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Table 2 Summary of cardiac safety (Holter ECG) data for patients receiving tiotropium Respimat® or tiotropium HandiHaler® in four randomized trials. Placebo data are shown for comparison [32]

From: A systematic review of comparative studies of tiotropium Respimat® and tiotropium HandiHaler® in patients with chronic obstructive pulmonary disease: does inhaler choice matter?

 

Respimat® 5 μg

HandiHaler® 18 μg

Placebo

Average heart rate (BPM), mean ± SD (min–max)

Study 205.284

  Baseline

79.89 ± 10.88 (59–108)

81.35 ± 9.14 (52–97)

  Day 84

80.19 ± 9.78 (61–103)

81.12 ± 12.36 (54–140)

Studies 205.254/255

  Baseline

77.64 ± 10.05 (50–100)

79.26 ± 11.56 (55–136)

  Day 281

77.23 ± 9.68 (56–99)

77.62 ± 11.21 (53–111)

Study 205.458

  Day 26

75.36 ± 10.77 (51–108)

75.83 ± 10.35 (58–100)

75.91 ± 10.91 (56–106)

  Day 29

76.87 ± 10.82 (54–104)

77.39 ± 10.44 (55–104)

77.02 ± 10.36 (59–103)

Pauses, n/N (%)

Study 205.284

  Baseline

2/74 (2.7)

1/65 (1.5)

  Day 84

3/86 (3.5)

0

Studies 205.254/255

  Baseline

2/121 (1.7)

3/109 (2.8)

  Day 281

1/103 (1.0)

2/73 (2.7)

Study 205.458

  Day 26

0

1/113 (0.9)

0

  Day 29

0

0

0

VPB singles, n/N (%)

Study 205.284

  Baseline

61/74 (82.4)

54/65 (83.1)

  Day 84

71/86 (82.6)

58/78 (74.4)

Studies 205.254/255

  Baseline

112/121 (92.6)

95/109 (87.2)

  Day 281

86/103 (83.5)

66/73 (90.4)

Study 205.458

  Day 26

90/112 (80.4)

88/113 (77.9)

93/117 (79.5)

  Day 29

94/116 (81.0)

96/114 (84.2)

91/116 (78.4)

SVPB singles, n/N (%)

Study 205.284

  Baseline

66/74 (89.2)

60/65 (92.3)

  Day 84

82/86 (95.3)

74/78 (94.9)

Studies 205.254/255

 Baseline

113/121 (93.4)

101/109 (92.7)

 Day 281

96/103 (93.2)

68/73 (93.2)

Study 205.458

  Day 26

100/112 (89.3)

105/113 (92.9)

111/117 (94.9)

  Day 29

108/116 (93.1)

107/114 (93.9)

109/116 (94.0)

  1. BPM beats per minute, ECG electrocardiogram, FAS full analysis set, N number of patients with non-missing data; n, number of patients with event, SD standard deviation, SVPB supraventricular premature beat, VPB ventricular premature beat. A pause was defined as absence of a heart beat for >3 s