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Table 3 Adverse events

From: Reduction of exacerbations by the PDE4 inhibitor roflumilast - the importance of defining different subsets of patients with COPD

Subgroup

All patients

COPD history

CB ± emphysema and ICS treatment

   

Emphysema

CB ± emphysema

With ICS

Without ICS

Treatment (n)

Rof (1327)

Pbo (1359)

Rof (352)

Pbo (413)

Rof (817)

Pbo (847)

Rof (492)

Pbo (493)

Rof (325)

Pbo (354)

Adverse events, n (% of patients)

All adverse events

1081 (81.5)

1089 (80.1)

309 (87.8)

344 (83.3)

642 (78.6)

673 (79.5)

402 (81.7)

399 (80.9)

240 (73.8)

274 (77.4)

All serious adverse events

263 (19.8)

264 (19.4)

73 (20.7)

81 (19.6)

154 (18.8)

152 (17.9)

112 (22.8)

109 (22.1)

42 (12.9)

43 (12.1)

Adverse events related to study medication

285 (21.5)

113 (8.3)

91 (25.9)

39 (9.4)

134 (16.4)

67 (7.9)

77 (15.7)

35 (7.1)

57 (17.5)

32 (9.0)

Adverse events leading to study discontinuation

235 (17.7)

136 (10.0)

52 (14.8)

40 (9.7)

94 (11.5)

56 (6.6)

65 (13.2)

40 (8.1)

29 (8.9)

16 (4.5)

Most common adverse events (≥ 5% of patients in any treatment group), %

COPD exacerbation

42.9

48.0

45.5

47.7

43.0

48.5

49.8

54.4

32.6

40.4

Diarrhea

12.1

2.9

18.5

3.4

7.1

3.1

8.3

3.2

5.2

2.8

Nausea

6.0

1.5

8.0

1.9

4.4

1.3

4.7

1.0

4.0

1.7

Weight loss

7.5

2.8

11.9

4.1

6.1

2.5

5.3

1.6

7.4

3.7

Nasopharyngitis

6.8

7.4

7.7

8.2

7.5

7.7

6.5

7.3

8.9

8.2

Pneumonia

2.8

4.0

1.7

2.9

3.5

4.1

4.3

5.7

2.5

2.0

Upper respiratory tract infection

5.4

6.3

7.4

9.2

5.4

5.5

4.5

5.1

6.8

6.2

Headache

6.9

3.0

8.5

5.3

5.6

2.1

6.1

2.2

4.9

2.0

Influenza

4.4

4.0

5.4

5.3

4.4

3.7

4.5

2.2

4.3

5.6

  1. Rof = roflumilast; pbo = placebo