Evidence map›Paper›PMID 32646424›Full record

Trial reportRespiratory research2020

Composite endpoints in COPD: clinically important deterioration in the UPLIFT trial.

Klaus F Rabe, David M G Halpin, MeiLan K Han, Marc Miravitlles, Dave Singh, Lars Grönke, Florian Voß, Fernando J Martinez

Registry-linked trialAbstract readRandomized 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 trial NCT00144339 (A Randomized, Double-blind, Placebo-controlled, Parallel Group Trial Assessing the Rate of Decline of Lung Function With Tiotropium 18 mcg Inhalation Capsule Once Daily in Patients With Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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.

NCT00144339 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Parallel Group Trial Assessing the Rate of Decline of Lung Function With Tiotropium 18 mcg Inhalation Capsule Once Daily in Patients With Chronic Obstructive Pulmonary Disease (COPD).

TypeinterventionalSponsorBoehringer IngelheimRan2002Enrolled5,993ConditionsPulmonary Disease, Chronic ObstructiveArmstiotropium, placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Revefenacin Area Under the Curve Spirometry in Patients with Moderate to Very Severe COPD.International journal of chronic obstructive pulmonary disease · 2024
    Trial
  6. Trial
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Article
  12. Is Disease Stability an Attainable Chronic Obstructive Pulmonary Disease Treatment Goal?American journal of respiratory and critical care medicine · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Future concepts in bronchodilation for COPD: dual-European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  20. 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

8 authors.

Klaus F RabeMember of the German Center for Lung Research (DZL), LungClinic Grosshansdorf, Wöhrendamm 80, 22927, Grosshansdorf, Germany. k.f.rabe@lungenclinic.de.
David M G HalpinUniversity of Exeter Medical School, College of Medicine and Health, University of Exeter, Exeter, UK.
MeiLan K HanDivision of Pulmonary and Critical Care, University of Michigan Health System, Ann Arbor, MI, USA.
Marc MiravitllesPneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Ciber de Enfermedades Respiratorias (CIBERES), Barcelona, Spain.
Dave SinghMedicines Evaluation Unit (MEU), University of Manchester, Manchester University NHS Foundation Trust, Manchester, UK.
Lars GrönkeClinical Development, CSL Behring GmbH, Marburg, Germany.
Florian VoßBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany.
Fernando J MartinezDepartment of Internal Medicine, Weill Cornell School of Medicine, New York, NY, USA.

Funding

Boehringer Ingelheim N/A
6 · The paper itself

Abstract

backgroundAssessments of lung function, exacerbations and health status are common measures of chronic obstructive pulmonary disease (COPD) progression and treatment response in clinical trials. We hypothesised that a composite endpoint could more holistically assess clinically important deterioration (CID) in a COPD clinical trial setting.

methodsA composite endpoint was tested in a post hoc analysis of 5652 patients with Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2-4 COPD from the 4-year UPLIFT study. Patients received tiotropium 18 μg or placebo.

resultsThe composite endpoint included time to first confirmed decrease in trough forced expiratory volume in 1 s (FEV

conclusionsComposite endpoints provide additional information on COPD progression and treatment effects in clinical trials.

trial registrationClinicalTrials.gov NCT00144339 .

Indexed as

AgedBronchodilator AgentsClinical DeteriorationClinical Trials as TopicDouble-Blind MethodEndpoint DeterminationFemaleForced Expiratory Flow RatesForced Expiratory VolumeHumansIncidenceKaplan-Meier EstimateMaleMiddle AgedPulmonary Disease, Chronic ObstructiveResearch DesignBronchodilator AgentsTiotropium BromideExacerbationsLung functionTiotropium

Identifiers

PMID32646424
PMCPMC7350568

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.