Evidence map›Paper›PMID 33116458›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2020

Airway Deposition of Extrafine Inhaled Triple Therapy in Patients with COPD: A Model Approach Based on Functional Respiratory Imaging Computer Simulations.

Omar S Usmani, Nicola Scichilone, Benjamin Mignot, Dennis Belmans, Cedric Van Holsbeke, Jan De Backer, Roberta De Maria, Erika Cuoghi, Eva Topole, George Georges

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06905483 (Comparative Effects of Triple Inhaled Therapy With Budesonide/Glycopyrronium/Formoterol Versus Fluticasone Furoate/Umeclidinium/Vilanterol on Small Airway Disease in COPD Patients), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 6% 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.

NCT06905483 phase4completednot on this mapstarted 2025, after this paper: background citation

Comparative Effects of Triple Inhaled Therapy With Budesonide/Glycopyrronium/Formoterol Versus Fluticasone Furoate/Umeclidinium/Vilanterol on Small Airway Disease in COPD Patients: A Randomized Crossover Study

TypeinterventionalSponsorThammasat UniversityRan2025 to 2026Enrolled22ConditionsCOPD, Chronic Obstructive Pulmonary Disease (COPD), Small Airway Disease, Triple TherapyArmsBudesonide/Glycopyrronium/Formoterol (BGF), Fluticasone Furoate/Umeclidinium/Vilanterol (FUV)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 46 citations in OpenAlex.

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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 4 institutions in 3 countries.

Omar S UsmaniAirway Disease Section, National Heart and Lung Institute, Imperial College, London, UK.ORCID 0000-0002-4367-254X
Nicola ScichilonePROMISE Department of Medicine, University of Palermo, Palermo, Italy.ORCID 0000-0001-6400-6573
Benjamin MignotFLUIDDA, Kontich, Belgium.
Dennis BelmansFLUIDDA, Kontich, Belgium.
Cedric Van HolsbekeFLUIDDA, Kontich, Belgium.ORCID 0000-0003-0248-841X
Jan De BackerFLUIDDA, Kontich, Belgium.
Roberta De MariaChiesi Farmaceutici, SpA, Parma, Italy.
Erika CuoghiChiesi Farmaceutici, SpA, Parma, Italy.
Eva TopoleChiesi Farmaceutici, SpA, Parma, Italy.
George GeorgesChiesi Farmaceutici, SpA, Parma, Italy.ORCID 0000-0002-0303-2273
Chiesi (Italy) · ITFluidda (Belgium) · BEImperial College London · GBUniversity of Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: There is a clear correlation between small airways dysfunction and poor clinical outcomes in patients with chronic obstructive pulmonary disease (COPD), and it is therefore important that inhalation therapy (both bronchodilator and anti-inflammatory) can deposit in the small airways. Two single-inhaler triple therapy (SITT) combinations are currently approved for the maintenance treatment of COPD: extrafine formulation beclomethasone dipropionate/formoterol fumarate/glycopyrronium bromide (BDP/FF/GB), and non-extrafine formulation fluticasone furoate/vilanterol/umeclidinium (FluF/VI/UMEC). This study evaluated the lung deposition of the inhaled corticosteroid (ICS), long-acting β Materials and Methods: Lung deposition was estimated in-silico using functional respiratory imaging, a validated technique that uses aerosol delivery performance profiles, patients' high-resolution computed tomography (HRCT) lung scans, and patient-derived inhalation profiles to simulate aerosol lung deposition. Results: HRCT scan data from 20 patients with COPD were included in these analyses, who had post-bronchodilator forced expiratory volume in 1 second (FEV Conclusions: Peripheral (small airways) deposition of all three components (ICS, LABA, and LAMA) was higher from BDP/FF/GB than from FluF/VI/UMEC, based on profiles from patients with moderate to very severe COPD. This is consistent with the extrafine formulation of BDP/FF/GB.

Indexed as

Bronchodilator AgentsPulmonary Disease, Chronic ObstructiveAdministration, InhalationComputer SimulationDrug CombinationsFormoterol FumarateHumansBronchodilator AgentsDrug CombinationsFormoterol Fumaratedry powder inhalersinhaled corticosteroidlong-acting beta2 agonistlong-acting muscarinic antagonistmetered dose inhalerstomographyX-ray computed

Identifiers

PMID33116458
PMCPMC7548261
OpenAlexW3092435149

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.