Evidence map›Paper›PMID 26758377›Full record

Trial reportBMC pulmonary medicine2016

Formoterol as reliever medication in asthma: a post-hoc analysis of the subgroup of the RELIEF study in East Asia.

Qi Jian Cheng, Shao-Guang Huang, Yu Zhi Chen, Jiang-Tao Lin, Xin Zhou, Bao-Yuan Chen, Yu-Lin Feng, Xia Ling, Malcolm R Sears, RELIEF Asia Study investigators

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 7 institutions in 4 countries.

Qi Jian ChengDepartment of Pulmonary Disease, Ruijin Hospital, Shanghai Jiao Tong University, No.150 Wu Yi Road, Shanghai, 200025, China. chengqijian@aliyun.com.
Shao-Guang HuangDepartment of Pulmonary Disease, Ruijin Hospital, Shanghai Jiao Tong University, No.150 Wu Yi Road, Shanghai, 200025, China. huangshaoguang@vip.163.com.
Yu Zhi ChenCapital Institute of Pediatrics, Beijing, China. chenyuzhi@gmail.com.
Jiang-Tao LinDepartment of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China. jiangtao_l@263.net.
Xin ZhouDepartment of Respiratory Medicine, Shanghai First People's Hospital, Shanghai Jiao Tong University, Shanghai, China. xzhou53@163.com.
Bao-Yuan ChenDepartment of Respiratory Disease, Tianjin Medical University General Hospital, Tianjin, China. cbynew@126.com.
Yu-Lin FengDepartment of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China. fengyulin1115@126.com.
Xia LingMedical and Regulatory Affairs, AstraZeneca China, Shanghai, 201203, China. Xia.Ling@astrazeneca.com.
Malcolm R SearsMichael G DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada. searsm@mcmaster.ca.
RELIEF Asia Study investigators
Shanghai Jiao Tong University · CNSichuan University · CNAstraZeneca (Poland) · PLChina-Japan Friendship Hospital · CNMcMaster University · CARuijin Hospital · CNTianjin Medical University General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs-needed formoterol can effectively relieve asthma symptoms. Since budesonide/formoterol is available as maintenance and reliever therapy in Asia, formoterol is now being used as-needed, but always with concomitant inhaled corticosteroids. The objective of this analysis was to assess the safety and efficacy of formoterol therapy in patients in East Asia (China, Indonesia, Korea, the Philippines and Singapore) with asthma.

methodsPost-hoc analyses of data from the East Asian population of the RELIEF (REal LIfe EFfectiveness of Oxis® Turbuhaler® as-needed in asthmatic patients; study identification code: SD-037-0699) study were performed.

resultsThis sub-group comprised 2834 randomised patients (formoterol n = 1418; salbutamol n = 1416) with mean age 35 years; 50.7% were male. 2678 patients completed the study. There was no significant difference in the total number of adverse events (AEs) reported in the formoterol and salbutamol groups (21.3% vs 20.9% of patients; p = 0.813), nor in the total number of serious AEs and/or discontinuations due to AEs (4.6% vs 5.5%, respectively; p = 0.323). Compared with salbutamol, formoterol was associated with a significantly longer time to first exacerbation (hazard ratio 0.86; p = 0.023) and a 14% reduction in the risk of any exacerbation (p < 0.05). Relative to salbutamol, mean adjusted reliever medication use throughout the study was significantly lower in the formoterol group (p = 0.017) and the risk of increased asthma medication use was 20% lower with formoterol (p = 0.005).

conclusionsAmong patients with asthma in East Asia, as-needed formoterol and salbutamol had similar safety profiles but, compared with salbutamol, formoterol reduced the risk of exacerbations, increased the time to first exacerbation and reduced the need for reliever medication.

Indexed as

Administration, InhalationAdolescentAdrenergic beta-2 Receptor AgonistsAdultAgedAlbuterolAsthmaChildChinaFemaleFormoterol FumarateHumansIndonesiaMaleMiddle AgedPhilippinesAdrenergic beta-2 Receptor AgonistsAlbuterolFormoterol Fumarate

Identifiers

PMID26758377
PMCPMC4711052
OpenAlexW2238316596

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.