

Measure Type Secondary
Measure Title Physician's Global Evaluation Score on Pulmonary Function Testing Day 57
Measure Description Physician's Global Evaluation score is based on the need for concomitant medication, number and severity of exacerbations since the last visit, severity of cough, ability to exercise, amount of wheezing, etc.
Time Frame Prior to pulmonary function test on Day 57  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
480 487 481
Physician's Global Evaluation Score on Pulmonary Function Testing Day 57
[units: score]
Least Squares Mean ± Standard Error
4.971 ± 0.045 4.965 ± 0.045 5.04 ± 0.046


Statistical Analysis 1 for Physician's Global Evaluation Score on Pulmonary Function Testing Day 57
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.266
Mean Difference (Final Values) [4] -0.069
Standard Error of the mean ± 0.062
95% Confidence Interval ( -0.19 to 0.053 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



72.  Secondary:   Physician's Global Evaluation Score on Pulmonary Function Testing Day 85   [ Prior to pulmonary function test on Day 85 ]

Measure Type Secondary
Measure Title Physician's Global Evaluation Score on Pulmonary Function Testing Day 85
Measure Description Physician's Global Evaluation score is based on the need for concomitant medication, number and severity of exacerbations since the last visit, severity of cough, ability to exercise, amount of wheezing, etc.
Time Frame Prior to pulmonary function test on Day 85  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
480 487 481
Physician's Global Evaluation Score on Pulmonary Function Testing Day 85
[units: score]
Least Squares Mean ± Standard Error
5.115 ± 0.048 5.018 ± 0.048 5.097 ± 0.048


Statistical Analysis 1 for Physician's Global Evaluation Score on Pulmonary Function Testing Day 85
Groups [1] COMBIVENT Respimat 20/100 Mcg vs. Ipratropium Respimat 20 Mcg
Method [2] ANCOVA
P Value [3] 0.788
Mean Difference (Final Values) [4] 0.018
Standard Error of the mean ± 0.066
95% Confidence Interval ( -0.111 to 0.146 )
[1] Additional details about the analysis, such as null hypothesis and power calculation:
  This analysis is purely exploratory.
[2] Other relevant information, such as adjustments or degrees of freedom:
  No text entered.
[3] Additional information, such as whether or not the p-value is adjusted for multiple comparisons and the a priori threshold for statistical significance:
  No text entered.
[4] Other relevant estimation information:
  No text entered.



73.  Secondary:   Chronic Obstructive Pulmonary Disease (COPD) Excerbation During the On-treatment Period   [ During the 12-week on-treatment period ]

Measure Type Secondary
Measure Title Chronic Obstructive Pulmonary Disease (COPD) Excerbation During the On-treatment Period
Measure Description COPD excerbation is defined as an increase or new onset of more than one of the following respiratory symptoms (cough, sputum, sputum purulence, wheezing, dyspnea, and chest tightness) having a duration of three or more days requiring treatment with an antibiotic and/or systemic steroids with or without hospital admission.
Time Frame During the 12-week on-treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
Chronic Obstructive Pulmonary Disease (COPD) Excerbation During the On-treatment Period
[units: Percentage of patients]
14.81 13.03 10.35

No statistical analysis provided for Chronic Obstructive Pulmonary Disease (COPD) Excerbation During the On-treatment Period



74.  Secondary:   COPD Excerbation During the On-treatment Period   [ During the 12-week on-treatment period ]

Measure Type Secondary
Measure Title COPD Excerbation During the On-treatment Period
Measure Description COPD excerbation is defined as an increase or new onset of more than one of the following respiratory symptoms (cough, sputum, sputum purulence, wheezing, dyspnea, and chest tightness) having a duration of three or more days requiring treatment with an antibiotic and/or systemic steroids with or without hospital admission.
Time Frame During the 12-week on-treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
COPD Excerbation During the On-treatment Period
[units: Mean COPD exacerbation rate/patient year]
0.76 0.69 0.53

No statistical analysis provided for COPD Excerbation During the On-treatment Period



75.  Secondary:   COPD Excerbation During the On-treatment Period   [ During the 12-week on-treatment period ]

Measure Type Secondary
Measure Title COPD Excerbation During the On-treatment Period
Measure Description COPD excerbation is defined as an increase or new onset of more than one of the following respiratory symptoms (cough, sputum, sputum purulence, wheezing, dyspnea, and chest tightness) having a duration of three or more days requiring treatment with an antibiotic and/or systemic steroids with or without hospital admission.
Time Frame During the 12-week on-treatment period  
Safety Issue  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Set

Reporting Groups
  Description
COMBIVENT Respimat 20/100 Mcg No text entered.
COMBIVENT CFC-MDI 36/206 Mcg No text entered.
Ipratropium Respimat 20 Mcg No text entered.

Measured Values
  COMBIVENT Respimat 20/100 Mcg COMBIVENT CFC-MDI 36/206 Mcg Ipratropium Respimat 20 Mcg
Number of Participants Analyzed
[units: participants]
486 491 483
COPD Excerbation During the On-treatment Period
[units: Percentage of patients]
3.27 2.93 2.13

No statistical analysis provided for COPD Excerbation During the On-treatment Period




  Serious Adverse Events
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  Other Adverse Events
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
The FEV1 and FVC measurements at each observation time point were used to derive the primary and secondary efficacy endpoints and are not reported here. All statistical analyses for secondary endpoints are exploratory and the p-values are nominal.  


Results Point of Contact:  
Name/Title: Boehringer Ingelheim Pharmaceuticals
Organization: Boehringer Ingelheim Pharmaceuticals
phone: 800-542-6257 Option 4
e-mail: clintriage.rdg@boehringer-ingelheim.com


No publications provided


Responsible Party: Boehringer Ingelheim ( Boehringer Ingelheim, Study Chair )
Study ID Numbers: 1012.56
Study First Received: November 15, 2006
Results First Received: April 3, 2009
Last Updated: July 13, 2009
ClinicalTrials.gov Identifier: NCT00400153     History of Changes
Health Authority: Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products;   Russia: Ministry of Healthcare and Social Development of Russian Federation, Moscow;   Ukraine: Ministry of Health Care of Ukraine (MoH of Ukraine);   New Zealand: Multicentre Ethics Committee/Medsafe;   United States: Food and Drug Administration;   France: AFSSAPS;   Greece: National Organization for Medicines (EOF) National Ethics Committee;   Argentina: A.N.M.A.T. (Administración Nacional de Medicamentos, Alimentos y Tecnología);   Taiwan: Department of Health, Executive Yuan, Taiwan;   Korea, Republic of: Korea Food and Drug Administration;   Turkey: Ministry of Health Central Ethics Committee;   Great Britain: MHRA;   South Africa: MCC (Medicines Control Council)