Both inhaler therapies were developed by GSK
The prevalence is higher among those who are 75 years of age and older
Trelegy contains three medications: fluticasone
umeclidinium and vilanterol delivered through a once-a-day inhaler
Breo contains two medications: fluticasone and vilanterol delivered through a once-a-day inhaler
Both are approved to treat COPD and asthma
From November 2023 to October 2024, total Medicare Part D costs for Trelegy Ellipta were $5.1 billion, and total Medicare Part D costs for Breo Ellipta were $1.4 billion, according to CMS
ICER evaluated the evidence of the two COPD treatments and plans to send the public comment submission to CMS as part of its work on Medicare drug price negotiations
ICER reviewers found that comparators for Trelegy Ellipta generally require multiple inhalers administered twice daily and for Breo Ellipta generally require at least one inhaler twice daily
Observational data suggest that patients are more adherent to once-daily therapy
and this may lead to fewer COPD exacerbations
“The drugs themselves don’t make a big difference,” David M
there is huge nonadherence and discontinuation in COPD
More than half of people stop using them because they don’t feel better right away when they use the inhalers
so they tend to keep using them; not so much in COPD.”
But Rind said nonadherence is difficult to measure in clinical trials
so ICER assessed observational and real-world studies
Because the clinical evidence review used observational data
meaning there was comparable or incremental net health benefit compared with generic dual therapies
ICER evaluated Trelegy and Breo based on 20 different comparator prices across a range of willingness-to-pay thresholds
“We don’t know the actual prices that CMS is paying for those comparators,” ICER’s President and CEO Sarah K
“We have some data about what it might cost for the comparators for both Trelegy and Breo
And we also don’t know what CMS is currently paying for Trelegy and Breo
We have some general estimates of the rebates that they might be getting.”
The report contains tables that could help CMS determine the cost-effectiveness based on what it pays for each therapy and assess that on equal value of life year (evLY)
The evLY is an ICER-developed measure of quality of life that equitably captures improvements in quality of life for patients due to a new treatment
allowing for a fair comparison of the value of new drugs compared with older ones
CMS decided not to use the quality adjust life year (QALY) metric
a standard measurement for how a treatment improves patients’ lives
The QALY metric has become a standard way to assess health economics but has been criticized as discriminatory
“The limitations of the QALY metric led us to develop the equal value of life years gained metric,” Emond said
“The evLY values all the time and the life extension the same
no matter if you have other chronic conditions or other disabilities other than the ones being studied
We’re proud of developing a metric that meets the goals of having a more equitable way to measure health gain
and that's why it's our primary measure and the only measure we used for this special assessment.”
FDA Sets Action Date for Oral Wegovy for Weight Loss
FDA Approves Imaavy for Long Term Treatment of Generalized Myasthenia Gravis
Adult and pediatric generalized myasthenia gravis patients have a new
longer acting option for treatment called Imaavy
CVS Caremark to Place Wegovy as Preferred GLP-1 for Weight Loss
CVS Caremark will place Wegovy injection 2.4 mg as preferred on its commercial template formularies
Oncologists: Prior Authorizations Lead to Delays in Getting Cancer Meds
Insurance hurdles and the complexities of prior authorization create barriers to care
according to oncologists in a new survey by Sermo
Novo Nordisk Offers Wegovy Through Telehealth Providers, Including Hims & Hers
Food Retailer Giant Eagle Selects EmpiRx Health as PBM
Giant Eagle also helped EmpiRx Health create a national pharmacy care network that was purpose-built for pharmacy and grocery chains
609-716-7777
is set to release their debut album Máis Alá on Wednesday
The album features ten tracks inspired by Galician mysticism
the album includes collaborations with various artists
such as singer Sabu l’Aviseu on Canto Raibas
and the Triskell Cultural Association band from Arteixo on Os Lombois
The group’s name is derived from the Celtic deity Berobreo
the guardian of souls tasked with guiding them to the afterlife
Berobreo’s sanctuary is located atop Monte do Facho in Donón
one of the legendary Atlantic ends of the world in Western Europe
The band members in 2024 included Sandra Novais Meireles on vocals
and tambourine; Samuel Lafuente Carballeda on violin; Rubén Gómez Castro on guitars; Migui Ocampo on bodhran
and programming; and Bieito Romero Diéguez on flute
Please enter an answer in digits:1 × 5 =
The fall session of the Health Sciences Fellowship Workshop is now open. Sign up now! Open to students who have passed their preliminary exams and who are applying for a NIH fellowship for the December 2024 deadline. Email: BREO@hsc.utah.edu to sign up
The Biomedical Research Education Office (BREO) offers the Health Sciences Fellowship Workshop to PhD Graduate Students with the purpose to provide support to submit a strong fellowship application to NIH
This workshop is not intended to be a grant writing course focused on articulating a scientific idea
but rather a workshop to help guide students toward a specific submission deadline
The Food and Drug Administration (FDA) has expanded the approval of Breo Ellipta (fluticasone furoate and vilanterol inhalation powder) to include maintenance treatment of asthma in children 5 to 17 years of age
the product was only approved for maintenance treatment of asthma in adults
Patients aged 12 to 17 years were randomly assigned to receive Breo Ellipta 100/25mcg once daily (n=117) or fluticasone furoate 100mcg once daily (n=112)
Participants aged 5 to 11 years were randomly assigned to receive Breo Ellipta 50/25 mcg once daily (n=337) or fluticasone furoate 50mcg once daily (n=336)
The primary endpoint of the study was the weighted mean of forced expiratory volume in 1 second (FEV1) (0 to 4 hours) at week 12
Results showed that among patients 12 to 17 years of age
the difference in least squares (LS) mean change in FEV1 (0 to 4 hours) for Breo Ellipta 100/25mcg compared with fluticasone furoate 100mcg was 106mL (95% CI
the difference in LS mean change in FEV1 (0 to 4 hours) for Breo Ellipta 50/25mcg compared with fluticasone furoate 50mcg was 73mL (95% CI
adverse reactions reported in at least 3% of pediatric patients treated with Breo Ellipta were nasopharyngitis (10%)
Breo Ellipta is supplied as a disposable light grey and pale blue plastic inhaler containing 2 foil strips
In addition to the 100/25mcg and 200/25mcg dosage strengths
the FDA has approved a new 50mcg/25mcg dosage strength for pediatric patients aged 5 to 11 years
a trusted source of medical news and feature content for healthcare providers
offers clinicians insight into the latest research to inform clinical practice and improve patient outcomes
Copyright © 2025 Haymarket Media, Inc. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Your use of this website constitutes acceptance of Haymarket Media’s Privacy Policy and Terms & Conditions.
Only subscribers can update their account from this page
You’ve read {{metering-count}} of {{metering-total}} articles this month
We want you to take advantage of everything MPR has to offer
Register now at no charge to access unlimited daily drug news
and industry-supported drug information & education
Please login or register first to view this content
For Plant LoversHorti Plant SubscriptionRead more
For the Old-School Music FanVinyl Me, Please SubscriptionRead more
For KidsKiwiCo Kiwi CrateRead more
For the WIRED OnesBreo Box SubscriptionRead more
Don't throw your hands in the air yet—consider a subscription box
and your giftee can try a bunch of stuff that would be far too expensive for you to compile yourself
but I think three months makes the perfect gift since they'll get that warm
I'm also a firm believer that you need to gift yourself every so often
These boxes work whether you're buying for yourself or someone else
WIRED Gear writers hand-tested every one of these recommendations
Be sure to check out our many other gift guides, like Gifts for Teens and 25 Gifts Under $25, and some of our favorite gifts, like this tiny TV.
Updated November 2024: We've removed four older picks and added a hot sauce box, a meat box, a beauty box, and a giftable meal kit. We also updated pricing throughout.
but they're already halfway dead by the time they get to your giftee
plants are fantastic gifts that can live on for years if cared for correctly
Horti makes it easy for someone to slowly turn their living quarters into a jungle
Price breakdown: Starting at $36 per month, $155 for three months, or $310 for six months. (All cost a few dollars more for a painted pot, or less if you can pick it up in NYC.) Prices don't include shipping.
Vinyl Me, Please sends an exclusively pressed record every month to those who can't get enough of that old-school sound
Members can swap that month's pick for another title in their catalog if they'd prefer
Price breakdown: $54 per month, $149 for three months, $279 for six months, $529 for 12 months. Gift-specific options cost the same, but don't auto-renew and are available for three, six, or 12 months.
but after a while they end up in the pile that go unused
We think a subscription box like this is a better option to give them interesting hands-on activities that they'll enjoy (and hopefully learn from in the process!)
WIRED reviewer Adrienne So has watched her kids make everything from water guns to kaleidoscopes; she said there was even a night-themed box where everything glowed
Price breakdown: Kiwi Crates start at $24 a month
and different clubs have additional subscriptions that vary by club
If you don't want to worry about canceling
you can purchase the same amount of boxes for a few dollars more
(You'll see the option for non-renewing during the selection process.) Shipping is free in the US
Crates for older kids are a bit more expensive
★ More options: We have many more favorite subscription boxes for kids if you don't think this one is right. We've tried other craft boxes, book subscriptions, and even coding kits.
