Comparison of addition of salmeterol to inhaled steroids with doubling of the dose of inhaled steroids.

Abstract:

:A study was done to compare the efficacy and safety of the coprescription of salmeterol 50 microgram twice daily or 100 microgram twice daily with beclomethasone dipropionate (BDP) 500 micrograms twice daily (SALM 50 and SALM 100) with BDP 1,000 microgram twice daily (BDP 1,000) in patients with asthma not controlled by BDP 500 microgram twice daily (or the equivalent). Following a run-in period, 738 patients at 72 centers were randomized to treatment for 24 wk in a double-blind, parallel-group study during which they maintained a daily record of peak expiratory flow rates (PEFRs) and symptom scores. At about 40 of the centers, bronchial hyperresponsiveness (BHR) to histamine was measured during and at 3 and 14 d after stopping treatment. Both groups taking salmeterol showed an improvement of more than 45 L/min in their morning PEFR and 30 L/min in their evening PEFR, compared with respective improvements of 16 L/min and 6 L/min in the group taking BDP 1,000. Both the SALM 50 and SALM 100 groups had a significantly increased percentage of symptom-free and rescue-free days and nights compared with the BDP 1,000 group, and there was no difference between the two salmeterol groups. None of the treatments altered BHR. Exacerbation rates did not differ among the three groups. We conclude that in this selected group of symptomatic patients taking BDP 500 micrograms twice daily, the addition of salmeterol provides better improvement in lung function and symptom control, without altering BHR or increasing exacerbation rates, than does doubling the dose of BDP.

authors

Woolcock A,Lundback B,Ringdal N,Jacques LA

doi

10.1164/ajrccm.153.5.8630590

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

1481-8

issue

5

eissn

1073-449X

issn

1535-4970

journal_volume

153

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Assessment of the severity of asthma by an expert system. Description and evaluation.

    abstract::Asthmaexpert, an expert system (ES), was produced at the special request of several clinicians in order to better understand the medical decisions made clinical experts in managing an asthmatic patient. We describe and evaluate this knowledge base, focusing mainly on assessment of the severity of asthma. After compili...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.151.2.7842190

    authors: Redier H,Daures JP,Michel C,Proudhon H,Vervloet D,Charpin D,Marsac J,Dusser D,Brambilla C,Wallaert B

    更新日期:1995-02-01 00:00:00

  • Informing Healthcare Decisions with Observational Research Assessing Causal Effect. An Official American Thoracic Society Research Statement.

    abstract::Rationale: Decisions in medicine are made on the basis of knowledge and reasoning, often in shared conversations with patients and families in consideration of clinical practice guideline recommendations, individual preferences, and individual goals. Observational studies can provide valuable knowledge to inform guide...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.202010-3943ST

    authors: Gershon AS,Lindenauer PK,Wilson KC,Rose L,Walkey AJ,Sadatsafavi M,Anstrom KJ,Au DH,Bender BG,Brookhart MA,Dweik RA,Han MK,Joo MJ,Lavergne V,Mehta AB,Miravitlles M,Mularski RA,Roche N,Oren E,Riekert KA,Schoenberg N

    更新日期:2021-01-01 00:00:00

  • Cigarette smoke induces interleukin-8 release from human bronchial epithelial cells.

    abstract::Cigarette smoking causes the development of chronic bronchitis and chronic obstructive pulmonary disease. We hypothesized that exposure to cigarette smoke might initiate release of inflammatory mediators by bronchial epithelial cells. To evaluate this, the effect of cigarette smoke extract (CSE) on IL-8 release from c...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.155.5.9154890

    authors: Mio T,Romberger DJ,Thompson AB,Robbins RA,Heires A,Rennard SI

    更新日期:1997-05-01 00:00:00

  • Topographic basis of bimodal ventilation-perfusion distributions during bronchoconstriction in sheep.

    abstract::The distribution of ventilation-perfusion (VA/Q) ratios during bronchoconstriction measured with the multiple inert gases elimination technique is frequently bimodal. However, the topographic basis and the cause of that bimodality remain unknown. In this article, regional VA/Q is quantified by three-dimensional positr...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200409-1296OC

    authors: Melo MF,Harris RS,Layfield JD,Venegas JG

    更新日期:2005-04-01 00:00:00

  • Persistent endothelial dysfunction in humans after diesel exhaust inhalation.

