Evidence map›Paper›PMID 32324983›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2020

ELLIPTA Versus DISKUS plus HandiHaler in COPD: A Randomized, Open-Label, Crossover Study in a Clinical Trial Setting.

Edward M Kerwin, Selwyn Spangenthal, Michael Zvarich, Valerie Millar, Renu Jain, Kathryn Collison, Raj Sharma

Registry-linked trialAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03227445 (A Randomized, Open-label, Cross-over, Placebo Inhaler Study to Evaluate the Correct Use of ELLIPTA™ Dry Powder Inhaler), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT03227445 phase4completednot on this map

A Randomized, Open-label, Cross-over, Placebo Inhaler Study to Evaluate the Correct Use of ELLIPTA™ Dry Powder Inhaler (DPI) Compared to DISKUS™ DPI Used in Combination With HandiHaler DPI in Participants With Chronic Obstructive Pulmonary Disease (COPD)

TypeinterventionalSponsorGlaxoSmithKlineRan2017 to 2018Enrolled240ConditionsPulmonary Disease, Chronic ObstructiveArmsELLIPTA placebo DPI, DISKUS placebo DPI, HandiHaler placebo DPI, Inhaler preference questionnaires
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. 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

7 authors.

Edward M KerwinClinical Research Institute of Southern Oregon, Medford.
Selwyn SpangenthalAmerican Health Research, Charlotte, North Carolina.
Michael ZvarichGlaxoSmithKline plc., Research Triangle Park, Durham, North Carolina.
Valerie MillarGlaxoSmithKline plc., Uxbridge, United Kingdom.
Renu JainGlaxoSmithKline plc., Research Triangle Park, Durham, North Carolina.
Kathryn CollisonGlaxoSmithKline plc., Research Triangle Park, Durham, North Carolina.
Raj SharmaRespiratory Medical Franchise, GlaxoSmithKline plc., Brentford, United Kingdom.

Funding

GlaxoSmithKline plc.GlaxoSmithKline plc.
6 · The paper itself

Abstract

backgroundInhaler errors among patients with chronic obstructive pulmonary disease (COPD) can reduce treatment efficacy.

methodsThis randomized, open-label, crossover study evaluated correct use of ELLIPTA versus DISKUS plus HandiHaler. Participants with COPD attended at least 3 study visits (Day 1 [Visit 1], Day 28 [Visit 2], and Day 56 [Visit 3]). Inhalers contained placebo; usual maintenance medication was continued. Participants were randomized to an inhaler sequence (ELLIPTA then DISKUS plus HandiHaler, or the reverse) and preference questionnaire at Visit 1. Participants read the instructions for use in the approved prescribing information for their inhaler(s) and correct use was assessed at Visit 1 (verbal guidance provided if required). Correct use was reassessed at Visit 2, and with the next inhaler(s) at Visit 3. Primary endpoint was the proportion of participants demonstrating correct use (0 errors) with the assigned inhaler(s) after 28 days.

resultsA greater proportion of study participants (n = 217) correctly used ELLIPTA (96%) versus DISKUS plus HandiHaler (87%) after 28 days. The odds of demonstrating correct use with ELLIPTA were 6.88 times that of DISKUS plus HandiHaler (

conclusionsDelivery of COPD maintenance therapy via ELLIPTA demonstrates higher correct use rates and lower critical error rates compared with DISKUS plus HandiHaler.

Indexed as

copdcorrect useDISKUSELLIPTAHandiHalerpatient preference

Identifiers

PMID32324983
PMCPMC7454022

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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.