[Real-life utilization of fixed triple therapy in COPD: The Trilife study. Beclomethasone/formoterol/glycopyrronium triple fixed-dose therapy in extra-fine particles]

Rev Mal Respir. 2024 Dec;41(10):715-726. doi: 10.1016/j.rmr.2024.10.003. Epub 2024 Nov 1.
[Article in French]

Abstract

Introduction: The Trilife study describes the real-life use, in France, of the beclomethasone/formoterol/glycopyrronium triple fixed-dose combination in solution for inhalation, which is indicated as continuous treatment for moderate-to-severe chronic obstructive pulmonary disease.

Methods: This prospective, non-interventional, multicentric study, involving hospital and office-based pulmonologists, evaluates the proportion of patients for whom the triple fixed combination was prescribed in compliance with the indication and dosage specified in the summary of product characteristics (SPC). Patients were followed for six months.

Results: In a population of 346 patients, the prescription was compliant with the SPC for 75.1% of patients (95% confidence interval: [70.6; 79.7]). The only variable associated with compliance with SPC in multivariate analyses was smoking (P=0.019). The results also show improved patient adherence to treatment and improved clinical status in terms of moderate or severe exacerbations, dyspnea, quality of life and satisfaction with treatment.

Conclusion: Three quarters of the fixed triple combination prescriptions by French pulmonologists comply with the indication and dosage specified in the summary of product characteristics.

Keywords: BPCO; Bronchopneumopathie chronique obstructive; COPD; Chronic obstructive pulmonary disease; Real life; Trimbow; Triple therapy; Trithérapie; Vie réelle.

Publication types

  • Multicenter Study
  • English Abstract

MeSH terms

  • Administration, Inhalation
  • Aged
  • Beclomethasone* / administration & dosage
  • Bronchodilator Agents / administration & dosage
  • Bronchodilator Agents / therapeutic use
  • Drug Combinations*
  • Female
  • Formoterol Fumarate* / administration & dosage
  • France / epidemiology
  • Glycopyrrolate* / administration & dosage
  • Humans
  • Male
  • Medication Adherence / statistics & numerical data
  • Middle Aged
  • Prospective Studies
  • Pulmonary Disease, Chronic Obstructive* / drug therapy

Substances

  • Beclomethasone
  • Formoterol Fumarate
  • Glycopyrrolate
  • Drug Combinations
  • Bronchodilator Agents