PMID- 29231073 OWN - NLM STAT- MEDLINE DCOM- 20190923 LR - 20220409 IS - 1473-4877 (Electronic) IS - 0300-7995 (Linking) VI - 34 IP - 7 DP - 2018 Jul TI - Pelargonium sidoides preparation EPs 7630 in COPD: health-related quality-of-life and other patient-reported outcomes in adults receiving add-on therapy. PG - 1245-1251 LID - 10.1080/03007995.2017.1416344 [doi] AB - OBJECTIVE: Patient-reported outcomes (PRO) such as health-related quality-of-life (HRQoL) belong to the most important criteria for the evaluation of medical therapies in clinical trials or practice-based benefit assessments. This study, therefore, revisited results of an earlier published clinical trial investigating the effects of the herbal drug preparation from the roots of Pelargonium sidoides EPs 7630, administered as add-on therapy in patients suffering from chronic obstructive pulmonary disease (COPD), with respect to HRQoL and other PRO. METHODS: A total of 199 adults diagnosed with COPD stages II/III and receiving standard treatment according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) were randomly assigned to add-on therapy with EPs 7630 or placebo for 24 weeks. HRQoL (disease-specific St. George's Respiratory Questionnaire, SGRQ; current HRQoL state according to the EuroQuol visual analog scale, EQ VAS) and PRO (Integrative Medicine Outcomes Scale, IMOS; Integrative Medicine Patient Satisfaction Scale, IMPSS; symptom severity score of cough, sputum production and sternal pain while coughing; duration of inability to work) were assessed at each study visit or documented daily by the patient in a patient diary, respectively. RESULTS: At week 24, all HRQoL and PRO measures showed a more pronounced improvement under EPs 7630 than under placebo (EQ VAS, p < .001; SGRQ total score, p < .001; symptom severity score of cough, sputum production, and sternal pain while coughing, p = .021; duration of inability to work, p = .004; two-sided t-test each; IMOS, p < .001, IMPSS, p < .001, two-sided Mantel-Haenszel test each). Moreover, the difference seen for the SGRQ exceeded the SGRQ minimal clinically important difference (MCID) threshold of 4 points. CONCLUSIONS: Add-on therapy with EPs 7630 led to an improvement in HRQoL and other PRO in adult patients with COPD compared to placebo while showing a good long-term tolerability. FAU - Matthys, Heinrich AU - Matthys H AD - a Medical Director Emeritus, Department of Pneumology , University Hospital at Freiburg University , Freiburg , Germany. FAU - Funk, Petra AU - Funk P AD - b Clinical Research Department, Dr. Willmar Schwabe GmbH & Co. KG , Karlsruhe , Germany. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20180118 PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 0 (EPs 7630) RN - 0 (Plant Extracts) RN - 0 (Respiratory System Agents) SB - IM MH - Adult MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Middle Aged MH - Patient Reported Outcome Measures MH - Patient Satisfaction MH - *Pelargonium MH - Phytotherapy/methods MH - *Plant Extracts/administration & dosage/adverse effects MH - *Pulmonary Disease, Chronic Obstructive/drug therapy/psychology MH - *Quality of Life MH - Respiratory System Agents/administration & dosage/adverse effects MH - Treatment Outcome OTO - NOTNLM OT - COPD OT - Clinical trial OT - EPs 7630 OT - health-related quality-of-life EDAT- 2017/12/13 06:00 MHDA- 2019/09/24 06:00 CRDT- 2017/12/13 06:00 PHST- 2017/12/13 06:00 [pubmed] PHST- 2019/09/24 06:00 [medline] PHST- 2017/12/13 06:00 [entrez] AID - 10.1080/03007995.2017.1416344 [doi] PST - ppublish SO - Curr Med Res Opin. 2018 Jul;34(7):1245-1251. doi: 10.1080/03007995.2017.1416344. Epub 2018 Jan 18.