PMID- 34359097 OWN - NLM STAT- MEDLINE DCOM- 20220203 LR - 20220203 IS - 1742-7843 (Electronic) IS - 1742-7835 (Linking) VI - 129 IP - 5 DP - 2021 Nov TI - Short- and long-term effects of fluticasone furoate/vilanterol in exercising asthmatic adolescents: A randomized and open label trial. PG - 369-375 LID - 10.1111/bcpt.13640 [doi] AB - PURPOSE: Relvar(R) (fluticasone furoate [FF]/vilanterol [VI]) is a once-daily inhaler with bronchodilator effect lasting 24 h. Our aim was to investigate the short- and long-term effects of FF/VI on exercise-induced asthma (EIA) in adolescents. METHODS: Ninety-three adolescent asthmatics aged 12-18 years were referred for evaluation of EIA. Following a positive exercise challenge test (ECT), 22/44 were allocated to a single administration of salbutamol (400 mug) and 22/44 to FF/VI (92/22 mug) in a double-blind method. Thirty-five subjects were reassessed by repeat ECT 30-60 days of FF/VI. RESULTS: Median FEV(1) change post-ECT at baseline was -22.8% predicted (interquartile range [IQR] -26.1 and -18.0) for salbutamol and -21.0 (IQR -30.7 and -16.8) for FF/VI. Following bronchodilator, FEV(1) improved similarly in both groups. Repeat ECT following 30-60 days of FF/VI resulted in negative ECT in 33/35 subjects; the median decrease in FEV(1) of these 35 subjects was 22.6% predicted (IQR 29-18) before, and 4.6% predicted (IQR 8.7-2.5) after 30-60 days of FF/VI treatment (p < 0.0001). CONCLUSIONS: FF/VI is effective in reversing EIA after 15 min in adolescents and in protecting EIA after 30-60 days in adolescents. Larger studies are needed to assess the effect of FF/VI on EIA. CI - (c) 2021 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society). Published by John Wiley & Sons Ltd. FAU - Bar-Yoseph, Ronen AU - Bar-Yoseph R AUID- ORCID: 0000-0002-0055-5415 AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. AD - Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Gur, Michal AU - Gur M AUID- ORCID: 0000-0002-9874-7617 AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. AD - Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Zuckerman, Shalev AU - Zuckerman S AD - Department of Pediatrics, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. FAU - Gut, Guy AU - Gut G AUID- ORCID: 0000-0002-1226-4893 AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. FAU - Hanna, Moneera AU - Hanna M AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. FAU - Toukan, Yazeed AU - Toukan Y AUID- ORCID: 0000-0002-5347-1426 AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. AD - Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Nir, Vered AU - Nir V AUID- ORCID: 0000-0001-7279-9294 AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. AD - Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Masarweh, Kamal AU - Masarweh K AUID- ORCID: 0000-0003-0310-1512 AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. FAU - Bentur, Lea AU - Bentur L AUID- ORCID: 0000-0002-5503-166X AD - Pediatric Pulmonary Institute, Ruth Children's Hospital, Rambam Health Care Campus, Haifa, Israel. AD - Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20210825 PL - England TA - Basic Clin Pharmacol Toxicol JT - Basic & clinical pharmacology & toxicology JID - 101208422 RN - 0 (Androstadienes) RN - 0 (Benzyl Alcohols) RN - 0 (Bronchodilator Agents) RN - 0 (Chlorobenzenes) RN - 0 (Drug Combinations) RN - 0 (fluticasone furoate-vilanterol trifenatate) RN - QF8SVZ843E (Albuterol) SB - IM MH - Administration, Inhalation MH - Adolescent MH - Albuterol/*administration & dosage/pharmacology MH - Androstadienes/*administration & dosage/pharmacology MH - Asthma/*drug therapy/physiopathology MH - Benzyl Alcohols/*administration & dosage/pharmacology MH - Bronchodilator Agents/*administration & dosage/pharmacology MH - Child MH - Chlorobenzenes/*administration & dosage/pharmacology MH - Double-Blind Method MH - Drug Combinations MH - Exercise Test MH - Female MH - Forced Expiratory Volume/drug effects MH - Humans MH - Male MH - Nebulizers and Vaporizers MH - Prospective Studies MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - Relvar OT - exercise challenge test OT - exercise-induced asthma OT - exercise-induced bronchoconstriction OT - fluticasone furoate (FF)/vilanterol (VI) OT - salbutamol EDAT- 2021/08/07 06:00 MHDA- 2022/02/04 06:00 CRDT- 2021/08/06 20:33 PHST- 2021/06/22 00:00 [revised] PHST- 2021/04/29 00:00 [received] PHST- 2021/07/13 00:00 [accepted] PHST- 2021/08/07 06:00 [pubmed] PHST- 2022/02/04 06:00 [medline] PHST- 2021/08/06 20:33 [entrez] AID - 10.1111/bcpt.13640 [doi] PST - ppublish SO - Basic Clin Pharmacol Toxicol. 2021 Nov;129(5):369-375. doi: 10.1111/bcpt.13640. Epub 2021 Aug 25.