Tiotropium Respimat: A Review of Its Use in Asthma Poorly Controlled with Inhaled Corticosteroids and Long-Acting β-Adrenergic Agonists.

Autor: McKeage, Kate
Předmět:
Zdroj: Drugs; May2015, Vol. 75 Issue 7, p809-816, 8p, 1 Chart, 1 Graph
Abstrakt: Tiotropium bromide (Spiriva) solution for inhalation via the Respimat Soft Mist™ inhaler is a long-acting anticholinergic agent approved in the EU for the add-on maintenance treatment of asthma in adults currently receiving maintenance therapy with an inhaled corticosteroid (ICS) (≥800 µg budesonide per day or equivalent) and a long-acting β-adrenergic agonist (LABA) and who have experienced at least one severe exacerbation in the previous year. Tiotropium Respimat added to maintenance ICS/LABA treatment significantly improved lung function after 6 months' treatment and extended the time to the first asthma exacerbation in two well-designed, replicate, phase III trials in patients with poorly controlled asthma despite treatment with an ICS (≥800 µg budesonide/day or equivalent) and a LABA. Tiotropium Respimat was also associated with a reduced incidence of severe asthma exacerbations and an increase in the median time to asthma worsening. The drug was well tolerated in asthma patients throughout 48 weeks' treatment, with a generally similar incidence of serious adverse events in tiotropium Respimat and placebo treatment groups. Thus, in patients with poorly controlled asthma despite receiving high-dose ICS and a LABA, tiotropium Respimat provides a valuable treatment option. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index