    abstract:RATIONALE:Exposure to combustion-derived air pollution is associated with an early (1-2 h) and sustained (24 h) rise in cardiovascular morbidity and mortality. We have previously demonstrated that inhalation of diesel exhaust causes an immediate (within 2 h) impairment of vascular and endothelial function in humans. O...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1164/rccm.200606-872OC

    authors: Törnqvist H,Mills NL,Gonzalez M,Miller MR,Robinson SD,Megson IL,Macnee W,Donaldson K,Söderberg S,Newby DE,Sandström T,Blomberg A

    更新日期:2007-08-15 00:00:00

  • Regulation of hypoxia-induced pulmonary hypertension by vascular smooth muscle hypoxia-inducible factor-1α.

    abstract:RATIONALE:Chronic hypoxia induces pulmonary vascular remodeling, pulmonary hypertension, and right ventricular hypertrophy. At present, little is known about mechanisms driving these responses. Hypoxia-inducible factor-1α (HIF-1α) is a master regulator of transcription in hypoxic cells, up-regulating genes involved in ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201302-0302OC

    authors: Ball MK,Waypa GB,Mungai PT,Nielsen JM,Czech L,Dudley VJ,Beussink L,Dettman RW,Berkelhamer SK,Steinhorn RH,Shah SJ,Schumacker PT

    更新日期:2014-02-01 00:00:00

  • Results of the Randomized Danish Lung Cancer Screening Trial with Focus on High-Risk Profiling.

    abstract:RATIONALE:As of April 2015, participants in the Danish Lung Cancer Screening Trial had been followed for at least 5 years since their last screening. OBJECTIVES:Mortality, causes of death, and lung cancer findings are reported to explore the effect of computed tomography (CT) screening. METHODS:A total of 4,104 parti...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1164/rccm.201505-1040OC

    authors: Wille MM,Dirksen A,Ashraf H,Saghir Z,Bach KS,Brodersen J,Clementsen PF,Hansen H,Larsen KR,Mortensen J,Rasmussen JF,Seersholm N,Skov BG,Thomsen LH,Tønnesen P,Pedersen JH

    更新日期:2016-03-01 00:00:00

  • Serum PARC/CCL-18 concentrations and health outcomes in chronic obstructive pulmonary disease.

    abstract:RATIONALE:There are no accepted blood-based biomarkers in chronic obstructive pulmonary disease (COPD). Pulmonary and activation-regulated chemokine (PARC/CCL-18) is a lung-predominant inflammatory protein that is found in serum. OBJECTIVES:To determine whether PARC/CCL-18 levels are elevated and modifiable in COPD an...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1164/rccm.201008-1220OC

    authors: Sin DD,Miller BE,Duvoix A,Man SF,Zhang X,Silverman EK,Connett JE,Anthonisen NA,Wise RA,Tashkin D,Celli BR,Edwards LD,Locantore N,Macnee W,Tal-Singer R,Lomas DA,ECLIPSE Investigators.

    更新日期:2011-05-01 00:00:00

  • Dissociation of lung function changes with humoral immunity during inhaled human insulin therapy.

    abstract:RATIONALE:Inhaled human insulin (INH; Exubera [human insulin (recombinant DNA origin) Inhalation Powder]) causes small changes in pulmonary function and increases in insulin antibodies compared with subcutaneous (SC) insulin. OBJECTIVES:To investigate the relationship between changes in pulmonary function and insulin ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1164/rccm.200512-1861OC

    authors: Teeter JG,Riese RJ

    更新日期:2006-06-01 00:00:00

  • Assessment of neonatal diaphragm function using magnetic stimulation of the phrenic nerves.

    abstract::A nonvolitional test to assess diaphragm strength in neonates has not been previously described. Our aim was to assess the feasibility of cervical (CMS) and anterior (AMS) magnetic stimulation of the phrenic nerves in neonates. Double circular stimulating coils (90-mm) were used. For CMS, one coil was placed over the ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.162.6.2004019

    authors: Rafferty GF,Greenough A,Dimitriou G,Kavadia V,Laubscher B,Polkey MI,Harris ML,Moxham J

