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Table 2 Clinically important deterioration (CID) and patient-reported outcomes

From: Glycopyrrolate/formoterol fumarate metered dose inhaler for maintenance-naïve patients with chronic obstructive pulmonary disease: a post-hoc analysis of the randomized PINNACLE trials

 

NMT

MT

Treatment

GFF

FF

GP

Placebo

GFF

FF

GP

Placebo

Time to first CID

 Patients with CID, n/N (%)

349/638 (54.7)

331/548 (60.4)

323/516 (62.6)

169/241 (70.1)

576/947 (60.8)

514/812 (63.3)

576/846 (68.1)

334/435 (76.8)

 Median time to CID, weeks

20.1

16.1

16.0

12.1

16.3

13.3

14.9

9.1

 Hazards ratio vs GFF MDI (95% CI)

0.83 (0.71, 0.97)

0.79 (0.67, 0.91)

0.57 (0.48, 0.69)

0.82 (0.73, 0.92)

0.77 (0.68, 0.86)

0.48 (0.42, 0.55)

P-value

0.0157

0.0018

< 0.0001

0.0012

< 0.0001

< 0.0001

SGRQ total score at Week 24

 n

528

465

436

200

814

668

681

319

 Baseline score, mean (SD)

45.00 (17.52)

45.63 (18.30)

44.29 (18.65)

45.34 (17.83)

45.25 (17.54)

43.24 (17.52)

44.51 (17.95)

44.79 (17.94)

 Change from baseline, LSM (SE)

−4.40 (0.52)

−5.21 (0.56)

−4.01 (0.58)

−2.65 (0.86)

−4.13 (0.41)

−3.29 (0.46)

−1.954 (0.45)

−0.86 (0.66)

 Treatment difference vs GFF MDI (95% CI)

0.81 (− 0.69, 2.31)

− 0.39 (− 1.92, 1.14)

−1.75 (− 3.71, 0.22)

− 0.83 (− 2.04, 0.37)

−2.17 (− 3.36, − 0.99)

−3.26 (− 4.78, − 1.75)

P-value

0.2903

0.6179

0.0810

0.1735

0.0003

< 0.0001

Rescue salbutamol use over 24 weeks (rescue medication user analysis set)

 n

347

312

299

138

565

492

519

276

 Change from baseline in rescue salbutamol use (SE), puffs/day

−1.5 (0.13)

−1.4 (0.14)

− 1.3 (0.14)

−0.6 (0.21)

−1.5 (0.10)

− 1.1 (0.11)

− 0.6 (0.11)

0.01 (0.15)

 Treatment difference vs GFF MDI (95% CI), puffs/day

−0.2 (− 0.5, 0.2)

−0.2 (− 0.6, 0.2)

−0.9 (− 1.4, − 0.5)

−0.4 (− 0.7, − 0.1)

−0.8 (− 1.1, − 0.6)

− 1.5 (− 1.9, − 1.2)

P-value

0.3845

0.2740

< 0.0001

0.0046

< 0.0001

< 0.0001

  1. All P-values < 0.05 should only be interpreted in terms of nominal significance as the analyses in these subgroups were exploratory and post-hoc. Numbers rounded to 2 decimal places. CI Confidence interval, FF Formoterol fumarate, GFF Glycopyrrolate/formoterol fumarate, GP Glycopyrrolate, LSM Least squares mean, MDI Metered dose inhaler, MT Maintenance-treated at screening, NMT Not maintenance-treated at screening, SD Standard deviation, SE Standard error, SGRQ St George’s Respiratory Questionnaire