Chronic Obstructive Pulmonary Disease
Conditions
Keywords
Chronic obstructive pulmonary disease, COPD, BREZTRI
Brief summary
This is a retrospective-prospective, non-interventional, multi-centre study that will be conducted in routine clinical settings in Russia. Eligible patients with moderate to severe COPD routinely treated with BREZTRI will be observed according to routine clinical practice for up to 24 weeks.
Detailed description
Chronic obstructive pulmonary disease (COPD) is a disease characterized by persistent airflow limitation that is usually progresses and is a consequence of a chronic inflammatory response of the respiratory pathways and lung tissue to the effects of inhaled harmful particles or gases. Exacerbations and comorbid conditions are an integral part of the disease and contribute significantly to the clinical picture and prognosis \[1\]. Patient-reported outcomes (both symptom-based and health-related quality of life-specific) are essential to evaluate symptoms, impact of symptoms on activities of daily living, and treatment response in COPD patients \[12\]. There is a need to evaluate the patient-reported outcomes during a triple therapy with budesonide + glycopyrronium bromide + formoterol (Breztri) in a real-life clinical practice. The aim of the study is to evaluate clinical and patient-reported outcomes of treatment with BREZTRI through effectiveness measures assessed pre- and post-treatment initiation and safety monitoring. The study results will be interpreted in the context of an open label, single arm study design where multiple factors, in addition to the new treatment, may contribute to the treatment effect.
Interventions
None listed
Sponsors
AstraZeneca
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
1. Physician-diagnosed COPD no less than 12 months before BREZTRI treatment start; 2. Patients who have not achieved adequate disease control when treated with a combination of ICS and LABA or a combination of LABA and LAMA 3. Initiated treatment with BREZTRI ≤12 weeks before inclusion as prescribed according to the label; 4. CAT score not more than 1 week before BREZTRI start is available; 5. Patients must be able and willing to read, comprehend and follow written instructions, and to comprehend and complete the questionnaires required by the protocol 6. Have signed a written Informed Consent Form (ICF).
Exclusion criteria
1. Documented COPD due to α-1 antitrypsin deficiency; 2. Previous treatment with triple fixed-dose combination in 12 months prior to inclusion; 3. Pregnancy or lactation period; 4. Concomitant uncontrolled disease; 5. A diagnosis of bronchiectasis, sarcoidosis, interstitial lung disease, or idiopathic pulmonary fibrosis; 6. Participation in other non-interventional observational trials that might, in the investigator's opinion, influence the assessment for the current study, or participation in any observational or clinical trial in the last 30 days prior to inclusion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in COPD Assessment Test (CAT) score | 24 weeks | Change from baseline to 24 weeks in the CAT score. Minimum value - "0", maximum value - "5". Higher scores mean worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in COPD Assessment Test (CAT) score | 12 weeks | Change from baseline to 12 weeks in the CAT score. Minimum value - "0", maximum value - "5". Higher scores mean worse outcome. |
| Change in FEV1 | 24 weeks | Change from baseline to 24 weeks in FEV1 |
| Change in the Treatment Satisfaction Questionnaire for Medication (TSQM) score | 24 weeks | Change from baseline to 24 weeks in the TSQM score. Minimum score - "1", maximum score - "7". Higher scores mean better outcome. |
| MCID >= 2 | 24 weeks of treatment | • Percent of responders using the CAT who achieved MCID (minimal clinically important difference) = 2 or more points after 24 weeks of treatment |
| >= 20 points at MARS | 24 weeks | Percent of patients who are high adherent to therapy (who received 20 or more points at MARS) during 24 weeks; |
| PGI-C - any improvement | 24 weeks of treatment | Percent of patients with response (any category better than "no change") at the PGI-C after 24 weeks of treatment |
| PGI-S - change from baseline | after 24 weeks of treatment | • Percent of patients with change from baseline (before Breztri treatment start) in the severity of general COPD symptoms at the PGI-S after 24 weeks of treatment |
| To describe treatment safety by AE (adverse events) monitoring | AEs will be collected from the day when the informed consent has been signed (Visit 0) until the time last visit (Visit 2- 24 (+2) weeks after index date) has occurred | to monitor AE frequency |
| Treatment safety by AE monitoring | AEs will be collected from the day when the informed consent has been signed (Visit 0) until the time last visit (Visit 2- 24 (+2) weeks after index date) has occurred | to collect information on treatment discontinuation due to AE |
Countries
Russia
Outcome results
None listed