    更新日期:2000-12-01 00:00:00

  • Increased nitrotyrosine in exhaled breath condensate of patients with asthma.

    abstract::The reaction of nitric oxide (NO) and superoxide anions (O(2)(-)) in the airway results in the formation of peroxynitrite, a highly reactive oxidant species. Peroxynitrite reacts with tyrosine residues in proteins to form the stable product nitrotyrosine. We investigated whether nitrotyrosine in exhaled breath condens...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.162.4.9912064

    authors: Hanazawa T,Kharitonov SA,Barnes PJ

    更新日期:2000-10-01 00:00:00

  • Arousal and cardiorespiratory responses to hypoxia in Prader-Willi syndrome.

    abstract::Ventilatory responses to peripheral chemoreceptor stimuli are absent in patients with Prader-Willi syndrome (PWS) during wakefulness. Because arousal from sleep after rapidly developing hypoxia may require intact peripheral chemoreceptor function, we hypothesized that blunted hypoxic arousal responses during sleep Sta...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.153.1.8542130

    authors: Arens R,Gozal D,Burrell BC,Bailey SL,Bautista DB,Keens TG,Ward SL

    更新日期:1996-01-01 00:00:00

  • Different effects of inhaled aspirinlike drugs on allergen-induced early and late asthmatic responses.

    abstract::Little is known about the anti-asthmatic effects of powerful anti-inflammatory agents such as aspirin-like drugs. We compared the effects of two aspirin-like drugs with different pharmacologic activities, sodium salicylate (SSA) and indomethacin, with the effect of lysine acetylsalicylate (LASA), inhaled 30 min before...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.159.4.9709045

    authors: Sestini P,Refini RM,Pieroni MG,Vaghi A,Robuschi M,Bianco S

    更新日期:1999-04-01 00:00:00

  • An official American Thoracic Society clinical practice guideline: the clinical utility of bronchoalveolar lavage cellular analysis in interstitial lung disease.

    abstract:BACKGROUND:The clinical utility of bronchoalveolar lavage fluid (BAL) cell analysis for the diagnosis and management of patients with interstitial lung disease (ILD) has been a subject of debate and controversy. The American Thoracic Society (ATS) sponsored a committee of international experts to examine all relevant l...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,实务指引

    doi:10.1164/rccm.201202-0320ST

    authors: Meyer KC,Raghu G,Baughman RP,Brown KK,Costabel U,du Bois RM,Drent M,Haslam PL,Kim DS,Nagai S,Rottoli P,Saltini C,Selman M,Strange C,Wood B,American Thoracic Society Committee on BAL in Interstitial Lung Disease.

    更新日期:2012-05-01 00:00:00

  • Leukotriene antagonist prevents exacerbation of asthma during reduction of high-dose inhaled corticosteroid. The Tokyo Joshi-Idai Asthma Research Group.

    abstract::To test whether the leukotriene antagonist ONO-1078 (pranlukast) prevents asthma exacerbations during reduction of high-dose inhaled corticosteroid, we conducted a randomized, double-blind, placebo-controlled study in 79 asthma patients requiring high doses (1,500 microg/d or more) of inhaled beclomethasone dipropiona...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1164/ajrccm.155.4.9105060

    authors: Tamaoki J,Kondo M,Sakai N,Nakata J,Takemura H,Nagai A,Takizawa T,Konno K

    更新日期:1997-04-01 00:00:00

  • Interaction between smoking and genetic factors in the development of chronic bronchitis.

    abstract:RATIONALE:Smoking is a primary risk factor for chronic bronchitis, emphysema, and chronic obstructive pulmonary disease, but since not all smokers develop disease, it has been suggested that some individuals may be more susceptible to exogenous factors, such as smoking, and that this susceptibility could be genetically...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200704-565OC

    authors: Hallberg J,Dominicus A,Eriksson UK,Gerhardsson de Verdier M,Pedersen NL,Dahlbäck M,Nihlén U,Higenbottam T,Svartengren M

    更新日期:2008-03-01 00:00:00

  • Interleukin 5 is protective during sepsis in an eosinophil-independent manner.

