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Three-drug combination reduces COPD patient mortality.

2greys profile image
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Once-daily treatment of patients with chronic obstructive pulmonary disease (COPD) with an inhaler combining fluticasone furoate (FF), umeclidinium (UMEC) and vilanterol (VI) reduced all-cause mortality by 42 percent, according to new research published online in the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine.

In “Reduction in All-Cause Mortality With Fluticasone Furoate/Umeclidinium/Vilanterol in COPD Patients,” David A. Lipson, MD, and co-authors report on an expanded post hoc analysis of data from the multicenter, 37-country Phase 3 IMPACT trial, which includes additional vital status data from patients one year after the start of the study.

bioengineer.org/three-drug-...

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Corin1950 profile image
Corin1950

This is a really important post and it would be so easy to overlook it at the moment.

I’ve just done a search to see which is the wonderful inhaler that decreases exacerbations and mortality. The inhaler contains the 3 ingredients and it is Trelegy Ellipta. I know some of our members use it.

It should not be used by people allergic to milk proteins and not for those with asthma, only COPD.

There’s a lot of info online about it.

My husband uses Trimbow which is also triple therapy but different ingredients to Trelegy. Wonder if there are any chemists who could say whether the drugs are in the same family and therefore just as effective. My husband says he’ll have a go. For anyone interested:

Trelegy -Fluticasone furoate, Umeclidinium, Vilanterol

Trimbow - Beclometasone Dipropionate, Formoterol, Glycopyrronium bromide.

My head’s now spinning!

If they are shown to be different in their functions I may ask the Doctor when we next get to see her whether a trial of Trelegy is in order.

Any members on Trelegy or who’ve tried it can you advise?

Take care, all and thanks 2greys for posting this.

Corin

2greys profile image
2greys in reply to Corin1950

My partner who is newly diagnosed as moderate has been given Relvar Ellipta but it only contains two of the ingredients :- Fluticasone furoate & Vilanterol.

Umeclidinium is a muscarinic antagonist. Spiriva (Tiotropium bromide) is a muscarinic antagonist.

Corin1950 profile image
Corin1950 in reply to 2greys

Done a bit of searching and the 2 triple inhalers have similar acting ingredients so may not make too big a difference which one you’re on. Trelegy now has proven record from the research you posted. Only difference is Trimbow has a muscarinic anti- cholinergic and Trelegy has a muscarinic antagonist. Not sure if that’s the same. I didn’t check the quantities but that’s for later.

Sharon’s inhaler has the corticosteroid and the LABA ( long lasting beta antagonist) NOT the muscarinic antagonist as you say.

Best wishes to both of you.

Comino2 profile image
Comino2

I have been reading about Astra Breztri Aerosphere which seems promising xx

Gladwyn profile image
Gladwyn

I've been on Trelegy Ellipta for almost a year and on that time I haven't had an exacerbation . Instead I suffer badly from breathlessness . Without a doubt though life is better on Trelegy.

jimmyg23 profile image
jimmyg23

Yes I have been on it for over one year and find it very good was on encruse and seretide before and the respiratory nurse change me over to trelergy so only one inhaler instead of two but I like it

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