Intervention: Aclidinium Bromide
Trial phase: Phase 4
ATC code: R03AL05
SMILES: O=C(OC1C[N+]2(CCCOc3ccccc3)CCC1CC2)C(O)(c1cccs1)c1cccs1.[Br-]
Sex: All
Age groups: Adult | Older Adult
Healthy volunteers: No
Participants at risk: 135
Group description: Aclidinium bromide 400 μg BID administered by Genuair® multidose dry powder inhaler
Eligibility criteria:
Inclusion Criteria:

Adult male or non-pregnant, non-lactating female aged ≥40. Women of childbearing potential will follow specific study requirements.
Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years
Patients with a clinical diagnosis of moderate COPD, with a post bronchodilator test available within 6 months prior to Visit 1 (Screening), with FEV1 ≥50% and <80% and FEV1/FVC <70%.
Symptomatic patients with a CAT≥10 at Screening and Randomisation Visit (Visit 1 and 2)
Clinical Diagnosis of Chronic Bronchitis (defined as "presence of cough and sputum production for at least 3 months in each of 2 consecutive years")
Patient who is eligible and able to participate in the trial and who consent to do so in writing after the purpose and nature of the investigation have been explained

Exclusion Criteria:

History or current diagnosis of asthma.
Patients who suffered from a moderate or severe COPD exacerbation in the last year prior to Visit 1 (Screening) or during the run-in period.
Patients who develop a respiratory tract infection within 6 weeks before Visit 1 (Screening) or during the run-in period.
Clinically significant respiratory and cardiovascular conditions thought to be contributing to cough or likely to interfere in the conduct of the study.
Patient who in the investigator's opinion may need to start a pulmonay rehabilitation program during the study and/or patients who started/finished it within 3 months prior to Screening Visit.
Use of long-term oxygen therapy.
Patients in non-stable treatment with angiotensin-converting enzyme inhibitors or opiates.
Patients in treatment with mucolytics, antihistamines, expectorants or antitussive drugs including over-the-counter medication.
Patient who does not maintain regular day/night, waking/sleeping cycles including night shift workers.
Patient with clinically relevant abnormalities in the results of the physical examination at Visit 1 (Screening)
Patient with a history of hypersensitivity reaction to inhaled anticholinergics,sympathomimetic amines, or inhaled medication or any component thereof (including report of paradoxical bronchospasm).
Patient with known narrow-angle glaucoma, symptomatic bladder neck obstruction, acute urinary retention, or patients with symptomatic non-stable prostatic hypertrophy.
Patient with known non-controlled history of infection with human immunodeficiency virus (HIV) and/or active hepatitis
Current diagnosis of cancer other than basal or squamous cell skin cancer
Patient with any other serious or uncontrolled physical or mental dysfunction
Patient with a history (within 2 years prior to Screening Visit) of drug and/or alcohol abuse that may prevent study compliance based on investigator judgment.
Patient unlikely to be cooperative or that can not comply with the study procedures
Patient treated with any investigational drug within 30 days (or 6 half-lives, whichever is longer) prior to Visit 1 (Screening).
Patient who intend to use any concomitant medication not permitted by this protocol or who have not undergone the required stabilization periods for prohibited medication.
Any other conditions that, in the investigator's opinion, might indicate the patient to be unsuitable for the study.