    abstract:RATIONALE:The immune response in sepsis is characterized by overt immune dysfunction. Studies indicate immunostimulation represents a viable therapy for patients. One study suggests a potentially protective role for interleukin 5 (IL-5) in sepsis; however, the loss of eosinophils in this disease presents a paradox. OB...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201201-0134OC

    authors: Linch SN,Danielson ET,Kelly AM,Tamakawa RA,Lee JJ,Gold JA

    更新日期:2012-08-01 00:00:00

  • Inhomogeneities of ventilation and the diffusing capacity to perfusion in various chronic lung diseases.

    abstract::Although impairment of gas exchange caused by ventilation-perfusion (VA/Q) mismatch has been extensively analyzed, there have been no systematic studies focused on determining the distributions of diffusion properties in dose connection with those of VA/Q. We attempted to clarify the simultaneous distributions of VA/Q...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.156.1.9607090

    authors: Yamaguchi K,Mori M,Kawai A,Takasugi T,Oyamada Y,Koda E

    更新日期:1997-07-01 00:00:00

  • Effect of the beta-agonist clenbuterol on dexamethasone-induced diaphragm dysfunction in rabbits.

    abstract::The present study was designed to examine whether clenbuterol (CLEN) could reduce dexamethasone (DEX)-induced diaphragm dysfunction. We studied four groups of New Zealand white (NZW) rabbits, each receiving one of the following daily injections subcutaneously for 2 wk: saline (control), DEX 3 mg/kg, DEX 3 mg/kg + CLEN...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.154.6.8970370

    authors: Jiang TX,Cairns A,Road JD,Wilcox PG

    更新日期:1996-12-01 00:00:00

  • Airway inflammation and remodeling in asthma. Lessons from interleukin 11 and interleukin 13 transgenic mice.

    abstract::Noninflammatory structural alterations, variously referred to as airway remodeling, are well documented in the asthmatic airway. However, the pathogenesis of these alterations, the importance of airway remodeling in generating the asthma phenotype, and the natural history of airway remodeling responses have not been a...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.164.supplement_2.2106070

    authors: Zhu Z,Lee CG,Zheng T,Chupp G,Wang J,Homer RJ,Noble PW,Hamid Q,Elias JA

    更新日期:2001-11-15 00:00:00

  • Radiographic resolution of community-acquired pneumonia.

    abstract::Clinicians are frequently faced with patients in whom the radiographic resolution of community-acquired pneumonia seems delayed. Previous studies of radiographic resolution of the disease have yielded conflicting results. We prospectively assessed the radiographic resolution of pneumonia in 81 non-immuno-compromised p...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.149.3.8118630

    authors: Mittl RL Jr,Schwab RJ,Duchin JS,Goin JE,Albeida SM,Miller WT

    更新日期:1994-03-01 00:00:00

  • Anti-inflammatory cytokine release by alveolar macrophages in pulmonary sarcoidosis.

    abstract::Sarcoidosis is a systemic, granulomatous disorder with a high rate of spontaneous remission indicating the presence of antiinflammatory mechanisms. Antiinflammatory mediators such as interleukin-10 (IL-10) and transforming growth factor-beta (TGF-beta) should be able to induce spontaneous remission of sarcoidosis. By ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1164/ajrccm.154.3.8810610

    authors: Zissel G,Homolka J,Schlaak J,Schlaak M,Müller-Quernheim J

    更新日期:1996-09-01 00:00:00

  • Obstructive Sleep Apnea and Retinopathy in Patients with Type 2 Diabetes. A Longitudinal Study.

    abstract:RATIONALE:Obstructive sleep apnea (OSA) is associated with several pathophysiological deficits found in diabetic retinopathy (DR). Hence, it's plausible that OSA could play a role in the pathogenesis of sight-threatening DR (STDR). OBJECTIVES:To assess the relationship between OSA and DR in patients with type 2 diabet...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201701-0175OC

    authors: Altaf QA,Dodson P,Ali A,Raymond NT,Wharton H,Fellows H,Hampshire-Bancroft R,Shah M,Shepherd E,Miah J,Barnett AH,Tahrani AA

    更新日期:2017-10-01 00:00:00

  • Correlates of the "don't know" response to questions about snoring.

