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Table 1 RCTs selected for the analysis

From: Randomized controlled trials of pharmacological treatments to prevent COPD exacerbations: applicability to real-life patients

Clinicaltrials number

Title

Investigationnal product

Phase

Starting year

Number of patients enrolled

Percentage of eligible patients

NCT00430729

Effect of Roflumilast on Exacerbation Rate in Patients With Chronic Obstructive Pulmonary Disease. A 52 Weeks Double Blind Study With 500mcg Roflumilast Once Daily Versus Placebo. Ratio-Study.

Roflumilast

III

2003

1100

8.8%

NCT01120691

A 64-week Treatment, Multi-center, Randomized, Double-blind, Parallel-group, Active Controlled Study to Evaluate the Effect of QVA149 (110/50 μg o.d.) vs NVA237 (50 μg o.d.) and Open-label Tiotropium (18 μg o.d.) on COPD Exacerbations in Patients With Severe to Very Severe Chronic Obstructive Pulmonary Disease (COPD)

Indacaterol/ Glycopyrronium

III

2010

2224

2.3%

NCT00909779

A Large Simple Safety Study of Arformoterol Tartrate Inhalation Solution in Subjects With Chronic Obstructive Pulmonary Disease

Arformoterol

III

2009

841

5.3%

NCT00419744

A Phase IIIB, 12-Month, Double-blind, Double-dummy, Randomised, Parallel-group, Multicentre Exacerbation Study of SYMBICORT® pMDI 160/4.5 μg × 2 Actuations Twice-daily and 80/4.5 μg × 2 Actuations Twice-daily Compared to Formoterol Turbuhaler® 4.5 μg × 2 Inhalations Twice-daily in COPD Subjects

Budesonide/ Formoterol

III

2007

1200

35.8%

NCT01009463

HZC102871: A 52-week Efficacy and Safety Study to Compare the Effect of Three Dosage Strengths of Fluticasone Furoate/Vilanterol Inhalation Powder With Vilanterol on the Annual Rate of Exacerbations in Subjects With Chronic Obstructive Pulmonary Disease (COPD)

Fluticasone / Vilanterol

III

2009

1626

19.1%

NCT01126437

A Randomized, Active-controlled, Double-blind, Double-dummy, Parallel Group Design, Multi-center Trial to Compare the Efficacy and Safety of 2.5 μg and 5 μg Tiotropium Inhalation Solution Delivered by the Respimat Inhaler With Tiotropium Inhalation Capsules 18 μg Delivered by the HandiHaler (TIOSPIR)

Tiotropium (respimat)

III

2010

17,210

46.7%

NCT01443845

Roflumilast in Chronic Obstructive Pulmonary Disease (COPD) Patients Treated With Fixed Dose Combinations of Long-acting ß2-agonist (LABA) and Inhaled Corticosteroid (ICS)

Roflumilast

IV

2011

2300

5.7%

NCT01329029

Effect of Roflumilast on Exacerbation Rate in Patients With COPD Treated With Fixed Combinations of LABA and ICS. A 52-week, Randomised Double-blind Trial With Roflumilast 500 μg Versus Placebo. The REACT Trial

Roflumilast

IV

2011

1945

5.7%

NCT00361959

A Multicentre, Randomised, Double-Blind, Double Dummy, Parallel Group, 104 Week Study to Compare the Effect of the Salmeterol/Fluticasone Propionate Combination Product (SERETIDE) 50/500mcg With Tiotropium Bromide 18 Mcg on the Rate of Exacerbations in Subjects With Severe Chronic Obstructive Pulmonary Disease (COPD)

Fluticasone/ Salmeterol

IV

2003

1270

5.0%

NCT00563381

Effect of Inhalation of Tiotropium Once Daily 18 Mcg Versus Salmeterol Twice Daily 50 Mcg on Time to First Exacerbation in COPD Patients (a Randomised, Double-blind, Double-dummy, Parallel Group, One-year Study).

Tiotropium

IV

2008

7376

27.2%

NCT00115492

A Randomized, Double-Blind, Parallel Group, 52-week Study to Compare the Effect of the Fluticasone Propionate/Salmeterol DISKUS Combination Product 250/50mcg BID with Salmeterol DISKUS 50mcg BID on the Annual Rate of Moderate/Severe Exacerbations in Subjects with Chronic Obstructive Pulmonary Disease (COPD)

Fluticasone/ Salmeterol

IV

2004

740

7.9%

NCT02138916

Randomised, Double-blind, 56 Week Placebo-controlled, Parallel Group, Multicentre, Phase 3 Study to Evaluate the Efficacy and Safety of 2 Doses of Benralizumab in Patients With Moderate to Very Severe COPD With a History of Exacerbations

Benralizumab

III

2014

1626

13.9%

NCT02579850

52-week, Double Blind, Randomized, 2 Active Parallel Arms Study of Fixed Combination CHF 5993 Administered vs Ultibro® in COPD Patients

Béclomethasone/ Formoterol/ Glycopyrronium

III

2015

1534

4.1%

NCT02465567

A Randomized, Double-Blind, Multi-Center, Parallel-Group Study to Assess the Efficacy and Safety of PT010 Relative to PT003 and PT009 on COPD Exacerbations Over a 52-Week Treatment Period in Subjects With Moderate to Very Severe COPD (Ethos)

Budesonide/ Formoterol/ Glycopyrronium

III

2015

8000

32.2%

NCT02105961

Study MEA117113: Mepolizumab vs. Placebo as Add-on Treatment for Frequently Exacerbating COPD Patients Characterized by Eosinophil Level

Mepolizumab

III

2014

660

16.3%

NCT02296138

A Randomised, Double-blind, Active-controlled Parallel Group Study to Evaluate the Effect of 52 Weeks of Once Daily Treatment of Orally Inhaled Tiotropium + Olodaterol Fixed Dose Combination Compared With Tiotropium on Chronic Obstructive Pulmonary Disease (COPD) Exacerbation in Patients With Severe to Very Severe COPD. [DYNAGITO]

Tiotropium/ Olodaterol

III

2015

7800

27.7%