PMID- 23020650 OWN - NLM STAT- MEDLINE DCOM- 20130523 LR - 20151119 IS - 1541-2563 (Electronic) IS - 1541-2563 (Linking) VI - 9 IP - 6 DP - 2012 Dec TI - Efficacy of indacaterol 75 mug once-daily on dyspnea and health status: results of two double-blind, placebo-controlled 12-week studies. PG - 629-36 LID - 10.3109/15412555.2012.729623 [doi] AB - Indacaterol is an inhaled, once-daily, long-acting (R)(2)-agonist for the treatment of COPD. Most previous studies were conducted with doses of 150 and/or 300 mug once-daily, and data with the 75 mug dose are limited. Two identically designed studies were, therefore, conducted to evaluate the efficacy and safety of the 75 mug once-daily dose. In two double-blind studies conducted in the USA, patients with moderate-to-severe COPD were randomized to treatment with indacaterol 75 mug once-daily (n = 163 and 159) or matching placebo (n = 160 and 159) for 12 weeks. The primary variable was forced expiratory volume in 1 s measured 24 h post-dose after 12 weeks (reported elsewhere). This report describes secondary efficacy endpoints, including transition dyspnea index (TDI) and St George's Respiratory Questionnaire (SGRQ) total scores, and the percentages of patients with improvements of or above the minimal clinically important difference (MCID; >/=1 in TDI score and >/=4 in SGRQ score). Differences between indacaterol and placebo for TDI total score at week 12 were 1.23 (p < 0.001) and 0.45 (p = 0.16), with odds ratios for achieving the MCID of 2.19 (p = 0.002) and 1.58 (p = 0.065). SGRQ total score decreased (improved) from baseline by 5.8 and 4.9 units with indacaterol at week 12 (2.0 and 0.9 with placebo), with odds ratios for achieving the MCID of 1.80 (p = 0.024) and 1.71 (p = 0.031). Patients receiving indacaterol had statistically significant or numerical improvements in diary-derived symptom variables compared with placebo. Treatment with indacaterol 75 mug may provide useful improvements in patient-reported outcomes in patients with moderate-to-severe COPD. FAU - Gotfried, Mark H AU - Gotfried MH AD - Pulmonary Associates PA, Phoenix, AZ 85006, USA. mgotfried@aol.com FAU - Kerwin, Edward M AU - Kerwin EM FAU - Lawrence, David AU - Lawrence D FAU - Lassen, Cheryl AU - Lassen C FAU - Kramer, Benjamin AU - Kramer B LA - eng SI - ClinicalTrials.gov/NCT01068600 SI - ClinicalTrials.gov/NCT01072448 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20120928 PL - England TA - COPD JT - COPD JID - 101211769 RN - 0 (Adrenergic beta-2 Receptor Agonists) RN - 0 (Indans) RN - 0 (Quinolones) RN - 8OR09251MQ (indacaterol) SB - IM MH - Administration, Inhalation MH - Adrenergic beta-2 Receptor Agonists/*administration & dosage/therapeutic use MH - Aged MH - Analysis of Variance MH - Double-Blind Method MH - Drug Administration Schedule MH - Dyspnea/*drug therapy/etiology MH - Female MH - Forced Expiratory Volume MH - *Health Status Indicators MH - Humans MH - Indans/*administration & dosage/therapeutic use MH - Logistic Models MH - Male MH - Middle Aged MH - Pulmonary Disease, Chronic Obstructive/complications/*drug therapy MH - Quinolones/*administration & dosage/therapeutic use MH - Surveys and Questionnaires MH - Treatment Outcome EDAT- 2012/10/02 06:00 MHDA- 2013/05/25 06:00 CRDT- 2012/10/02 06:00 PHST- 2012/10/02 06:00 [entrez] PHST- 2012/10/02 06:00 [pubmed] PHST- 2013/05/25 06:00 [medline] AID - 10.3109/15412555.2012.729623 [doi] PST - ppublish SO - COPD. 2012 Dec;9(6):629-36. doi: 10.3109/15412555.2012.729623. Epub 2012 Sep 28.