Safety of tiotropium Respimat® in black or African-American patients with symptomatic asthma

Copyright © 2019. Published by Elsevier Ltd..

BACKGROUND: Black patients with asthma have a higher disease burden and greater morbidity compared with other racial/ethnic groups. Tiotropium Respimat®, as add-on to at least inhaled corticosteroids (ICS), improves lung function and asthma control and reduces asthma exacerbation risk in patients, with a safety profile comparable with placebo. This study aimed to assess the safety of tiotropium Respimat®, compared with placebo, in black or African-American patients.

METHODS: Data were pooled from 12 randomized, placebo-controlled, parallel-group, Phase II or III trials from the global Boehringer Ingelheim program with once-daily tiotropium Respimat® (5 μg or 2.5 μg). Trial participants had symptomatic persistent asthma with a broad range of severities and were aged 1-75 years. The safety results of black or African-American patients were compared with the overall trial population.

RESULTS: Of the 5165 patients treated with tiotropium or placebo, 3.2% were black or African American. For both doses of tiotropium, the proportion of patients reporting adverse events (AEs) was approximately 10% lower compared with placebo and was generally comparable with the proportion of patients reporting AEs in all groups of the overall population. The number of investigator-assessed drug-related AEs, AEs leading to trial drug discontinuation or serious AEs reported by patients was low and comparable between treatment groups and with the overall population.

CONCLUSION: Tiotropium Respimat® appears to be a generally safe add-on bronchodilator treatment option to ICS with or without other controllers in pediatric and adult black or African-American patients with asthma.

CLINICAL TRIAL IDENTIFIERS: NCT01634113, NCT01634139, NCT01634152, NCT01257230, NCT01277523, NCT01316380, NCT00350207, NCT01172808, NCT01172821, NCT01340209, NCT00772538, NCT00776984.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:155

Enthalten in:

Respiratory medicine - 155(2019) vom: 05. Aug., Seite 58-60

Sprache:

Englisch

Beteiligte Personen:

Graham, LeRoy M [VerfasserIn]
Kerstjens, Huib A M [VerfasserIn]
Vogelberg, Christian [VerfasserIn]
Hamelmann, Eckard [VerfasserIn]
Szefler, Stanley J [VerfasserIn]
Pisternick-Ruf, Wendelgard [VerfasserIn]
Engel, Michael [VerfasserIn]
El Azzi, Georges [VerfasserIn]
Unseld, Anna [VerfasserIn]
Foggs, Michael B [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
Adult
Asthma
Black or african american
Cholinergic Antagonists
Clinical Trial, Phase II
Clinical Trial, Phase III
Comparative Study
Journal Article
Pediatric
Placebos
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Safety
Tiotropium
Tiotropium Bromide
XX112XZP0J

Anmerkungen:

Date Completed 14.04.2020

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.rmed.2019.07.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM299156133