Abstract:
OBJECTIVE:To compare the effects of once-daily ciclesonide and twice-daily fluticasone propionate in patients with moderate persistent asthma. METHODS:Patients aged 12-75 years with moderate bronchial asthma entered a 1-4 week run-in period. For inclusion into the 12-week, randomized, open-label treatment period, patients had to have a forced expiratory volume in 1s (FEV1) of either 60-80% of predicted or 80% of predicted and a defined use of rescue medication and asthma symptoms, depending on previous treatment. Patients received ciclesonide 320 microg once daily (ex-actuator) or fluticasone propionate 200 microg twice daily. Primary efficacy endpoint was change from baseline in FEV1. RESULTS:In total, 474 patients were randomized. FEV1 increased significantly from baseline with ciclesonide and fluticasone propionate in the intention-to-treat (ITT) and per-protocol (PP) analyses (all p < 0.0001). Treatment difference was -31 mL (95% confidence interval [CI]: -121, 59) in the PP analysis, demonstrating non-inferiority of ciclesonide. Similar findings were seen for other measures of lung function. In the ITT population, asthma symptom scores and rescue medication use decreased with both treatments (all p < 0.0001). Improvement in health-related quality of life (HRQoL) from baseline was significantly greater with ciclesonide than fluticasone (p = 0.005; one-sided). There were no cases of oral candidiasis in patients receiving ciclesonide and nine cases (3.8%) in those receiving fluticasone propionate (p = 0.002; one-sided). CONCLUSIONS:Treatment with once-daily ciclesonide and twice-daily fluticasone propionate resulted in similar improvements in lung function in patients with moderate persistent asthma. Ciclesonide showed significant improvements in oral candidiasis and HRQoL over fluticasone.
journal_name
Respir Medjournal_title
Respiratory medicineauthors
Boulet LP,Bateman ED,Voves R,Müller T,Wolf S,Engelstätter Rdoi
10.1016/j.rmed.2007.03.001subject
Has Abstractpub_date
2007-08-01 00:00:00pages
1677-86issue
8eissn
0954-6111issn
1532-3064pii
S0954-6111(07)00104-7journal_volume
101pub_type
杂志文章,多中心研究,随机对照试验abstract::Antifibrotic drugs for idiopathic pulmonary fibrosis patients in England and Scotland are only available to those with FVC percent predicted (FVC%pred) less than or equal to 80%. The prescribing guidance does not state which set of reference values should be used and we show that a patient's FVC%pred can change by 4-6...
journal_title:Respiratory medicine
pub_type: 信件
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pub_type: 杂志文章,评审
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abstract:BACKGROUND:Inappropriate use of short-acting beta-agonists (SABA) has been associated with increased morbidity and mortality in asthma. However, the extent and pattern of SABA use have changed significantly over recent years. The outcomes in patients who are contemporarily receiving inappropriate doses of SABA have not...
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pub_type: 杂志文章
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journal_title:Respiratory medicine
pub_type: 杂志文章
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1053/rmed.2001.1079
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journal_title:Respiratory medicine
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pub_type: 杂志文章,评审
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/j.rmed.2007.10.001
更新日期:2008-03-01 00:00:00
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doi:10.1016/j.rmed.2018.04.001
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/s0954-6111(98)90027-0
更新日期:1998-01-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章,多中心研究
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更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1053/rmed.1999.0763
更新日期:2000-05-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2001-01-01 00:00:00
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更新日期:2014-12-01 00:00:00
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pub_type: 指南,杂志文章,实务指引
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更新日期:2002-09-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/j.rmed.2017.06.004
更新日期:2017-11-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/s0954-6111(03)00034-9
更新日期:2003-07-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/j.rmed.2006.07.001
更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1999-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.rmed.2017.08.030
更新日期:2017-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.rmed.2020.106100
更新日期:2020-09-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/j.rmed.2013.07.015
更新日期:2013-10-01 00:00:00