Real-Life Clinical and Functional Effects of Fluticasone Furoate/Umeclidinium/Vilanterol-Combined Triple Therapy in Patients with Chronic Obstructive Pulmonary Disease
| Autor: | Girolamo Pelaia, Corrado Pelaia, Angelantonio Maglio, Maria Rosaria Deodato, Olivia Florio, Angela Sciacqua, Alessandro Vatrella, Giada Procopio |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male Lung hyperinflation medicine.medical_specialty Vital capacity Quinuclidines Vital Capacity Context (language use) Chlorobenzenes Fluticasone propionate Exacerbations FEV1/FVC ratio chemistry.chemical_compound Pulmonary Disease Chronic Obstructive Airflow limitation Internal medicine Forced Expiratory Volume Administration Inhalation medicine Humans Lung volumes Triple inhaled therapy Lung Benzyl Alcohols Aged COPD business.industry Chronic obstructive pulmonary disease Nebulizers and Vaporizers Middle Aged medicine.disease Bronchodilator Agents Androstadienes medicine.anatomical_structure chemistry Cardiology Drug Therapy Combination Female Vilanterol business medicine.drug |
| Zdroj: | Respiration; international review of thoracic diseases. 100(2) |
| ISSN: | 1423-0356 |
| Popis: | Background: Triple therapy consisting of a drug association including an inhaled corticosteroid, a long-acting muscarinic receptor antagonist and a long-acting β2-adrenergic agonist, delivered via a single device, can be a valuable treatment for chronic obstructive pulmonary disease (COPD) patients experiencing frequent disease exacerbations. Objectives: The aim of this real-life, single-center, observational study was to evaluate, in 44 COPD patients with recurrent exacerbations, the effects of the triple inhaled therapy combining fluticasone furoate, umeclidinium, and vilanterol (FF/UMEC/VI). Methods: Within such a therapeutic context, several clinical and lung functional parameters were considered at baseline and after 24 weeks of treatment with combined inhaled triple therapy. Results: With respect to baseline, after 24 weeks of treatment with FF/UMEC/VI, significant changes were recorded with regard to Modified British Medical Research Council (p < 0.0001) and COPD Assessment Test (p < 0.0001) scores, COPD exacerbations (p < 0.001), forced expiratory volume in the first second (p < 0.001), residual volume (p < 0.01), forced mid-expiratory flow between 25 and 75% of FVC (p < 0.0001), inspiratory capacity (p < 0.01), forced vital capacity (p < 0.05), and peak expiratory flow (p < 0.0001). Moreover, in a subgroup of 28 patients, a significant increase of diffusion lung capacity (p < 0.01) was also detected. Conclusions: In conclusion, our real-life results suggest that triple inhaled therapy with FF/UMEC/VI, when given to COPD patients with frequent exacerbations, is able to positively impact on dyspnea and global health status as well as to significantly decrease COPD exacerbations and improve airflow limitation and lung hyperinflation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|