Evidence map›Paper›PMID 30974049›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2019

Improvements in Lung Function with Nebulized Revefenacin in the Treatment of Patients with Moderate to Very Severe COPD: Results from Two Replicate Phase III Clinical Trials.

Gary T Ferguson, Gregory Feldman, Krishna K Pudi, Chris N Barnes, Edmund J Moran, Brett Haumann, Srikanth Pendyala, Glenn Crater

Registry-linked trialAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04315558 (Revefenacin in Acute Respiratory Insufficiency in COPD), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04315558 phase2completednot on this mapstarted 2020, after this paper: background citation

Revefenacin in Acute Respiratory Insufficiency in COPD (RARICO)

TypeinterventionalSponsorUniversity of California, Los AngelesRan2020 to 2025Enrolled21ConditionsCOPD, Acute Respiratory FailureArmsRevefenacin Inhalation Solution [Yupelri], Ipratropium Bromide
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy and cardiovascular safety of LAMA in patients with COPD: a systematic review and meta-analysis.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021
    Pooled it
  2. Revefenacin Area Under the Curve Spirometry in Patients with Moderate to Very Severe COPD.International journal of chronic obstructive pulmonary disease · 2024
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Muscarinic control of cardiovascular function in humans: a review of current clinical evidence.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Review
  8. Three-Month Variability of Commonly Evaluated Biomarkers in Clinically Stable COPD.International journal of chronic obstructive pulmonary disease · 2023
    Observational
  9. Revefenacin, a once-daily, long-acting muscarinic antagonist, for nebulized maintenance therapy in patients with chronic obstructive pulmonary disease.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2021
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Nebulized Therapies in COPD: Past, Present, and the Future.International journal of chronic obstructive pulmonary disease · 2020
    Review
  16. Article
  17. Pharmacokinetics and safety of revefenacin in subjects with impaired renal or hepatic function.International journal of chronic obstructive pulmonary disease · 2019
    Article
  18. Revefenacin: A Once-Daily, Long-Acting Bronchodilator For Nebulized Treatment Of COPD.International journal of chronic obstructive pulmonary disease · 2019
    Review
  19. 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.

Gary T FergusonPulmonary Research Institute of Southeast Michigan, Farmington Hills.
Gregory FeldmanSouth Carolina Pharmaceutical Research, Spartanburg.
Krishna K PudiSherman Clinical Research, Sherman, Texas.
Chris N BarnesTheravance Biopharma US, Inc., South San Francisco, California.
Edmund J MoranTheravance Biopharma US, Inc., South San Francisco, California.
Brett HaumannTheravance Biopharma US, Inc., South San Francisco, California.
Srikanth PendyalaTheravance Biopharma US, Inc., South San Francisco, California.
Glenn CraterTheravance Biopharma US, Inc., South San Francisco, California.

Funding

Mylan Inc.,Theravance BiopharmaTheravance Biopharma, Inc.
6 · The paper itself

Abstract

backgroundRevefenacin, a novel, lung-selective, long-acting muscarinic antagonist, has been developed for nebulized therapy for chronic obstructive pulmonary disease (COPD). We present the results of replicate Phase III efficacy and safety studies of revefenacin in patients with moderate to very severe COPD.

methodsIn 2 double-blind, parallel-group studies, (Study 0126 and Study 0127), patients ≥ 40 years old were randomized to revefenacin 88 μg, revefenacin 175 μg or placebo administered once daily by standard jet nebulizer for 12 weeks. The primary endpoint was 24-hour trough forced expiratory volume in 1 second (FEV

resultsAt day 85, revefenacin 88 µg and 175 µg improved trough FEV

conclusionRevefenacin, administered once daily for 12 weeks to patients with moderate to very severe COPD, demonstrated clinically significant improvements in trough FEV

Indexed as

chronic obstructive pulmonary diseasecopdFEV1forced expiratory volume in 1 secondnebulized therapy,Phase III randomized controlled trialPhase III randomized controlled trialRevefenacin

Identifiers

PMID30974049
PMCPMC6596436

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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.