Evidence map›Paper›PMID 32164675›Full record

Trial reportRespiratory research2020

Glycopyrrolate/formoterol fumarate metered dose inhaler for maintenance-naïve patients with chronic obstructive pulmonary disease: a post-hoc analysis of the randomized PINNACLE trials.

Jinping Zheng, Jin-Fu Xu, Martin Jenkins, Pryseley Nkouibert Assam, Lijiao Wang, Brian J Lipworth

3 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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.

NCT01854645 phase3completednot on this map

A Randomized, Double Blind, Chronic Dosing, Placebo-Controlled, Parallel Group, Multi Center Study to Assess the Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe COPD, Compared With Placebo and Spiriva® Handihaler® (Tiotropium Bromide 18 µg Open-Label) as an Active Control

TypeinterventionalSponsorPearl Therapeutics, Inc.Ran2013 to 2015Enrolled2,103ConditionsChronic Obstructive Pulmonary DiseaseArmsGFF MDI, GP MDI, FF MDI, Open-label tiotropium bromide inhalation powder (Spiriva® Handihaler®), Placebo MDI
NCT01854658 phase3completednot on this map

A Randomized, Double-Blind (Test Products and Placebo), Chronic Dosing (24 Weeks), Placebo-Controlled, Parallel Group, Multi-Center Study to Assess the Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe COPD, Compared With Placebo

TypeinterventionalSponsorPearl Therapeutics, Inc.Ran2013 to 2015Enrolled1,615ConditionsChronic Obstructive Pulmonary Disease (COPD)ArmsGFF MDI (PT003), GP MDI (PT001), FF MDI (PT005), Placebo
NCT02343458 phase3completednot on this map

A Randomized, Double-Blind, Chronic Dosing (24 Weeks), Placebo-Controlled, Parallel Group, Multi-Center Study to Assess the Efficacy and Safety of PT003, PT005, and PT001 in Subjects With Moderate to Very Severe COPD, Compared With Placebo

TypeinterventionalSponsorPearl Therapeutics, Inc.Ran2015 to 2017Enrolled1,756ConditionsChronic Obstructive Pulmonary DiseaseArmsGFF MDI (PT003), FF MDI (PT005), GP MDI (PT001), Placebo MDI
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Future concepts in bronchodilation for COPD: dual-European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  6. Article
  7. Long-acting muscarinic antagonist and long-acting βTherapeutic advances in respiratory disease
    Review
  8. Observational
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

6 authors at 6 institutions in 2 countries.

Jinping ZhengState Key Laboratory of Respiratory Disease, National Clinical Research Center of Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jin-Fu XuDepartment of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Martin JenkinsGlobal Medicines Development, AstraZeneca, Central Cambridge, UK.
Pryseley Nkouibert AssamGlobal Medicines Development, AstraZeneca, Shanghai, China.
Lijiao WangMedical Affairs, AstraZeneca, Shanghai, China.
Brian J LipworthScottish Centre for Respiratory Research, Ninewells Hospital, University of Dundee, Dundee, DD1 9SY, Scotland, UK. b.j.lipworth@dundee.ac.uk.ORCID http://orcid.org/0000-0002-8140-2014
AstraZeneca (United Kingdom) · GBFirst Affiliated Hospital of Guangzhou Medical University · CNShanghai Innovative Research Center of Traditional Chinese Medicine · CNShanghai Medical Information Center · CNTongji University · CNUniversity of Dundee · GB

Funding

AstraZeneca N/A
6 · The paper itself

Abstract

backgroundGlycopyrrolate (GP)/formoterol fumarate (FF; GFF) metered dose inhaler is a fixed-dose combination dual bronchodilator for patients with chronic obstructive pulmonary disease (COPD); however, whether the efficacy in patients without current maintenance treatment is consistent with currently maintenance-treated patients is unclear.

methodsData from patients who were not maintenance-treated at screening (NMT) (n = 1943) and patients who were maintenance-treated at screening (MT) patients (n = 3040) receiving GFF, FF, GP, or placebo were pooled from the Phase III PINNACLE studies (NCT01854645, NCT01854658, NCT02343458) for post-hoc analysis. MT patients had received long-acting bronchodilators and/or inhaled corticosteroids in the 30 days prior to screening, and/or prior to randomization. NMT patients had received short-acting bronchodilators or no treatment. Outcomes included forced expiratory volume over 1 s (FEV

resultsGFF provided significant lung function improvements at Week 24 versus placebo, GP, and FF for NMT patients, with pre-dose trough FEV

conclusionsNMT patients achieved better lung function with GFF versus monotherapy and placebo, without increased safety risk. Dual bronchodilator therapy may offer better outcomes than monotherapy for COPD patients when administered as first-line treatment.

Indexed as

Metered Dose InhalersAdministration, InhalationAgedBronchodilator AgentsDouble-Blind MethodDrug Therapy, CombinationFemaleFormoterol FumarateGlycopyrrolateHumansInternationalityMaleMiddle AgedMuscarinic AntagonistsPulmonary Disease, Chronic ObstructiveBronchodilator AgentsFormoterol FumarateGlycopyrrolateMuscarinic AntagonistsChronic obstructive pulmonary diseaseGlycopyrrolate/formoterol fumarateLong-acting bronchodilator-naïve

Identifiers

PMID32164675
PMCPMC7068860
OpenAlexW3011355114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.