Evidence map›Paper›PMID 29506504›Full record

Trial reportRespiratory research2018

A phase IIb randomized, chronic-dosing, incomplete block, cross-over study of glycopyrronium, delivered via metered dose inhaler, compared with a placebo and an active control in patients with moderate-to-severe COPD.

Edward M Kerwin, Selwyn Spangenthal, Christine Kollar, Earl St Rose, Colin Reisner

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01350128 (A Randomized, Double-Blind, Chronic Dosing), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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.

NCT01350128 phase2completednot on this map

A Randomized, Double-Blind, Chronic Dosing (7 Days), Three-Period, Six-Treatment, Placebo-Controlled, Incomplete Block, Cross-Over, Multi-Center Study to Assess Efficacy and Safety of Four Doses of PT001 in Patients With Moderate to Severe COPD, Compared With Atrovent® HFA Inhalation Aerosol (Open-Label) as An Active Control

TypeinterventionalSponsorPearl Therapeutics, Inc.Ran2011 to 2011Enrolled103ConditionsChronic Obstructive Pulmonary DiseaseArmsPT001 MDI, Ipratropium Bromide HFA Inhalation Aerosol, Placebo MDI
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Inhaled glycopyrrolate for the treatment of chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2018
    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

5 authors at 3 institutions in 1 country.

Edward M KerwinClinical Research Institute of Southern Oregon, Medford, OR, USA. ekerwin@criresearch.com.
Selwyn SpangenthalAmerican Health Research, Charlotte, NC, USA.
Christine KollarEverest Clinical Research, Little Falls, NJ, USA.
Earl St RosePearl - A member of the AstraZeneca Group, Morristown, NJ, USA.
Colin ReisnerPearl - A member of the AstraZeneca Group, Morristown, NJ, USA.
AstraZeneca (United States) · USAmerican Health Research Institute · USClinical Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-acting muscarinic antagonist (LAMA) and long-acting β

methodsIn this randomized, double-blind, 7-day chronic-dosing, three-period incomplete block, cross-over study, patients with moderate-to-severe COPD received two of the four doses of GP MDI (28.8 μg, 14.4 μg, 7.2 μg, and 3.6 μg) twice daily (BID), and either placebo MDI BID or open-label ipratropium MDI 34 μg four times daily. The primary efficacy endpoint was forced expiratory volume in 1 s (FEV

resultsAll GP MDI treatments were superior to placebo MDI for the primary efficacy endpoint (all p < 0.0001). However, only GP MDI 28.8 μg and 14.4 μg demonstrated statistical superiority to placebo MDI for all secondary efficacy endpoints analyzed in this study, with the exception of GP MDI 14.4 μg versus placebo MDI for the proportion of patients achieving ≥12% improvement in FEV

conclusionsThis study indicated that there was no advantage of GP MDI 28.8 μg compared with GP MDI 14.4 μg. It therefore added to the evidence from the Phase I/II clinical trial program, which identified GP MDI 14.4 μg as the most appropriate dose for use in the Phase III clinical studies.

trial registrationClinicalTrials.gov (NCT01350128). Registered May 09, 2011.

Indexed as

Metered Dose InhalersAdministration, InhalationAdultAgedAged, 80 and overBronchodilator AgentsCross-Over StudiesDouble-Blind MethodDrug Administration ScheduleDrug Delivery SystemsFemaleGlycopyrrolateHumansMaleMiddle AgedMuscarinic AntagonistsBronchodilator AgentsGlycopyrrolateMuscarinic AntagonistsBronchodilatorChronic obstructive pulmonary diseaseCo-suspension delivery technologyGlycopyrroniumLong-acting muscarinic antagonistLong-acting β2-agonistMetered dose inhaler

Identifiers

PMID29506504
PMCPMC5838878
OpenAlexW2797417345

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.