Step up to triple therapy versus switch to dual bronchodilator therapy in patients with COPD on an inhaled corticosteroid/long-acting β2-agonist: post-hoc analyses of KRONOS

Background

In patients with chronic obstructive pulmonary disease (COPD) using inhaled medications, guidelines suggest either increasing medication strength or switching to a different combination based on their symptoms and history of flare-ups. This study looked at the effects of increasing to a stronger combination versus switching to a different one on lung health and flare-up rates.

Methods

In the KRONOS study, patients with COPD were divided into groups to receive different treatments for 24 weeks. These included a combination of medications aimed at improving lung function and reducing flare-ups. We analyzed the changes in lung function and the number of flare-ups during this time.

Results

Patients who increased their medication to the stronger combination showed better lung function compared to those who switched to a different combination. Specifically, those who stepped up to the triple therapy had a lower risk of experiencing flare-ups compared to those who switched to the dual therapy.

Conclusions

For COPD patients without recent flare-ups, moving to a stronger medication combination can lead to better lung function and fewer flare-ups compared to simply switching medications.

Opportunities for Clinics and Patients

Based on the trial data, clinics can set clear goals to:

  • Monitor lung function improvements.
  • Track flare-up rates in patients switching or stepping up their therapy.

AI Tools for Clinical Needs

Clinics should consider AI solutions that can help in:

  • Analyzing patient data for better treatment decisions.
  • Tracking outcomes and improving patient management.

Implementation

Start with a pilot project to test AI solutions based on the KRONOS study results. Monitor outcomes to assess the real-world impact of these treatments.

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