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2000
Volume 21, Issue 4
  • ISSN: 1573-398X
  • E-ISSN: 1875-6387

Abstract

Background

An inflammatory lung condition that lasts a long time is called chronic obstructive pulmonary disease (COPD), it results from exposure to noxious substances, abnormalities in the bronchi, and obstruction of lung airflow owing to alveoli.

Objective

This study compares the safety and efficacy of LABA-LAMA combination therapy administered at varied frequencies to individuals with stable chronic obstructive pulmonary disease. The purpose of the study is to ascertain which of the two combinations performs better when considering both subjective and objective criteria.

Methods

Patients with Group B Stable COPD in the outpatient department were assigned into two random groups of 50 and given a different medication combination. Those in Group 1 received a single daily dose of Indacaterol + Glycopyrrolate, while those in Group 2 received two daily doses of Formoterol + Glycopyrrolate. Every four weeks, patients were checked on individually. Spirometric data (FEV1 (% Pred), Trough FEV1 (L), FEV1/FVC), and symptoms (cough, shortness of breath, sputum production, sleep disturbance) were recorded for each patient.

Results

After the therapy, both groups showed a decrease in symptomatic indicators. There was a notable improvement in trough FEV1 (L) and spirometric measurements. Moreover, no noticeable differences in subjective and objective criteria were observed between groups 1 and 2.

Conclusion

This study's conclusions are limited to patient populations with comparable features. To further elucidate the risk factors and potential genetic foundation of the disease conditions, more multi-centric studies including diverse ethnic groups must be conducted.

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2026-01-03
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References

  1. MalerbaM. FociV. PatruccoF. PochettiP. NardinM. PelaiaC. RadaeliA. Single inhaler LABA/LAMA for COPD.Front. Pharmacol.20191039039010.3389/fphar.2019.0039031105560
    [Google Scholar]
  2. Abdul AzizM.I. TanL.E. WuD.B.C. PearceF. ChuaG.S.W. LinL. TanP.T. NgK. Comparative efficacy of inhaled medications (ICS/LABA, LAMA, LAMA/LABA and SAMA) for COPD: a systematic review and network meta-analysis.Int. J. Chron. Obstruct. Pulmon. Dis.2018133203323110.2147/COPD.S17347230349228
    [Google Scholar]
  3. ViniolC. VogelmeierC.F. Exacerbations of COPD.Eur. Respir. Rev.20182714717010310.1183/16000617.0103‑201729540496
    [Google Scholar]
  4. Raluy-CalladoM. LambrelliD. MacLachlanS. KhalidJ.M. Epidemiology, severity, and treatment of chronic obstructive pulmonary disease in the United Kingdom by GOLD 2013.Int. J. Chron. Obstruct. Pulmon. Dis.20151092593710.2147/COPD.S8206425999708
    [Google Scholar]
  5. QuaderiS.A. HurstJ.R. The unmet global burden of COPD.Glob. Health. Epidemiol. Genom.20183e410.1017/gheg.2018.129868229
    [Google Scholar]
  6. RoglianiP. CalzettaL. BraidoF. CazzolaM. CliniE. PelaiaG. RossiA. ScichiloneN. Di MarcoF. LABA/LAMA fixed-dose combinations in patients with COPD: A systematic review.Int. J. Chron. Obstruct. Pulmon. Dis.2018133115313010.2147/COPD.S17060630323582
    [Google Scholar]
  7. KornmannO. DahlR. CentanniS. DograA. OwenR. LassenC. KramerB. Once-daily indacaterol versus twice-daily salmeterol for COPD: A placebo-controlled comparison.Eur. Respir. J.201137227327910.1183/09031936.0004581020693243
    [Google Scholar]
  8. MaiaI.S. PincelliM.P. LeiteV.F. AmaderaJ. BuehlerA.M. Long-acting muscarinic antagonists vs. long-acting β 2 agonists in COPD exacerbations: A systematic review and meta-analysis.J. Bras. Pneumol.201743430231210.1590/s1806‑3756201600000028728767773
    [Google Scholar]
  9. HoritaN. GotoA. ShibataY. OtaE. NakashimaK. NagaiK. KanekoT. Long-acting muscarinic antagonist (LAMA) plus long-acting beta-agonist (LABA) versus LABA plus inhaled corticosteroid (ICS) for stable chronic obstructive pulmonary disease (COPD).Cochrane Libr.201720182CD01206610.1002/14651858.CD012066.pub228185242
    [Google Scholar]
  10. SchlueterM. Gonzalez-RojasN. BaldwinM. GroenkeL. VossF. ReasonT. Comparative efficacy of fixed-dose combinations of long-acting muscarinic antagonists and long-acting β2-agonists: A systematic review and network meta-analysis.Ther. Adv. Respir. Dis.20161028910410.1177/175346581562461226746383
    [Google Scholar]
  11. SampJ.C. JooM.J. SchumockG.T. CalipG.S. PickardA.S. LeeT.A. Comparative effectiveness of long-acting beta 2 -agonist combined with a long-acting muscarinic antagonist or inhaled corticosteroid in chronic obstructive pulmonary disease.Pharmacotherapy201737444745510.1002/phar.191328226405
    [Google Scholar]
  12. LaborM. BraidoF. BikovA. LahousseL. RoglianiP. BaiardiniI. LABA/LAMA fixed dose combination in chronic obstructive pulmonary disease: The impact on health-related quality of life.Respiration201896437038110.1159/00049167330227433
    [Google Scholar]
  13. ToY. KinoshitaM. LeeS.H. HangLiang-Wen IchinoseMasakazu FukuchiYoshinosuke KitawakiTetsuji OkinoNaoko PrasadNiyati LawrenceDavid KramerBenjamin Assessing efficacy of indacaterol in moderate and severe COPD patients: A 12-week study in an Asian population. Respir Med. 20121061217152110.1016/j.rmed.2012.09.002.
    [Google Scholar]
  14. JadwigaA. Indacaterol-glycopyrronium versus salmeterol-fluticasone for COPD.N Engl J Med.201637423222210.1056/NEJMoa1516385.
    [Google Scholar]
  15. SliwkaA. JankowskiM. Gross-SondejI. StormanM. NowobilskiR. BalaM.M. Once-daily long-acting beta2-agonists/inhaled corticosteroids combined inhalers versus inhaled long-acting muscarinic antagonists for people with chronic obstructive pulmonary disease.Cochrane Database Syst. Rev.201888CD01235530141826
    [Google Scholar]
  16. CalzettaL. RoglianiP. MateraM.G. CazzolaM. A systematic review with meta-analysis of dual bronchodilation with LAMA/LABA for the treatment of stable COPD.Chest201614951181119610.1016/j.chest.2016.02.64626923629
    [Google Scholar]
  17. SuissaS. Dell’AnielloS. ErnstP. Comparative effectiveness and safety of LABA-LAMA vs. LABA-ICS treatment of COPD in real-world clinical practice.Chest201915561158116510.1016/j.chest.2019.03.00530922950
    [Google Scholar]
  18. NalineE. TrifilieffA. FairhurstR.A. AdvenierC. MolimardM. Effect of indacaterol, a novel long-acting β 2 -agonist, on isolated human bronchi.Eur. Respir. J.200729357558110.1183/09031936.0003280617135231
    [Google Scholar]
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  • Article Type:
    Research Article
Keyword(s): dyspnea; Exacerbations; LABA; LAMA, COPD; sleep apnea
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