Profile of fluticasone furoate/vilanterol dry powder inhaler combination therapy as a potential treatment for COPD

Int J Chron Obstruct Pulmon Dis. 2014 Feb 24:9:249-56. doi: 10.2147/COPD.S32604. eCollection 2014.

Abstract

Currently, there is no cure for chronic obstructive pulmonary disease (COPD). The limited efficacy of current therapies for COPD indicates a pressing need to develop new treatments to prevent the progression of the disease, which consumes a significant amount of health care resources and is an important cause of mortality worldwide. Current national and international guidelines for the management of stable COPD patients recommend the use of inhaled long-acting bronchodilators, inhaled corticosteroids, and their combination for maintenance treatment of moderate to severe stable COPD. Once-daily fluticasone furoate/vilanterol dry powder inhaler combination therapy has recently been approved by the US Food and Drug Administration and the European Medicines Agency as a new regular treatment for patients with stable COPD. Fluticasone furoate/vilanterol dry powder inhaler combination therapy has been shown to be effective in many controlled clinical trials involving thousands of patients in the regular treatment of stable COPD. This is the first once-daily combination of ultra-long-acting inhaled β2-agonists and inhaled glucocorticoids that is available for the treatment of stable COPD and has great potential to improve compliance to long-term regular inhaled therapy and hence to improve the natural history and prognosis of COPD patients.

Keywords: COPD; ICS; LABA; ULABA; bronchodilator; new drugs.

Publication types

  • Review

MeSH terms

  • Administration, Inhalation
  • Adrenergic beta-2 Receptor Agonists / administration & dosage*
  • Adrenergic beta-2 Receptor Agonists / adverse effects
  • Adrenergic beta-2 Receptor Agonists / pharmacokinetics
  • Androstadienes / administration & dosage*
  • Androstadienes / adverse effects
  • Androstadienes / pharmacokinetics
  • Animals
  • Benzyl Alcohols / administration & dosage*
  • Benzyl Alcohols / adverse effects
  • Benzyl Alcohols / pharmacokinetics
  • Bronchodilator Agents / administration & dosage*
  • Bronchodilator Agents / adverse effects
  • Bronchodilator Agents / pharmacokinetics
  • Chlorobenzenes / administration & dosage*
  • Chlorobenzenes / adverse effects
  • Chlorobenzenes / pharmacokinetics
  • Drug Combinations
  • Dry Powder Inhalers
  • Glucocorticoids / administration & dosage*
  • Glucocorticoids / adverse effects
  • Glucocorticoids / pharmacokinetics
  • Humans
  • Powders
  • Pulmonary Disease, Chronic Obstructive / diagnosis
  • Pulmonary Disease, Chronic Obstructive / drug therapy*
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Treatment Outcome

Substances

  • Adrenergic beta-2 Receptor Agonists
  • Androstadienes
  • Benzyl Alcohols
  • Bronchodilator Agents
  • Chlorobenzenes
  • Drug Combinations
  • Glucocorticoids
  • Powders
  • vilanterol
  • fluticasone furoate