The position of the fixed combination of indacaterol, glycopyrronium, and mometasone furoate in the management of bronchial asthma. The Report of Expert Panel of Russian Respiratory Society
https://doi.org/10.18093/0869-0189-2021-31-1-66-74
Abstract
Achieving the control of bronchial asthma (BA) in real clinical practice remains an unresolved problem, despite the expansion of therapeutic options in this area. Guidelines about when and for whom should a particular treatment be used continue to develop. Increasing of inhaled corticosteroid dose (ICS) in combination with a long-acting β2-agonist (LABA) does not always lead to the desired result, although a combined LABA-ICS inhaler could improve the course of asthma and increase adherence. The addition of tiotropium bromide to LABA-ICS requires the use of two inhalers. The targeted biological therapy is associated with the complexity of phenotyping and is possible only in specialized medical centers. Mometasone furoate, indacaterol acetate, and glycopyrronium bromide in fixed doses were combined in Breezhaler® inhaler for asthma maintenance therapy once per day. This way of treatment helps to realize full potential of maintenance inhalation therapy of bronchial asthma and to simplify the achievement of control over the disease in routine clinical practice.
Keywords
About the Authors
Z. R. AisanovRussian Federation
Zaurbek R. Aisanov - Doctor of Medicine, Professor, Department of Pulmonology, N.I. Pirogov Federal Russian National Research Medical University, Healthcare Ministry of Russia.
ul. Ostrovityanova 1, Moscow, 117997.
tel.: (495) 965-34-66
Competing Interests: The authors declare no conflict of interest.
S. N. Avdeev
Russian Federation
Sergey N. Avdeev - Doctor of Medicine, Professor, Corresponding Member of Russian Academy of Sciences, Head of Department of Pulmonology, I.M. Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University); Head of Clinical Division, Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia.
ul. Trubetskaya 8, build. 2, Moscow, 119991; Orekhovyy bul'var 28, Moscow, 115682.
tel.: (495) 708-35-76
Competing Interests: The authors declare no conflict of interest.
A. S. Belevskiy
Russian Federation
Andrey S. Belevskiy - Doctor of Medicine, Professor, Head of Department of Pulmonology, Faculty of Postgraduate Physician Training, N.I. Pirogov Federal Russian National Research Medical University, Healthcare Ministry of Russia, Head of Laboratory of Pulmonary Rehabilitation and Respiratory Health Research.
ul. Ostrovityanova 1, Moscow, 117997.
tel.: (495) 963-24-67
Competing Interests: The authors declare no conflict of interest.
A. A. Vizel'
Russian Federation
Aleksandr A. Vizel' - Doctor of Medicine, Professor, Head of Phthisio-pulmonology Department, Kazan' State Medical University, Healthcare Ministry of Russia.
ul. Butlerova 49, Kazan', 420012, Tatarstan Republic.
tel.: (987) 296-25-99
SPIN: 5918-5465
Author ID: 195447
Competing Interests: The authors declare no conflict of interest.
A. V. Emel'yanov
Russian Federation
Aleksandr V. Emel'yanov - Doctor of Medicine, Professor, Head of Department of Pulmonology, I.I. Mechnikov State North-West Medical University, Healthcare Ministry of Russia.
ul. Kirochnaya 41, Saint-Petersburg, 191015.
tel.: (812) 970-71-88
Competing Interests: The authors declare no conflict of interest.
G. L. Ignatova
Russian Federation
Galina L. Ignatova - Doctor of Medicine, Professor, Head of Department of Therapy, Institute of Postgraduate Physician Training, South Ural State Medical University, Healthcare Ministry of Russia; Chief Pulmonologist of Ural Federal District.
ul. Vorovskogo 64, Chelyabinsk, 454092.
tel.: (351) 742-66-40
Competing Interests: The authors declare no conflict of interest.
O. M. Kurbacheva
Russian Federation
Oksana M. Kurbacheva - Doctor of Medicine, Professor, Federal Academic Center “Institute of Immunology”, Federal Medical and Biological Agency of Russia.
Kashirskoe shosse 24, Moscow, 115478.
tel.: (495) 618-24-60
Competing Interests: The authors declare no conflict of interest.
I. V. Leshchenko
Russian Federation
Igor' V. Leshchenko - Doctor of Medicine, Professor, Department of Phthisiology, Pulmonology and Thoracic Surgery, Ural Federal State Medical University, Healthcare Ministry of Russia.
ul. Repina 3, Ekaterinburg, 620028.
tel.: (343) 246-44-75
Competing Interests: The authors declare no conflict of interest.
N. M. Nenasheva
Russian Federation
Natal'ya M. Nenasheva - Doctor of Medicine, Professor, Department of Clinical Allergology, Russian Medical Academy for Continuous Professional Education, Healthcare Ministry of Russia.
ul. Barrikadnaya 2/1, Moscow, 123995.
tel.: (499) 196-17-86
Competing Interests: The authors declare no conflict of interest.
S. I. Ovcharenko
Russian Federation
Svetlana I. Ovcharenko - Doctor of Medicine, Professor, Faculty Therapy Department No.1, I.M. Sechenov Federal First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University).
ul. Trubetskaya 8, build. 2, Moscow, 119991.
tel.: (916) 406-67-78
Competing Interests: The authors declare no conflict of interest.
A. I. Sinopal'nikov
Russian Federation
Aleksandr I. Sinopal'nikov - Doctor of Medicine, Professor, Russian Federal Academy of Continued Medical Education, Healthcare Ministry of Russia.
ul. Barrikadnaya 2/1, Moscow, 123995.
tel.: (499) 728-83-69
Competing Interests: The authors declare no conflict of interest.
O. N. Titova
Russian Federation
Ol'ga N. Titova - Doctor of Medicine, Professor, Director of Pulmonology Research Institute, Academician I.P. Pavlov First Federal Saint-Petersburg State Medical University, Healthcare Ministry of Russia.
ul. L'va Tolstogo 6-8, Saint-Petersburg, 197089.
tel.: (812) 338-78-40
Competing Interests: The authors declare no conflict of interest.
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Review
For citations:
Aisanov Z.R., Avdeev S.N., Belevskiy A.S., Vizel' A.A., Emel'yanov A.V., Ignatova G.L., Kurbacheva O.M., Leshchenko I.V., Nenasheva N.M., Ovcharenko S.I., Sinopal'nikov A.I., Titova O.N. The position of the fixed combination of indacaterol, glycopyrronium, and mometasone furoate in the management of bronchial asthma. The Report of Expert Panel of Russian Respiratory Society. PULMONOLOGIYA. 2021;31(1):66-74. (In Russ.) https://doi.org/10.18093/0869-0189-2021-31-1-66-74