See data from the IMPACT and FULFIL trails and a Network Meta-Analysis
Do other COPD treatments provide the level of lung function improvement that Trelegy Ellipta does?
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ICS/LABA: Relvar (fluticasone furoate/vilanterol) vs twice daily ICS/LABA
LABA/LAMA: Anoro ▼Ellipta (umeclidinium bromide/vilanterol) vs Spiolto & improvements vs Bevespi*
LAMA: Incruse▼Ellipta (umeclidinium bromide) vs Spiriva
*Anoro demonstrated improvement on the co-primary endpoint of trough FEV1 while peak FEV1 was similar.
*based on global date of first use
Significant reduction in mean annual rate of moderate/severe exacerbations by 8% (ARR 0.16 95%Cl: 0.11, 15.4; p=0.047) vs. twice-daily ICS/LABAs (of which a high proportion were on Seretide (fluticasone propionate/salmeterol)),2 in a pre-specified sub-analysis of a 52 week open label RCT that compared Relvar vs. GP prescribed usual care*2
In a 12 week double blind RCT vs Seretide, improvement from baseline in lung function (0-24h wmFEV1) was numerically greater with Relvar vs Seretide but this did not reach statistical significance.14
*Analysis based on a subset of patients whose randomisation stratum and pre-randomisation treatment included an ICS and a LABA. Patients could receive a LAMA throughout the treatment period in addition to their randomised treatment
84mL greater improvement in trough FEV1 from baseline (co-primary endpoint) vs. Bevespi Aerosphere (GLY/FOR)3 & Superior lung function improvement vs. Spiolto Respimat (TIO/OLO)4
84ml difference (162mL vs 78mL) (97.5% Cl: 55,112) while improvement in peak FEV1 within 2 hours of dosing (co-primary endpoint) was similar for both medicines (difference: 3mL)3
In a 24 week, non-inferiority study of Bevespi Aerosphere vs Anoro Ellipta in moderate to severe patients with COPD3
+52mL improvement vs Spiolto in trough FEV1 in a 8 week open-label crossover study {95% CI:28, 77; p=0.001}4
Superior lung function improvement vs Spiriva Handihaler (TIO)
a difference of 59mL in trough FEV1 at day 85 in the per protocol population (154ml vs 95ml) (95% Cl: 29,88; p<0.001)5
Not drawn to scale - for illustrative purposes only
Incruse Ellipta prescribing information (PDF)
Relvar Ellipta prescribing information (PDF)
Anoro Ellipta prescribing information (PDF)
Seretide prescribing information (PDF)
Trelegy Ellipta prescribing information (PDF)
Trelegy Ellipta OD is indicated for maintenance treatment in adult patients with moderate to severe chronic obstructive pulmonary disease (COPD) who are not adequately treated by a combination of an inhaled corticosteroid and a long-acting β2-agonist or a combination of a long-acting β2-agonist and a long-acting muscarinic antagonist.13
ICS, inhaled corticosteroid; LABA, long-acting β2-agonist; LAMA, long-acting muscarinic antagonist.
References:
Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk/ or search for MHRA Yellowcard in the Google Play or Apple App store. Adverse events should also be reported to GlaxoSmithKline on 0800 221 441.
October 2022 | PM-GB-FVU-WCNT-210007 (V5.0)