Evidence map›Paper›PMID 26174114›Full record

Trial reportEuropean journal of clinical pharmacology2015

Dose-response modelling of umeclidinium and fluticasone furoate/umeclidinium in asthma.

Shuying Yang, Navin Goyal, Misba Beerahee, Roopa Trivedi, Laurie Lee, Steven Pascoe

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01573624 phase2completednot on this map

A Multi-center, Randomized, Double-blind, Dose-ranging Study to Evaluate GSK573719 in Combination With Fluticasone Furoate, Fluticasone Furoate Alone, and an Active Control of Fluticasone Furoate/Vilanterol Combination in Subjects With Asthma

TypeinterventionalSponsorGlaxoSmithKlineRan2012 to 2013Enrolled421ConditionsAsthmaArmsFF/GSK573719, FF, FF/VI
NCT01641692 phase2completednot on this map

A Multi-national, Randomized, Double-blind, Placebo-controlled, 3-period Crossover Study With GSK 573719 as Monotherapy in Adult Subjects With Asthma

TypeinterventionalSponsorGlaxoSmithKlineRan2012 to 2013Enrolled350ConditionsAsthmaArmsGSK573719 Active treatment or Placebo, GSK573719 (Sub-group cohort), Salbutamol/Albuterol
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  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.

Shuying YangClinical Pharmacology, Modelling and Simulation, R&D Projects Clinical Platforms and Sciences, GlaxoSmithKline, Stockley Park West, 1-3 Ironbridge Road, Uxbridge, Middlesex, UB11 1BT, UK, shuying.y.yang@gsk.com.
Navin Goyal
Misba Beerahee
Roopa Trivedi
Laurie Lee
Steven Pascoe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn two dose-ranging crossover studies, the long-acting muscarinic antagonist umeclidinium (UMEC) was assessed as monotherapy in patients with asthma not treated with inhaled corticosteroids (ICS) (NCT01641692 [study 1]) and combined with the ICS fluticasone furoate (FF) in patients with asthma symptomatic on ICS (NCT01573624 [study 2]). The present study aimed to further characterise the UMEC dose-response relationship with change from baseline trough forced expiratory volume in one second (FEV1) (day 15).

methodsA model-based approach using non-linear mixed-effects analyses was used to assess data from studies 1 and 2.

resultsWithin the Study 1 dose range, no significant dose-response was demonstrated. In study 2, the slope-intercept on log-dose model showed a mild dose-response, with a 10 % probability of a 0.075-L FEV1 improvement with FF/UMEC 100/250 mcg; period 1 data (with an absent carryover effect) indicated an 88 % probability of a 0.075-L FEV1 improvement.

conclusionThe model-based approach in study 2 identified FF/UMEC doses warranting further investigation.

Indexed as

Dose-Response Relationship, DrugNonlinear DynamicsAdministration, InhalationAdrenal Cortex HormonesAndrostadienesAsthmaCross-Over StudiesDouble-Blind MethodDrug Therapy, CombinationForced Expiratory VolumeHumansMuscarinic AntagonistsQuinuclidinesAdrenal Cortex HormonesAndrostadienesfluticasone furoateGSK573719Muscarinic AntagonistsQuinuclidines

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.