In this episode (23:06 min), Medicom’s correspondent covers 6 presentations from the American Thoracic Society, which I attended in person in San Francisco, CA, USA from 13-18 May 2022.
- Novel PDE4B inhibitor offers breakthrough for IPF
Findings from a phase 2, randomised, placebo-controlled trial in patients with idiopathic pulmonary fibrosis (IPF) showed that the investigational drug BI 1015550, either alone or with background use of an anti-fibrotic agent, significantly prevented a decrease in lung function. - MANDALA and DENALI pattern success for albuterol-budesonide in asthma
In patients with uncontrolled moderate-to-severe asthma, the risk of asthmatic exacerbation was significantly reduced when patients used a fixed-dose inhaler with a combination of albuterol and budesonide as-needed compared with the use of an inhaler with albuterol alone as-needed, in a dose-dependent manner. A second clinical trial confirmed that both components contributed to albuterol/budesonide efficacy, with the combinations demonstrating superior effects on lung function - Is avacopan better than prednisone for respiratory ANCA-associated vasculitis outcomes?
An exploratory subgroup analysis of the phase 3 ADVOCATE trial showed that avacopan was only somewhat better than prednisone at reducing respiratory, as well as ear, nose, and throat (ENT), involvement in patients with ANCA-associated vasculitis. However, reduced glucocorticoid use in the avacopan group was a clear clinical benefit. - Colistimethate sodium PROMISing for non-cystic fibrosis bronchiectasis
In the phase 3 PROMIS clinical program, the use of colistimethate sodium powder for nebulisation solution reduced pulmonary exacerbations in adults with non-cystic fibrosis bronchiectasis (NCFB) and Pseudomonas aeruginosa. - PAGANINI phase 2b data promising for eliapixant
Presented 12-week dose-ranging results in patients with refractory chronic cough indicate efficacy for selective P2X3 antagonist eliapixant, although a single liver safety signal warrants intensified monitoring going forward. - NAVIGATOR steers asthma patients to tezepelumab
Patients with severe, uncontrolled asthma demonstrated overall 2.8-fold higher odds of improved clinical responses to tezepelumab than placebo, including exacerbation reduction, better asthma control, improved lung function, and clinician assessment.
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Table of Contents: ATS 2022
Featured articles
Letter from the Editor
COVID-19
Nebulised aviptadil “futile” in I-SPY COVID-19 trial
Lung transplantation after COVID-19-associated ARDS
Mesenchymal stem cells offer no benefit in COVID-19
Alpha-1 antitrypsin for ARDS secondary to severe COVID-19
Frailty prevalent 5 months following hospitalisation for COVID-19
Paediatric long COVID lacks definitions
Asthma Clinical Trial Updates
MANDALA and DENALI pattern success for albuterol-budesonide in asthma
ACOUSTICS data sounds good for adolescent asthma exacerbations
Type 2 asthma in children managed by dupilumab, despite atopic comorbidities
NAVIGATOR steers asthma patients to tezepelumab
High-intensity interval training slashes daily corticosteroids in asthma
Chronic Obstructive Pulmonary Disease
Three’s a crowd for triple therapy in COPD
Higher 1-year COPD mortality after hospitalisation for White patients
Reducing dyspnoea in chronic lung disease through weight loss
CT-evident mucus plugs in COPD associated with death
Home-based rehabilitation improves COPD: a randomised study
Highlighted Advances
Novel P2X3 antagonist can SOOTHE chronic cough
Colistimethate sodium PROMISing for non-cystic fibrosis bronchiectasis
Is avacopan better than prednisone for respiratory ANCA-associated vasculitis outcomes?
PAGANINI phase 2b data promising for eliapixant
POISE-3: Tranexamic acid for non-cardiac surgery
Obstructive sleep apnoea in most children with pulmonary hypertension
No screening evidence for COPD
Novel PDE4B inhibitor offers breakthrough for IPF
Hydrocortisone does not help preterm infants
CPAP temporarily supports pulmonary oxygenation in morbidly obese patients
ISAACC trial: CPAP controls blood pressure in ACS patients with severe OSA
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