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CI, confidence interval

Cardiovascular events, such as cardiac arrhythmias, may be seen after the administration of muscarinic recepter antagonists and sympatho-mimetic agents, including umeclidinium/vilanterol. Therefore, Anoro Ellipta should be used with caution in patients with severe cardiovascular disease. 2

Due to antimuscarinic activity (i.e. a LAMA class effect), Anoro Ellipta and Tiotropium/Olodaterol should be used with caution in patients with urinary retention or narrow angle glaucoma. 2 3

*Anoro showed superiority on the primary endpoint of trough FEV1 compared with Please change to Tiotropium/Olodaterol (5/5mcg)  3 with comparable safety profile (p<0.001) 1

**Trough FEV1 improved by 180mL for Anoro (n=225) vs. 128mL for Tiotropium/Olodaterol(n=224) at week 8, in the ITT population; difference 52mL (95% CI: 28, 77; p<0.001) 1

Reduced by 0.94 puffs/day for Anoro (n=222) vs. 0.68 puffs/day for Tiotropium/Olodaterol(n=217); difference in change from baseline with Anoro vs. Tiotropium/Olodaterol -0.25 (95% CI: -0.37, -0.14; p<0.001) 1

††Maintenance naïve: Patients who had not received a maintenance treatment (LAMA, LABA alone or in combination ± ICS) for COPD in the 30 days that records were kept prior to screening.

†††Post-hoc subgroup analysis at Week 8 in maintenance-naïve patients (n=148; 167mL vs. 110mL, Δ57mL; p=0.001)

References:

  1. Feldman GJ, et al. Adv Ther. 2017;34:2518–2533
  2. Anoro Ellipta Prescribing Information, Malaysia. v04.
  3. Tiotropium/Olodaterol SmPC, 2017
  4. Feldman GJ et al. Adv Ther 2017; 34:2518-2533 (supplementary material).
  5. Alcazar Navarrete B. et al Pulm Ther. 2018 doi.org/10.1007/s41030-018-0057-7

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