Evidence map›Paper›PMID 30232933›Full record

Observational studyTherapeutic advances in respiratory disease

Non-interventional study of the safety and effectiveness of fluticasone propionate/formoterol fumarate in real-world asthma management.

Vibeke Backer, Adam Ellery, Sylvia Borzova, Stephen Lane, Magda Kleiberova, Peter Bengtsson, Tadeusz Tomala, Dominique Basset-Stheme, Carla Bennett, Dirk Lindner and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Inhaled Corticosteroid/Long-Acting βAdvances in therapy · 2026
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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

12 authors at 6 institutions in 5 countries.

Vibeke BackerDepartment of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
Adam ElleryCape Cornwall Surgery, Penzance, Cornwall, UK St. Just.
Sylvia BorzovaFELICEM, s.r.o., Michalovce, Slovakia.
Stephen LaneProfessorial Respiratory Centre, Tallaght Hospital, Dublin, Ireland.
Magda KleiberovaALERGO Kleiberova, s.r.o., Rychnov nad Kneznou, Czech Republic.
Peter BengtssonKvartersakuten Morby Centrum, Danderyd, Sweden.
Tadeusz TomalaSvelvik legesenter, Svelvik, Norway.
Dominique Basset-SthemeAllergology Practice, Valence, France.
Carla BennettMundipharma Research Limited, Cambridge Science Park, Milton Rd, Cambridge, CB4 0GW UK.
Dirk LindnerMundipharma Research GmbH and Co. KG, Limburg, Germany.
Arthur MeinersMundipharma Research GmbH and Co. KG, Limburg, Germany.
Tim OverendMundipharma Research Limited, Cambridge, UK.
Mundipharma (Germany) · DEMundipharma (United Kingdom) · GBBispebjerg Hospital · DKCentre Hospitalier de Valence · FRTallaght University Hospital · IEWest Cornwall Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn recognition of the value of long-term real-world data, a postauthorization safety study of the inhaled corticosteroid (ICS) fluticasone propionate and long-acting β

methodsThis was a 12-month observational study of outpatients with asthma aged ⩾ 12 years in eight European countries. Patients were prescribed fluticasone/formoterol according to the licensed indication, and independently of their subsequent enrolment in the study. They were then treated according to local standard practice. The study objectives were to evaluate the safety and effectiveness of fluticasone/formoterol under real-world conditions.

resultsThe safety population for this study comprised 2539 patients (mean age 47.7 years; 94.3% aged ⩾ 18 years; 63.4% female). Most patients (1538/2539, 60.6%) had switched to fluticasone/formoterol from another ICS/LABA, primarily due to lack of efficacy (1150/2539, 45.3%). Three quarters (77.4%) of patients were treated for 12 months, and 80.6% continued fluticasone/formoterol treatment after the study. Adverse events (AEs) occurred in 60.0% patients, and 10.2% had AEs considered possibly related to fluticasone/formoterol [most commonly asthma exacerbation (2.0% patients), dysphonia (1.8%) and cough (1.1%)]. Thirty-six severe AEs, but no serious AEs, were considered possibly related to fluticasone/formoterol. The proportion of patients with controlled asthma (based on Asthma Control Test score ⩾ 20) increased from 29.4% at baseline to 67.4% at study end (last observation carried forward). The proportion of patients experiencing at least one severe exacerbation decreased from 35.8% in the year prior to enrolment to 9.8% during the study. Improvements from baseline to study end were also observed in Asthma Quality of Life scores and physician/patient reports of satisfaction with treatment.

conclusionIn this real-world postauthorization safety study, fluticasone/formoterol demonstrated a safety profile consistent with that seen in controlled clinical trials, with effectiveness in improving asthma control.

Indexed as

Quality of LifeAdolescentAdultAgedAged, 80 and overAnti-Asthmatic AgentsAsthmaChildDrug CombinationsFemaleFluticasoneFormoterol FumarateHumansMaleMiddle AgedPatient SatisfactionAnti-Asthmatic AgentsDrug CombinationsFluticasonefluticasone-formoterolFormoterol Fumarateasthmafluticasone propionateformoterol fumaratenon-interventional studyreal worldsafety

Identifiers

PMID30232933
PMCPMC6149027
OpenAlexW2890948368

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.