Department of Pneumonology, Institute of Tuberculosis and Lung Diseases, Rabka-Zdrój, Poland.
Health Promotion and Obesity Management Unit, Department of Pathophysiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.
J Asthma. 2023 Apr;60(4):754-760. doi: 10.1080/02770903.2022.2093220. Epub 2022 Jun 30.
The effectiveness of a fix-dose salmeterol/fluticasone combination therapy in asthma was previously shown for the original product. The study aim was to evaluate the clinical effectiveness and safety of a second entry DPI - dry powder inhaler (Salflumix Easyhaler) in patients with asthma in everyday clinical practice.
This multicenter Investigator-Initiated Study that enrolled 2,037 adult outpatients with asthma treated with Salflumix Easyhaler, was conducted by 220 pulmonologists across Poland. Asthma control was assessed during 3 visits with 6 ± 2 weeks intervals based on the Asthma Control Test (ACT). In addition, patient Satisfaction with Asthma Treatment Questionnaire (SATQ) and adherence and adverse events (AEs) were monitored.
During the observation (86 ± 30 days) the percentage of patients with controlled asthma (ACT 20-25 pts) increased from 35.5% at the first visit to 86.5% at the third visit ( < 0.001). In the subgroup analysis, there were more patients not obtaining asthma control among patients that switched from the treatment with other devices than in naive ones. Global SATQ scores increased from 5.8 ± 0.7 to 6.2 ± 0.6 during the observation. Patients' satisfaction with the use of the Salflumix Easyhaler was high. Adherence exceeded 95%. Eight AEs were reported.
Salflumix Easyhaler is highly effective and well-tolerated by naïve patients with asthma and those switching from another device. In general, patients show good compliance with medical product and are satisfied with the use of this new device, and not reporting difficulties and errors related to its' use. Their physicians' overall perception of Salflumix Easyhaler use is very positive.
固定剂量沙美特罗/氟替卡松联合疗法在哮喘中的疗效先前已在原产品中得到证实。本研究旨在评估在日常临床实践中,一种新型干粉吸入器(Salflumix Easyhaler)在哮喘患者中的临床疗效和安全性。
这项多中心、研究者发起的研究共纳入 2037 名接受 Salflumix Easyhaler 治疗的成年哮喘门诊患者,由波兰 220 名肺病专家进行。哮喘控制在 3 次就诊中进行评估,间隔 6±2 周,基于哮喘控制测试(ACT)。此外,监测了患者对哮喘治疗的满意度问卷(SATQ)和依从性以及不良事件(AE)。
在观察期间(86±30 天),控制良好的哮喘患者(ACT 20-25 分)的比例从首次就诊时的 35.5%增加到第三次就诊时的 86.5%( < 0.001)。在亚组分析中,与从未使用过该设备的患者相比,从其他设备切换治疗的患者中有更多患者未获得哮喘控制。全球 SATQ 评分从观察开始时的 5.8±0.7 增加到 6.2±0.6。患者对使用 Salflumix Easyhaler 的满意度很高。依从性超过 95%。报告了 8 例不良事件。
Salflumix Easyhaler 对哮喘初治患者和从其他设备切换过来的患者均高度有效且耐受良好。总体而言,患者对医疗产品的依从性良好,对使用该新型设备感到满意,且未报告与使用相关的困难和错误。他们的医生对 Salflumix Easyhaler 的使用总体评价非常积极。