Evidence map›Paper›PMID 29138547›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2017

Efficacy of tiotropium and indacaterol monotherapy and their combination on dynamic lung hyperinflation in COPD: a random open-label crossover study.

Keisaku Fujimoto, Haruna Yamazaki, Midori Ura, Yoshiaki Kitaguchi

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
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  7. Longitudinal change of FEVInternational journal of chronic obstructive pulmonary disease
    Observational
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

4 authors at 3 institutions in 3 countries.

Keisaku FujimotoDepartment of Clinical Laboratory Sciences, School of Health Sciences.
Haruna YamazakiDepartment of Biomedical Laboratory Science, Graduate School of Medicine.
Midori UraDepartment of Biomedical Laboratory Science, Graduate School of Medicine.
Yoshiaki KitaguchiFirst Department of Internal Medicine, School of Medicine, Shinshu University, Matsumoto, Japan.
Graduate School USA · USPhysical Sciences (United States) · USShinshu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe difference in efficacy of long-acting muscarinic antagonists (LAMAs) and long-acting β SUBJECTS AND

methodsThirty stable patients were enrolled and randomly divided into two groups following baseline measurements. One group was treated with 5 μg tiotropium (Respimat inhaler) for 4 weeks following a 4-week treatment with 150 μg indacaterol, while the other group was treated with indacaterol for 4 weeks following a 4-week treatment with tiotropium. For both groups, these treatments were followed by a combination of the two drugs for 4 weeks. Pulmonary function tests, including DLH evaluated by metronome-paced incremental hyperventilation and exercise tolerance evaluated by the shuttle-walk test, were performed at the end of each treatment period.

resultsIn total, 23 patients completed this study. Both tiotropium and indacaterol alone significantly increased forced expiratory volume in 1 second, exercise tolerance, and improved health status. Tiotropium significantly improved DLH, but indacaterol did not. The combination therapy resulted in further improvements in lung function and exercise tolerance, but not in DLH.

conclusionThe efficacy of tiotropium in inhibiting DLH following metronome-paced incremental hyperventilation may be superior to that of 150 μg indacaterol, although the effects on airflow obstruction were the same, and the combination therapy showed further improvement in airflow obstruction, but not in DLH.

Indexed as

Administration, InhalationAdrenergic beta-2 Receptor AgonistsAgedBronchodilator AgentsCross-Over StudiesDrug Therapy, CombinationExercise ToleranceFemaleForced Expiratory VolumeHumansIndansJapanLungMaleMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveAdrenergic beta-2 Receptor AgonistsBronchodilator AgentsindacaterolIndansMuscarinic AntagonistsQuinolonesTiotropium Bromidebronchodilator agentsclinical respiratory medicineCOPDquality of liferespiratory function tests

Identifiers

PMID29138547
PMCPMC5679691
OpenAlexW2767077002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.