Abstract |
We studied the relationship between body mass index (BMI) on responses to asthma therapy using a retrospective analysis of four previously reported clinical trials. Fluticasone propionate (FP)/ salmeterol via Diskus 100/50 microg twice daily and montelukast (MON) 10 mg daily were compared. BMI was classified as underweight (less than 20 kg/m(2)), normal (20-24.9 kg/m(2)), overweight (25-29.9 kg/m(2)), obese-1 (30-34.9 kg/m(2)), obese-2 (35-39.9 kg/m(2)), or obese-3 (at least 40 kg/m(2)). Outcomes assessed included forced expiratory volume in one second (FEV(1)), asthma symptom score, and albuterol use. FP/ salmeterol produced greater improvements compared to MON in each of the asthma outcomes studied over the entire BMI range at the week-12 endpoint, with statistically significant differences noted among normal, overweight, obese-1, and obese-3 subjects. The within-treatment responses to FP/ salmeterol across BMI ranges at the week-12 endpoint was statistically significantly greater in normal compared to obese-3 for FEV(1) and albuterol use, and in overweight compared to the obese-3 for each outcome studied. The within-treatment comparisons of MON across BMI ranges were significant for albuterol use in normal and underweight compared to obese-3 at the week-12 endpoint. Compared to subjects with normal BMI, the onset to peak FEV(1) may require longer treatment exposure in the very obese. Treatment responses to FP/ salmeterol were consistently greater compared to MON and persisted at higher BMI.
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Authors | Carlos A Camargo Jr, Louis-Philippe Boulet, E Rand Sutherland, William W Busse, Steven W Yancey, Amanda H Emmett, Hector G Ortega, Thomas J Ferro |
Journal | The Journal of asthma : official journal of the Association for the Care of Asthma
(J Asthma)
Vol. 47
Issue 1
Pg. 76-82
(Feb 2010)
ISSN: 1532-4303 [Electronic] England |
PMID | 20100025
(Publication Type: Journal Article, Meta-Analysis)
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Chemical References |
- Acetates
- Androstadienes
- Anti-Asthmatic Agents
- Cyclopropanes
- Drug Combinations
- Fluticasone-Salmeterol Drug Combination
- Quinolines
- Sulfides
- montelukast
- Albuterol
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Topics |
- Acetates
(pharmacology, therapeutic use)
- Adult
- Albuterol
(analogs & derivatives, pharmacology, therapeutic use)
- Androstadienes
(pharmacology, therapeutic use)
- Anti-Asthmatic Agents
(pharmacology, therapeutic use)
- Asthma
(complications, diagnosis, drug therapy, physiopathology)
- Body Mass Index
- Cyclopropanes
- Double-Blind Method
- Drug Combinations
- Female
- Fluticasone-Salmeterol Drug Combination
- Forced Expiratory Volume
(drug effects, physiology)
- Humans
- Male
- Middle Aged
- Multicenter Studies as Topic
- Obesity
(complications, pathology)
- Overweight
(complications, pathology)
- Quinolines
(pharmacology, therapeutic use)
- Randomized Controlled Trials as Topic
- Sulfides
- Time Factors
- Treatment Outcome
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