Evidence map›Paper›PMID 29695902›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease

Randomized, double-blind, placebo-controlled trial to assess the efficacy and safety of three doses of co-suspension delivery technology glycopyrronium MDI in Japanese patients with moderate-to-severe COPD.

Yasushi Fukushima, Yuji Nakatani, Yumiko Ide, Hisakuni Sekino, Earl St Rose, Shahid Siddiqui, Andrea Maes, Colin Reisner

Open access · goldAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

8 authors at 5 institutions in 4 countries.

Yasushi FukushimaDepartment of Internal Medicine, Fukuwa Clinic, Tokyo, Japan.
Yuji NakataniDepartment of Internal Medicine, Nakatani Hospital, Hyogo, Japan.
Yumiko IdeDepartment of Internal Medicine, Tokyo Center Clinic, Tokyo, Japan.
Hisakuni SekinoDepartment of Internal Medicine, Sekino Hospital, Tokyo, Japan.
Earl St RosePearl - a member of the AstraZeneca Group, Morristown, NJ, USA.
Shahid SiddiquiAstraZeneca, Gaithersburg, MD, USA.
Andrea MaesPearl - a member of the AstraZeneca Group, Morristown, NJ, USA.
Colin ReisnerPearl - a member of the AstraZeneca Group, Morristown, NJ, USA.
AstraZeneca (Poland) · PLAstraZeneca (Netherlands) · NLMinamiaoyama Eye Clinic · JPNitobe Memorial Nakano General Hospital · JPSeiwa Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDue to the burden of COPD in Japan, new pharmacologic treatments are needed to meet patient requirements. This study assessed the efficacy and safety of glycopyrronium (GP) delivered via metered dose inhaler (MDI) in Japanese patients with moderate-to-severe COPD.

methodsThis Phase IIb, multicenter, randomized, double-blind, 7-day, crossover study compared GP MDI 28.8, 14.4, and 7.2 μg with placebo MDI (all administered as two inhalations, twice daily). The primary endpoint was change from baseline in morning pre-dose trough forced expiratory volume in 1 second (FEV

resultsSixty-six patients were randomized and 62 were included in the modified intent-to-treat population (mean age 67.5 years). All three GP MDI doses significantly improved change from baseline in morning pre-dose trough FEV

conclusionsThe results of this study suggest that GP MDI 14.4 μg (7.2 μg per inhalation) is the most appropriate dose for use in Phase III studies in Japanese patients with moderate-to-severe COPD.

Indexed as

Metered Dose InhalersAdministration, InhalationAdultAgedAged, 80 and overBronchodilator AgentsCross-Over StudiesDouble-Blind MethodDrug Delivery SystemsFemaleForced Expiratory VolumeGlycopyrrolateHumansIntention to Treat AnalysisJapanLungBronchodilator AgentsGlycopyrrolateMuscarinic Antagonistsbronchodilator agentsCOPDdose–response relationshipforced expiratory volumemetered dose inhalers

Identifiers

PMID29695902
PMCPMC5905841
OpenAlexW2797158782

What OpenQuestion holds

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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.