Evidence map›Paper›PMID 40196713›Full record

ArticleERJ open research2025

Delaying disease progression in COPD with early escalation to triple therapy: a modelling study (DEPICT-2).

Dave Singh, Diego Fabian Litewka, Joan B Soriano, Adrian Rendon, Frederico Leon Arrabal Fernandes, Rafael Páramo-Arroyo, Tim Trinidad, Hakan Günen, Sudeep Acharya, Bhumika Aggarwal and 4 more

Abstract read
In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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

2 citing papers in PubMed.

  1. Article
  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

14 authors.

Dave SinghDivision of Immunology, Immunity to Infection and Respiratory Medicine, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, UK.
Diego Fabian LitewkaUnidad Neumonologia, Hospital Juan A. Fernandez, Buenos Aires, Argentina.
Joan B SorianoServicio de Neumología, Hospital Universitario de la Princesa, Facultad de Medicina, Universidad Autónoma de Madrid, Centro de Investigación Biomédica en Red de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0001-9740-2994
Adrian RendonUniversidad Autónoma de Nuevo Leon, Hospital Universitario "Dr Jose Eleuterio Gonzalez", CIPTIR, Monterrey, Mexico.ORCID https://orcid.org/0000-0001-8973-4024
Frederico Leon Arrabal FernandesDisciplina de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Rafael Páramo-ArroyoUniversidad Anáhuac Querétaro, Centro de Estudios Clinicos de Querétaro, Querétaro, Mexico.
Tim TrinidadUniversity of Santo Tomas, Faculty of Medicine and Surgery, Manila, Philippines.
Hakan GünenHealth Sciences University, Süreyyapaşa Research and Training Center for Chest Diseases and Thoracic Surgery, Istanbul, Turkey.
Sudeep AcharyaEmerging Markets, GlaxoSmithKline, Singapore.
Bhumika AggarwalEmerging Markets, GlaxoSmithKline, Singapore.
Gur LevyEmerging Markets, GSK, Panama City, Panama.
Chris ComptonGSK, Brentford, UK.
Abdelkader El HasnaouiEmerging Markets, GSK, Dubai, United Arab Emirates.
Peter Daley-YatesIndependent Clinical Pharmacology Consultant, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In patients with COPD, dual bronchodilator (long-acting muscarinic antagonist (LAMA)/long-acting β2-agonist (LABA)) and triple therapy (inhaled corticosteroid/LAMA/LABA) reduce the risk of exacerbations and lung function decline in the short-mid-term, but their long-term impact is unknown. This modelling study explores long-term impact of these therapies on lung function decline, quality of life (QoL) and all-cause mortality. Methods: This modelling approach used a longitudinal nonparametric superposition model using published data regarding exacerbations, QoL (assessed by St George's Respiratory Questionnaire (SGRQ)) and mortality. The model simulated disease progression from 40 to 75 years of age and assessed the impact of initiating dual bronchodilator at age 45 years ("LAMA/LABA only" group) and escalation to triple therapy at age 50 years ("Escalation to triple" group) on forced expiratory volume in 1 s (FEV Results: Model simulation predicted that by 75 years of age, "LAMA/LABA only" preserves 159.1 mL of FEV Conclusion: Early pharmacotherapy initiation and escalation from dual bronchodilator to triple therapy could slow disease progression by preserving lung function and improving QoL and survival in patients with COPD.

Identifiers

PMID40196713
PMCPMC11973711

What OpenQuestion holds

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Registered trials

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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.