Efficacy and safety of once-daily aclidinium in chronic obstructive pulmonary disease
2011

Aclidinium for Chronic Obstructive Pulmonary Disease

Sample size: 1647 publication 10 minutes Evidence: moderate

Author Information

Author(s): Paul W. Jones, Stephen I. Rennard, Alvar Agusti, Pascal Chanez, Helgo Magnussen, Leonardo Fabbri, James F. Donohue, Eric D. Bateman, Nick J. Gross, Rosa Lamarca, Cynthia Caracta, Esther Garcia Gil

Primary Institution: St George's, University of London

Hypothesis

The long-term efficacy and safety of aclidinium bromide in patients with moderate to severe chronic obstructive pulmonary disease (COPD) were investigated.

Conclusion

Aclidinium is effective and well tolerated in patients with moderate to severe COPD.

Supporting Evidence

  • Aclidinium improved trough FEV1 versus placebo in both studies.
  • More patients had a significant improvement in health status with aclidinium.
  • The time to first exacerbation was significantly delayed by aclidinium in one of the studies.
  • Adverse events were minor in both studies.

Takeaway

Aclidinium helps people with breathing problems feel better and breathe easier.

Methodology

Two double-blind, 52-week studies were conducted where patients were randomized to receive aclidinium or placebo once daily.

Potential Biases

Potential bias due to the variability in individual patient responses and the use of concomitant medications.

Limitations

The studies were not powered for exacerbations and did not require a history of exacerbations for inclusion.

Participant Demographics

Patients aged ≥40 years, current or previous smokers with a history of COPD.

Statistical Information

P-Value

p < 0.001

Confidence Interval

95% CI 0.55 to 0.92

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1465-9921-12-55

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