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Published on: April 6, 2017
Insights
Long-acting muscarinic antagonists (LAMAs) are a maintenance treatment for Chronic Obstructive Pulmonary Disease (COPD). This review examines the evidence for umeclidinium bromide, a once-daily LAMA, in managing COPD symptoms.
Area of Science:
- Pulmonary Medicine
- Pharmacology
Background:
- Chronic Obstructive Pulmonary Disease (COPD) is a major global health concern, ranking as the fourth leading cause of death worldwide.
- In the UK, COPD affects an estimated 3 million people, with a significant portion undiagnosed, contributing to higher premature mortality rates compared to European averages.
- Improving patient outcomes for COPD is a key focus, with pharmacological interventions playing a crucial role in management.
Purpose of the Study:
- To review the evidence for the use of umeclidinium bromide as a maintenance pharmacological treatment for COPD.
- To evaluate umeclidinium bromide's efficacy in relieving symptoms in adult patients with COPD.
Main Methods:
- Review of existing clinical evidence and studies on umeclidinium bromide.
- Assessment of its role within the context of long-acting muscarinic antagonist (LAMA) therapies for COPD.
Main Results:
- Umeclidinium bromide is an inhaled, once-daily LAMA indicated for COPD symptom relief.
- It is delivered via the Ellipta inhaler device.
- Evidence for its use in COPD management is presented.
Conclusions:
- Umeclidinium bromide represents a viable once-daily LAMA option for COPD maintenance therapy.
- Its efficacy in symptom management warrants consideration in COPD treatment strategies.
Abstract:
Chronic obstructive pulmonary disease (COPD) affects around 64 million people worldwide and is the fourth leading cause of death.(1) It is thought that 3 million people have COPD in the UK, with about 900,000 having been diagnosed and an estimated 2.1 million with disease that remains undiagnosed.(2) In addition, premature mortality from COPD in the UK is almost double the European average and as a result there has been considerable focus on improving outcomes for patients.(3)One of the options for maintenance pharmacological treatment of COPD is a long-acting muscarinic antagonist (LAMA).(4) DTB has previously reviewed three inhaled LAMAs licensed in the UK for use by people with COPD: tiotropium and ▼glycopyrronium (both administered once daily), and ▼aclidinium bromide (administered twice daily).(5-8) ▼Umeclidinium bromide (Incruse) is another once daily LAMA, delivered using the Ellipta inhaler device, and is indicated as maintenance bronchodilator treatment to relieve symptoms in adult patients with COPD.(9) Here we review the evidence for its use in the management of COPD.
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