Initial treatment of COPD with LABA-ICS or LABA-LAMA: real-world comparative effectiveness

In a real-world clinical practice setting of COPD treatment, initiating therapy with LABA-ICS inhalers may be more effective than LABA-LAMA inhalers among patients with multiple exacerbations, particularly those with FEV<sub>1</sub>≥50% predicted, but less effective among those with no prior exacerbations and FEV<sub>1</sub><50% predicted. This study supports a targeted approach to initial therapy for COPD. .

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Publication Details

Journal
BMJ Open Respiratory Research
Published
2025-12-01
DOI
https://doi.org/10.1136/bmjresp-2025-003216
Primary Topic
Chronic Obstructive Pulmonary Disease (COPD) Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Initial treatment of COPD with LABA-ICS or LABA-LAMA: real-world comparative effectiveness

Pierre Ernst, Samy Suissa, Mathew Cherian, Sophie Dell’Aniello
BMJ Open Respiratory Research
Chronic Obstructive Pulmonary Disease (COPD) Research
article

Initial treatment of COPD with LABA-ICS or LABA-LAMA: real-world comparative effectiveness

Pierre Ernst, Samy Suissa, Mathew Cherian, Sophie Dell’Aniello
article en

Abstract

In a real-world clinical practice setting of COPD treatment, initiating therapy with LABA-ICS inhalers may be more effective than LABA-LAMA inhalers among patients with multiple exacerbations, particularly those with FEV<sub>1</sub>≥50% predicted, but less effective among those with no prior exacerbations and FEV<sub>1</sub><50% predicted. This study supports a targeted approach to initial therapy for COPD. .

BMJ Open Respiratory ResearchVol. 12(1)
Jewish General Hospital (CA), McGill University (CA)
Openalex Percentile: Top 40%
Chronic Obstructive Pulmonary Disease (COPD) Research
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