Never know what to get your nerdy younger brother
filled with four to eight of the latest gadgets and gizmos
It's the priciest option on this list
and your giftee may get some things they don't particularly have use for
but that's a possibility with any subscription box
This one at least gets curious hands on some cool tech
Price breakdown: Vellabox starts at $12, $22, and $29 a month depending on candle size and subscription length—4, 8, and 16 ounces respectively; $90, $150, and $204 for six months; and $144, $264, and $348 for 12 months. There are single-orders and auto-renewing options. Shipping is free in the US.
Photograph: Conscious StepConscious Step
There's nothing quite as nice as hearing my coffee pot sizzle from the kitchen as I'm getting up in the morning
knowing a nice warm mug is just minutes away
or just wants to break out of their Starbucks addiction
opt for a coffee subscription to broaden their horizons
We like Misto for gifts because there are nearly 500 types of beans to choose from
★ Alternative: We have many more coffee subscription options to choose from, including one-off gift options.
Traveling all over the world and learning about different cultures is a dream that's not always doable
For those who can't hop on a plane at a moment's notice
the Undiscovered Artisan Box offers a look at a specific region through handmade goodies delivered to their door
subscribers can either choose or be surprised with five gifts that include ethically handmade home goods
and other accessories—the Thailand box included a singing bowl
Price breakdown: $60 every three months. $4 shipping added.
Photograph: Universal YumsUniversal Yums
Who among us doesn't like to snack on delicious treats all day between meetings
The Universal Yums box is our favorite snack box
and it includes food from a different country each month
plus a booklet with trivia and games on the country
so you get a little learning opportunity as well
Price breakdown: Small boxes (five to seven snacks): $19 per month or $204 upfront for a year
Medium boxes (10 to 12 snacks): $29 per month or $312 for a year
Large boxes (15 to 18 snacks): $40 per month or $480 for a year
★ More options: We also have more snack options for jerky and Japanese snack lovers, plus those who want more customizable quantities.
I love bringing a nice bottle of wine to someone's house as a gift
but from there I have no idea what to look for
I often think about the line in The Devil Wears Prada where Emily talks about her insane new diet: “When I feel like I'm about to faint, I eat a cube of cheese.” I'm not on board with a starvation diet, but I am on board with eating cubes of cheese throughout the day. Snacks, meals, sides? Just say cheese.
A Curdbox subscription includes three blocks of cheese, plus three snack pairings wrapped in ice blocks to keep it all good (similar to a meal kit). Each box even includes a Spotify playlist, blog post, and wine-pairing suggestions. —Medea Giordano
Price breakdown: $85 per month, $246 for three months, $489 for six months. Gift options include three and six months for the same price, plus $972 for 12 months that don't auto-renew. Shipping is free.
Photograph: Book of the MonthBook of the Month
There is nothing quite like wandering the aisles of a bookstore or library
but that's not always possible in our busy lives
If someone on your gift list always has their head in a book or has mentioned they want to read more
you can sign them up for a Book of the Month subscription
Each month there are five to seven new books to choose from
The base subscription cost covers one book
If none strike their interests or they're still reading last month's book
Bespoke Post has options for everyone, but I think it's a great place to start for men who are hard to buy for. If you've ever searched for men's gifts, guides typically include stereotypical things like whiskey stones and meat. Bespoke has a lot more variation and every month includes different options.
First you'll take a short quiz for your giftee—the questions are easy enough for you to guess (would they like kitchenware, clothes, cigars?)—then each month a box is assigned based on those interests. You can view and swap boxes before it ships (or skip it for the month). You can even choose the first box and then give your giftee the login info so they can choose from there. —Medea Giordano
Price breakdown: $49 per box plus $5 shipping. If you don't want to auto-renew, a single box costs $70.
If you don't gift your pet something on holidays, then we can't be friends. They're family too! Thankfully, they can also get a subscription box. We've tried Meowbox and Barkbox and loved them both for our cats and dogs
Typically there's a mix of samples and full-size products
plus every box has exclusive discounts in case your giftee feels inspired to go shopping after trying out their new goodies
Members also have access to an exclusive Member Shop with savings on beauty must-haves
I especially liked the trio of lip products in mine—a lipstick
and a gloss—and while contents vary from box to box
your giftee will probably like what they receive too
Alternative: We have many more beauty box subscription recommendations, including options for only full-size products and options that can be customized.
This ultra-giftable gourmet box comes with premium
It's more expensive than some other meat boxes
but the contents of each box are special and elevated—something that's arguably difficult to achieve when you're mailing a box of meat hunks to a loved one
WIRED reviewer Adrienne So tested this box and received two perfectly marbled New York strip steaks
and the delicious result after cooking them still visits her in her dreams
Alternative: Check out our guide for additional meat subscription box recommendations that are more affordable or more specific.
There are also varying levels to the subscriptions that can be tailored to your giftee's taste buds
WIRED contributor Andrew Watman was delighted by That's What Shishito Said
a sweetly balanced shishito-based hot sauce that was as tasty as it was unconventional
Each box will contain at least one hot sauce that's unique
and (probably) not readily available at your giftee's local grocery store
Price breakdown: $13 per box for one sauce in each box (shipped monthly)
$30 per box for three hot sauces in each box (shipped monthly or every three months)
or $29 per box for the “Pain Seeker” subscription
which includes two extra-hot sauces (shipped monthly or every three months)
Alternative: For additional sauce box recommendations, check out our guide to the Best Barbecue Sauce, Rub, and Hot Sauce Subscription Boxes.
Photograph: Louryn StrampeCook with Bon Appétit
The Cook With Bon Appétit box isn't your typical meal kit
each box includes five exclusive recipe cards and five shelf-stable ingredients from each of those recipes
The first box also includes a little binder where your giftee can store their recipe cards
If you want to gift them something to aid their time in the kitchen
but you don't want to go with a typical countertop appliance or another gadget they might already own
this is a solid option—especially if they're an avid reader of the magazine
as this comes with digital subscriptions to Epicurious and Bon Appétit as well
from pure chocolate ecstasy to bundles of fun.Matthew KorfhageWired CouponsWayfair Coupons10% Off Wayfair Promo Code with sign-up
$50 Off In-Person Tax Prep When You Switch From Your Tax Current Provider
Exclusive: Up To 50% Off 6 Boxes With Factor Promo Code
It is the essential source of information and ideas that make sense of a world in constant transformation
The WIRED conversation illuminates how technology is changing every aspect of our lives—from culture to business
The breakthroughs and innovations that we uncover lead to new ways of thinking
Become a navigator of the tobacco cessation process through this free
Read our simple and effective tips for protecting you and your family from the dangers of air pollution
Our key findings add to the evidence that a changing climate is making it harder to protect human health
Share your voice and advocate for policies that will save lives
Step up for lung health by participating in a Fight For Air Climb event near you
Matching gifts are a great way to stretch your donation
as well as voluntary commitments from pharmaceutical manufacturers
have helped to reduce the cost of insulin for people with diabetes
and many stakeholders have now turned their attention to reducing the cost of inhalers for patients with asthma
Read more about these recent changes and how they may impact the cost of your inhaler.
which applies to inhalers for asthma and other lung diseases
is awaiting the Governor’s signature and would take effect in January 2026.
At the federal level, senators on the Senate Health, Labor and Pensions (HELP) Committee launched an investigation into the price of asthma inhalers in January 2024
There are also several bills at different stages of the legislative process in the U.S
House and Senate that would change the practices of pharmacy benefit managers (PBMs) that could impact the cost of inhalers as well as other medications for the treatment of chronic conditions like lung disease.
three companies announced new voluntary programs to reduce and cap the cost of their inhalers to $35 or less per month.
It is important to note that patients with government insurance
are not eligible for these discounts.
While an FDA approved Authorized Generic is now available
it will not be part of this program.
Navigating your options to reduce the cost of your inhaler can be challenging. If you still have questions about the cost of your inhaler, you can reach out to the American Lung Association’s Lung HelpLine for assistance
Our trained Lung Health Navigators also offer free one-on-one education programs to support those living with lung disease including COPD and asthma
Learn more at Lung.org/Navigator or call 1-866-252-2959.
