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TRELEGY Ellipta: Not all COPD treatments are the same

Designed for sustained lung function improvement over 24 hours, from just one dose

TRELEGY Ellipta delivered sustained 24-hour efficacy on lung function from Day 1 to Week 24,4 and overall, a superior lung function improvement vs. Symbicort Turbuhaler.2

Adapted from Lipson et al. 2017 4
First doses of TRELEGY Ellipta and Symbicort Turbuhaler given at 0h; second dose of Symbicort Turbuhaler given ~12h later
*MCID: Minimal clinically important difference. Patients with COPD have been shown to perceive an improvement of ≥100 mL
in trough FEV₁ as beneficial 5

Not all COPD inhalers are the same

Poor inhaler technique could be a reason why a patient's COPD symptoms are poorly controlled.6 With the Ellipta inhaler, significantly fewer patients made a critical error* compared with other commonly used COPD inhalers:7

4.6x fewer patients

made a critical error* with Ellipta vs. MDI
(Ellipta 13%; MDI 60%, p<0.001) 7

Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons) 7
Adapted from van der Palen et al. 2016 7

*Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs 7

**This study assessed critical errors in the most common type of MDI (metered–dose inhaler) where shaking prior to use is required. The most common critical error with an MDI was poor actuation and inhalation coordination 7

8.8x fewer patients

made a critical error* with Ellipta vs. Accuhaler
(Ellipta 5%; Accuhaler 44%, p<0.001) 7

Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons) 7
Adapted from van der Palen et al. 2016 7

*Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs 7

5.5x fewer patients

made a critical error* with Ellipta vs. Turbuhaler
(Ellipta 8%; Turbuhaler 44%, p<0.001) 7

Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons) 7
Adapted from van der Palen et al. 2016 7

*Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs 7

3.4x fewer patients

made a critical error* with Ellipta vs. Handihaler
(Ellipta 14%; Handihaler 48%, p<0.001) 7

Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons) 7
Adapted from van der Palen et al. 2016 7

*Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs 7

3.5x fewer patients

made a critical error* with Ellipta vs. Breezhaler
(Ellipta 13%; Breezhaler 46%, p<0.001) 7

Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons) 7
Adapted from van der Palen et al. 2016 7

*Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs 7

  • MDI

    4.6x fewer patients

    made a critical error* with Ellipta vs. MDI
    (Ellipta 13%; MDI 60%, p<0.001)10

    Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons)¹⁰
    Adapted from van der Palen et al. 201610

    *Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs10

    **This study assessed critical errors in the most common type of MDI (metered–dose inhaler) where shaking prior to use is required. The most common critical error with an MDI was poor actuation and inhalation coordination10

  • ACCUHALER

    8.8x fewer patients

    made a critical error* with Ellipta vs. Accuhaler
    (Ellipta 5%; Accuhaler 44%, p<0.001)10

    Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons)10
    Adapted from van der Palen et al. 201610

    *Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs10

  • TURBUHALER

    5.5x fewer patients

    made a critical error* with Ellipta vs. Turbuhaler
    (Ellipta 8%; Turbuhaler 44%, p<0.001)10

    Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons)10
    Adapted from van der Palen et al. 201610

    *Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs10

  • HANDIHALER

    3.4x fewer patients

    made a critical error* with Ellipta vs. Handihaler
    (Ellipta 14%; Handihaler 48%, p<0.001)10

    Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons)10
    Adapted from van der Palen et al. 201610

    *Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs10

  • BREEZHALER

    3.5x fewer patients

    made a critical error* with Ellipta vs. Breezhaler
    (Ellipta 13%; Breezhaler 46%, p<0.001)10

    Single-visit, placebo inhaler, crossover comparison in patients naïve to Ellipta and the comparator inhaler (p<0.001 for all comparisons)10
    Adapted from van der Palen et al. 201610

    *Defined as errors that are likely to result in no, or minimal, medication being delivered to the lungs10

Ellipta inhaler: Designed for simplicity

Key steps to use TRELEGY Ellipta inhaler 8

Footnotes

FEV₁, forced expiratory volume in one second; ICS, inhaled corticosteroid; LABA, long-acting β₂-agonist; LAMA, long-acting muscarinic antagonist; MDI, metered-dose inhaler; OD, once daily; QoL, quality of life

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 ICS and a LABA 1

References

  1. Trelegy Local prescribing information based on EMEA V 1.
  2. Lipson DA et al. Am J Crit Care Med 2017; 196:438–446.
  3. Lipson DA et al. N Engl J Med 2018; 378:1671–1680.
  4. Lipson DA et al. Poster presented at ATS 2017; Poster 372 (A3605).
  5. Jones PW et al. Am J Respir Crit Care Med 2014; 189:250–255.
  6. Riley JH et al. Int J Chron Obstruct Pulm Dis 2016; 11:1873–1880.
  7. van der Palen J et al. NPJ Prim Care Respir Med 2016; 26:16079.
  8. TRELEGY Ellipta Patient Information Leaflet, 2019.

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TRELEGY Ellipta was developed in collaboration with

PM-SA-FVU-WCNT-200012 Date of preparation: September 2020