Evidence map›Paper›PMID 21857779›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2011

Dose-response curve to salbutamol during acute and chronic treatment with formoterol in COPD.

Giuseppe Emanuele La Piana, Luciano Corda, Enrica Bertella, Luigi Taranto Montemurro, Laura Pini, Claudio Tantucci

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Giuseppe Emanuele La PianaCattedra di Malattie dell'Apparato Respiratorio, Università di Brescia, Brescia, Italy.
Luciano Corda
Enrica Bertella
Luigi Taranto Montemurro
Laura Pini
Claudio Tantucci
University of Brescia · ITBrescia University · USIstituti Clinici Scientifici Maugeri · ITPublic Risk Management Association · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of short-acting β(2)-agonists in chronic obstructive pulmonary disease (COPD) during treatment with long-acting β(2)-agonists is recommended as needed, but its effectiveness is unclear. The purpose of this study was to assess the additional bronchodilating effect of increasing doses of salbutamol during acute and chronic treatment with formoterol in patients with COPD.

methodsTen patients with COPD underwent a dose-response curve to salbutamol (until 800 μg of cumulative dose) after a 1-week washout (baseline), 8 hours after the first administration of formoterol 12 μg (day 1), and after a 12-week and 24-week period of treatment with formoterol (12 μg twice daily by dry powder inhaler). Peak expiratory flow, forced expiratory volume in one second (FEV(1)), forced vital capacity, and inspiratory capacity were measured at the different periods of treatment and at different steps of the dose-response curve.

resultsDespite acute or chronic administration of formoterol, maximal values of peak expiratory flow, FEV(1), and forced vital capacity after 800 μg of salbutamol were unchanged compared with baseline. The baseline FEV(1) dose-response curve was steeper than that at day 1, week 12, or week 24 (P < 0.0001). Within each dose-response curve, FEV(1) was different only at baseline and at day 1 (P < 0.001), when FEV(1) was still greater at 800 μg than at 0 μg (P < 0.02). In contrast, the forced vital capacity dose-response curves were similar at the different periods, while within each dose-response curve, forced vital capacity was different in all instances (P < 0.001), always being higher at 800 μg than at 0 μg (P < 0.05).

conclusionIn patients with stable COPD, the maximal effect of salbutamol on peak expiratory flow, FEV(1), and forced vital capacity was unchanged after either acute or chronic treatment with formoterol. With increasing doses of salbutamol, FEV(1) increased only after acute administration of formoterol. Forced vital capacity also significantly improved during long-term treatment with formoterol.

Indexed as

AlbuterolEthanolaminesAdministration, InhalationAgedBiological AvailabilityBronchodilator AgentsDose-Response Relationship, DrugDrug MonitoringFemaleFormoterol FumarateHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructivePulmonary VentilationTreatment OutcomeAlbuterolBronchodilator AgentsEthanolaminesFormoterol Fumaratechronic obstructive pulmonary diseaseformoterollong-acting β2-agonistssalbutamol

Identifiers

PMID21857779
PMCPMC3157942
OpenAlexW1985594945

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.