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Pharmacotherapy

Manifesto on inhaled triple therapy in asthma: an Interasma (Global Asthma Association – GAA) document

Fulvio Braidoa IRCCS, Ospedale Policlinico San Martino, Genova, Italy;b Department of Internal Medicine, University of Genoa, Genova, Italy

https://orcid.org/0000-0003-2460-4709

, MD

Angelica Tiotiuc Department of Pulmonology, University Hospital of Nancy, Nancy, France;d EA 3450 DevAH - Development, Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control, University of Lorraine, Nancy, France

https://orcid.org/0000-0002-8038-9559

, MD, PhD

Guillermo Guidos-Fogelbache Instituto Politécnico Nacional, E.N.M.H/S.E.P.I, Laboratorio de Bioquímica Estructural, Ciudad de México, MéxicoCorrespondence[email protected]

https://orcid.org/0000-0003-1675-3894

, MD, PhD(c)

Ilaria Baiardinib Department of Internal Medicine, University of Genoa, Genova, Italy;f Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy;g IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy

, MD,

Filippo Cosinih University of Genoa, Genova, Italy

, MD,

Jaime Correia de Sousai Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal;j ICVS/3B’s, PT Government Associate Laboratory, Braga/Guimarães, Portugal

, MD, PhD,

Andras Bikovk Manchester University NHS Foundation Trust, Manchester, UK;l Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, UK

, MD, PhD,

Sylvia Novakovam Allergy Unit of Internal Consulting Department, University Hospital "St. George", Plovdiv, Bulgaria

, MD, PhD,

Marina Laborn Värnamo Hospital, Värnamo, Sweden

https://orcid.org/0000-0001-5216-8129

, MD

Igor Kaidashevo Ukrainian Medical Stomatological Academy, Poltava, Ukraine

, MD,

Denislava Nedevap Medical University Sofia, Sofia, Bulgaria

, MD, PhD,

Krzysztof Kowalq Department of Allergology and Internal Medicine, Medical University of Bialystok, Bialystok, Poland

, MD, PhD,

Stefan Mihaicutar Pulmonology Department, Cardio Prevent Foundation, University of Medicine and Pharmacy “Dr Victor Babes”, Timisoara, Romania

, MD, PhD,

Marilyn Urrutia Pereiras Federal University of Pampa - Campus Uruguaiana, Pediatic Program of Asthma Prevention (PIPA), Pontifícia Universidade Católica do Rio Grande do Sul, Universidad Nacional de Córdoba, Córdoba, Argentina

, MD,

Dirceu Solét Associação Brasileira de Alergia e Imunologia, Sociedade Brasileira de Pediatria, Universidade Federal de São Paulo, São Paulo, Brazil

, MD,

Plamela Novakovau Clinic of Clinical Allergy, Medical University, Sofia, Bulgaria

, MD,

Herberto Chong-Netov Division of Allergy and Immunology, Department of Pediatrics, Federal University of Paraná, Curitiba, Brazil

, MD, PhD,

Laura Vrzyh University of Genoa, Genova, Italy

, MD,

Ignacio J. Ansoteguiw Hospital Quirónsalud Bizkaia, Bilbao, Spain

, MD, PhD,

Jonathan A. Bernsteinx Division of Immunology, Department of Internal Medicine, Allergy Section University of Cincinnati, Cincinnati, OH, USA

, MD,

Louis-Philippe Boulety Québec Heart and Lung Institute-Laval University, Québec City, Canada

, MD, PhD,

Giorgio Walter Canonicaf Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy;g IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy;z Personalized Medicine, Asthma and Allergy, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy

, MD,

Lawrence Dubuskeaa Division of Allergy and Immunology, Department of Internal Medicine, George Washington University School of Medicine and Health Sciences, George Washington University Medical Faculty Associates, Washington, DC, USA

, MD, PhD,

Carlos Nunesbb Centro de ImmunoAlergologia de Algarve, Porto, Portugal

, MD, PhD,

Juan Carlos Ivancevichcc Immunology Department, Faculty of Medicine, del Salvador University, Buenos Aires, Argentina

, MD, PhD,

Pierachille Santusdd Department of Biomedical and Clinical Sciences, University of Milan, Division of Respiratory Diseases "L. Sacco" Hospital, ASST Fatebenefratelli Sacco, Milan, Italy

https://orcid.org/0000-0003-3462-8253

, MD, PhD

Nelson Rosarioee Federal University of Paraná (UFPR), Curitiba, Brazil

, MD, PhD,

Alexander Emelyanovff Department of Respiratory Medicine, North-Western Medical University named after I.I.Mechnikov, St-Petersburg, Russia

, MD &

Paschalis Steiropoulosgg Department of Respiratory Medicine, Medical School, Democritus University of Thrace, University General Hospital Dragana, Alexandroupolis, Greece

, MD, PhD show all

Abstract

Objective: The optimal use of drug combinations for the management of asthma is providing significant results. This has prompted Interasma (Global Asthma Association) to take a position on inhaled triple therapy in asthma.Methods: We performed an extensive literature research to clinical trials, meta-analyses, randomized controlled trials and systematic reviews.Results: Starting from an extensive literature review, Interasma executive committee discussed and approved this Manifesto, developed by Interasma scientific network (INES) members.Conclusions: The manifesto describes the evidence gathered to date and states, advocates, and proposes issues on inhaled corticosteroid (ICS) plus long-acting beta 2 agonist (LABA) and long-acting muscarinic antagonists (LAMA) with the aim of challenging assumptions, fostering commitment, and bringing about change.

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