Evidence map›Paper›PMID 22069361›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2011

Effects of beclomethasone/formoterol fixed combination on lung hyperinflation and dyspnea in COPD patients.

Panagiota Tzani, Ernesto Crisafulli, Gabriele Nicolini, Marina Aiello, Alfredo Chetta, Enrico Maria Clini, Dario Olivieri

Open access · goldAbstract readMulticenter StudyRandomized Controlled 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Beclometasone for chronic obstructive pulmonary disease.The Cochrane database of systematic reviews · 2013
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Association of Obesity with Symptoms and Quality of Life in COPD: Results from COSYCONET.International journal of chronic obstructive pulmonary disease · 2025
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Comparing the effectiveness of small-particle versus large-particle inhaled corticosteroid in COPD.International journal of chronic obstructive pulmonary disease · 2014
    Article
  13. Review
  14. Tailoring of corticosteroids in COPD management.Current respiratory care reports · 2014
    Review
  15. No room to breathe: the importance of lung hyperinflation in COPD.Primary care respiratory journal : journal of the General Practice Airways Group · 2013
    Review
  16. Review
  17. Article
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

7 authors at 3 institutions in 1 country.

Panagiota TzaniDepartment of Clinical Sciences, University of Parma, Parma, Italy.
Ernesto Crisafulli
Gabriele Nicolini
Marina Aiello
Alfredo Chetta
Enrico Maria Clini
Dario Olivieri
University of Parma · ITVilla Pineta Hospital · ITChiesi (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is a common disease characterized by airflow obstruction and lung hyperinflation leading to dyspnea and exercise capacity limitation.

objectivesThe present study was designed to evaluate whether an extra-fine combination of beclomethasone and formoterol (BDP/F) was effective in reducing air trapping in COPD patients with hyperinflation. Fluticasone salmeterol (FP/S) combination treatment was the active control.

methodsCOPD patients with forced expiratory volume in one second <65% and plethysmographic functional residual capacity ≥120% of predicted were randomized to a double-blind, double-dummy, 12-week, parallel group, treatment with either BDP/F 400/24 μg/day or FP/S 500/100 μg/day. Lung volumes were measured with full body plethysmography, and dyspnea was measured with transition dyspnea index.

resultsEighteen patients were evaluable for intention to treat. A significant reduction in air trapping and clinically meaningful improvement in transition dyspnea index total score was detected in the BDP/F group but not in the FP/S group. Functional residual capacity, residual volume (RV) and total lung capacity significantly improved from baseline in the BDP/F group only. With regard to group comparison, a significantly greater reduction in RV was observed with BDP/F versus FP/S.

conclusionBDP/F extra-fine combination is effective in reducing air trapping and dyspnea in COPD patients with lung hyperinflation.

Indexed as

Adrenergic beta-2 Receptor AgonistsAgedAlbuterolAndrostadienesBeclomethasoneBronchodilator AgentsDouble-Blind MethodDrug CombinationsDyspneaEthanolaminesExercise TestFemaleFluticasone-Salmeterol Drug CombinationForced Expiratory VolumeFormoterol FumarateFunctional Residual CapacityAdrenergic beta-2 Receptor AgonistsAlbuterolAndrostadienesBeclomethasoneBronchodilator AgentsDrug CombinationsEthanolaminesFluticasone-Salmeterol Drug CombinationFormoterol FumarateGlucocorticoidsairflow obstructionchronic obstructive pulmonary diseasesmall airways

Identifiers

PMID22069361
PMCPMC3206766
OpenAlexW2017954753

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.