Skip to main content

Main menu

  • Home
  • Current issue
  • Early View
  • Archive
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • COVID-19 submission information
    • Institutional open access agreements
    • Peer reviewer login
  • Alerts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • Early View
  • Archive
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • COVID-19 submission information
    • Institutional open access agreements
    • Peer reviewer login
  • Alerts
  • Subscriptions

Impact of pre-enrolment medication use on clinical outcomes in SUMMIT

Jørgen Vestbo, Mark Dransfield, Julie A. Anderson, Robert D. Brook, Peter M.A. Calverley, Bartolome R. Celli, Nicholas J. Cowans, Courtney Crim, Fernando Martinez, David E. Newby, Julie Yates, Peter Lange on behalf of the SUMMIT Investigators
ERJ Open Research 2019 5: 00203-2018; DOI: 10.1183/23120541.00203-2018
Jørgen Vestbo
1Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester, Manchester, UK
2North West Lung Centre, Manchester University NHS Foundation Trust, Manchester, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: jorgen.vestbo@manchester.ac.uk
Mark Dransfield
3Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Julie A. Anderson
4Research and Development, GlaxoSmithKline, Uxbridge, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert D. Brook
5University of Michigan Health System, Ann Arbor, MI, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter M.A. Calverley
6University of Liverpool, Dept of Medicine, Clinical Sciences Centre, University Hospital Aintree, Liverpool, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bartolome R. Celli
7Pulmonary and Critical Care Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Bartolome R. Celli
Nicholas J. Cowans
8Veramed Ltd, Twickenham, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Courtney Crim
9Research and Development, GlaxoSmithKline, Research Triangle Park, NC, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Fernando Martinez
5University of Michigan Health System, Ann Arbor, MI, USA
10Division of Pulmonary and Critical Care Medicine, Weill Cornell Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David E. Newby
11British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Julie Yates
9Research and Development, GlaxoSmithKline, Research Triangle Park, NC, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter Lange
12Dept of Public Health, Section of Social Medicine, University of Copenhagen, Copenhagen, Denmark
13Medical Unit, Respiratory Section, Herlev Hospital, Copenhagen University Hospital, Copenhagen, Denmark
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Figures

  • Tables
  • Supplementary Materials
  • FIGURE 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1

    Overall mortality in the four treatment groups (placebo, fluticasone furoate (FF), vilanterol (VI) and FF/VI) according to previous treatment use. a) Those receiving no inhaled pre-treatment maintenance medication; b) those on inhaled corticosteroids and long-acting bronchodilators as previous treatment use.

  • FIGURE 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2

    Risk of moderate/severe exacerbations in the four treatment groups (placebo, fluticasone furoate (FF), vilanterol (VI) and FF/VI) according to previous treatment use. a) Those receiving no inhaled pre-treatment maintenance medication; b) those on inhaled corticosteroids and long-acting bronchodilators as previous treatment use. COPD: chronic obstructive pulmonary disease.

Tables

  • Figures
  • Supplementary Materials
  • TABLE 1

    Baseline demographics according to previous treatment

    No previous COPD medicationPrevious ICS onlyPrevious LABD onlyPrevious ICS/LABD
    Subjects942364317344617
    Age years64.764.366.166.0
    BMI kg·m−227.528.728.728.6
    Females2325 (25%)201 (31%)429 (25%)1231 (27%)
    Former smokers4562 (48%)383 (60%)920 (53%)2900 (63%)
    Smoking pack-years40.037.843.641.5
    Screening FEV1 % predicted60.159.059.858.7
    One or more exacerbations3150 (33%)416 (65%)618 (36%)2258 (49%)
    Region
     USA1469 (16%)63 (10%)218 (13%)803 (17%)
     Asia#1961 (21%)35 (5%)121 (7%)561 (12%)
     Europe 1¶2139 (23%)88 (14%)1175 (68%)1872 (41%)
     Europe 2+3076 (33%)352 (55%)172 (10%)1025 (22%)
     RoW§778 (8%)105 (16%)48 (3%)356 (8%)

    Data are presented as mean, unless otherwise stated. COPD: chronic obstructive pulmonary disease; ICS: inhaled corticosteroids; LABD: long-acting bronchodilators; BMI: body mass index; FEV1: forced expiratory volume in 1 s; RoW: rest of world. #: China, Indonesia, India, Japan, Korea, Malaysia, Philippines, Taiwan, Thailand and Vietnam; ¶: Austria, Belgium, Bulgaria, Czech Republic, France, Germany, Greece, Hungary, Latvia, Netherlands, Poland, Romania, Slovakia, Spain, UK and Croatia; +: Bosnia and Herzegovina, Belarus, Georgia, Israel, Macedonia (Former Yugoslav Republic of), Russian Federation, Serbia, Turkey and Ukraine; §: Argentina, Australia, Canada, Chile, Columbia, Mexico and South Africa.

