Drug updated on 11/1/2024
Dosage Form | Powder (oral inhalation; 50 mcg fluticasone furoate and 25 mcg vilanterol per actuation, 100 mcg fluticasone furoate and 25 mcg vilanterol per actuation, 200 mcg fluticasone furoate and 25 mcg vilanterol per actuation) |
Drug Class | Corticosteroids and beta-2 adrenergic agonists |
Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated for the maintenance treatment of patients with chronic obstructive pulmonary disease (COPD)
- Indicated for the maintenance treatment of asthma in patients aged 5 years and older.
Latest News
Summary
- This summary is based on the review of three systematic review(s)/meta-analysis(es). [1-3]
- Fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) demonstrated statistically significant improvements in trough Forced Expiratory Volume (FEV1) at 24 weeks compared to all other triple therapy comparators, except for umeclidinium combined with fluticasone and vilanterol (UMEC + FF/VI).
- At 24 weeks, FF/UMEC/VI showed statistically significant reductions in the annualized rate of combined moderate or severe exacerbations compared to single-inhaler budesonide/glycopyrronium bromide/formoterol (BUD/GLY/FOR) and UMEC + FF/VI.
- FF/UMEC/VI also exhibited improvements in mean St. George's Respiratory Questionnaire (SGRQ) scores and a significant reduction in rescue medication use compared to BUD/GLY/FOR at 24 weeks.
- The studies did not provide detailed information on specific safety outcomes or adverse effects related to fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI).
- No significant safety concerns or adverse effects were reported for FF/UMEC/VI, budesonide/glycopyrronium bromide/formoterol (BUD/GLY/FOR), or budesonide/glycopyronium/formoterol fumarate metered dose inhaler (BGF MDI).
- The studies focused on adults aged at least 40 years with moderate to very severe chronic obstructive pulmonary disease (COPD), but no specific findings relevant to particular subgroups, such as age groups, gender, or comorbid conditions, were detailed.
Product Monograph / Prescribing Information
Document Title | Year | Source |
---|---|---|
Breo Ellipta (fluticasone furoate and vilanterol) Prescribing Information. | 2023 | GlaxoSmithKline, Philadelphia, PA |
Systematic Reviews / Meta-Analyses
Clinical Practice Guidelines
Document Title | Year | Source |
---|---|---|
2023 Canadian Thoracic Society Guideline on Pharmacotherapy in Patients with Stable COPD. | 2023 | Canadian Journal of Respiratory, Critical Care, and Sleep Medicine |
Inhaled corticosteroid doses for NICE’s asthma guideline | 2023 | NICE |
ICS/Ultra LABA in the Treatment of Obstructive Airway Diseases: A Consensus of Indian Experts. | 2022 | Advances in respiratory medicine |
Spanish COPD guidelines (GesEPOC) 2021: Updated pharmacological treatment of stable COPD. | 2021 | Archivos de Bronconeumologia |
2020 Gold pocket guide to COPD diagnosis, management, and prevention. | 2020 | Global Initiative for Chronic Obstructive Lung Disease |
COPD-X Concise Guide. | 2020 | Lung Foundation Australia |
Canadian Thoracic Society Clinical Practice Guideline on pharmacotherapy in patients with COPD – 2019 update of evidence | 2019 | Canadian Journal of Respiratory, Critical Care, and Sleep Medicine |