Evidence map›Paper›PMID 38310193›Full record

ArticleAdvances in therapy2024

Outcomes of Patients with COPD Treated with ICS/LABA Before and After Initiation of Single-Inhaler Triple Therapy with Fluticasone Furoate/Umeclidinium/Vilanterol (FF/UMEC/VI).

Meredith McCormack, Rosirene Paczkowski, Noelle N Gronroos, Stephen G Noorduyn, Lydia Lee, Phani Veeranki, Mary G Johnson, Emmeline Igboekwe, Kristin Kahle-Wrobleski, Reynold Panettieri

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 22% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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  4. 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

10 authors at 6 institutions in 2 countries.

Meredith McCormackPulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
Rosirene PaczkowskiValue Evidence and Outcomes, R&D Global Medical, GSK, Collegeville, PA, 19426-0989, USA. rosirene.x.paczkowski@gsk.com.
Noelle N GronroosHealth Economics and Outcomes Research, Optum, Eden Prairie, MN, USA.ORCID 0009-0000-0624-1022
Stephen G NoorduynGlobal Value Evidence and Outcomes, GSK, Mississauga, ON, Canada.ORCID 0000-0002-5936-5579
Lydia LeeValue Evidence and Outcomes, R&D Global Medical, GSK, Collegeville, PA, 19426-0989, USA.ORCID 0000-0002-8114-6508
Phani VeerankiHealth Economics and Outcomes Research, Optum, Eden Prairie, MN, USA.ORCID 0000-0002-8645-1990
Mary G JohnsonHealth Economics and Outcomes Research, Optum, Eden Prairie, MN, USA.
Emmeline IgboekweUS Medical Affairs, R&D Global Medical, GSK, Durham, NC, USA.
Kristin Kahle-WrobleskiValue Evidence and Outcomes, R&D Global Medical, GSK, Collegeville, PA, 19426-0989, USA.
Reynold PanettieriRutgers Institute for Translational Medicine and Science, New Brunswick, NJ, USA.
Optum (United States) · USGlaxoSmithKline (United States) · USEnvironmental and Occupational Health Sciences Institute · USImpact · CAJohns Hopkins University · USRutgers, The State University of New Jersey · US

Funding

Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI BRIAN T BUCKLEY · 1988 to 2026
$47.4M
NIEHS NIH HHS P30 ES005022
6 · The paper itself

Abstract

introductionTriple therapy (fluticasone furoate/umeclidinium/vilanterol; FF/UMEC/VI) has been shown to improve symptoms and reduce exacerbations in patients with chronic obstructive pulmonary disease (COPD) and a history of exacerbations. This real-world study compared exacerbation rates and healthcare resource utilization (HCRU) before and after initiation of FF/UMEC/VI in patients with COPD previously treated with inhaled corticosteroid (ICS)/long-acting β

methodsThis retrospective cohort study included commercial and Medicare Advantage with Part D administrative claims data from September 01, 2016, to March 31, 2020, of patients diagnosed with COPD. The index date was the date of the first FF/UMEC/VI claim (September 2017-March 2019). The 12 months prior to index (baseline) were used to assess patient characteristics and outcomes; the 12 months following index (follow-up) were used to assess study outcomes. All patients had ≥ 30 consecutive days' supply of any ICS/LABA dual therapy during the 12 months prior to FF/UMEC/VI initiation. Subgroup analyses included patients with ≥ 30 consecutive days' supply of budesonide/formoterol (BUD/FORM) during baseline. Analyses of patients with ≥ 1 COPD exacerbation during baseline were reported as well.

resultsThe overall population included 1449 patients (mean age 70.75 years; 54.18% female), of whom 540 were patients in the BUD/FORM subgroup. Significantly fewer patients experienced any exacerbation during follow-up versus baseline (overall population 53.49% vs 62.59%; p < 0.001; BUD/FORM subgroup 55.00% vs 62.41%; p = 0.004). Effects on exacerbation reduction were more pronounced among patients with ≥ 1 exacerbation during baseline. Lower COPD-related HCRU was observed during the follow-up compared with baseline for both the overall population and the BUD/FORM subgroup.

conclusionPatients with COPD treated with ICS/LABA during baseline, including patients specifically treated with BUD/FORM and those with a history of ≥ 1 exacerbation, had fewer COPD exacerbations and lower COPD-related HCRU after initiating FF/UMEC/VI.

Indexed as

Bronchodilator AgentsPulmonary Disease, Chronic ObstructiveAdministration, InhalationAdrenal Cortex HormonesAgedAndrostadienesBenzyl AlcoholsChlorobenzenesDrug CombinationsFemaleFluticasoneHumansMaleMedicareNebulizers and VaporizersQuinuclidinesAdrenal Cortex HormonesAndrostadienesBenzyl AlcoholsBronchodilator AgentsChlorobenzenesDrug CombinationsFluticasonefluticasone furoateGSK573719QuinuclidinesvilanterolCOPDDual therapyExacerbationsFF/UMEC/VIHCRUICS/LABASingle-inhaler triple therapy

Identifiers

PMID38310193
PMCPMC10879256
OpenAlexW4391521245

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.