A pharmaco-epidemiological audit of beclomethasone dipropionate extrafine aerosol in patients with asthma

C. P. van Schayck ()

Source: Annual Congress 2002 - Aspects of respiratory disease in primary care
Session: Aspects of respiratory disease in primary care
Session type: Thematic Poster Session
Number: 2976
Disease area: Airway diseases

Congress or journal article abstract

Abstract

A 12-month, open label audit was conducted at 54 centres in The Netherlands. This study was designed to monitor safety of a new HFA-extrafine beclomethasone (3M Pharmaceuticals)(Qvar) and to evaluate patient[scquote]s well being. 316 patients with a range of asthma severity (84 patients with less than 80% predicted PEF) were switched from conventional inhaled steroids to extrafine beclomethasone at various dose-ratios according to patient need.
In this study most AEs were mild to moderate. The incidence of severe AEs after Qvar (5.1%) was comparable to the reviewed incidence of severe AEs after HFA-BDP (3.8%), CFC-BDP (6.8%) and HFA-placebo (8.7%) (1). Qvar administration provoked less cough (0.3%) than HFA-BDP (<1%), CFC-BDP (2%) or HFA-placebo (1%). Other inhalation-route AEs (dysphonia and taste perversion) were also less reported after Qvar (3.8%) in comparison with HFA-BDP (5%) and CFC-BDP (5%). The occurrence of respiratory system AEs (coughing) was similar (<1%) in Qvar, HFA-BDP, and HFA-placebo group.
The percentage of withdrawals due to AEs was lower after Qvar (3%) than after HFA-BDP (8%), CFC-BDP (10%) or HFA-placebo (21%). The safety results obtained in this study confirm tolerability to Qvar and safe switching from CFC-BDP. Qvar appears to represent an advance in the treatment of asthma.
1. Thompson P.J. et al. Respiratory Medicine 1998; 92: 33-39.


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C. P. van Schayck (). A pharmaco-epidemiological audit of beclomethasone dipropionate extrafine aerosol in patients with asthma. Eur Respir J 2002; 20: Suppl. 38, 2976

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