Efficacy and safety of ensifentrine, a novel phosphodiesterase 3 and 4 inhibitor, in chronic obstructive pulmonary disease: A systematic review and meta-analysis

<h3>Background </h3><p dir="ltr">We evaluated the efficacy and safety of Ensifentrine in COPD via a systematic review and meta-analysis of randomized controlled trials (RCTs). </p><h3>Methods </h3><p dir="ltr">We performed a detailed lite...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Eeshal Fatima (18255772) (author)
مؤلفون آخرون: Obaid Ur Rehman (6555554) (author), Zain Ali Nadeem (20487218) (author), Umar Akram (20151411) (author), Riyan Imtiaz Karamat (19927596) (author), Muhammad Omar Larik (20365932) (author), Maurish Fatima (19231394) (author), Joshua Chitwood (20487221) (author), Arslan Ahmad (7400501) (author), Sarah Esposito (20487224) (author), Abdulqadir J. Nashwan (11659453) (author)
منشور في: 2024
الموضوعات:
الوسوم: إضافة وسم
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الوصف
الملخص:<h3>Background </h3><p dir="ltr">We evaluated the efficacy and safety of Ensifentrine in COPD via a systematic review and meta-analysis of randomized controlled trials (RCTs). </p><h3>Methods </h3><p dir="ltr">We performed a detailed literature search on Medline (via PubMed), Scopus, Google Scholar, and Cochrane on the basis of pre-specified eligibility criteria. We used Review Manager to calculate pooled mean differences (MD) and 95% Confidence Interval (CI) using a random effects model. The Cochrane's Risk of Bias 2 (RoB-2) tool was used to assess the risk of bias in the included RCTs. </p><h3>Results </h3><p dir="ltr">A total of 4 studies, consisting of 2020 patients, were included in the meta-analysis. The mean age ranged from 62.5 years to 65.5 years in the included studies. All the included studies were at low risk of bias. Ensifentrine 3 mg dose significantly improved the mean peak Forced Expiratory Volume-1 (FEV-1), morning trough FEV-1, TDI score, ERS score, and SGRQ-C score as compared to the placebo, yielding a pooled MD of 149.76 (95% CI, 127.9 to 171.6), 43.93 (95% CI, 23.82 to 64.05), 0.92 (95% CI, 0.64 to 1.21, −1.20 (95% CI, −1.99 to −0.40), and −1.92 (95% CI, −3.24 to −0.59), respectively. </p><h3>Conclusion </h3><p dir="ltr">Ensifentrine is associated with improvements in outcomes related to COPD symptoms such as peak FEV-1, morning trough FEV-1 and TDI in the patients suffering from this chronic disease. It is also associated with improved quality of life as seen by E-RS score and SGRQ-C score.</p><h2>Other Information</h2><p dir="ltr">Published in: Respiratory Investigation<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.resinv.2024.12.012" target="_blank">https://dx.doi.org/10.1016/j.resinv.2024.12.012</a></p>