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Key clinical evidence for flutiform® pMDI

 

flutiform® pMDI offers rapid bronchodilation vs fluticasone propionate/ salmeterol pMDI1*

*flutiform® pMDI is not indicated for use as a reliever medication2

flutiform® pMDI 50/5 μg and 125/5 μg 2 puffs b.i.d. delivers significantly faster bronchodilation than fluticasone propionate/salmeterol pMDI 50/25 μg and 125/25 μg 2 puffs b.i.d. in maintenance therapy.1

Improvement in lung function over time1

graph
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Abbreviations: b.i.d., twice daily; CI, confidence interval; LS, Least square; FEV₁, forced expiratory volume in 1 second; pMDI, pressurised metered-dose inhaler

Real-world evidence
(adolescent and adult studies)

 

flutiform® pMDI has demonstrated improved levels of asthma control compared to baseline (as per GINA guidelines3) over 3 and 12 months across different RWE studies enrolling more than 4,000 patients4-6

Abbreviations: GINA, Global Initiative for Asthma; RWE, real-world evidence; pMDI, pressurised metered-dose inhaler

ffLUX4

 

A significantly higher proportion of patients achieved controlled asthma after switching from fluticasone propionate/ salmeterol to flutiform® pMDI4

ffLUX4: A randomised pragmatic trial changing from fluticasone propionate/ salmeterol pMDI to flutiform® pMDI (12 weeks)

View study design here Read the full article

Key Outcomes:4

 

Phase 1 (Switch)

 

Patients switched from fluticasone propionate/ salmeterol pMDI to flutiform® pMDI had significantly higher odds of achieving asthma control as per GINA-defined criteria3 (on the basis of symptoms in the last week) at week 12.4

phase 1 switch

Phase 1 outcome of the study
This is based on GINA defined criteria (on the basis of symptoms in the last week).3

Abbreviations: b.i.d., twice daily; CI, confidence interval; GINA, Global Initiative for Asthma; OR, odds ratio; pMDI, pressurised metered-dose inhaler; pMDI; pressurised metered-dose inhaler

Conclusions

ffAIRNESS5

 

The proportion of patients with well-controlled asthma more than doubled after 12 months on flutiform® pMDI5

ffAIRNESS5: Real-life effectiveness of asthma treatment with a fixed-dose flutiform® pMDI

Prospective, 1-year, non-interventional, multi-centre study in Germany

View study design here Read the full article

Key Outcomes:5

 

Safety profile

Asthma Control Test™ Scores

 

Proportion of patients with well-controlled asthma from baseline (30.9%) to 65.3% after 12 months on flutiform® pMDI.5

graph

Adapted from Schmidt O, et al. 2017.

Full analysis population = 1,410

Last observation carried forward results show that 62.4% of patients achieved ACT scores ≥ 20

Abbreviation: ACT, Asthma Control Test; pMDI, pressurised metered-dose inhaler

Incidence of severe exacerbations Lung function Quality of life (asthma quality of life questionnaire [AQLQ]) Conclusions

AffIRM6

 

An increased proportion of patients with controlled asthma from baseline to the end of the study (12 months).6

AffIRM6: Real-world study to evaluate the safety and effectiveness of flutiform® pMDI in 2,539 patients with asthma

View study design here Read the full article

Key Outcomes:6

 

Safety profile

Asthma Control Test™ Scores

 

The proportion of patients with controlled asthma increased from 29.4% at baseline to 67.4% at end of study (12 months).6

affirm graph

Asthma control based on ACT total score (controlled, ACT ≥ 20; somewhat controlled, ACT 16-19; poorly controlled, ACT ≤ 15)

Baseline data reflect prior treatment

Abbreviations: ACT, Asthma Control Test; LOCF, last observation carried forward up to 12 months; pMDI, pressurised metered-dose inhaler

Severe asthma exacerbations Physicians' and patients' satisfaction Conclusions

Associated with a low rate of severe asthma exacerbations5-7

 

Long-term therapy with flutiform® pMDI is associated with a low rate of severe asthma exacerbations in RCTs (2.1%)7 and RWE.5,6

Randomised Controlled Trials (RCTs)7

Oral corticosteroid-requiring exacerbation rates across individual studies of ICS/LABA combinations7

Randomised Controlled Trials (RCTs)
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Adapted from Papi A, et al. 2016. In these studies, ICS/LABAs were only used as maintenance therapy.

Real-World Evidence (RWE)5,6

flutiform® pMDI reduced the rates of severe asthma exacerbations vs baseline treatment5,6

This bar chart shows at least one severe asthma exacerbation during the observational period of the study for flutiform® pMDI compared with the 12 months prior to the start of the study.

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Real-World Evidence (RWE)
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Abbreviations: ICS, inhaled corticosteroid; LABA, long-acting ß₂-agonist; FP, fluticasone propionate; FORM, formoterol; BUD, budesonide; SAL, salmeterol; BDP, beclomethasone dipropionate; OCS, oral corticosteroid; pMDI, pressurised metered-dose inhaler; n, number of patients in a treatment group

References

  1. Aalbers R, et al. Adv Ther. 2012; 29(11): 958-969.
  2. flutiform® SmPC. Last updated 13 April 2022. https://www.emcpi.com/pi/26954. Accessed 5 September 2022.
  3. Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention (Updated 3rd May 2022). Available at: https://ginasthma.org/wp-content/uploads/2022/05/GINA-Main-Report-2022-FINAL-22-05-03-WMS.pdf Accessed 5 September 2022.
  4. Usmani OS, et al. J Allergy Clin Immunol Prac 2017;5:1378-87.
  5. Schmidt O, et al. Respir Med 2017;131:166-174.
  6. Backer V, et al. Ther Adv Respir Dis 2018;12:1-16.
  7. Papi A, et al. J Aerosol Med Pulm Drug Deliv. 2016;29:346-361.

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Abbreviation: pMDI, pressurised metered-dose inhaler

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®: FLUTIFORM is the Trademark of Jagotec AG used under licence by Mundipharma.

®: The ‘lung’ logo, is a Registered Trademark of Mundipharma.