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Table 1 Studies included in systematic review

From: BMI is associated with FEV1 decline in chronic obstructive pulmonary disease: a meta-analysis of clinical trials

Author (year of publication)

RCT source

Subjects (n)

Gender (M/F)

Age range (years)

COPD severity

%pred FEV1a

BMI (kg/m2)b

Duration (years)

Relevant study objectives

Celli (2008) [16]

TORCH

5343

4080/1263

40–80

Moderate-very severe (FEV1 ≤ 60%pred)

44.7 (13.1)

25.4 (5.2)

3

Effect of inhaled FP, and FP plus salmeterol on annualized rate of decline in post-bronchodilator FEV1, compared to placebo; prespecified subanalysis by BMI category

Calverley (2018) [17]

SUMMIT

15,457

11,559/3898

40–80

Moderate (FEV1 50–70%pred)

59.7 (6.1)c

28.0 (6.0)

≥3

Effect of FF, VI, and FF plus VI on annualized rate of decline in post-bronchodilator FEV1, compared to placebo; prespecified subanalysis by BMI category

Anzueto (2015) [20]

TIOSPIR

1370

849/521

≥40

Moderate-very severe (FEV1 ≤ 70%pred)

47.5 (12.7)d

25.9 (5.1)d

2.3

Effect of TIO Respimat versus TIO HandiHaler on safety outcomes, with prespecified non-inferiority spirometry substudy examining annualized rate of decline in trough FEV1; prespecified subanalysis by BMI category

Tashkin (2008) [19]

UPLIFT

4964

3757/1207

≥40

Moderate-very severe (FEV1 ≤ 70%pred)

48.6 (13.4)

NS

4

Effect of TIO HandiHaler on annualized rate of decline in pre- and post-study drug FEV1, compared to placebo; prespecified subanalysis by BMI category within each treatment group

Tkacova (2016) [15]

LHS

5887

3702/2185

35–60

Mild-moderate (FEV1 55–90%pred)

80e

25.2e

5

Effect of AHR on annualized rate of decline in FEV1 (unspecified bronchodilator), examining baseline BMI as a covariate

  1. apooled mean (pooled SD) of baseline post-bronchodilator FEV1%pred, unless otherwise stated. bpooled mean (pooled SD) of baseline BMI unless otherwise stated cfrom whole group data in original trial publication [18]. dfrom whole group data (not specified for subgroup analysis). eaverage of medians. %pred, percent predicted; RCT randomized controlled trial, COPD chronic obstructive puplmonary disease, BMI body mass index, FEV1 forced expiratory volume in 1 s, FP fluticasone propionate, FF fluticasone fuorate, VI vilanterol, TIO tiotropium, AHR airway hyperresponsiveness (measured by methacholine challenge test), NS not specified