    • TABLE 2

      Time to first on-treatment moderate or severe exacerbation by previous treatment, grouped by long-acting bronchodilator (LABD) use

      PlaceboFF 100 µgVI 25 µgFF/VI 100/25 µg
      Total subjects4111413541184121
      Subjects who did not receive LABD prior to the study
       None
        Subjects2346240523262346
        Active versus placebo
         Hazard ratio (95% CI)0.952 (0.852–1.065)0.844 (0.752–0.947)0.801 (0.713–0.900)
         Reduction in risk % (95% CI)4.8 (−6.5–14.8)15.6 (5.3–24.8)19.9 (10.0–28.7)
       ICS alone
        Subjects176148169150
        Active versus placebo
         Hazard ratio (95% CI)0.889 (0.588–1.344)1.180 (0.811–1.717)0.877 (0.582–1.322)
         Reduction in risk % (95% CI)11.1 (−34.4–41.2)−18.0 (−71.7–18.9)12.3 (−32.2–41.8)
      Subjects who did receive LABD prior to the study
       LABD alone
        Subjects464406449415
        Active versus placebo
         Hazard ratio (95% CI)0.975 (0.772–1.230)0.877 (0.697–1.103)0.773 (0.609–0.981)
         Reduction in risk % (95% CI)2.5 (−23.0–22.8)12.3 (−10.3–30.3)22.7 (1.9–39.1)
       ICS/LABD
        Subjects1102116411571194
        Active versus placebo
         Hazard ratio (95% CI)1.006 (0.877–1.154)0.987 (0.861–1.132)0.766 (0.665–0.882)
         Reduction in risk % (95% CI)−0.6 (−15.4–12.3)1.3 (−13.2–13.9)23.4 (11.8–33.5)

      FF: fluticasone furoate; VI: vilanterol; ICS: inhaled corticosteroid.

      Supplementary Materials

      • Figures
      • Tables
      • Supplementary Material

        Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

        Figures S1 and S2 00203-2018_supp_figures

      PreviousNext
      Back to top
      Vol 5 Issue 1 Table of Contents
      ERJ Open Research: 5 (1)
      • Table of Contents
      • Index by author
      Email

      Thank you for your interest in spreading the word on European Respiratory Society .

      NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

      Enter multiple addresses on separate lines or separate them with commas.
      Impact of pre-enrolment medication use on clinical outcomes in SUMMIT
      (Your Name) has sent you a message from European Respiratory Society
      (Your Name) thought you would like to see the European Respiratory Society web site.
      CAPTCHA
      This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
      Print
      Citation Tools
      Impact of pre-enrolment medication use on clinical outcomes in SUMMIT
      Jørgen Vestbo, Mark Dransfield, Julie A. Anderson, Robert D. Brook, Peter M.A. Calverley, Bartolome R. Celli, Nicholas J. Cowans, Courtney Crim, Fernando Martinez, David E. Newby, Julie Yates, Peter Lange
      ERJ Open Research Feb 2019, 5 (1) 00203-2018; DOI: 10.1183/23120541.00203-2018

      Citation Manager Formats

      • BibTeX
      • Bookends
      • EasyBib
      • EndNote (tagged)
      • EndNote 8 (xml)
      • Medlars
      • Mendeley
      • Papers
      • RefWorks Tagged
      • Ref Manager
      • RIS
      • Zotero
      Share
      Impact of pre-enrolment medication use on clinical outcomes in SUMMIT
      Jørgen Vestbo, Mark Dransfield, Julie A. Anderson, Robert D. Brook, Peter M.A. Calverley, Bartolome R. Celli, Nicholas J. Cowans, Courtney Crim, Fernando Martinez, David E. Newby, Julie Yates, Peter Lange
      ERJ Open Research Feb 2019, 5 (1) 00203-2018; DOI: 10.1183/23120541.00203-2018
      del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
      Full Text (PDF)

      Jump To

      • Article
        • Abstract
        • Abstract
        • Introduction
        • Methods
        • Results
        • Discussion
        • Supplementary material
        • Footnotes
        • References
      • Figures & Data
      • Info & Metrics
      • PDF

      Subjects

      • COPD and smoking
      • Tweet Widget
      • Facebook Like
      • Google Plus One

      More in this TOC Section

      Original articles

      • Endobronchial autologous BM-MSCs in IPF patients
      • Effect of β-blockers on the risk of COPD exacerbations
      • Recurrence of symptoms after childhood LRTI
      Show more Original articles

      COPD

      • Admissions following first exacerbation-related hospitalisation
      • Improving the wellbeing of caregivers of patients with COPD
      • Arterial remodelling in smokers, and patients with small airway disease and COPD
      Show more COPD

      Related Articles

      Navigate

      • Home
      • Current issue
      • Archive

      About ERJ Open Research

      • Editorial board
      • Journal information
      • Press
      • Permissions and reprints
      • Advertising

      The European Respiratory Society

      • Society home
      • myERS
      • Privacy policy
      • Accessibility

      ERS publications

      • European Respiratory Journal
      • ERJ Open Research
      • European Respiratory Review
      • Breathe
      • ERS books online
      • ERS Bookshop

      Help

      • Feedback

      For authors

      • Instructions for authors
      • Publication ethics and malpractice
      • Submit a manuscript

      For readers

      • Alerts
      • Subjects
      • RSS

      Subscriptions

      • Accessing the ERS publications

      Contact us

      European Respiratory Society
      442 Glossop Road
      Sheffield S10 2PX
      United Kingdom
      Tel: +44 114 2672860
      Email: journals@ersnet.org

      ISSN

      Online ISSN: 2312-0541

      Copyright © 2023 by the European Respiratory Society