    abstract::Many persons say that they "don't know" whether they snore. The purpose of this study was to investigate the prevalence and correlates of such responses in an elderly population. Subjects were 1715 members (1,155 men, 560 women) of a previously defined cohort (Western Group Collaborative Study) followed prospectively ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.160.6.9807082

    authors: Bliwise DL,Swan GE,Carmelli D,La Rue A

    更新日期:1999-12-01 00:00:00

  • Compartmentalized IL-8 and elastase release within the human lung in unilateral pneumonia.

    abstract::Because interleukin 8 (IL-8) is a potent neutrophil chemotactic and activating cytokine, we investigated IL-8 production in relation to neutrophil migration and elastase release in the human lung during unilateral community-acquired pneumonia (CAP). In 17 patients, the local response in the involved lung was compared ...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/ajrccm.153.1.8542140

    authors: Boutten A,Dehoux MS,Seta N,Ostinelli J,Venembre P,Crestani B,Dombret MC,Durand G,Aubier M

    更新日期:1996-01-01 00:00:00

  • Physiologic responses and histamine release after nasal antigen challenge. Effect of atropine.

    abstract::We enrolled nine allergic subjects in a double blind, placebo-controlled study to examine the effect of premedication with 0.6 mg of atropine on nasal antigen challenge. The challenge consisted of unilaterally stimulating the nasal septum with diluent followed by three increasing doses of antigen and recording respons...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1164/ajrccm.149.6.7516250

    authors: Baroody FM,Ford S,Lichtenstein LM,Kagey-Sobotka A,Naclerio RM

    更新日期:1994-06-01 00:00:00

  • Specific CD8 T cells in IgE-mediated allergy correlate with allergen dose and allergic phenotype.

    abstract:RATIONALE:Studies in humans and rodents have indicated a causative role for CD8(+) T cells in IgE-mediated allergic inflammation, but their function is still controversial. OBJECTIVES:To analyze the role of allergen-specific CD8(+) T cells during the development of allergic airway inflammation in two parallel but dive...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200902-0190OC

    authors: Aguilar-Pimentel JA,Alessandrini F,Huster KM,Jakob T,Schulz H,Behrendt H,Ring J,de Angelis MH,Busch DH,Mempel M,Ollert M

    更新日期:2010-01-01 00:00:00

  • The facilitated values history: helping surrogates make authentic decisions for incapacitated patients with advanced illness.

    abstract::Many patients who develop incapacitating illness have not expressed clear treatment preferences. Therefore, surrogate decision makers are asked to make judgments about what treatment pathway is most consistent with the patient's values. Surrogates often struggle with such decisions. The difficulty arises because answe...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1164/rccm.201204-0710CP

    authors: Scheunemann LP,Arnold RM,White DB

    更新日期:2012-09-15 00:00:00

  • The number of alveoli in the human lung.

    abstract::The number of alveoli is a key structural determinant of lung architecture. A design-based stereologic approach was used for the direct and unbiased estimation of alveolar number in the human lung. The principle is based on two-dimensional topology in three-dimensional space and is free of assumptions on the shape, si...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.200308-1107OC

    authors: Ochs M,Nyengaard JR,Jung A,Knudsen L,Voigt M,Wahlers T,Richter J,Gundersen HJ

    更新日期:2004-01-01 00:00:00

  • Assessment of Inflammation in Pulmonary Artery Hypertension by 68Ga-Mannosylated Human Serum Albumin.

    abstract::Rationale: Diagnosis and monitoring of patients with pulmonary artery hypertension (PAH) is currently difficult.Objectives: We aimed to develop a noninvasive imaging modality for PAH that tracks the infiltration of macrophages into the pulmonary vasculature, using a positron emission tomography (PET) agent, 68Ga-2-(p-...

    journal_title:American journal of respiratory and critical care medicine

    pub_type: 杂志文章

    doi:10.1164/rccm.201903-0639OC

    authors: Park JB,Suh M,Park JY,Park JK,Kim YI,Kim H,Cho YS,Kang H,Kim K,Choi JH,Nam JW,Kim HK,Lee YS,Jeong JM,Kim YJ,Paeng JC,Lee SP

    更新日期:2020-01-01 00:00:00