Evidence map›Paper›PMID 30568438›Full record

ArticleInternational journal of chronic obstructive pulmonary disease

Cost-effectiveness of twice-daily indacaterol/glycopyrrolate inhalation powder for the treatment of moderate to severe COPD in the US.

Krithika Rajagopalan, Lisa Bloudek, Jessica Marvel, Carole Dembek, Abhishek Kavati

Open access · goldAbstract readComparative Study
In one paragraph

Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Krithika RajagopalanSunovion Pharmaceuticals Inc., Marlborough, MA 01752, USA, carole.dembek@sunovion.com.
Lisa BloudekCurta Inc., Seattle, WA 98116, USA.
Jessica MarvelNovartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA.
Carole DembekSunovion Pharmaceuticals Inc., Marlborough, MA 01752, USA, carole.dembek@sunovion.com.
Abhishek KavatiNovartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA.
Novartis (United States) · USVion Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndacaterol 27.5 µg/glycopyrrolate 15.6 µg (IND/GLY 27.5/15.6 µg) inhalation powder, a twice-daily, fixed-dose combination of a long-acting beta2-agonist (LABA) and a long-acting antimuscarinic antagonist (LAMA), is indicated in the US for long-term maintenance treatment of airflow obstruction in patients with COPD. The safety and efficacy of IND/GLY 27.5/15.6 µg have been established, but cost-effectiveness is not yet known. This study compared the cost-effectiveness of IND/GLY 27.5/15.6 µg with other long-acting COPD maintenance therapies.

methodsA Markov model was constructed from the US payer perspective. Health states were defined as mild (post-bronchodilator FEV

resultsUsing the model, IND/GLY 27.5/15.6 µg treatment for 12 weeks resulted in total costs of US $23,375 vs US $9,365 for placebo. Compared with placebo, IND/GLY 27.5/15.6 treatment resulted in the highest improvement in FEV

conclusionThis model, developed from the US payer perspective with a 5-year time horizon, found IND/GLY 27.5/15.6 µg to be a cost-effective treatment option for patients with moderate to severe COPD.

Indexed as

Drug CostsAdministration, InhalationAdrenergic beta-2 Receptor AgonistsBronchodilator AgentsCost-Benefit AnalysisDrug Administration ScheduleDrug CombinationsForced Expiratory VolumeGlycopyrrolateHumansIndansLungMarkov ChainsModels, EconomicMuscarinic AntagonistsNebulizers and VaporizersAdrenergic beta-2 Receptor AgonistsBronchodilator AgentsDrug CombinationsGlycopyrrolateindacaterol-glycopyrronium combinationIndansMuscarinic AntagonistsPowdersQuinolonescost-effectivenessdual bronchodilationFEV1glycopyrrolateindacaterolSGRQ

Identifiers

PMID30568438
PMCPMC6276826
OpenAlexW2903019308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.