Your gift will help people with asthma breathe easier—at school
Donate now
Join over 700,000 people who receive the latest news about lung health
The American Lung Association is a 501(c)(3) charitable organization
This website uses cookies to improve content delivery
Talk to our lung health experts at the American Lung Association
Our service is free and we are here to help you
Lohit Khera discusses the evolving role of microRNA in research
highlighting the latest innovations in RNA extraction and analysis
Learn how experts are advancing benzodiazepine analysis and detection using insights from the lab
discusses how he is addressing today’s medical challenges using the technology of the future
you can trust me to find commercial scientific answers from News-Medical.net
please log into your AZoProfile account first
Registered members can chat with Azthena, request quotations, download pdf's, brochures and subscribe to our related newsletter content
A few things you need to know before we start
Read the full Terms & Conditions
Newsletters and Deep Dive digital magazine
The list for the next round of medicines that will be subject to Medicare price negotiations isn’t in yet
but the Institute for Clinical and Economic Review (ICER) reckons a chronic obstructive pulmonary disease (COPD) drug will be included – and is preparing to contribute to the process
it has decided to publish a special report on two of GSK's COPD therapies – Breo Ellipta (fluticasone furoate and vilanterol) and Trelegy Ellipta (fluticasone furoate
and vilanterol) – saying that it has "the expectation that at least one of the drugs being reviewed will be subject to negotiation next year."
The Centers for Medicare & Medicaid Services (CMS) has said it will announce the next 15 drugs in scope for the second round of the Medicare negotiation programme by 1st February next year
with the negotiated prices due to be announced by 30th November and coming into effect on 1st January 2027
"As CMS continues to evolve its drug price negotiation programme
we will continue to bring our expertise in comparative clinical effectiveness and value to the conversation," said ICER's president and chief executive
"While we know CMS may consider many different factors and inputs during negotiations
we believe applying the guidance in a consistent framework
as we did with our special assessment of two drugs subject to the first round of negotiation
offers important information to all stakeholders engaged in this process."
ICER has published the research protocol (PDF) for the evaluation of Breo Ellipta and Trelegy Ellipta – which made £1.1 billion (almost $1.5 billion) and £2.2 billion
for GSK last year and are two of the company's biggest products – and expects to publish the special report later this year
It plans to estimate the "comparative therapeutic impact" of the two drugs compared to their respective fixed-dose generic alternatives or open generic combinations in patients with moderate to severe COPD
attempts by the industry to strike down the price negotiation programme in the courts have proved fruitless
and the first round resulted saw 10 big-selling medicines have their prices reduced by between 38% and 79%
with the Biden administration claiming that would save $6 billion in 2026
It's been well recorded that the true impact of the programme is hard to gauge. For more on the potential consequences and next steps, you can tune into our recent podcast with pharmaphorum editor-in-chief Jonah Comstock and healthcare policy expert Alice Valder Curran of Hogan Lovells
The Trump administration has intervened in a long-running lawsuit over the abortion pill mifepristone
Jonah Comstock welcomed back Alice Valder Curran to the podcast to pick apart Trump's Executive Order order piece by piece
Understanding how to harness real-world data and digital insights is essential
The importance of biosimilars only continues to grow
driven by the potential savings they are able to deliver to healthcare systems
Web editor Nicole Raleigh speaks with Rob Abbott
Developments in the oncology space in 2024 brought hope to both industry and patients
The ESG in Life Sciences Summit West is coming to San Francisco
The ISPE Singapore Affiliate Conference & Exhibition is one of the largest and most respected events for bio & pharmaceutical manufacturing professionals
opinions and features on pharma and healthcare sent straight to your inbox
on Tuesday 28th January @ 10 am ET - 3 pm GMT - 4 pm CET
entitled ‘Health Trends 2025: Reimagining What's Possibl
Sign up for email newsletters and Deep Dive
Offering 3 levels of intelligent air pressure
improving blood circulation as well as relieving your hands and fingers
Furthermore, the massage dots on it provide a full hand and finger massage
it improves microcirculation and helps your hands feel less strained and tense
One of the best parts is that it has heating from 98 to 107 ºF to promote blood flow
this portable gadget is one you’ll want to take everywhere to ensure your hands feel great
Whether you type at a computer all day or perform other repetitive tasks
We use cookies to personalize your experience. Learn more here
' + scriptOptions._localizedStrings.webview_notification_text + '
" + scriptOptions._localizedStrings.redirect_overlay_title + "
" + scriptOptions._localizedStrings.redirect_overlay_text + "
Breo Ellipta (fluticasone furoate and vilanterol inhalation powder) is a dry powder inhaler indicated for the long-term maintenance treatment of airflow obstruction and reduction of exacerbations in patients with chronic obstructive pulmonary disease (COPD)
Breo Ellipta / fluticasone furoate and vilanterol inhalation powder
Combination of inhaled corticosteroid (ICS) and long-acting beta2 agonist (LABA)
Chronic obstructive pulmonary disease (COPD)
Breo Ellipta (fluticasone furoate and vilanterol inhalation powder) is a dry powder inhaler indicated for the long-term maintenance treatment of airflow obstruction and reduction of exacerbations in patients with chronic obstructive pulmonary disease (COPD)
The drug was developed by GlaxoSmithKline (GSK) in collaboration with Theravance
Breo Ellipta was approved by the US Food and Drug Administration (FDA) in May 2013 for the treatment of airflow obstruction in patients with COPD
Health Canada also approved the drug for the treatment of COPD patients in July 2013
The drug received approval from the Japanese Ministry of Health
Labour and Welfare (MHLW) for the treatment of bronchial asthma in September 2013
It has received a positive response from the European Medicines Agency’s (EMA) Committee for Medicinal Products for Human Use (CHMP) for the treatment of COPD patients in September 2013
The final approval from EMA is expected to be received by the end of 2013
Breo Ellipta is marketed under the trade name Relvar Ellipta in Europe and Japan
Chronic obstructive pulmonary disease (COPD) is a lung disease that restricts the flow of air to and from the lungs
which involves a long-term cough with mucus
Most of the patients affected by COPD have a blend of both forms of the disease
The main cause of the disease is tobacco smoking
COPD is estimated to affect about 27 million people in the US
Breo Ellipta contains two drug combinations
Fluticasone furoate is an inhaled corticosteroid (ICS) and vilanterol is a long-acting beta2 agonist (LABA)
The drug helps breathing by reducing the risk of future exacerbations with a once-daily inhalation
The drug is available in new dry powder inhaler (DPI) form
which contains 100µg of fluticasone furoate and 25µg of vilanterol
The FDA approval for Breo Ellipta was based on 52 clinical pharmacology studies conducted on 1,406 patients and 11 clinical studies conducted on 7,851 patients with COPD
The clinical studies included four primary COPD studies
two six-month lung-function studies and two one-year replicate exacerbation studies
GSK conducted a Phase I clinical trial on Breo Ellipta between December 2011 and March 2012
crossover assignment enrolled 30 patients with COPD
The primary outcome measure of the study was finding the pharmacokinetic parameters for fluticasone furoate (FF) for all study participants between pre-dose and 36 hours post-dose in each of the six treatment periods
The secondary outcome measure included finding the adverse events (AEs) for all participants in the study
GSK conducted a Phase III clinical trial on Breo Ellipta between February 2011 and October 2011
The study enrolled 531 patients aged 40 years and above
The primary outcome measure of the study was finding the change from baseline trough in 24-hour weighted-mean serial FEV1 on day 84
The secondary outcome measures included finding time to onset
Breo Ellipta was launched in the US market in 2013
The other medications approved for the treatment of the same indication include Tudorza Pressair developed by Forest Laboratories and Almirall
and Spiriva developed by Boehringer Ingelheim and Pfizer
GSK entered into an agreement with Theravance for the development of and commercialisation of long-acting beta2 agonist (LABA) products in November 2002
both the companies entered into a strategic alliance for development and commercialisation of different therapeutic areas
which gave an option for GSK to license exclusive development and commercialisation rights of the product candidates from certain of Theravance’s discovery programs
GSK licensed MABA program of Theravance for the treatment of COPD in 2005
Theravance entered into an agreement with Elan Corporation in May 2013 as per which
Elan will pay $1bn royalty payment to Theravance for offering 21% participation interest in potential future royalty payments associated with four respiratory programs that Theravance partners with GSK
Anoro ellipta (umeclidinium bromide / vilanterol) is a dry powder for inhalation
indicated for the treatment of airflow obstructions in patients suffering from Chronic Obstructive Pulmonary Disease (COPD) or emphysema
Adempas (riociguat) is indicated for the treatment of pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH)
Give your business an edge with our leading industry insights
View all newsletters from across the GlobalData Media network
My life feels like it’s go-go-go a lot of the time, and it’s tough to find moments to unwind. Even if I can relax a bit, I can’t always ease the tension in my neck and shoulders. That’s why I was excited to receive this gadget to test out. Keep reading to for my Breo N5 Mini hands-on review
