Korn 2011.
Methods |
Design: double‐blind, parallel, randomised, controlled trial. 12 weeks' duration. Additional inhaled bronchodilators other than albuterol were discontinued. Intention‐to‐treat analysis was performed. Participants were recruited from the USA, Europe and India Run‐in: 2 weeks |
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Participants |
Population: 1123 participants with a diagnosis of moderate to severe COPD were randomly assigned. Mean age was 62.8 years. Mean FEV1 was 51.8% predicted. In the indacaterol and salmeterol arms, 45.8% and 46.1% of participants were taking concomitant inhaled corticosteroids, respectively Inclusion criteria: Adults > 40 years with at least a 10‐pack‐year smoking history FEV1/FVC < 0.7, FEV1 30% to 80% predicted post bronchodilator Exclusion criteria: respiratory tract infection or COPD exacerbation during previous 6 weeks, diagnosis of asthma, concomitant pulmonary disease, long‐term oxygen therapy, type 1 or uncontrolled type 2 diabetes, cancer with less than 5‐year survival, lung cancer, QTc abnormalities, live vaccine in previous 30 days |
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Interventions | 1. Indacaterol 150 mcg 2. Salmeterol 50 mcg |
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Outcomes |
Primary endpoint:‐ FEV1 standardised area under the curve (AUC) from 5 minutes to 11 hours 45 minutes at week 12 Secondary endpoints: 24‐hour trough FEV1 at week 12, FEV1 and FVC measured over 24 hours, Transitional Dyspnoea Index (TDI) and rescue medication use Follow‐up on days 1, 2, 28, 29, 84, 85 Values were reported at baseline; additional information was obtained from study authors for post‐treatment data |
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Notes | Study was supported by Novartis, and some study authors were Novartis employees. Novartis directly supplied data for: trough FEV1, serious adverse events and mortality. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation was performed using an automated interactive voice response system |
Allocation concealment (selection bias) | Low risk | Allocation was performed via automated interactive voice response system with participants and assessors blinded to allocation; double‐dummy design |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Allocated interventions were not known by participants or by personnel during the study |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessors were blinded to treatment allocation |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Rates and reasons for dropout were similar across all arms |
Selective reporting (reporting bias) | Low risk | All prespecified outcomes were reported |