Evidence map›Paper›PMID 37526856›Full record

ArticlePulmonary therapy2023

Triple Therapy with Mometasone/Indacaterol/Glycopyrronium or Doubling the ICS/LABA Dose in GINA Step 4: IRIDIUM Analyses.

Richard N van Zyl-Smit, Huib A M Kerstjens, Jorge Maspero, Ana-Maria Tanase, David Lawrence, Karen Mezzi, Peter D'Andrea, Kenneth R Chapman

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pulmonary therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02571777 (A Multicenter, Randomized, 52-week, Double-blind, Parallelgroup, Active Controlled Study to Compare the Efficacy and Safety of QVM149 With QMF149 in Patients With Asthma), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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.

NCT02571777 phase3completednot on this map

A Multicenter, Randomized, 52-week, Double-blind, Parallelgroup, Active Controlled Study to Compare the Efficacy and Safety of QVM149 With QMF149 in Patients With Asthma

TypeinterventionalSponsorNovartis PharmaceuticalsRan2015 to 2019Enrolled3,092ConditionsAsthmaArmsQVM149 150/50/160, QVM149 150/50/80, QMF149 150/320, QMF149 150/160, salmeterol/fluticasone
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Guideline
  2. 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

8 authors at 5 institutions in 5 countries.

Richard N van Zyl-SmitDivision of Pulmonology and UCT Lung Institute, University of Cape Town, Cape Town, South Africa.
Huib A M KerstjensDepartment of Pulmonology, University of Groningen, University Medical Center Groningen, and Groningen Research Institute for Asthma and COPD, Groningen, The Netherlands.
Jorge MasperoAllergy and Respiratory Research Unit, Fundación CIDEA, Buenos Aires, Argentina.
Ana-Maria TanaseNovartis Pharma AG, Basel, Switzerland.
David LawrenceNovartis Pharma AG, Basel, Switzerland.
Karen MezziNovartis Pharma AG, Basel, Switzerland.
Peter D'AndreaNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Kenneth R ChapmanDivision of Respiratory Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada. ken.chapman.airways@gmail.com.
Novartis (Switzerland) · CHNovartis (United States) · USUniversity of Cape Town · ZAUniversity of Groningen · NLUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGINA guidelines recommend increasing the dose of inhaled corticosteroids (ICS) as a step-up option for patients with inadequately controlled asthma at GINA step 4 [inadequately controlled asthma on medium-dose ICS/long-acting beta-2 agonist (LABA)]. The aim of this study was to compare the efficacy and safety of long-acting muscarinic antagonists (LAMA) add-on to medium-dose ICS/LABA in patients at GINA 2022 step 4.

methodsThis post hoc analysis of the IRIDIUM study evaluated the change from baseline in trough forced expiratory volume (FEV

resultsA total of 1930 patients were included in this analysis. Medium-dose MF/IND/GLY improved trough FEV

conclusionMedium-dose MF/IND/GLY improved lung function and reduced asthma exacerbations compared to high-dose ICS/LABA and may be an undervalued option in patients at GINA 2022 step 4.

trial registrationClinicalTrials.gov Identifier: NCT02571777.

Indexed as

Asthma exacerbationsGINA step 4GlycopyrroniumICS/LABAInadequately controlled asthmaIRIDIUMLAMA add-onLung function

Identifiers

PMID37526856
PMCPMC10447675
OpenAlexW4385442257

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.