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Original Research

Randomized dose-finding study of batefenterol via dry powder inhaler in patients with COPD

, , , , , , , , , & show all
Pages 615-629 | Published online: 08 Mar 2019

Figures & data

Figure 1 Schematic representation of the study.

Abbreviations: UMEC/VI, umeclidium/vilanterol; V, visit.
Figure 1 Schematic representation of the study.

Figure 2 CONSORT diagram.

Note: Protocol-defined stopping criteria reached: all six patients who met criteria withdrew because of an ECG abnormality.
Abbreviations: ECG, electrocardiogram; UMEC/VI, umeclidium/vilanterol.
Figure 2 CONSORT diagram.

Table 1 Baseline demographics and disease characteristics (ITT population)

Table 2 Change from baseline at day 42 in WM FEV1 (primary endpoint) and 24-hour trough FEV1 (secondary endpoint) (ITT population)

Figure 3 Bayesian Emax model of the change from baseline in the WM FEV1 over 0–6 hours post-dose on day 42 (primary endpoint, ITT population).

Abbreviations: ITT, intent-to-treat; UMEC/VI, umeclidinium/vilanterol; WM, weighted mean.

Figure 3 Bayesian Emax model of the change from baseline in the WM FEV1 over 0–6 hours post-dose on day 42 (primary endpoint, ITT population).Abbreviations: ITT, intent-to-treat; UMEC/VI, umeclidinium/vilanterol; WM, weighted mean.

Figure 4 Posterior distribution plots for pairwise differences in the change from baseline in the WM FEV1 over 0–6 hours post-dose on day 42 (A) vs placebo and (B) vs UMEC/VI (ITT population).

Notes: The vertical black lines represent 0, 50, 75, and 130 mL. (A) These plots show Bayesian probability distributions for comparisons between batefenterol treatment and placebo. The Bayesian probability for a treatment difference over 130 mL is almost 100% for the 150, 300, and 600 µg doses, because the probability density is to the right of the 130 mL line. (B) These probability plots show Bayesian probability distributions for comparisons between batefenterol and UMEC/VI. For example, in the fourth plot, the Bayesian probability for batefenterol 300 µg versus UMEC/VI is roughly centered around 0, so the probability of obtaining a treatment difference >0 mL is about 50%, indicating that the two treatments have comparable effects.
Abbreviations: ITT, intent-to-treat; UMEC/VI, umeclidium/vilanterol; WM, weighted mean.
Figure 4 Posterior distribution plots for pairwise differences in the change from baseline in the WM FEV1 over 0–6 hours post-dose on day 42 (A) vs placebo and (B) vs UMEC/VI (ITT population).

Figure 5 MMRM analysis of the change from baseline in the WM FEV1 over 0–6 hours post-dose on day 42 (ITT population).

Abbreviations: BAT, batefenterol; ITT, intent-to-treat; MMRM, mixed models repeated measures; UMEC/VI, umeclidium/vilanterol; WM, weighted mean.
Figure 5 MMRM analysis of the change from baseline in the WM FEV1 over 0–6 hours post-dose on day 42 (ITT population).

Table 3 Summary of on-treatment AEs that were reported in >1 patient in any treatment group (ITT population)

Figure S1 Liver chemistry withdrawal or stopping criteria.

Note: *INR value is not applicable to subjects on anticoagulants.

Abbreviations: INR, international normalized ratio; ULN, upper limit of normal; ALT, alanine aminotransferase.

Figure S1 Liver chemistry withdrawal or stopping criteria.Note: *INR value is not applicable to subjects on anticoagulants.Abbreviations: INR, international normalized ratio; ULN, upper limit of normal; ALT, alanine aminotransferase.

Table S1 Institutional review boards

Table S2 Excluded medications prior to visit 1 and throughout the study

Data availability

Anonymized individual participant data and study documents can be requested for further research from www.clinicalstudydatarequest.com.