Table 2.
ACQ-7 responder rates, exacerbations and AEs.
| Reference | Drug vs comparator | Asthma control (measured as mean difference in ACQ) | Patients reporting ≥1 exacerbation | Patients reporting AEs |
|---|---|---|---|---|
| LABA vs placebo | ||||
| Paggiaro et al.23 | Beclomethasone/formoterol fumarate 400/12 µg BID vs beclomethasone 400 µg BID | ↔ | ✓ | ↔ |
| Ducharme et al.16 | Formoterol or salmeterol vs placebo | NR | ✓ | NR |
| Kerstjens et al.21 | Salmeterol 50 µg BID vs placebo | ✓✓ | ✓ | ↔ |
| Bateman et al.22 | Salmeterol 50 µg BID vs placebo | NR | ✓ | ↔ |
| LTRA vs placebo | ||||
| Djukanovic et al.24 | Montelukast 10 mg QD vs placebo | NR | ↔ | NR |
| ALAACRC32 | Montelukast 10 mg QD vs placebo | ↔ | NR | NR |
| Vaquerizo et al.25 | Montelukast 10 mg QD vs placebo | NR | ✓ | ↔ |
| Virchow et al.26 | Zafirlukast 80 mg BID vs placebo | NR | ✓✓ | ↔ |
| LAMA vs placebo | ||||
| Paggiaro et al.28 | Tiotropium 5 µg QD vs placebo | ↔ | NR | ↔ |
| Paggiaro et al.28 | Tiotropium 2.5 µg QD vs placebo | ↔ | NR | ↔ |
| Ohta et al.29 | Tiotropium 5 µg QD vs placebo | ✓ | NR | ↔ |
| Ohta et al.29 | Tiotropium 2.5 µg QD vs placebo | ✓ | NR | ↔ |
| Timmer et al.31 | Tiotropium 5 µg QD vs placebo | ✓✓ | NR | ↔ |
| Timmer et al.31 | Tiotropium 2.5 µg BID vs placebo | ✓✓ | NR | ↔ |
| Beeh et al.30 | Tiotropium 5 µg QD vs placebo | ✓✓ | NR | ↔ |
| Beeh et al.30 | Tiotropium 2.5 µg QD vs placebo | ✓✓ | NR | ↔ |
| Beeh et al.30 | Tiotropium 1.25 µg QD vs placebo | ✓✓ | NR | ↔ |
| Kerstjens et al.27 | Tiotropium 5 µg QD vs placeboa | ✓ | ✓✓c | ↔ |
| Kerstjens et al.27 | Tiotropium 5 µg QD vs placebob | ✓✓ | ✓✓c | ↔ |
| Kerstjens et al.21 | Tiotropium 5 µg QD vs placebo | ✓✓ | ✓ | ↔ |
| Kerstjens et al.21 | Tiotropium 2.5 µg QD vs placebo | ✓✓ | ✓✓ | ↔ |
| Bateman et al.22 | Tiotropium 5 µg QD vs placebo | NR | ✓ | ↔ |
| LABA vs LTRA | ||||
| Chauhan and Ducharme15 | Salmeterol/formoterol vs montelukast/zafirlukast | NR | ✓✓ | ↔ |
| LAMA vs LABA | ||||
| Kerstjens et al.21 | Tiotropium 5 µg QD vs salmeterol 50 µg BID | ↔ | ↔ | ↔ |
| Kerstjens et al.21 | Tiotropium 2.5 µg QD vs salmeterol 50 µg BID | ↔ | ↔ | ↔ |
| Wechsler et al.34 | Tiotropium 18 µg QD vs salmeterol 50 µg or formoterol 9 µg BID | ↔ | ↔ | ↔ |
| Bateman et al.22 | Tiotropium 5 µg QD vs salmeterol 50 µg BID | NR | ↔ | ↔ |
| Peters et al.33 | Tiotropium 18 µg QD vs salmeterol 50 µg BID | ↔ | ↔ | ↔ |
✓✓ Drug provides statistically significant improvement in outcome compared with comparator.
✓ Drug provides numerical improvement in outcome compared with comparator.
↔ Drug provides comparable outcome to comparator.
ACQ Asthma Control Questionnaire, AE adverse event, ALAACRC American Lung Association Asthma Clinical Research Centres, BID twice daily, LABA long-acting β2-agonists, LAMA long-acting muscarinic agonist, LTRA leukotriene receptor antagonist, NR not reported, QD once daily.
aTrial one.
bTrial two.
cObservation refers to increased time to exacerbations rather than amount.