Lung function and long-term safety of tiotropium/olodaterol in East Asian patients with chronic obstructive pulmonary disease

BACKGROUND AND PURPOSE: While the efficacy and safety of combined tiotropium and olodaterol in patients with COPD was established in a large clinical trial program, it is important to assess whether clinical data can be applied to geographic patient groups, particularly for East Asian patients who may have a different phenotypic profile to the global trial population. This study aimed to compare the lung function and safety profiles of tiotropium/olodaterol and monocomponents in East Asian and global populations from the TONADO® trials.

MATERIALS AND METHODS: In the replicate, double-blind, parallel-group, active-controlled, randomized, 52-week, Phase III TONADO studies, patients received tiotropium/olodaterol, tiotropium, or olodaterol. We assessed the forced expiratory volume in 1 second (FEV1) area under the curve from 0 to 3 hours (AUC0-3) response and trough FEV1 response at 24 weeks for the approved doses, tiotropium/olodaterol 5/5 μg, tiotropium 5 μg, and olodaterol 5 μg. Treatment-emergent adverse events were recorded throughout treatment and ≤21 days after study medication.

RESULTS: In the East Asian population, 1,152 patients were randomized (5,163 overall). After 24 weeks, FEV1 AUC0-3 and trough FEV1 responses were greater (P<0.0001) with tiotropium/olodaterol 5/5 μg in both populations versus tiotropium or olodaterol. The East Asian population showed slightly greater trough FEV1 treatment differences between tiotropium/olodaterol 5/5 μg and tiotropium compared to the overall population. Generally, no increase in adverse events was seen with tiotropium/olodaterol 5/5 μg compared to tiotropium and olodaterol in either population.

CONCLUSION: The efficacy and safety profile of tiotropium/olodaterol 5/5 μg has been demonstrated for both East Asian and global populations.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

International journal of chronic obstructive pulmonary disease - 12(2017) vom: 15., Seite 3329-3339

Sprache:

Englisch

Beteiligte Personen:

Bai, Chunxue [VerfasserIn]
Ichinose, Masakazu [VerfasserIn]
Lee, Sang Haak [VerfasserIn]
Lee, Kwan Ho [VerfasserIn]
Jöns, Olaf [VerfasserIn]
Bothner, Ulrich [VerfasserIn]
Zhao, Yihua [VerfasserIn]
Buhl, Roland [VerfasserIn]

Links:

Volltext

Themen:

Adrenergic beta-2 Receptor Agonists
Adverse effects
Benzoxazines
Bronchodilator Agents
COPD
Cholinergic Antagonists
Clinical Trial, Phase III
Drug Combinations
Journal Article
Pulmonary function
Randomized Controlled Trial
TONADO®
Tiotropium Bromide
Tiotropium-olodaterol
XX112XZP0J

Anmerkungen:

Date Completed 16.07.2018

Date Revised 07.12.2022

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.2147/COPD.S137719

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM278662145