Evidence map›Paper›PMID 18488437›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2008

Effect of add-on therapy of tiotropium in COPD treated with theophylline.

Tomotaka Kawayama, Tomoaki Hoshino, Masao Ichiki, Toru Tsuda, Masaharu Kinoshita, Shohei Takata, Takeharu Koga, Tomoaki Iwanaga, Hisamichi Aizawa, Kurume COPD Study Group

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Exacerbation rate, health status and mortality in COPD--a review of potential interventions.International journal of chronic obstructive pulmonary disease · 2009
    Review
  3. Tiotropium; more knowledge leads to more questions.International journal of chronic obstructive pulmonary disease · 2008
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Tomotaka KawayamaDepartment of Medicine, Kurume University School of Medicine, Kurume, Japan.
Tomoaki Hoshino
Masao Ichiki
Toru Tsuda
Masaharu Kinoshita
Shohei Takata
Takeharu Koga
Tomoaki Iwanaga
Hisamichi Aizawa
Kurume COPD Study Group
Kurume University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough combination therapy with bronchodilators is recommended for chronic obstructive pulmonary disease (COPD), there is insufficient evidence for the efficacy of some combinations of long-acting bronchodilators.

objectiveWe investigated the effects of a combination therapy with tiotropium and theophylline in COPD patients.

methodsIn a 12-week, open-labeled, parallel-group randomized study, pulmonary functions and dyspnea scores were compared between the combination and theophylline alone therapy at baseline, and 4 and 8 weeks after randomization in COPD.

resultsSixty-one COPD patients completed the trial (31 combination therapy, 30 theophylline alone; mean age 70 years; 58 males; mean dyspnea score 2.0 and forced expiratory volume in one second (FEV1) 1.5 L [62.5% predicted]). FEV1 in the combination group, but not in the theophylline alone, was significantly increased at 4 (1.56 +/- 0.13 L, p < 0.001) and 8 weeks (1.60 +/- 0.13 L, p < 0.001) from the baseline (1.40 +/- 0.12 L). In the combination group, but not the theophylline alone group, the dyspnea score was significantly improved after 4 (p < 0.01) and 8 weeks (p <0.05) compared with baseline. In 17 patients who did not receive theophylline at screening, treatment with 4 or 8 weeks of theophylline alone did not improve dyspnea score or FEV1.

conclusionAddition of tiotropium therapy to theophylline treatment can improve dyspnea and pulmonary function in COPD. Although this study did not assess whether there was any benefit of adding theophylline to patients treated with tiotropium, tiotropium can be a useful addition in COPD already treated with theophylline.

Indexed as

AgedBronchodilator AgentsDrug Therapy, CombinationDyspneaFemaleFollow-Up StudiesForced Expiratory VolumeHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveScopolamine DerivativesTheophyllineTiotropium BromideTreatment OutcomeBronchodilator AgentsScopolamine DerivativesTheophyllineTiotropium Bromide

Identifiers

PMID18488437
PMCPMC2528215
OpenAlexW1936352514

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.