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Table 2 Eligibility criteria and related exclusion rates

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

 

Criterion

Total number of trials setting the criterion

Cut-off values of the criterion

Number of trials setting the criterion

Availability of data in Initiative BPCO database

Percentage of patients excluded by the criterion

Demographics

Minimum age

16 (100%)

40 years

16 (100%)

yes

1.1%

Maximum age

3 (18.8%)

80 years

2 (12.5%)

yes

5.3%

85 years

1 (6.3%)

yes

0.8%

Disease diagnosis and severity

Smoking history

15 (93.8%)

Current or former smoker

15 (93.8%)

yes

4.9%

At least 10 PY

11 (68.8%)

yes

17.6%

At least 15 PY

1 (6.3%)

yes

20.2%

At least 20 PY

2 (12.5%)

yes

25.1%

Airway obstruction

16 (100%)

FEV1/FVC < 0,7

16 (100%)

yes

0%

Maximum FEV1a

15 (93.8%)

49% (GOLD 3 threshold)

8 (50%)

yes

54.4%

79% (GOLD 2 threshold)

1 (6.3%)

yes

9.5%

70%

3 (18.8%)

yes

22.7%

65%

2 (12.5%)

yes

31.2%

60%

1 (6.3%)

yes

45%

Minimum FEV1

1 (5.5%)

21%

2 (12.5%)

yes

8.8%

Minimum exacerbation rate during the previous year

14 (87.5%)

1 event

10 (62.5%)

yes

36.4%

2 events

4 (25%)

yes

62.2%

Maximum exacerbation rate during the previous yearb

13 (81.3%)

24 events

2 (12.5%)

yes

0%

12 events

8 (50%)

yes

0.1%

9 events

3 (18.8%)

yes

0.8%

Disease control

COPD symptoms

4 (25%)

Evidence of chronic productive cough

2 (12.5%)

no

Uncollected data (assumed 0%)

mMRC score > 1

1 (6.3%)

CAT > 10

1 (6.3%)

Concomitant treatments restrictionsc

Long term oxygen therapy

7 (43.8%)

<  12 h/day

1 (6.3%)

use of oxygenotherapy assessed

11.8%

<  15 h/day

1 (6.3%)

<  16 h/day

1 (6.3%)

Not daily

4 (25%)

Oral corticosteroids

6 (37.5%)

Forbidden

4 (25%)

Intake of OCS assessed

3.0%

<  10 mg/day

2 (12.5%)

Previous participation in a pulmonary rehabilitation program

3 (18.8%)

Forbidden

3 (18.8%)

no

Uncollected data (assumed 0%)

Comorbidities restrictionsd

Concomitant pulmonary diseases

15 (93.8%)

Forbidden

15 (93.8%)

Only asthma assessed

13.1%

History of pulmonary surgery

7 (43.8%)

Lobectomy

4 (25%)

Only transplantation assessed

0%

Lung volume reduction

6 (37.5%)

Transplantation

2 (12.5%)

History of cancer

8 (50%)

Forbidden

1 (6.3%)

no

Uncollected data (assumed 0%)

Forbidden if within 1 year

1 (6.3%)

Forbidden if within 5 years

6 (37.5%)

Cardiovascular comorbidities (including arterial hypertension, heart failure, myocardial infarction and arrythmias)

10 (62.5%)

Forbidden

10 (62.5%)

Cardiovascular comorbidities assessed

16.1%

Endocrine disorders

5 (31.3%)

No diabetes

2 (12.5%)

yes

13.6%

No thyrotoxicosis

3 (18.8%)

No

Uncollected data(assumed 0%)

No obesity

(BMI > 45 kg/m2)

1 (6.3%)

No

Uncollected data(assumed 0%)

Renal impairement

4 (22.2%)

No moderate or severe renal failure

3 (18.8%)

No

Uncollected data(assumed 0%)

Allergic status

3 (18.8%)

No atopic status

2 (12.5%)

yes

11%

No allergic rhinitis

3 (18.8%)

yes

21.2%

History or current drug or alcohol abuse

8 (50%)

Forbidden

8 (504%)

No

Uncollected data(assumed 0%)

Compliance

History of poor compliance to medication prescription

3 (18.8%)

Forbidden

3 (18.8%)

No

Uncollected data(assumed 0%)

Pregnancy and breastfeeding

Pregnancy and breastfeeding

8 (50%)

Forbidden

8 (50%)

No

Uncollected data (assumed 0%)

  1. a. maximum FEV1 was required to be met post bronchodilator in 13 trials, pre bronchodilator in 1 trial. Timing of measurement was not specified in 2 trials
  2. b. None of the trials set a maximum number of exacerbations but some did not allow study participation if an event occurent 2 weeks, 4 weeks or 6 weeks before enrolment. In these trials we excluded patient who experienced more than 24, 12 or 9 events in the previous year, respectively
  3. c. Excluding pharmacological contraindications with study drugs
  4. d. Inclusion of patients with unstable or seriously significant disease of any kind was forbidden. Here are presented