The Breo N5 Mini is a handheld massager designed to target your most troublesome stress points with precision and ease
Its sleek design and ergonomic build make it a delightful companion for anyone seeking a quick escape from the daily grind or a soothing recovery from a strenuous workout
At least that’s what the brand says—but does the Breo N5 Mini live up it
I dive deep into every aspect of the Breo N5 Mini
my hands-on review is an honest assessment of the Breo N5 Mini
If you want to know if it’s the right fit for you
I wasn’t sure what to expect when I received the box
and I didn’t think a full-on neck massager could fit in there
it has an integrated carry handle that makes it easy to transport
That’s if you like to keep things in their packaging on the go
The Breo N5 Mini comes with a user manual and a USB charging cable. I appreciated that there wasn’t a bunch of extra packing material in the box. Less waste is a win in my book
and fairly lightweight this personal massager is
which also makes it easy to fit around your neck
it has a normal amount of heft to it that you’d expect from a massager
matte finish—I received the grey color option—that gives it an enjoyable tactile feel
but the matte finish also makes it easy to grip
the N5 Mini would be pretty easy to take on the go
I could easily see myself packing this in a bag for a weekend getaway
Can’t say I’d take it in a suitcase for a flight
this massager is certainly durable with a solid body that feels sturdy in my hand
It definitely seems like a massager that would last for years of use
Thanks to the Breo N5 Mini’s ergonomic design
it’s comfortable to wear for the recommended 10-minute massage period
It fit snugly around my neck and shoulders
and the lightweight design didn’t cause any discomfort or strain
The higher intensity was a bit much for me
One feels more like a rolling massage you’d expect from another person
I left it on and loved the feeling of heat on my neck
It truly helped reduce the effects of all-day tightness in my neck and shoulders
it delivers the right amount of pressure for optimal relaxation
Whether you seek relaxation or relief from muscle tension
this personal massager is sure to enhance your overall well-being
but the Breo N5 Mini boasts two massage modes
This delivers a customized and therapeutic experience that caters to individual preferences and specific needs
I enjoyed the kneading and tapping massage
which soothed my sore muscles and helped me unwind after a long day
while I opted for the lower intensity level most of the time
I did choose the higher intensity level if I had more tension to work out
It’s not super easy to see the buttons while you use it
But it’s easy enough to remember which button does what and feel them since they’re large
Simply recharge it via the included USB cable when the battery runs low
As this was my first-time using a personal massager
My personal experience with the Breo N5 Mini has been nothing short of impressive
As someone who carries stress in my shoulders
I enjoyed the relaxation and relief this compact massager provided
I found the kneading mode to be particularly effective for alleviating tension in my neck and shoulders
was a rejuvenating choice for stimulating circulation and relieving muscle fatigue
The device seamlessly combines relaxation and pain relief
The deep-kneading and tapping motions promote muscle relaxation and stress reduction
while the precise design allows for targeted pain relief in specific areas
It’s proven to be an invaluable addition to my wellness routine
and its effectiveness in promoting relaxation and soothing muscle aches has become an essential part of my daily self-care regimen
The Breo N5 Mini boasts a user-friendly interface with intuitive controls
I was impressed by and thankful for its straightforward nature
The control panel is conveniently located within easy reach of your fingers
so you can easily make mid-massage adjustments
So switching between different massage modes and adjusting the intensity levels is a breeze
Since Breo recommends not to use it for more than 10 minutes a day
I found that it comfortably lasts through a week of regular use
The battery indicator provides real-time feedback on the battery’s status
Though it was my first time using a personal massager, I wholeheartedly recommend the Breo N5 Mini. Coming in at a reasonable price point of $139.99
I highly recommend this product to anyone seeking an effective way to relieve stress
the Breo N5 Mini shines as an outstanding personal massager
and effective performance contribute to its exceptional value
Whether you’re new to personal massagers or a seasoned enthusiast
you can use the code BRFLOW20 to receive 20% OFF sitewide
The approval of the supplemental New Drug Application (sNDA) in patients aged ≥18 years was based on the results of a clinical trial of over 12,000 patients in 23 studies of patients aged ≥12
The FDA issued a complete response letter in regards to the proposed use of Breo Ellipta in patients aged 12–17
stating that additional data would be required to further demonstrate the safety and efficacy of the product in this population
Breo Ellipta is a fixed-dose combination of the inhaled corticosteroid (ICS) fluticasone furoate
and the long-acting beta2-agonist (LABA) vilanterol
The combination inhaler works by decreasing inflammation in the lungs and helping the muscles around the airways of the lungs stay relaxed to increase airflow and reduce exacerbations in patients with asthma
RELATED: First Breath-Actuated, Dry-Powder Inhaler for Acute Asthma Approved
Breo Ellipta is already indicated for long-term maintenance treatment of airflow obstruction in chronic obstructive pulmonary disease (COPD)
including chronic bronchitis and/or emphysema and to reduce exacerbations of COPD in patients with a history of exacerbations in patients aged ≥18
Breo Ellipta dry powder inhaler for asthma has been approved for 100mcg/25mcg and 200mcg/25mcg strengths
For more information visit MyBreo.com
The US Food and Drug Administration (FDA) has approved the combination of fluticasone furoate/vilanterol (Breo Ellipta
GlaxoSmithKline/Theravance) for the once-daily treatment of asthma in adults aged 18 years and older
Fluticasone furoate (FF) is an inhaled corticosteroid (ICS)
and vilanterol (VI) is a long-acting beta2-agonist (LABA)
The FDA approved two strengths (100/25 and 200/25 μg) for adults with asthma
administered once daily using the Ellipta dry powder inhaler
The efficacy and safety of FF/VI has been studied in more than 12,000 subjects in 23 studies of patients aged 12 years and older
In March, a US FDA advisory committee recommended approval of Breo Ellipta in adults
In a complete response letter related to the proposed use of Breo Ellipta in children aged 12 to 17 years
the FDA said the data submitted do not show an adequate risk–benefit ratio to support the approval in children
"The FDA stated that additional data would be required to further demonstrate the safety and efficacy in this population," GlaxoSmithKline and Theravance noted in an April 30 joint news release
Breo Ellipta (FF/VI 100/25 μg) is already approved in the United States for long-term, once-daily, maintenance treatment of airflow obstruction and for reducing exacerbations in patients with chronic obstructive pulmonary disease, including chronic bronchitis and/or emphysema
Breo Ellipta is not indicated for the relief of acute bronchospasm
The prescribing information notes that LABAs
increase the risk for asthma-related death and further advises
only prescribe Breo Ellipta for patients not adequately controlled on a long-term asthma control medication
or whose disease severity clearly warrants initiation of treatment with both an ICS and a LABA
Once asthma control is achieved and maintained
assess the patient at regular intervals and step down therapy (e.g.
discontinue Breo Ellipta) if possible without loss of asthma control and maintain the patient on a long-term asthma control medication
Do not use Breo Ellipta for patients whose asthma is adequately controlled on low- or medium-dose ICS."
Breo Ellipta is contraindicated for primary treatment of status asthmaticus or other acute episodes of chronic obstructive pulmonary disease or asthma for which intensive measures are required and in patients with severe hypersensitivity to milk proteins or who have demonstrated hypersensitivity to FF
Breo Ellipta should not be initiated in patients during rapidly deteriorating or potentially life-threatening episodes of chronic obstructive pulmonary disease or asthma or used for the relief of acute symptoms; that is
as rescue therapy for the treatment of acute episodes of bronchospasm
Acute symptoms should be treated with an inhaled
Complete prescribing information and a medication guide are available at on the GlaxoSmithKline website
Medscape Medical News © WebMD, LLC Heartwire © WebMD, LLC WebMD Health News © WebMD, LLC Reuters Health Information © Send comments and news tips to news@medscape.net
MedscapeDisclosure: Megan Brooks has disclosed no relevant financial relationships
Click the topic below to receive emails when new articles are available
You will receive email when new content is published
GlaxoSmithKline's Relvar Ellipta was approved by the EMA for asthma and COPD
The overall market is expected to continue to grow
but an NIH study indicates more patient conversations need to happen
GlaxoSmithKline expanded its COPD reach in Europe. The company announced Monday that the European Medicines Agency Committee for Medicinal Products for Human Use—familiarly known as EMA CHMP—approved the company’s Relvar Ellipta for chronic obstructive pulmonary disease (COPD) and asthma. The FDA approved this same drug in May under the name Breo Ellipta
The market is an attractive one. GBI Research projected in October that the global COPD market is worth around $11.3 billion, and could hit $15.4 billion by 2019. Further, the drugs are hard to copy. Despite going generic, GlaxoSmithKline’s Advair Diskus remains a strong competitor because the inhaler is difficult to replicate
Boehringer Ingelheim VP of Respiratory Marketing Burcu Erylimaz told MM&M that her company—known in the COPD space where it co-markets Spiriva with Pfizer—is intent on deepening its respiratory presence in asthma and idiopathic pulmonary fibrosis
and that while inhalers can be difficult to duplicate
complexity is not the overriding factor when it comes to developing a delivery system
inhaled drugs are not as vulnerable to being generalized as pills are.”
