PMID- 26782971 OWN - NLM STAT- MEDLINE DCOM- 20170912 LR - 20181202 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 32 IP - 5 DP - 2016 May TI - Long-term (52 weeks) safety and tolerability of umeclidinium in Japanese patients with chronic obstructive pulmonary disease. PG - 967-73 LID - 10.1185/03007995.2016.1140029 [doi] AB - Objective Umeclidinium bromide (UMEC) 62.5 mug is a long-acting muscarinic antagonist (LAMA) that is administered once daily via inhalation for chronic obstructive pulmonary disease (COPD) treatment. The objective of this study was to evaluate the safety and tolerability of long-term treatment with UMEC 125 mug in Japanese patients with COPD. Methods This was a 52 week, multicenter, open-label study to evaluate the safety and tolerability of UMEC 125 mug once daily delivered via a novel dry powder inhaler (nDPI) in Japanese patients with COPD. The primary endpoint was the incidence and severity of all adverse events (AEs) throughout the 52 week treatment period. Clinical trial registration number ClinicalTrials.gov identifier is NCT01702363. Results A total of 153 patients were enrolled in the study. Of these, 131 patients started treatment with UMEC 125 mug, and 111 patients (85%) completed the study. AEs did not differ greatly in incidence over the various time periods (Weeks 0 to 12, 13 to 24, 25 to 36, and 37 to 52 of treatment) and did not increase with continued treatment. The incidence of drug-related AEs associated with the pharmacological effects of LAMAs (including constipation, blurred vision, and thirst) was low. Serious adverse events (SAEs) during the treatment period were reported in 17 patients (13%). SAEs reported in more than one patient were COPD exacerbation and pneumonia (3 patients each, 2%). One SAE of angina pectoris was considered to be drug related. No fatalities were reported during this study. Conclusions No new AEs were identified beyond those attributable to the pharmacological effects of LAMAs. UMEC 125 mug was well tolerated over 52 weeks of treatment in Japanese patients with COPD. FAU - Yamagata, Eiji AU - Yamagata E AD - a Yamagata Clinic , Oita , Japan ; FAU - Soutome, Toru AU - Soutome T AD - b Biomedical Data Sciences Department , GSK , Tokyo , Japan ; FAU - Hashimoto, Kenichi AU - Hashimoto K AD - c Respiratory Medicines Development, GSK , Tokyo , Japan ; FAU - Mihara, Kazuko AU - Mihara K AD - c Respiratory Medicines Development, GSK , Tokyo , Japan ; FAU - Tohda, Yuji AU - Tohda Y AD - d Department of Respiratory Medicine and Allergology , Kinki University , Osaka , Japan. LA - eng SI - ClinicalTrials.gov/NCT01702363 PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study DEP - 20160218 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (GSK573719) RN - 0 (Muscarinic Antagonists) RN - 0 (Quinuclidines) SB - IM MH - Administration, Inhalation MH - Aged MH - Drug Administration Schedule MH - Dry Powder Inhalers MH - Female MH - Humans MH - Japan MH - Male MH - Middle Aged MH - Muscarinic Antagonists/*therapeutic use MH - Pulmonary Disease, Chronic Obstructive/*drug therapy MH - Quinuclidines/*therapeutic use OTO - NOTNLM OT - Chronic obstructive pulmonary disease OT - Japanese OT - Long acting muscarinic antagonist OT - Safety OT - Umeclidinium EDAT- 2016/01/20 06:00 MHDA- 2017/09/13 06:00 CRDT- 2016/01/20 06:00 PHST- 2016/01/20 06:00 [entrez] PHST- 2016/01/20 06:00 [pubmed] PHST- 2017/09/13 06:00 [medline] AID - 10.1185/03007995.2016.1140029 [doi] PST - ppublish SO - Curr Med Res Opin. 2016 May;32(5):967-73. doi: 10.1185/03007995.2016.1140029. Epub 2016 Feb 18.