Evidence map›Paper›PMID 35815354›Full record

Trial reportTherapeutic advances in respiratory disease

Effect of inhaled budesonide/formoterol fumarate dihydrate delivered via two different devices on lung function in patients with COPD and low peak inspiratory flow.

Bärbel Huber, Claus Keller, Martin Jenkins, Abid Raza, Magnus Aurivillius

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04078126 (A Randomized, Open-Label, Two Period Crossover, Chronic Dosing, 1-Week, Pilot Study to Assess the Efficacy and Safety of Budesonide and Formoterol Fumarate Inhalation Aerosol Administered With a Spacer Compared With Symbicort® Turbuhaler® in Subjects With Severe to Very Severe Chronic Obstructive Pulmonary Disease and Low Peak Inspiratory Flow), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT04078126 phase3completednot on this map

A Randomized, Open-Label, Two Period Crossover, Chronic Dosing, 1-Week, Pilot Study to Assess the Efficacy and Safety of Budesonide and Formoterol Fumarate Inhalation Aerosol Administered With a Spacer Compared With Symbicort® Turbuhaler® in Subjects With Severe to Very Severe Chronic Obstructive Pulmonary Disease and Low Peak Inspiratory Flow

TypeinterventionalSponsorAstraZenecaRan2019 to 2020Enrolled35ConditionsChronic Obstructive Pulmonary Disease (COPD)ArmsBFF, Symbicort Turbuhaler
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
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

5 authors at 3 institutions in 3 countries.

Bärbel HuberClinical Unit, Inamed GmbH, Gauting, Germany.
Claus KellerLung and Bronchial Medicine, Praxis Dr. Claus Keller, Frankfurt, Germany.
Martin JenkinsLate Respiratory and Immunology Biometrics, AstraZeneca, Cambridge, UK.
Abid RazaMedsearch UK Limited, Slough, UK.
Magnus AurivilliusAstraZeneca Research and Development, Pepparedsleden 1, Gothenburg 43183, Sweden.ORCID 0000-0003-4660-5040
AstraZeneca (Sweden) · SEAstraZeneca (United Kingdom) · GBInamed · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsLow peak inspiratory flow (PIF) is common following severe exacerbations of chronic obstructive pulmonary disease (COPD). Patients with COPD and low PIF may be at risk of suboptimal delivery of inhaled therapies to the airways, especially when using devices such as dry powder inhalers (DPIs), which require greater inspiratory effort than metered dose inhalers (MDIs). We report the results from a 2-week crossover study evaluating the effects of inhaled dual therapy with budesonide/formoterol fumarate dihydrate with an MDI with a spacer

methodsThis randomized, open-label, two-period (each 1 week in duration) crossover efficacy and safety study included patients with severe-to-very severe COPD and PIF < 50 L/min (NCT04078126). Patients were randomized 1:1 to twice-daily budesonide/formoterol fumarate dihydrate MDI (BFF MDI) 320/10 µg with a spacer for 1 week followed by twice-daily budesonide/formoterol fumarate dihydrate DPI (BUD/FORM DPI) 320/9 µg for 1 week, or the inverse. The primary endpoint was peak change from baseline in forced expiratory volume in 1 s (FEV

resultsThe modified intention-to-treat analysis set comprised 30 patients (mean age: 66.9 years; mean baseline FEV

conclusionDual therapy with BFF MDI and with BUD/FORM DPI led to improvements in lung function in patients with severe-to-very severe COPD and low PIF.

Indexed as

GlycopyrrolatePulmonary Disease, Chronic ObstructiveAdministration, InhalationAgedBronchodilator AgentsBudesonideCross-Over StudiesDouble-Blind MethodDrug CombinationsFormoterol FumarateHumansLungTreatment OutcomeBronchodilator AgentsBudesonideDrug CombinationsFormoterol FumarateGlycopyrrolatebudesonidechronic obstructive pulmonary diseasedry powder inhalerformoterol fumarate dihydrateinhaled dual therapymetered dose inhalerpeak inspiratory flow

Identifiers

PMID35815354
PMCPMC9340410
OpenAlexW4285040980

What OpenQuestion holds

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LicenceCC BY-NC
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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.