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10.2147/COPD.S169941

http://scihub22266oqcxt.onion/10.2147/COPD.S169941
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suck abstract from ncbi


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pmid30034230
      Int+J+Chron+Obstruct+Pulmon+Dis 2018 ; 13 (ä): 2147-2156
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  • Tiotropium/olodaterol versus tiotropium in Japanese patients with COPD: results from the DYNAGITO study #MMPMID30034230
  • Ichinose M ; Nishimura M ; Akimoto M ; Kurotori Y ; Zhao Y ; de la Hoz A ; Mishima M
  • Int J Chron Obstruct Pulmon Dis 2018[]; 13 (ä): 2147-2156 PMID30034230 show ga
  • BACKGROUND: The DYNAGITO study was a Phase IIIb, randomized, double-blind, multicenter, active-controlled, parallel-group, 52-week study designed to determine the efficacy and safety of tiotropium and olodaterol combination therapy (TIO+OLO 5/5 ?g) versus tiotropium monotherapy (TIO 5 ?g) for reducing moderate-to-severe exacerbations of COPD. This is a prespecified analysis of the DYNAGITO data in Japanese patients. PATIENTS AND METHODS: Enrolled patients had a diagnosis of COPD with at least one moderate-to-severe exacerbation in the previous 12 months. Of the total 7,880 treated patients in the DYNAGITO study, 461 (TIO+OLO 5/5 ?g: n=226, TIO 5 ?g: n=235) were Japanese. The primary endpoint was the annualized rate of moderate-to-severe COPD exacerbations. The key secondary endpoint was the time to first moderate-to-severe COPD exacerbation, and other secondary endpoints included the annualized rate of exacerbations leading to hospitalization, time to first COPD exacerbation leading to hospitalization, and all-cause mortality. Safety data were analyzed descriptively. RESULTS: Combination therapy with TIO+OLO resulted in a 29% lower rate of moderate-to-severe COPD exacerbations relative to TIO monotherapy (rate ratio 0.71; 99% CI: 0.46, 1.10; p=0.0434). The risk of a first moderate-to-severe COPD exacerbation was 19% lower with TIO+OLO combination therapy than with TIO monotherapy (HR 0.81; 99% CI: 0.57, 1.17; p=0.1379), although this difference was not statistically significant. The annualized rate of COPD exacerbations requiring hospitalization was 14% lower in the TIO+OLO arm than in the TIO arm (rate ratio 0.86; 95% CI: 0.52, 1.42; p=0.5654). The adverse event incidence was balanced between treatment arms. CONCLUSION: In a prespecified subgroup analysis of Japanese patients in the DYNAGITO study, combination therapy with TIO+OLO was more effective than TIO in reducing exacerbations. Both treatments were well tolerated.
  • |*Disease Progression [MESH]
  • |Administration, Inhalation [MESH]
  • |Aged [MESH]
  • |Benzoxazines/administration & dosage/*therapeutic use [MESH]
  • |Bronchodilator Agents [MESH]
  • |Cause of Death [MESH]
  • |Double-Blind Method [MESH]
  • |Drug Therapy, Combination [MESH]
  • |Female [MESH]
  • |Forced Expiratory Volume [MESH]
  • |Hospitalization [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Pulmonary Disease, Chronic Obstructive/*drug therapy/mortality [MESH]
  • |Scopolamine Derivatives [MESH]
  • |Time Factors [MESH]
  • |Tiotropium Bromide/administration & dosage/*therapeutic use [MESH]


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