Evidence map›Paper›PMID 32557394›Full record

ArticlePulmonary therapy2020

Physical Functioning in Patients with Chronic Obstructive Pulmonary Disease Treated with Tiotropium/Olodaterol Respimat in Routine Clinical Practice in Italy.

Mauro Carone, Alfio Pennisi, Mariella D'Amato, Alfeo Fiore Donati, Alberto Ricci, Carla Scognamillo, Li Chun, Maria Aliani, Valeria Ronsivalle, Girolamo Pelaia

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pulmonary therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03003494 (Effectiveness and Handling of Spiolto® Respimat ® in COPD Patients - Italy), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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.

NCT03003494 completednot on this map

Effectiveness and Handling of Spiolto® Respimat ® in COPD Patients - Italy

TypeobservationalSponsorBoehringer IngelheimRan2017 to 2018Enrolled306ConditionsPulmonary Disease, Chronic ObstructiveArmsSpiolto® Respimat®
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  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

10 authors at 8 institutions in 2 countries.

Mauro CaroneDivision of Pneumology, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 4, 27100, Pavia, Italy. mauro.carone@icsmaugeri.it.
Alfio PennisiDepartment of Pneumology, Casa Di Cura Mons. Calaciuria, Catania, Italy.
Mariella D'AmatoUOSD Pneumology, Ospedale Monaldi-AO Dei Colli, Napoli, Italy.
Alfeo Fiore DonatiUOC Pneumology, Ospedale S. Salvatore, L'Aquila, Italy.
Alberto RicciDepartment of Pneumology, Azienda Ospedaliera Sant'Andrea, Roma, Italy.
Carla ScognamilloBoehringer-Ingelheim S.P.A, Milan, Italy.
Li ChunBoehringer-Ingelheim, Ridgefield, CT, USA.
Maria AlianiDivision of Pneumology, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 4, 27100, Pavia, Italy.
Valeria RonsivalleDepartment of Pneumology, Casa Di Cura Mons. Calaciuria, Catania, Italy.
Girolamo PelaiaDepartment of Scienze Mediche E Chirurgiche, Università "Magna Grecia", Catanzaro, Italy.
Casa di Cura Villa Pini d’Abruzzo · ITIstituti Clinici Scientifici Maugeri · ITAzienda Ospedaliera Sant'Andrea · ITBoehringer Ingelheim (Italy) · ITBoehringer Ingelheim (United States) · USMagna Graecia University · ITOspedale Monaldi · ITSan Salvatore Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical studies have shown significant improvements in exercise capacity in patients with chronic obstructive pulmonary disease (COPD) who are treated with a tiotropium/olodaterol fixed-dose combination (FDC). However, the effects of this treatment, which is administered in a single device, on physical functioning in a real-life setting of patients with COPD had not been fully determined.

methodsAn open-label, observational study was conducted in 309 patients with COPD from 29 sites across Italy who received tiotropium/olodaterol FDC for 6 weeks. Physical functioning was evaluated using the Physical Functioning Questionnaire (PF-10). The primary endpoint was the proportion of patients with therapeutic success, defined as a ten-point increase in the PF-10 score from the baseline visit. Secondary endpoints were absolute changes in PF-10 score from baseline visit, the patient's general condition assessed by the Physician's Global Evaluation (PGE) score, and patient satisfaction with treatment, inhaling and handling of the device.

resultsAccording to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) multimodality assessment, most patients were allocated to groups B (44.4%) and D (24.5%). Comorbidities were present in 73.9% of the patients. The primary endpoint was reached in more than half of the patients (52.5%), especially in groups B and D of GOLD. Patients' satisfaction with treatment, inhaling and handling of device was high, with a range of more than 86% to more than 89%, and very high in both groups B and D. The rates of drug-related adverse events were very low.

conclusionsThis real-life study showed that the tiotropium/olodaterol FDC treatment delivered via the Respimat device improves physical functioning and general patients' condition and is associated with a high degree of satisfaction and very low rates of drug-related adverse events, regardless of the group they belong to and their comorbidities. CLINICAL TRIAL ID: NCT03003494.

Indexed as

COPDExercise capacityFixed-dose combinationHealth statusInhaling deviceLong-acting dual bronchodilationOlodaterolPatient-reported outcomesPhysical functioningTiotropium

Identifiers

PMID32557394
PMCPMC7672142
OpenAlexW3036600867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.