PMID- 33612668 OWN - NLM STAT- MEDLINE DCOM- 20210803 LR - 20231107 IS - 1349-7235 (Electronic) IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 60 IP - 15 DP - 2021 Aug 1 TI - Real-world Safety and Efficacy of Indacaterol Maleate in Patients with Chronic Obstructive Pulmonary Disease: Evidence from the Long-term Post-marketing Surveillance in Japan. PG - 2385-2394 LID - 10.2169/internalmedicine.5571-20 [doi] AB - Objective Evidence concerning the safety and efficacy of indacaterol maleate in a real-life setting is limited. The objective of this post-marketing surveillance was to evaluate the real-life safety and efficacy of indacaterol maleate in Japanese patients with chronic obstructive pulmonary disease (COPD). Methods This was a 52-week post-marketing surveillance conducted between April 2012 and December 2018. The safety endpoints included the incidence of adverse events (AEs), serious adverse events (SAEs), and adverse drug reactions (ADRs). The efficacy endpoints included the physician-reported global evaluation of treatment effectiveness (GETE), change from baseline in the COPD assessment test (CAT) results, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV(1)), and %FEV(1) following 4, 12, 26, and 52 weeks of indacaterol administration. Results Of the 1,846 enrolled patients, 1,726 were included in the safety and efficacy analyses. The mean age of the patients was 72.5 years old. Cough, pneumonia and COPD worsening were the most common AEs reported, while pneumonia (1.04%) was the most common SAE, and cough (1.68%) was the most common ADR. GETE showed that 69.70% of patients achieved an excellent/good/moderate response following indacaterol treatment. The CAT score decreased, and lung function parameters (FVC, FEV(1) and %FEV(1)) improved across all the COPD stages following treatment with indacaterol. Conclusion Indacaterol showed a favorable safety and tolerability profile in Japanese patients with COPD without new safety signals observed in real-life settings. These findings demonstrated that indacaterol is an effective maintenance treatment in real-life practice for Japanese patients with COPD. FAU - Taniguchi, Tomoko AU - Taniguchi T AD - Novartis Pharma K.K., Japan. FAU - Wang, Dong AU - Wang D AD - Novartis Pharma K.K., Japan. FAU - Yoshisue, Hajime AU - Yoshisue H AD - Novartis Pharma K.K., Japan. FAU - Nagasaki, Makoto AU - Nagasaki M AD - Novartis Pharma K.K., Japan. FAU - Sasajima, Takayoshi AU - Sasajima T AD - Novartis Pharma K.K., Japan. LA - eng PT - Journal Article DEP - 20210222 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Adrenergic beta-2 Receptor Agonists) RN - 0 (Bronchodilator Agents) RN - 0 (Indans) RN - 0 (Maleates) RN - 0 (Quinolones) RN - 8OR09251MQ (indacaterol) SB - IM MH - *Adrenergic beta-2 Receptor Agonists/adverse effects MH - Bronchodilator Agents/adverse effects MH - Double-Blind Method MH - Forced Expiratory Volume MH - Humans MH - Indans/adverse effects MH - Japan/epidemiology MH - Maleates/pharmacology/therapeutic use MH - Product Surveillance, Postmarketing MH - *Pulmonary Disease, Chronic Obstructive/drug therapy MH - Quinolones MH - Treatment Outcome PMC - PMC8381178 OTO - NOTNLM OT - COPD OT - COPD assessment test OT - adverse events OT - indacaterol maleate OT - lung function OT - post-marketing surveillance OT - safety COIS- Author's disclosure of potential Conflicts of Interest (COI). Tomoko Taniguchi: Employment, Novartis Pharma. Dong Wang: Employment, Novartis Pharma. Hajime Yoshisue: Employment, Novartis Pharma. Makoto Nagasaki: Employment, Novartis Pharma. Takayoshi Sasajima: Employment, Novartis Pharma. EDAT- 2021/02/23 06:00 MHDA- 2021/08/04 06:00 PMCR- 2021/08/01 CRDT- 2021/02/22 05:50 PHST- 2021/02/23 06:00 [pubmed] PHST- 2021/08/04 06:00 [medline] PHST- 2021/02/22 05:50 [entrez] PHST- 2021/08/01 00:00 [pmc-release] AID - 10.2169/internalmedicine.5571-20 [doi] PST - ppublish SO - Intern Med. 2021 Aug 1;60(15):2385-2394. doi: 10.2169/internalmedicine.5571-20. Epub 2021 Feb 22.