Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps

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Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps. / Bateman, Eric D.; Harrison, Tim W.; Quirce, Santiago; Reddel, Helen K.; Buhl, Roland; Humbert, Marc; Jenkins, Christine R.; Peterson, Stefan; Ostlund, Ollie; O'Byrne, Paul M.; Sears, Malcolm R.; Eriksson, Göran.

I: Respiratory Research, Vol. 12, 2011.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Harvard

Bateman, ED, Harrison, TW, Quirce, S, Reddel, HK, Buhl, R, Humbert, M, Jenkins, CR, Peterson, S, Ostlund, O, O'Byrne, PM, Sears, MR & Eriksson, G 2011, 'Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps', Respiratory Research, vol. 12. https://doi.org/10.1186/1465-9921-12-38

APA

Bateman, E. D., Harrison, T. W., Quirce, S., Reddel, H. K., Buhl, R., Humbert, M., Jenkins, C. R., Peterson, S., Ostlund, O., O'Byrne, P. M., Sears, M. R., & Eriksson, G. (2011). Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps. Respiratory Research, 12. https://doi.org/10.1186/1465-9921-12-38

CBE

Bateman ED, Harrison TW, Quirce S, Reddel HK, Buhl R, Humbert M, Jenkins CR, Peterson S, Ostlund O, O'Byrne PM, Sears MR, Eriksson G. 2011. Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps. Respiratory Research. 12. https://doi.org/10.1186/1465-9921-12-38

MLA

Vancouver

Author

Bateman, Eric D. ; Harrison, Tim W. ; Quirce, Santiago ; Reddel, Helen K. ; Buhl, Roland ; Humbert, Marc ; Jenkins, Christine R. ; Peterson, Stefan ; Ostlund, Ollie ; O'Byrne, Paul M. ; Sears, Malcolm R. ; Eriksson, Göran. / Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps. I: Respiratory Research. 2011 ; Vol. 12.

RIS

TY - JOUR

T1 - Overall asthma control achieved with budesonide/formoterol maintenance and reliever therapy for patients on different treatment steps

AU - Bateman, Eric D.

AU - Harrison, Tim W.

AU - Quirce, Santiago

AU - Reddel, Helen K.

AU - Buhl, Roland

AU - Humbert, Marc

AU - Jenkins, Christine R.

AU - Peterson, Stefan

AU - Ostlund, Ollie

AU - O'Byrne, Paul M.

AU - Sears, Malcolm R.

AU - Eriksson, Göran

PY - 2011

Y1 - 2011

N2 - Background: Adjusting medication for uncontrolled asthma involves selecting one of several options from the same or a higher treatment step outlined in asthma guidelines. We examined the relative benefit of introducing budesonide/formoterol (BUD/FORM) maintenance and reliever therapy (Symbicort SMART (R) Turbuhaler (R)) in patients previously prescribed treatments from Global Initiative for Asthma (GINA) Steps 2, 3 or 4. Methods: This is a post hoc analysis of the results of five large clinical trials (> 12000 patients) comparing BUD/FORM maintenance and reliever therapy with other treatments categorised by treatment step at study entry. Both current clinical asthma control during the last week of treatment and exacerbations during the study were examined. Results: At each GINA treatment step, the proportion of patients achieving target levels of current clinical control were similar or higher with BUD/FORM maintenance and reliever therapy compared with the same or a higher fixed maintenance dose of inhaled corticosteroid/long-acting beta(2)-agonist (ICS/LABA) (plus short-acting beta(2)-agonist [SABA] as reliever), and rates of exacerbations were lower at all treatment steps in BUD/FORM maintenance and reliever therapy versus same maintenance dose ICS/LABA (P < 0.01) and at treatment Step 4 versus higher maintenance dose ICS/LABA (P < 0.001). BUD/FORM maintenance and reliever therapy also achieved significantly higher rates of current clinical control and significantly lower exacerbation rates at most treatment steps compared with a higher maintenance dose ICS + SABA (Steps 2-4 for control and Steps 3 and 4 for exacerbations). With all treatments, the proportion of patients achieving current clinical control was lower with increasing treatment steps. Conclusions: BUD/FORM maintenance and reliever therapy may be a preferable option for patients on Steps 2 to 4 of asthma guidelines requiring a more effective treatment and, compared with other fixed dose alternatives, is most effective in the higher treatment steps.

AB - Background: Adjusting medication for uncontrolled asthma involves selecting one of several options from the same or a higher treatment step outlined in asthma guidelines. We examined the relative benefit of introducing budesonide/formoterol (BUD/FORM) maintenance and reliever therapy (Symbicort SMART (R) Turbuhaler (R)) in patients previously prescribed treatments from Global Initiative for Asthma (GINA) Steps 2, 3 or 4. Methods: This is a post hoc analysis of the results of five large clinical trials (> 12000 patients) comparing BUD/FORM maintenance and reliever therapy with other treatments categorised by treatment step at study entry. Both current clinical asthma control during the last week of treatment and exacerbations during the study were examined. Results: At each GINA treatment step, the proportion of patients achieving target levels of current clinical control were similar or higher with BUD/FORM maintenance and reliever therapy compared with the same or a higher fixed maintenance dose of inhaled corticosteroid/long-acting beta(2)-agonist (ICS/LABA) (plus short-acting beta(2)-agonist [SABA] as reliever), and rates of exacerbations were lower at all treatment steps in BUD/FORM maintenance and reliever therapy versus same maintenance dose ICS/LABA (P < 0.01) and at treatment Step 4 versus higher maintenance dose ICS/LABA (P < 0.001). BUD/FORM maintenance and reliever therapy also achieved significantly higher rates of current clinical control and significantly lower exacerbation rates at most treatment steps compared with a higher maintenance dose ICS + SABA (Steps 2-4 for control and Steps 3 and 4 for exacerbations). With all treatments, the proportion of patients achieving current clinical control was lower with increasing treatment steps. Conclusions: BUD/FORM maintenance and reliever therapy may be a preferable option for patients on Steps 2 to 4 of asthma guidelines requiring a more effective treatment and, compared with other fixed dose alternatives, is most effective in the higher treatment steps.

U2 - 10.1186/1465-9921-12-38

DO - 10.1186/1465-9921-12-38

M3 - Article

VL - 12

JO - Respiratory Research

JF - Respiratory Research

SN - 1465-9921

ER -