Evidence map›Paper›PMID 31350236›Full record

Trial reportBMJ open2019

Clinical benefit of two-times-per-day aclidinium bromide compared with once-a-day tiotropium bromide hydrate in COPD: a multicentre, open-label, randomised study.

Tadashi Kamei, Hiroyuki Nakamura, Nobuki Nanki, Yoshiaki Minakata, Kazuto Matsunaga, Yoshihiro Mori, for Command Study Group

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 4 institutions in 1 country.

Tadashi KameiDepartment of Respiratory Medicine, Kamei Internal medicine and Respiratory Clinic, Takamatsu, Japan.ORCID 0000-0003-2756-3738
Hiroyuki NakamuraDepartment of Pulmonary Medicine, Sakaide City Hospital, Sakaide, Kagawa, Japan.
Nobuki NankiDepartment of Respiratory Medicine, Sanuki Municipal Hospital, Sanuki, Kagawa, Japan.
Yoshiaki MinakataDepartment of Respiratory Medicine, National Hospital Organization Wakayama Hospital, Wakayama, Japan.
Kazuto MatsunagaDepartment of Respiratory Medicine and Infectious Disease, Graduate school of Medicine, Yamaguchi University, Ube, Japan.
Yoshihiro MoriSleep and Respiratory Disease Center, KKR Takamatsu Hospital, Takamatsu, Kagawa, Japan.
for Command Study Group
National Hospital Organization · JPNational Hospital Organization Takamatsu Medical Center · JPSakai Municipal Hospital · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic obstructive pulmonary disease (COPD) is mainly treated pharmaceutically with bronchodilators. The purpose of this study was to evaluate the clinical benefits of two-times-per-day aclidinium bromide (Acli-BID) compared with once-a-day tiotropium bromide hydrate (Tio-QD) in patients with COPD.

designThis study was a multicentre, open-label, randomised study.

settingFourcentres in Kagawa prefecture, Japan. PARTICIPANT: Patients who were diagnosed to have COPD Grade 2-3 according to the Global Initiative for Chronic Obstructive Lung Disease 2015 criteria were enrolled.

interventionsPatients were randomly assigned to receive Acli-BID or Tio-QD at a 1:1 ratio, and followed for 8 weeks. Acli-BID was administered in the morning and night, and Tio-QD was administered in the night. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome was forced expiratory volume in one second area under the curve (FEV

results44 patients were included in this study. FEV

conclusionAcli-BID as with Tio-QD could be one of the therapeutic options for patients with COPD to improve pulmonary function. Also, our results suggest that intervention with bronchodilators enhanced physical activity in patients with COPD. TRIAL REGISTRATION NUMBER: UMIN 000020020.

Indexed as

AgedBronchodilator AgentsExerciseFemaleForced Expiratory VolumeHumansJapanLinear ModelsMaleMiddle AgedMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveSeverity of Illness IndexTiotropium BromideTreatment OutcomeTropanesaclidinium bromideBronchodilator AgentsMuscarinic AntagonistsTiotropium BromideTropanesclinical trialsrespiratory medicine (see thoracic medicine)thoracic medicine

Identifiers

PMID31350236
PMCPMC6661652
OpenAlexW2964355573

What OpenQuestion holds

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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.