US estimates put the COPD patient headcount at around 24 million
and the National Institutes of Health data indicates it is now the third leading cause of death in the US
Yet a recent NIH study shows that the patient pool may in fact be much larger
The US agency released a survey in November that showed that while the breath-taking condition is most commonly associated with smokers
1 in 6 COPD patients are not current or even former smokers
The NIH also found that 26% of patients who have COPD symptoms
wheezing or shortness of breath—don’t tell their doctors
BI’s patient research may explain some of the government’s findings
Erylimaz says former smokers tend to feel “I did this to myself.” BI’s focus groups with asthma patients also show how patients cope with respiratory illnesses and avoid treatment
“It is very interesting to see that they kind of make their life smaller so they can make room for asthma and say ‘I’m fine
The NIH’s findings also show that it’s not just patients who are ignoring COPD
Researchers said healthcare providers also missed opportunities to talk with patients about the condition
Join us for the fifth annual Pinnacle Awards program, which celebrates the medical marketing industry’s most venerable marketers, strategists and creators.
Get to know each of these companies by learning about their culture
How artificial intelligence can deliver more meaningful business outcomes for marketers
advertisers can achieve big lifts in awareness and sales of their medications among all demographics
In a world where healthcare is moving fast
HCG is spearheading the charge to turn scientific potential into real-world impact
Register for free and enjoy unlimited access to:
The US Food and Drug Administration has ruled that GlaxoSmithKline may remove boxed warning labels from several inhaled corticosteroid/long-acting beta2 agonist (ICS/LABA) combination medications
according to a press release.1 Warnings and Precautions labeling for ICS/LABA-class medications was also updated
The list of medications includes Breo Ellipta® (fluticasone furoate/vilanterol)
Advair® Diskus (fluticasone propionate/salmeterol)
The FDA decision follows review of data from 4 randomized controlled safety trials
two of which were submitted by GlaxoSmithKline
The first trial (AUSTRI, SAS115359; ClinicalTrials.gov Identifier: NCT01475721) was a 26-week study of controller treatment in adolescents and adults with asthma
Researchers sought to determine if LABA plus ICS therapy was noninferior to ICS therapy alone concerning the risk of a composite of several serious adverse events
Full study results were published in The New England Journal of Medicine.2
The second trial (VESTRI, SAS115358; ClinicalTrials.gov Identifier: NCT01462344) also examined if the addition of LABA to ICS therapy is noninferior to ICS therapy alone in patients between 4 and 11 years of age
Primary analyses included the risk of a composite of serious asthma-related adverse events
Full study results were also published in The New England Journal of Medicine.3
The most common adverse reactions associated with Advair Diskus and HFA include upper respiratory tract infection
The most common adverse reactions associated with Breo are nasopharyngitis
You’ve viewed {{metering-count}} of {{metering-total}} articles this month
Don’t miss out on today’s top content on Pulmonology Advisor
Register for free and gain unlimited access to:
Robert Lowes
Canadian regulators have approved the dry powder combination of fluticasone furoate and vilanterol (Breo Ellipta, GlaxoSmithKline/Theravance) for once-a-day treatment of asthma in adults with reversible obstructive airways disease
Health Canada approved two strengths of FF/VI (100/25 and 200/25 μg) for the new asthma indication
The drug is not indicated for patients whose asthma can be managed with low- or medium-dose inhaled corticosteroids; occasional use of a rapid-onset
inhaled beta-agonist; or a combination of the two therapies
increase the risk for asthma-related death
Clinical trial evidence also suggests LABAs boost the chances of asthma-related hospitalization for children and adolescents
clinicians should only prescribe VV/FI for patients who cannot adequately control their asthma with a long-term medication such as an inhaled corticosteroid
or whose disease severity warrants both an inhaled corticosteroid and a LABA
Clinicians should regularly assess the patient once he or she achieves and maintains asthma control
The FDA gave FF/VI a green light for asthma in April
Robert Lowes is a journalist for Medscape Medical News
A former senior editor at Medical Economics magazine and contributor to numerous healthcare publications
Robert has covered medicine from almost every conceivable angle — public policy
His articles have won major awards such as first place in the annual journalism competition of the National Institute for Health Care Management
and several have been republished in books
He can be contacted at rlowes@medscape.net
Propeller Health recently announced that its Propeller platform has received 510(k) marketing clearance from the U.S. Food and Drug Administration (FDA) for use with Breo Ellipta
entered into a research and development agreement that led to the creation of the sensor for Breo Ellipta
“We are pleased to announce the FDA clearance of the Propeller platform for use with GSK’s Ellipta inhaler,” David Van Sickle, Propeller’s co-founder and CEO, said in a press release
“Inclusion of GSK’s Ellipta inhaler in Propeller’s digitally-guided therapy platform is an important step in our goal of modernizing the management of respiratory disease.”
Van Sickle said Propeller will be working closely with GSK to deploy sensors for the Ellipta inhaler in the U.S
the Propeller platform has been used by patients with chronic obstructive pulmonary disease (COPD) and asthma in 45 commercial programs nationwide
Propeller aims to help patients and their physicians improve COPD and asthma standard of care as well as improve the symptoms and outcomes of these chronic diseases
The FDA clearance follows CE Mark and Health Canada registration for the Propeller platform and system earlier this year
and marks the eighth time the FDA has cleared a Propeller product nationally and internationally
Breo Ellipta inhalation powder contains a combination of fluticasone (a steroid) and vilanterol (a bronchodilator)
It prevents the release of substances in the body that cause inflammation and relaxes the muscles in the airways in order to improve breathing
Breo Ellipta is to be used once-daily by COPD and asthma patients to help improve symptoms and prevent bronchospasm or asthma attacks
Breo Ellipta is indicated for long-term treatment
the inhaler is a short-term therapy until symptoms are controlled with other medicines
“While it is still in the early stages of development
the emerging field of digital healthcare holds great promise for respiratory medicine,” said Dave Allen
head of respiratory research and development at GSK
“The approval of the Propeller platform for use with the Ellipta inhaler will help us understand how patients interact with the Ellipta inhaler accurately and in real-time.”
“By exploring the benefits of sensor technology in this way
we hope to gain valuable insights into usage patterns with the ultimate goal of driving improvements in patient care while reducing the complexity and cost of clinical trial,” Allen added
The FDA’s 510(k) clearance permits the company to market the device using the 501(k) pathway
which allows the FDA to determine whether the product is equivalent to other products before marketing approval
Medical device manufacturers are required to submit a pre-market notification if they intend to introduce a device into commercial distribution for the first time
or reintroduce a device that will be significantly changed or altered
This site is strictly a news and information website about the disease
This content is not intended to be a substitute for professional medical advice
Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition
Never disregard professional medical advice or delay in seeking it because of something you have read on this website
Subscription boxes have become so ubiquitous — I pass by plenty on my building's doorstep each day.
there's a subscription box to match — but that doesn't mean they've lost their novelty entirely
Subscriptions are still a fun way to discover cool
and make life easier by having things you love sent to your door on a regular basis
but rather just makes it its mission to help subscribers discover cool stuff
Breo Box is a seasonal subscription box filled with five to eight useful
interesting products curated for the season
The products are packed into a durable wood box, sent to your door every three months
You can choose from either a seasonal or annual subscription of Breo Box
Both deliver the same box at the same time (every three months)
A seasonal subscription is paid out four times a year
with each payment ranging between $139-$159 (some boxes are more expensive than others)
or just skip a box if you don't want to receive one for any given season.
whether to try the service for yourself or gift to a friend
the Spring 2020 box included a PhoneSoap Pro
and more; the Winter 2019 included an Ekho HD Video Drone
there was a card listing the products included
and how much they would have cost if you chose to buy them individually
The box contained five items: an Ehko Waterproof Camera
Inventions Li'l Dipper (basically a heated mini ice cream scooper that can get through your rock-hard pint of Ben & Jerry's)
Having only five products in the box was on the lower end of the spectrum
especially considering all of the products are full-sized
many of the products in the box weren't ones that I would use in my everyday life
there were some I enjoyed using and probably wouldn't have discovered without Breo Box
relatively small size (perfect for countertops)
which lets you seamlessly store your concentrate in the fridge to keep it fresh.
but also because I probably never would have come across it on my own
Dodow is a French company with a fresh take on sleep aids
The one I got is a small device that uses a light system to help lull you to sleep
Tap the Dodow lightly and it will project a pulsing light onto the ceiling
The projected light will expand and retract over the course of either eight or 20 minutes (whatever you choose)
By syncing your breathing with Dodow's pulsing light
you bring your breathing rate down significantly
ultimately slowing down your metabolism and helping you relax
If your mind is racing with ideas and thoughts before bed
focusing on this light is a simple way to slow everything down and help you fall asleep quickly.
it's worth considering that any of the products inside the box would make great individual gifts
you may still get a relatively good value from it
this is an easy but still creative option.
The downfall is sometimes you may not love all the products or want to use them at all
If you can reconcile that idea with the price
creative service that'll bring unique and interesting finds to your doorstep.
