Kinoshita 2012.
Methods |
Design: 12‐week, multi‐centre, randomised, double‐blind, placebo‐controlled, parallel‐group study. Participants were recruited from Asian countries including Japan. Additional inhaled bronchodilators other than albuterol were discontinued. Run‐in: not specified |
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Participants |
Population: 347 participants were randomly assigned. Mean age 66.7 years. Mean FEV1 was 53.7%. In the indacaterol 150 mcg, indacaterol 300 mcg and placebo arms, 22%, 22% and 23% of participants were taking concomitant inhaled corticosteroids, respectively Inclusion criteria: adults > 39 years with at least 20‐pack‐year smoking history FEV1 < 80% > 29%, FEV1/FVC < 70% Exclusion criteria: lower respiratory tract infection or hospitalisation with an acute exacerbation of COPD within the previous 6 weeks, requirement for long‐term oxygen therapy, asthma, any alternative significant cardiovascular or respiratory disease, type 1 or poorly controlled type 2 diabetes, history of long QT syndrome or prolonged QTc, history of vaccination with live attenuated vaccines within the previous 30 days or during the run‐in period |
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Interventions | 1. Indacaterol 150 mcg 2. Indacaterol 300 mcg 3. Placebo |
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Outcomes |
Primary outcome: 12‐week trough FEV1 Secondary outcomes:‐ trough FEV1 at weeks 2, 4, 8, individual time point FEV1 and FVC on day 1, peak FEV1 on day 1 Other outcomes: health status, diary cards, dyspnoea, rescue medication, safety and tolerability |
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Notes | Trial was sponsored by Novartis, which assisted in preparation of the manuscript. Novartis directly supplied data for: trough FEV1, dyspnoea, peak FEV1, number of participants experiencing at least one exacerbation. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation using a validated automated system |
Allocation concealment (selection bias) | Unclear risk | Allocation via an automated system, although the method of allocation concealment was not specified. Matching placebo was used |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Participant, caregiver, investigator, outcomes assessor were all blinded, and matching placebo was used |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Blinded outcome assessment |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Higher rate of attrition from placebo arm, primarily due to adverse events |
Selective reporting (reporting bias) | Low risk | All prespecified outcomes were reported |