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Safety of tiotropium Respimat® add-on therapy in patients aged 6-17 years with symptomatic asthma

Christian Vogelberg, Stanley J. Szefler, Eckard Hamelmann, Attilio Boner, Petra Moroni-Zentgraf, Michael Engel, Georges El Azzi, Helen Finnigan, Mark Vandewalker
European Respiratory Journal 2016 48: PA1251; DOI: 10.1183/13993003.congress-2016.PA1251
Christian Vogelberg
1Department of Pediatrics, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany
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Stanley J. Szefler
2Department of Pediatrics, Children's Hospital of Colorado and the University of Colorado Denver School of Medicine, Aurora, COUnited States
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Eckard Hamelmann
3Department of Pediatrics, Evangelisches Krankenhaus Bielefeld, and Allergy Center of the Ruhr University, Bochum, Germany
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Attilio Boner
4Pediatric Department, University of Verona, Verona, Italy
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Petra Moroni-Zentgraf
5TA Respiratory Diseases, Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany
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Michael Engel
5TA Respiratory Diseases, Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany
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Georges El Azzi
5TA Respiratory Diseases, Boehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany
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Helen Finnigan
6Biostatistics and Data Sciences, Boehringer Ingelheim Ltd, Bracknell, United Kingdom
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Mark Vandewalker
7Allergy & Immunology, Clinical Research of the Ozarks, Columbia, MOUnited States
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Abstract

Background: Two Phase II trials have shown tiotropium Respimat® (tioR) to be a well-tolerated bronchodilator in patients (pts) aged 12-171 and 6-112 years (yrs) with symptomatic asthma.

Aim: To further assess safety and tolerability of once-daily (QD) tioR add-on therapy in Phase III trials in pts aged 6-17 yrs with symptomatic asthma.

Methods: Data analysed from 3 completed Phase III, randomised, double-blind, placebo-controlled, parallel-group trials: VivaTinA (NCT01634152), 12-week trial, pts aged 6-11 yrs; PensieTinA (NCT01257230), 12-week trial, pts aged 12-17 yrs; RubaTinA (NCT01277523), 48-week trial, pts aged 12-17 yrs. Pts received QD tioR 5 μg (2 puffs, 2.5 µg), QD tioR 2.5 μg (2 puffs, 1.25 µg) or QD placebo Respimat® (pboR; 2 puffs) as add-on to background therapy. Adverse events (AEs) were recorded and analysed descriptively by age: 6-11 yrs; 12-17 yrs.

Results: 1189 pts were treated: 6-11 yrs, n=400; 12-17 yrs, n=789. The frequency of pts with AEs was similar across all treatment arms, with a low incidence of drug-related and serious AEs; asthma and decreased peak expiratory flow rate were the most common AEs (Table). No deaths occurred.

Conclusion: The AE profile and AE incidences were similar between tioR 5 µg, tioR 2.5 µg and pboR, as add-on to ICS ± other controllers, in pts aged 6-17 yrs with symptomatic asthma.

1. Vogelberg et al. Respir Med 2014;108:1268-76

2. Vogelberg et al. Respir Res 2015;16:20

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Safety of tiotropium Respimat® add-on therapy in patients aged 6-17 years with symptomatic asthma
Christian Vogelberg, Stanley J. Szefler, Eckard Hamelmann, Attilio Boner, Petra Moroni-Zentgraf, Michael Engel, Georges El Azzi, Helen Finnigan, Mark Vandewalker
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1251; DOI: 10.1183/13993003.congress-2016.PA1251

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Safety of tiotropium Respimat® add-on therapy in patients aged 6-17 years with symptomatic asthma
Christian Vogelberg, Stanley J. Szefler, Eckard Hamelmann, Attilio Boner, Petra Moroni-Zentgraf, Michael Engel, Georges El Azzi, Helen Finnigan, Mark Vandewalker
European Respiratory Journal Sep 2016, 48 (suppl 60) PA1251; DOI: 10.1183/13993003.congress-2016.PA1251
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