Results from a phase 3 trial evaluating Trelegy Ellipta (fluticasone furoate/umeclidinium/vilanterol; GlaxoSmithKline) in patients with uncontrolled asthma showed that the single inhaler triple therapy provided a significant improvement in lung function when compared with Breo Ellipta (fluticasone furoate/vilanterol; GlaxoSmithKline)
Trelegy Ellipta is currently approved by the Food and Drug Administration (FDA) for the long-term maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD)
including chronic bronchitis and/or emphysema
It is also indicated to reduce exacerbations of COPD in patients with a history of exacerbations
In the CAPTAIN (Clinical study of Asthma Patients receiving Triple therapy through A single INhaler) study
patients whose asthma was inadequately controlled despite treatment with inhaled corticosteroid (ICS)/long-acting beta-2 agonist (LABA) maintenance asthma medication were randomized to receive Trelegy Ellipta or Breo Ellipta once daily
Patients were assigned to 6 different treatment arms: Trelegy Ellipta 100/31.25/25
The primary endpoint of the study was change from baseline in trough forced expiratory volume in 1 second (FEV1) at 24 weeks; annualized rate of moderate/severe asthma exacerbations was designated as a secondary endpoint
the study investigated 2 additional doses of Trelegy: 100/31.25/25mcg and 200/31.25/25mcg; increases in trough FEV1 were found to be of similar magnitude to those seen with the 100/62.5/25mcg and 200/62.5/25mcg doses
data will be submitted for regulatory review to the FDA for a potential asthma indication once the full dataset is available
For more information visit gsk.com
This article originally appeared on MPR
the content you were looking for was not found
Sorry, we couldn’t find that content. We suggest you start with our Home Page
At IPWatchdog.com our focus is on the business
policy and substance of patents and other forms of intellectual property
Today IPWatchdog is recognized as the leading sources for news and information in the patent and innovation industries
Images on IPWatchdog Primarily Provided by
Our website uses cookies to provide you with a better experience. Read our privacy policy for more information.Accept and Close
After working as part of the editorial team for Medical News Today
Markus wrote a large body of medical information articles for our Knowledge Center
he has qualifications in medical science and science communication and enjoys photography
Dr. Raj Dasgupta is an ABMS quadruple board certified physician specializing in internal medicine
He practices at the University of Southern California
where he is an associate professor of clinical medicine
assistant program director of the internal medicine residency program
and the associate program director of the sleep medicine fellowship
Dasgupta is an active clinical researcher and has been teaching around the world for more than 18 years
Beth lives in London and works as a freelance writer on a range of projects
Along with writing regular articles for Medical News Today
This involves recording minutes for conferences
and documenting their process of curating art exhibitions
She earned her undergraduate degree at West Chester University in Pennsylvania and is completing her master’s degree at Dartmouth College in Hanover
Lindsey runs a successful content marketing business and works with clients all over the world to create content that shines for blogs
She is a voracious reader and insatiable traveler
and spending quality time with family and friends
Zia Sherrell is a health copywriter and digital health journalist with over a decade of experience covering diverse topics from public health to medical cannabis
Her mission is to empower and educate people by bringing health matters to life with engaging
Zia enjoys traveling and chasing after her dogs
Bronchodilators and lifestyle measures can help manage it
A person with COPD may have chronic bronchitis, emphysema
These issues limit the functioning of the airways and cause trouble breathing
People with COPD may also have a higher risk of severe COVID-19 symptoms. Learn more here.
Someone with COPD may have one or both of these issues
and the severity of each varies from person to person
Emphysema damages the air sacs of the lungs
The lungs lose their elasticity and are no longer able to exchange oxygen and carbon dioxide efficiently
Chronic bronchitis involves inflammation of the lining of the airways
This results in increased production and thickening of mucus
Bronchitis becomes chronic when it persists and resists treatment
Asthma symptoms may be part of COPD, and a history of asthma can increase the risk of developing the condition
which spasm and overreact to inhaled substances
COPD is a lifelong issue involving irreversible damage to the lungs and worsening difficulty breathing and airway obstruction
A person with advanced COPD may be unable to climb the stairs or cook
They may need medications and supplementary oxygen
In 2014, COPD was the third leading cause of death in the United States
A person with severe symptoms may also have:
Anyone with any severe symptoms should receive immediate medical care
If symptoms are mild, a person may not realize that they have COPD. Almost 6.4% of the U.S
but its actual prevalence may be far more extensive
Here, find tips to stop wheezing.
Explore it with the mouse pad or touchscreen
In the U.S., as many as 75% of people with COPD smoke or once did
there is usually an underlying health issue
Asthma can increase the risk of COPD because it inflames and narrows the airways
treatment can usually reverse any damage resulting from asthma
Various conditions can cause coughing and breathing problems
these symptoms persist and worsen over time
To identify COPD
measures the amount and speed of airflow during a short breath
The person blows hard into a tube attached to a device called spirometer
This and similar tests can help rule out other conditions or indicate COPD
The doctor will also use the Global Initiative for Chronic Obstructive Lung Disease guidelines to assess COPD symptoms and the risk of them worsening
Treatment involves managing the symptoms to improve the quality of life
and slow the progression of the health issues involved
Quitting smoking can help improve COPD symptoms and slow its progression
Here, learn about managing nicotine withdrawal.
Whenever possible, people should reduce their exposure to air pollutants
Medications can help manage COPD symptoms and prevent complications
To help ease breathing, a doctor may prescribe an inhaler that contains a number of drugs. For example, to relax the muscles around the airways and make breathing easier, an inhaler may contain a medication called a bronchodilator
An inhaler may also contain a glucocorticoid, a type of corticosteroid that can reduce inflammation in the airways
They act quickly and are effective for a few hours
They can make breathing easier during a COPD flare-up
the doctor may adjust the medication regimen to help control worsening symptoms and flare-ups
They may also recommend antibiotics to manage any acute bacterial infection that develops, as well as vaccination to ward off the flu and pneumonia
A person with COPD who has effective inhaled treatment may still experience reoccurring flare-ups that require hospital care
the doctor may recommend the oral anti-inflammatory medication roflumilast (Daliresp) or the oral antibiotic azithromycin (Zithromax) to reduce the frequency of flare-ups.Doctors largely base their choice on anticipated side effects
as researchers have yet to directly compare the efficacy of the two medications
Learn more about how to manage a COPD flare-up.
which involves breathing oxygen through a device — a mask or nasal prongs — attached to a tank
either continuously or only at certain times of the day
Some procedures that may be an option for certain people with COPD include:
A surgeon needs special training and equipment to place endobronchial valves
Various measures can help reduce the impact and progression of COPD
These can counter breathlessness, and some examples include pursed-lip breathing and diaphragmatic breathing
Here, learn other techniques to relieve shortness of breath.
Pulmonary rehabilitation aims to help people maximize their activity levels and quality of life
Here, find other natural ways to manage COPD symptoms.
People with COPD are more likely to experience:
Following up with the healthcare team and attending all medical appointments can help prevent or manage complications
COPD can be life-threatening, and a person’s life expectancy largely depends on whether they smoke and the severity of existing lung damage
People who smoke and have advanced COPD may lose around 6 years of their life expectancies
apart from the 4 years that smoking itself takes away
and people who smoke can reduce their risk by quitting as soon as possible
COPD is an irreversible lung condition that causes difficulty breathing
Someone with COPD may have chronic bronchitis
but treatment can help manage the symptoms and enhance the quality of life
Anyone who receives a COPD diagnosis should take action to protect their lungs
Find more tips for preserving lung health here.
we are committed to developing the next generation of leaders in biomedical research
We provide top quality education and training and an invigorating scientific atmosphere that equips our trainees with the tools to tackle the challenges of tomorrow
Embedded within the Health Sciences Office of the AVP for Research
the Biomedical Research Education Office (BREO) aims to foster an exceptional training environment rooted in evidence-based practices and a holistic approach that equips our trainees with the tools to tackle the biomedical challenges of tomorrow and the skills to identify and obtain fulfilling careers in science
At U of U Health, we invest in the next generation of scientific leaders as much as we do in our cutting-edge research
We have an extraordinary number of outstanding research graduate programs
You can choose from interdepartmental programs in addition to our department PhD
Postdoctoral fellows enrich the robust research enterprise at the University of Utah
We place a high value on your deep expertise and the contributions you will make while you train with us
Our focus is to connect you with the abundant resources at your disposal to become a successful
The Biomedical Research Education Office provides services and resources to support faculty as they develop T32 applications and administer funded research programs
there are a number of administrative tasks that need to be completed to ensure compliance with NIH and maintenance of benefits at the university
The Biomedical Research Education Office provides services and resources to support the Training Grant Community navigate this process
Resources are available for trainees and administrators
The Biomedical Research Education Office is committed to offering graduate students
and post-baccalaureate participants rigorous curriculum and active guidance so that they can accomplish professional growth
and successful careers in the field of biomedical sciences
recognized for his research on cell growth and proliferation
was elected to the prestigious National Academy of Sciences for his pioneering work and contributions to science
Trained and genetic differences could help the women survive the intense physiological stresses of free-diving—and could ultimately lead to better treatments for blood pressure disorders
Disease modeling research suggests that for some cholera outbreaks
prescribing antibiotics more aggressively could slow or stop the spread of the disease and even reduce the likelihood of antibiotic resistance
A team of researchers has used advanced DNA sequencing to develop the most comprehensive atlas yet of genetic change through generations
laying the foundations for new insights into the roots..
