Real-world effectiveness of budesonide/glycopyrronium/formoterol fumarate metered dose inhaler on symptoms and quality of life in patients with COPD: EBISU study
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Summary
This summary is machine-generated.Triple therapy with budesonide/glycopyrronium/formoterol fumarate (BGF) metered dose inhaler (MDI) significantly improved symptoms and health status in COPD patients. This real-world study shows BGF MDI is effective for managing persistent COPD symptoms without asthma.
Area Of Science
- Respiratory Medicine
- Clinical Pharmacology
Background
- Limited real-world data exist for triple therapy (inhaled corticosteroid/long-acting muscarinic antagonist/long-acting β2-agonist) in COPD patients without asthma.
- Investigated budesonide/glycopyrronium/formoterol fumarate (BGF) metered dose inhaler (MDI) triple therapy's impact on health status and patient-reported outcomes (PROs) in a real-world COPD population.
Purpose Of The Study
- To evaluate the effectiveness of BGF MDI triple therapy on COPD symptoms and patient-reported outcomes in a real-world clinical setting.
- To assess changes in COPD Assessment Test (CAT) and St George's Respiratory Questionnaire (SGRQ) scores over 12 weeks.
Main Methods
- A 12-week, prospective, multicenter, observational study (ClinicalTrials.gov: NCT05219630).
- Primary endpoint: Mean change from baseline in CAT score.
- Secondary endpoints: Mean change from baseline in SGRQ score and CAT score subgroup analyses.
Main Results
- 102 COPD patients analyzed (mean age 73.8 years, FEV1 57.7%).
- Significant improvement in adjusted mean CAT score (-2.9, P < 0.001) and SGRQ score (-2.7, P = 0.004) from baseline over 12 weeks.
- Improvements observed as early as Week 4 and were consistent across subgroups regardless of blood eosinophil counts or prior exacerbation history.
Conclusions
- BGF MDI triple therapy demonstrated significant improvements in CAT and SGRQ scores over 12 weeks in COPD patients.
- BGF MDI is a viable treatment option for COPD patients with persistent symptoms, even without a history of asthma.
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