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. 2015 Jan 10;2015(1):CD010139. doi: 10.1002/14651858.CD010139.pub2

Kornmann 2011.

Methods Design: double‐blind, parallel, randomised, controlled trial. 26 weeks' duration. Additional inhaled bronchodilators other than albuterol were discontinued. Patients were recruited from Canada, Europe, South America, India and Taiwan
Run‐in: 2 weeks
Participants Population: 1002 participants with a diagnosis of moderate to severe COPD were randomly assigned. Mean age 63 years. In the indacaterol 150 mcg, salmeterol 50 mcg and placebo arms, 45%, 46% and 40% were taking concomitant inhaled corticosteroids, respectively. Mean FEV1 was 54%, 53% and 53%, respectively
Inclusion criteria: age > 40, smoking history > 20 pack‐years, 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, shift workers
Interventions 1. Indacaterol 150 mcg
2. Salmeterol 50 mcg
3. Placebo
Outcomes Primary endpoint: 24‐hour postdose trough FEV1 after 12 weeks.
Other endpoints: SGRQ, Transitional Dyspnoea Index (TDI), symptom diaries, use of as needed salbutamol
Follow‐up at day 2, weeks 4, 8, 12, 26
Values reported at baseline; additional information obtained from study authors for post‐treatment data
Notes Study was supported by Novartis, and some authors were Novartis employees.
Novartis directly supplied data for: Indacaterol versus placebo (number of participants experiencing at least one exacerbation); Indacaterol versus LABA (dyspnoea, number of participants experiencing at least one exacerbation).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Participants were randomly allocated to treatment using an automated system
Allocation concealment (selection bias) Low risk Allocation via automated system, double‐dummy design
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Allocated interventions were not known by participants or personnel during the study; placebo appears adequate
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcome assessors were blinded to treatment allocation
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Higher dropout rates in placebo arm were largely due to withdrawal of consent or unsatisfactory therapeutic effect
Selective reporting (reporting bias) Low risk All outcomes were reported, not just statistically significant outcomes