Research in the Sundquist lab laid the foundations for the development of lenacapavir
a drug that prevents HIV infection with 99.9% to 100% efficacy and could dramatically lower infection rates..
leadership is actively advocating for research and planning strategically for the future
We have developed guidelines and a worksheet to help researchers who have received..
A new workshop series will focus on how to talk
and post about research for broad audiences
Leading scientists joined forces to explore how the microbes that live in and on our bodies can be leveraged to provide real-world solutions and improve health care
one of the most contagious hospital-acquired infections
spreads more than three times more than previously thought
What if buildings could be made smarter and more sustainable by engaging with their occupants
Changing colors indicate energy usage. Image © Bruce DamonteGoing beyond the concept of smart buildings
the project leverages human intelligence by creating a responsive system that communicates real-time resource usage
The system equips buildings with “express” data from building electrical
and audiovisual systems through sensory outputs
Bridging the gap between building systems and their occupants
BREO assures that people are not only aware of their environmental impact but are also empowered to make changes
The system leverages human senses to communicate resource benchmarking
ensuring occupants can readily discern whether the building is in a positive
or negative state about its resource usage
While the project is still in the research phases
it has seen promising prototypes that seek to enhance occupants' relationships with buildings
Related Article Energy Efficiency Now Offers a Technical Justification for Colors
The sensory technology used in the BREO project represents a significant departure from the current approach to building management. Going beyond efforts of greening buildings, BREO views sustainable development in a more holistic light. The occupants of a building are a key factor in the broader system of building design. The human "hive mind" is pivotal in fostering sustainability and solving wicked problems related to climate change.
This article is part of the ArchDaily Topics: Decarbonize Architecture presented by Holcim
This series explores how cities of the future can be low-carbon
Every month we explore a topic in-depth through articles, interviews, news, and architecture projects. We invite you to learn more about our ArchDaily Topics. And, as always, at ArchDaily we welcome the contributions of our readers; if you want to submit an article or project, contact us
You'll now receive updates based on what you follow
Personalize your stream and start following your favorite authors
If you have done all of this and still can't find the email
In Asthma, News
GlaxoSmithKline (GSK) and VIBATIV® (telavancin) developer Theravance Biopharma
have just been granted Canadian approval for Breo Ellipta
a once-a-day maintenance treatment for asthma in patients who are at least 18 years old and have reversible obstructive airways disease
delivers a fixed-dose combination of inhaled corticosteroid fluticasone furoate and long-acting beta2-agonist (LABA) vilanterol
BREO® ELLIPTA® was also approved in Canada as a maintenance treatment for airflow obstruction in patients with COPD
Breo Ellipta will soon be available as an asthma treatment in the country in two dosages: 100/25mcg and 200/25mcg
GSK Canada country medical officer Sally Taylor said
a GSK asthma treatment approved in Canada now provides physicians with a once-daily treatment option delivered via the Ellipta inhaler to meet the needs of appropriate adult patients.”
Theravance president and chief executive officer Michael Aguiar said: “With today’s approval of Breo Ellipta in Canada
we are pleased to expand the number of patients able to benefit from this important medicine
As a once-daily ICS/LABA treatment for adults with asthma
people suffering from this chronic condition now have an additional option.”
RELVAR®/BREO® ELLIPTA® has been approved in 58 countries for marketing and has been launched in 36 countries as of December 31
In other recent asthma news, a study recently published in the journal Annals of Allergy, Asthma and Immunology showed that inhaled tiotropium is a safe and effective therapy for adolescents with moderate to severe asthma
The study conducted by researchers at the Hospital Central de las Fuerzas Armadas in Uruguay and the Pontificia Universidad Católica de Chile in Chile
and is entitled “Tiotropium for the treatment of adolescents with moderate to severe symptomatic asthma: a systematic review with meta-analysis.”
Researchers found that tiotropium therapy was associated with a significant improvement in FEV1 in comparison to patients under a placebo treatment
tiotropium was also found to reduce the number of patients experiencing a worse asthma exacerbation or episode
and also the number of patients with at least one exacerbation in comparison to patients in the placebo group
The team found no significant differences between tiotropium therapy and placebo in terms of rescue medication use
Tagged asthma, Breo Ellipta, Canada, GlaxoSmithKline, Theravance Biopharma
You must be logged in to post a comment
The deal hints at new threats to GSK's respiratory portfolio
which also faces challenges from brand-name rivals and pricing pressures
Hikma said it will work with Vectura on at least three generic versions of Ellipta products
while development of the Open-Inhale-Close dry power inhaler could yield copies to as many as five GSK medicines
Ellipta products are a core part of GSK's respiratory business, earning nearly a third of the pharma's total sales for the segment during the third quarter
Breo Ellipta (fluticasone furoate/vilanterol) — sold as Relvar Ellipta in other markets — is the largest product of the five marketed Ellipta products
Company executives are already warning investors that Breo is the most vulnerable of the Ellipta products when generics to Advair (fluticasone/salmetrol) enter the market
currently GSK's top-selling respiratory drug
have fallen steadily in recent quarters and are expected to tumble further with generic competition
Hikma has attempted to win approval of a generic Advair copy before, only to have the Food and Drug Administration reject its application
The threats have GSK focusing more on its biologic Nucala (mepolizumab) as well as its newly approved three-in-one inhaler Trelegy Ellipta (fluticasone fuorate/umeclidinium/vilanterol)
Get the free daily newsletter read by industry experts
Striking study results last year indicated a new type of medicine may improve on Merck’s immunotherapy
spurring a wave of research practically overnight
and research into drugs that might treat it draws scant funding — problems that have deep roots
The free newsletter covering the top industry headlines
— The Food and Drug Administration has approved the first inhaler combining three medicines to ease breathing in patients with emphysema or chronic bronchitis
The FDA late Monday approved sales of Trelegy Ellipta
developed jointly by GlaxoSmithKline PLC and Innoviva Inc
It contains three widely used types of medicine to prevent — rather than treat —flare-ups of the life-threatening breathing disorders
patients inhale the medicines through their mouth to open breathing passages and reduce inflammation that can make breathing difficult in people with chronic obstructive pulmonary disease
requiring patients to add more medicines to prevent flare-ups that can land them in the emergency department — or worse
Many patients use two inhaler types plus other medicines
An estimated 384 million people worldwide have chronic obstructive pulmonary disease
which can make everyday activities such as walking up stairs difficult
It's usually caused by cigarette smoking or exposure to secondhand smoke
chemical fumes or excess dust in the environment
U.K.-based GlaxoSmithKline is launching Trelegy with a list price of $530 per month
That's $146 a month cheaper than the combined prices of two GlaxoSmithKline inhalers that together contain the same three medicines: Incruse Ellipta and Breo Ellipta
The medicines are an inflammation-reducing steroid called fluticasone furoate
drugs that widen narrowed airways and relax their muscles
Common side effects include headaches and other pain
Vilanterol and similar drugs carry an increased risk of asthma-related death
Trelegy also can worsen glaucoma and certain infections
Insurers and prescription benefit managers likely will win significant discounts off the $530 retail price in exchange for covering Trelegy
those payers may pass all or much of the savings on to employers and other clients
rather than reducing patients' out-of-pocket costs
should help the company rebuild its flagship respiratory medicine business
thanks to its widely used allergy drug Flonase and its Flovent and Advair inhalers
and the drugmaker now sells a nonprescription version
which provided about one-third of Glaxo's revenue for many years
also has seen increasing competition in recent years
Advair sales are down by more than half since their peak of $8.15 billion in 2011 and are expected to decline to just $1.43 billion by 2020
and the Anoro inhaler launched in 2013 have barely made up for one-sixth of that lost
UK pharma major GlaxoSmithKline (LSE: GSK) and US partner Theravance (Nasdaq: THRX) today announced that Breo Ellipta (fluticasone furoate and vilanterol inhalation powder) for chronic obstructive pulmonary disease (COPD) is available to US pharmacies
Breo Ellipta was cleared for marketing earlier this year by the US Food and Drug Administration
and has been hailed as having blockbuster potential
with peak sales estimates of as much at $4 billion
The drug is a combination of the inhaled corticosteroid (ICS) fluticasone furoate and the long-acting beta2-agonist (LABA) vilanterol
maintenance treatment of airflow obstruction in patients with COPD
It is intended to reduce exacerbations of COPD in patients with a history of exacerbations
TwitterLinkedin Copyright © The Pharma Letter 2025 | Headless Content Management with Blaze
This slideshow reviews drug information for BREO ELLIPTA (fluticasone furoate, vilanterol). Click here for the complete BREO ELLIPTA new product monograph
the heating panel promotes blood circulation for relaxing warmth
the Breo iSeeM has a concave curved surface to protect and pamper the eyeballs and provide maximum comfort
And the seal allows you to adjust the fit to suit your face shape
the elastic hand hugs every head shape and size
so you can take it on the go and store it conveniently
Like James Brown's "brand new bag," the Berklee Really Eclectic Orchestra (BREO) brings something innovative to the musical scene: a chance for young string players to get together and explore contemporary pop styles, such as jazz, funk, rock and fusion. Founded last fall by Arlington resident and Berklee associate professor Mimi Rabson
BREO is an ensemble for Boston-area high school students who want to learn how to improvise and perform in a variety of musical genres
decided she wanted to play pop music at a fairly young age
"When I was in high school," Rabson recalled
"I found there was this big disconnect between the music I was doing for my lessons
and the music I listened to at home for fun
I knew there was no clear path to where I wanted to go
Rabson's older sister, Ann, who had launched a successful career as a blues musician, bought Rabson her first jazz album, as well as recordings featuring violinists Papa John Creach and Don "Sugarcane" Harris
"That gave me the idea that it's possible to play different kinds of music on the violin," Rabson said
To join BREO, send an e-mail to PerformanceDivision[@]berklee.edu with the subject line "RSVP for BREO Jam" or call 671-747-6276. For more information, visit www.berklee.edu/BREO or use the above e-mail address
While at New England Conservatory (NEC), a friend of Rabson's who was a jazz saxophone player introduced her to the Real Book, the standard compendium of jazz tunes, and explained how to use it. "That opened up a bunch of doors," she noted. Also while at NEC Rabson became one of the founding members of the Klezmer Conservatory Band
"What I loved about that was that I could play with a drummer
It was great to be able to do it," Rabson said
"I have nothing against classical training; I'm grateful for it
and all string players should have it," Rabson asserted
"but it's nice to have some alternatives and be trained in those alternatives
it's difficult for string players to get that kind of training
In BREO there's no sheet music; everything is learned by ear
"We're lucky that there's a way to preserve music in written form," she noted
"but if composers of the past had been able to make recordings on their phones
I wonder whether we would have written music."
