Evidence map›Paper›PMID 41148557›Full record

ArticlePulmonary therapy2025

Exacerbation Reduction in Patients with Asthma Following Escalation to FF/UMEC/VI from ICS/LABA: Retrospective Cohort Study.

Alan P Baptist, Rosirene Paczkowski, Guillaume Germain, Jacob Klimek, François Laliberté, Robert C Schell, Sergio Forero-Schwanhaeuser, Alison Moore, Stephen G Noorduyn

Abstract read
In one paragraph

Article in Pulmonary therapy, 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. Trial
  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

9 authors.

Alan P BaptistDivision of Allergy and Clinical Immunology, Henry Ford Health and MI State University Health Sciences, Detroit, MI, USA.
Rosirene PaczkowskiGlobal Real-World Evidence and Health Outcomes Research Organization, GSK, Collegeville, PA, USA.
Guillaume GermainGroup d'Analyse, SRI Ltée, Montréal, QC, Canada.
Jacob KlimekAnalysis Group, Inc, Boston, MA, USA.
François LalibertéGroup d'Analyse, SRI Ltée, Montréal, QC, Canada.
Robert C SchellAnalysis Group, Inc, Menlo Park, CA, USA.
Sergio Forero-SchwanhaeuserUS Medical Affairs, GSK, Durham, NC, USA.
Alison MooreGlobal Medical Affairs, General Medicines, GSK, London, UK.
Stephen G NoorduynGlobal Real-World Evidence and Health Outcomes Research Organization, GSK, 100 Milverton Drive, Suite 800, Mississauga, ON, L5R 4H1, Canada. stephen.g.noorduyn@gsk.com.ORCID http://orcid.org/0000-0002-5936-5579

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) being available for asthma treatment in the US (United states) since 2020, real-world evidence on its clinical and economic benefits in patients with asthma is lacking. This study aimed to assess the effectiveness of FF/UMEC/VI (100/62.5/25 µg and 200/62.5/25 µg) in US patients with asthma previously on inhaled corticosteroid/long-acting β

methodsRetrospective, longitudinal, pre-post study utilizing data from the Komodo Health database between 09/09/2019 and 12/31/2023. Eligible adults with asthma had been treated with ICS/LABA prior to FF/UMEC/VI initiation (index date: first FF/UMEC/VI prescription). Rates of moderate-severe exacerbations, asthma-related healthcare resource utilization, oral corticosteroid (OCS) and short-acting β

resultsIn total, 17,959 patients were included. Following FF/UMEC/VI initiation, odds of having ≥ 1 exacerbation were reduced by 52% (OR [95% confidence interval (CI)] 0.48 [0.46, 0.50]; P < 0.001), rate of moderate-severe exacerbations reduced by 38% (RR [95% CI] 0.62 [0.61, 0.64]; P < 0.001) and asthma-related hospitalizations by 25% (RR [95% CI] 0.75 [0.68, 0.83]; P < 0.001). Odds of ≥ 1 OCS dispensing were reduced by 36% (OR [95% CI] 0.64 [0.62, 0.67]; P < 0.001) and ≥ 1 SABA canister use by 54% (OR [95% CI]: 0.46 [0.44, 0.48]; P < 0.001) post initiation; mean annualized asthma-related medical costs were reduced by $1115 ([95% CI] [$ -1771, $ -459]; P < 0.001). Both FF/UMEC/VI dosage groups had similar results.

conclusionsIn patients who remain uncontrolled despite ICS/LABA treatment, escalating to FF/UMEC/VI is associated with reductions in asthma exacerbations, asthma-related hospitalizations, OCS use, SABA use, and asthma-related medical costs.

Indexed as

Asthma, clinical practiceFF/UMEC/VIReal-world evidenceSingle-inhaler triple therapyUnited States

Identifiers

PMID41148557
PMCPMC12623575

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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.