PMID- 29443750 OWN - NLM STAT- MEDLINE DCOM- 20180222 LR - 20221207 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 97 IP - 7 DP - 2018 Feb TI - Effect and safety of roflumilast for chronic obstructive pulmonary disease in Chinese patients. PG - e9864 LID - 10.1097/MD.0000000000009864 [doi] LID - e9864 AB - BACKGROUND: This trial aimed to evaluate the efficacy and safety of roflumilast for treating Chinese patients with chronic obstructive pulmonary disease (COPD). METHODS: A total of 120 patients with COPD were recruited and were randomly divided into 2 groups (an intervention group and a placebo group) at a 1:1 ratio. Patients received either roflumilast or placebo 500 mug once daily for a total of 12 months. The primary outcome was lung function, measured by the change from baseline of forced expiratory volume in 1 second (FEV1), FVC = forced vital capacity (FVC), and FEF25-75%. The secondary outcome measurements included the quality of life, measured with the St. George's Respiratory Questionnaire (SGRQ). All outcomes were measured at the end of 12-month treatment and 3-month follow-up after the treatment. In addition, adverse events (AEs) were also recorded during the treatment period. RESULTS: FEV1, FVC, FEF25-75%, and SGRQ were significantly better in the intervention group than those in the placebo group at the end of 12-month treatment and 3-month follow up after treatment. Moreover, AEs were much higher with roflumilast than placebo in this study. CONCLUSIONS: The findings suggest that roflumilast has promising effect to improve lung function in Chinese population with COPD. FAU - Liu, Dong-Yang AU - Liu DY AD - Department of Respiratory Medicine, The People's Hospital of Yan'an, Yan'an Department of Respiratory Medicine, Xi'an Central Hospital, Xi'an Department of Respiratory Medicine, Affiliated Hospital of Yan'an University, Yan'an, China. FAU - Wang, Zhi-Guo AU - Wang ZG FAU - Gao, Yuan AU - Gao Y FAU - Zhang, Hui-Min AU - Zhang HM FAU - Zhang, Yu-Xiang AU - Zhang YX FAU - Wang, Xiao-Jun AU - Wang XJ FAU - Peng, Dan AU - Peng D LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Aminopyridines) RN - 0 (Benzamides) RN - 0 (Cyclopropanes) RN - 0 (Phosphodiesterase 4 Inhibitors) RN - 0P6C6ZOP5U (Roflumilast) SB - IM MH - Aged MH - *Aminopyridines/administration & dosage/adverse effects MH - Asian People MH - *Benzamides/administration & dosage/adverse effects MH - Cyclopropanes/administration & dosage/adverse effects MH - Double-Blind Method MH - Drug Monitoring MH - Female MH - Humans MH - Male MH - Middle Aged MH - Outcome and Process Assessment, Health Care MH - Phosphodiesterase 4 Inhibitors/administration & dosage/adverse effects MH - *Pulmonary Disease, Chronic Obstructive/diagnosis/drug therapy/ethnology/psychology MH - *Quality of Life MH - Respiratory Function Tests/methods MH - Surveys and Questionnaires PMC - PMC5839818 COIS- The authors have no conflicts of interest to disclose. EDAT- 2018/02/15 06:00 MHDA- 2018/02/23 06:00 PMCR- 2018/02/16 CRDT- 2018/02/15 06:00 PHST- 2018/02/15 06:00 [entrez] PHST- 2018/02/15 06:00 [pubmed] PHST- 2018/02/23 06:00 [medline] PHST- 2018/02/16 00:00 [pmc-release] AID - 00005792-201802160-00024 [pii] AID - MD-D-17-07485 [pii] AID - 10.1097/MD.0000000000009864 [doi] PST - ppublish SO - Medicine (Baltimore). 2018 Feb;97(7):e9864. doi: 10.1097/MD.0000000000009864.