학술논문

Normalisation of airflow limitation in asthma: Post‐hoc analyses of TRIMARAN and TRIGGER
Document Type
article
Source
Clinical and Translational Allergy, Vol 12, Iss 4, Pp n/a-n/a (2022)
Subject
exacerbations
inhaled corticosteroid
inhaled triple therapy
long‐acting muscarinic antagonist
long‐acting beta2‐agonist
Immunologic diseases. Allergy
RC581-607
Language
English
ISSN
2045-7022
Abstract
Abstract Background In asthma, persistent airflow limitation (PAL) is associated with poorer control, lung function decline and exacerbations. Using post‐hoc analyses we evaluated: the relationship between post‐salbutamol PAL at screening, airflow limitation (AL) during 52 weeks treatment with extrafine beclometasone dipropionate/formoterol fumarate/glycopyrronium (BDP/FF/G) versus BDP/FF and the risk of moderate/severe asthma exacerbations. Methods TRIMARAN and TRIGGER were double‐blind studies comparing BDP/FF/G with BDP/FF (TRIMARAN medium‐dose ICS; TRIGGER high‐dose) in adults with uncontrolled asthma. Patients were subgrouped according to post‐salbutamol PAL status at screening, and AL over the 52‐week treatment period. Results Most patients with post‐salbutamol PAL at screening had AL at all on‐treatment visits (TRIMARAN 62.8%; TRIGGER 66.8%). A significantly higher proportion of patients had normalised airflow on ≥1 follow‐up visit when receiving BDP/FF/G than BDP/FF (TRIMARAN 44.1 vs. 33.1% [p = 0.003]; TRIGGER 40.1 vs. 26.0% [p