Specialist Centre, Vejle, Denmark.
Specialist Centre, Hjørring, Denmark.
Int Forum Allergy Rhinol. 2019 Apr;9(4):388-395. doi: 10.1002/alr.22258. Epub 2019 Jan 19.
Allergic rhinitis (AR) control is a priority in the European Union (EU), and Allergic Rhinitis and its Impact on Asthma (ARIA) has endorsed a visual analogue scale (VAS) as the new language of AR control. This study evaluated the effectiveness of MP-AzeFlu (Dymista®, antihistamine [azelastine], and intranasal corticosteroid [fluticasone propionate]) using a VAS in real-life clinical practice in Denmark.
The multicenter, prospective, non-interventional study included 170 patients (≥12 years) with ARIA-defined moderate-to-severe AR prescribed MP-AzeFlu. Patients assessed symptom severity using a VAS (0 to 100 mm) on days 0, 1, 3, and 7 and after ∼14 days of MP-AzeFlu use. On day 3, patients assessed their disease as well controlled, partly controlled, or uncontrolled. Proportions of patients achieving VAS score cutoffs (well-controlled, partly controlled) were also calculated.
MP-AzeFlu reduced mean ± standard deviation VAS score from 67.1 ± 19.3 mm at baseline to 28.4 ± 23.7 mm on the last day, a reduction of 38.8 ± 27.3 mm. At day 3, 85.6% of patients considered their symptoms to be partly or well controlled. Effectiveness was consistent across disease severity, phenotype (seasonal, perennial, or combined AR), and patient age. Respectively, 28.2%, 44.2%, 61.6%, and 71.4% of patients achieved ≤38 mm well-controlled VAS score cutoff on days 1, 3, and 7, and the last day.
MP-AzeFlu provided effective, rapid, and sustained symptom control in a real-life setting among patients from Denmark. These results align with EU and ARIA objectives and support the effectiveness of MP-AzeFlu for the treatment of AR in real life.
过敏 性鼻炎(AR)的控制是欧盟(EU)的首要任务,ARIA 已经认可视觉模拟量表(VAS)为新的 AR 控制语言。本研究评估了 MP-AzeFlu(Dymista ® ,抗组胺药[阿扎司汀]和鼻内皮质类固醇[丙酸氟替卡松])在丹麦真实临床实践中使用 VAS 的有效性。
这项多中心、前瞻性、非干预性研究纳入了 170 名(≥12 岁)ARIA 定义的中重度 AR 患者,处方 MP-AzeFlu。患者在第 0、1、3 和 7 天以及使用 MP-AzeFlu 约 14 天后使用 VAS(0 至 100mm)评估症状严重程度。第 3 天,患者评估其疾病控制良好、部分控制或未控制。还计算了达到 VAS 评分截断值(控制良好、部分控制)的患者比例。
MP-AzeFlu 使平均±标准差 VAS 评分从基线时的 67.1±19.3mm 降低至最后一天的 28.4±23.7mm,降低了 38.8±27.3mm。第 3 天,85.6%的患者认为其症状部分或完全得到控制。在疾病严重程度、表型(季节性、常年性或混合性 AR)和患者年龄方面,有效性均一致。分别有 28.2%、44.2%、61.6%和 71.4%的患者在第 1、3、7 天和最后一天达到≤38mm 的 VAS 评分控制良好的截断值。
在丹麦患者的真实环境中,MP-AzeFlu 提供了有效的、快速的和持续的症状控制。这些结果与欧盟和 ARIA 的目标一致,并支持 MP-AzeFlu 在真实生活中治疗 AR 的有效性。