The efficacy of fluticasone furoate administered in the morning or evening is comparable in patients with persistent asthma.

Abstract:

BACKGROUND:The inhaled corticosteroid fluticasone furoate (FF) is efficacious as a once-daily treatment for the management of asthma. Asthma is associated with circadian changes, with worsening lung function at night. We compared the efficacy of once-daily FF in the morning or evening for the treatment of asthma. METHODS:Adults with persistent bronchial asthma were enrolled into this randomised, repeat-dose, double-blind, double-dummy, placebo-controlled, three-way crossover study. After a 14-day run-in period, patients received either: FF 100 μg in the morning (AM); FF 100 μg in the evening (PM); or placebo, via the ELLIPTA(®) dry powder inhaler. Patients received all three treatments (14 ± 2 day duration) separated by a 14- to 21-day washout period. The primary endpoint was 24-h weighted mean forced expiratory volume in 1 s (FEV1) measured at the end of each 14-day treatment. RESULTS:A total of 28 patients aged between 19 and 67 years were randomised and 21 (75%) completed all three study arms. Once-daily administration of FF 100 μg resulted in an increased 24-hour weighted mean FEV1; differences between the adjusted means for AM and PM FF dosing versus placebo were 0.077 L (90% confidence interval [CI]: 0.001, 0.152) and 0.105 L (90% CI: 0.029, 0.180), respectively (adjusted mean difference: -0.028 L [90% CI: -0.102, 0.045]). AM or PM doses had comparable incidences of adverse events (AEs; 18/23 versus 18/24, respectively), no serious AEs occurred. CONCLUSION:AM and PM doses of once-daily FF 100 μg produced comparable improvements in lung function relative to placebo.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Kempsford RD,Bal J,Baines A,Renaux J,Ravindranath R,Thomas PS

doi

10.1016/j.rmed.2015.12.011

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

18-24

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(15)30102-5

journal_volume

112

pub_type

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