Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Lung function | |||||
[65]
Systematic review |
1420 people with COPD 5 RCTs in this analysis |
Improvement in pre-dose FEV1
up to 24 weeks
with fluticasone plus salmeterol with placebo Absolute numbers not reported |
WMD 0.16 L 95% CI 0.14 L to 0.19 L P <0.00001 |
Effect size not calculated | fluticasone plus salmeterol |
[65]
Systematic review |
923 people with COPD 2 RCTs in this analysis |
Improvement in FEV1 from baseline
12 months
with budesonide plus formoterol with placebo Absolute numbers not reported |
14.4% 95% CI 11.91% to 16.90% P <0.00001 |
Effect size not calculated | budesonide plus formoterol |
[68]
RCT 3-armed trial |
224 people with COPD |
Increase in pre-dose FEV1 percentage predicted
4 weeks
3.8% with fluticasone 500 micrograms plus salmeterol 50 micrograms twice daily 1.0% with placebo |
P <0.05 |
Effect size not calculated | fluticasone plus salmeterol |
[66]
RCT 6-armed trial |
1704 people with COPD |
Improvement in pre-dose FEV1
6 months
0.09 L with budesonide 160 micrograms plus formoterol 4.5 micrograms in one metered-dose inhaler twice daily 0.07 L with budesonide 80 micrograms plus formoterol 4.5 micrograms in one metered-dose inhaler twice daily 0.08 L with budesonide 160 micrograms plus formoterol 4.5 micrograms in separate metered-dose inhalers twice daily 0.01 L with placebo |
P <0.05 for all treatment arms v placebo |
Effect size not calculated | budesonide plus formoterol |
[67]
RCT |
445 Chinese people with COPD |
Improvement in pre-dose FEV1
6 months
177 mL with salmeterol 50 micrograms plus fluticasone 500 micrograms 8 mL with placebo |
P <0.001 for adjusted result (180 mL) |
Effect size not calculated | salmeterol plus fluticasone |