"there's a lot of stuff you can't write down
the way written music is played depends on the person reading it
"Classical musicians are trained to read notes and make a specific sound," Rabson said
"but someone who's had jazz training will look at the same exact notes and rhythms
Notes on the page are really a small part of what's in the music."
may be concerned that playing pop or jazz may have a negative effect on their classical technique
"Even in the world of classical music," she said
"you use different techniques for playing Renaissance
People play in a variety of styles every day
They're not mutually exclusive; they're complementary
Rabson mentioned that a number of classically trained violinists
"They play in lots of styles," Rabson said
Having run a similar ensemble for Berklee College students for the last 15 years and one for the Berklee Five-Week Summer Performance Program for half a decade
Rabson sees BREO as a natural outgrowth of that experience
"Berklee is the only place to do this," Rabson said
thanking the administrators who have supported her in developing the idea
vice president of special programs; Matt Marvuglio
dean of the Professional Performance Division; David Wallace
chairman of the String Department; Krystal Banfield
dean of Berklee City Music; and Robert Doezema and John Pierce
associate directors of the Five-Week Performance Program
"I'd like to see this model spring up in other music programs and have other teachers doing it
she would like to have several BREO ensembles at different levels
and they're scheduled on Friday nights so they don't conflict with Boston Youth Symphony Orchestras or NEC Prep offerings
(See sidebar for information about how to join.)
I was nervous when I first tried to improvise
but now I can do it fluently in three keys." Zhu concurred: "BREO lets us think creatively
You get to meet a lot of new people from all around Boston
and you can just chill out and jam with them."
Arlington High School instrumental music director Sabato ("Tino") D'Agostino
also thinks highly of what BREO has to offer
"The contrast among genres is helpful for students," he said
"By widening their repertoire of music and techniques
They're adding something to their vocabulary; it's like learning a new language."
I've been looking for ways to connect different genres of music with my instrument," Rabson observed
Many professional musicians have told me they wish they’d had a similar ensemble when they were in high school
There's no reason to be a musician if you don't love it."
This story by YourArlington feature writer Carla DeFord was published Thursday
An informed Arlingtonkeeps democracy alive
YourArlington is a 501(c)(3) nonprofit.Your contributions are tax-deductible
yourArlington.com • Massachusetts residents report about their town
Liebling: "Freedom of the press belongs to those who own one." | Copyright © 2006-2025
site design: msgdesign.org
Support Turkey Earthquake Emergency Relief
Retailers are expanding their horizons in China by reaching into new categories and extending product lines to increase selection
In preparation for this year’s 6.18 Mid-Year Shopping Festival, brands tapped consumer insights from Alibaba Group’s product development arm Tmall Innovation Center (TMIC)
“There’s a limit in trying to reach new customers in the competitive retail environment in China
because most of the consumer segments have been covered,” said Xie Wei
Tmall Industry Development and Operation Center
Large consumer goods companies spend an average of $1.4 billion in research and development (R&D) each year to bring new products to market, or 2-3% of their net sales, according to research by consulting group Bain & Company
product innovations may account for up to 30% of their resources
When British multinational Unilever worked with Alibaba to co-create products for China
it leaned on Tmall’s data center to mine consumer insights
discover innovative technology and understand relevant trends in the market
the partners launched a brand called Purify and tested it with a small run to around 10,000 consumers
then tweaked aspects such as packaging ahead of scaling production
“It really depends on the partner and their ability and appetite to co-create and launch products together – that’s where the joint value creation comes from,” said Claire Hennah, Beauty & Wellbeing Chief Customer & Digital Officer at Unilever at the ShopTalk conference in London
the co-created product stalled as Covid hit and slowed demand in China and the partners decided that the timing was not right
“The best partnerships have been when it is a partnership
That includes knowing when something doesn’t work,” said Hennah
“That’s an example of trust on both sides.”
New product launches can be risky, so when brands want to take the leap, TMIC’s artificial intelligence-powered Knowledge Hub is critical to pinpointing consumer demands
“The data-driven approach helps set a clear goal for our R&D
making it much faster for us to launch a new product,” said Jennifer Liu
e-commerce general manager at Chinese wellness retailer Breo
Breo has created a handful of eye-area massage devices
but sales hit a ceiling a few years after launch
the brand refined its scope to target young female consumers
They often buy eye massage gadgets but use them infrequently because they are concerned about their makeup smudging
TMIC’s data analytics suggested pivoting from eye area massaging to eye hydration
an area that is growing in demand with prolonged computer and cellphone use among young office workers
The device should also not ruin their makeup
Breo quickly acted on this and in April launched a glass-like wearable that releases hydrating mist to calm and sooth
It sold more than 5,000 units in four days and ranked as the top eye device for 6.18 presales between May 31 and June 3
consumers are eager to try new products and new ways of buying
This attitude is most prevalent among the fast-growing cohort of Generation Z consumers, who are most likely to “buy products on the go,” according to consultancy McKinsey
and TMIC supports this effort by cutting the average product incubation time from 18 months to just six
“Consumer demands in the market change fast
If it takes around a year for a product to launch
trends would have changed by then,” said Xie
Brands stuck in this rut risk missing out on evolving consumer tastes and behaviors
TMIC’s more streamlined and data-driven development process helped Breo launch its latest eye massager in half the time
The consumer-driven way of product innovation brings brands more certainty in growth
and it also pushes brands for a digital upgrade of their company structure and supply chain
TMIC has helped more than 2,500 brands accelerate their research and development processes
Stay updated on the digital economy with our free weekly newsletter
It is not indicated for relief of acute bronchospasm or for the treatment of asthma," the company said in a news release.
The FDA first approved Trelegy Ellipta in September 2017 for the long-term
once-daily maintenance treatment of COPD patients who are receiving Breo Ellipta (fluticasone furoate/vilanterol) and require additional bronchodilation or who are receiving Breo Ellipta and Incruse Ellipta (umeclidinium)
Approval for the expanded indication is based on data from Informing the Pathway of COPD Treatment (IMPACT) study involving more than 10,000 patients
The study found that Trelegy Ellipta was superior to Breo Ellipta and Anoro Ellipta (umeclidinium/vilanterol) on multiple clinically important endpoints
including reducing exacerbations and improving lung function and health-related quality of life
"Up to half of patients with COPD on maintenance therapy will have experienced at least one exacerbation in the past 12 months
so gaining an indication that reflects the role Trelegy Ellipta can play in reducing this risk is important," Ted Witek
"We welcome this regulatory update which will allow physicians to offer the benefits of once-daily single inhaler triple therapy to appropriate patients with COPD."
Full prescribing information for Trelegy Ellipta is available online
For more news, join us on Facebook and Twitter
US pharma giant GlaxoSmithKline (LSE: GSK) and US partner Theravance (Nasdaq: THRX) have submitted a supplemental New Drug Application (sNDA) to the US Food and Drug Administration for a fixed dose combination of the inhaled corticosteroid
fluticasone furoate and the long-acting beta2 agonist
vilanterol (FF/VI) as a once-daily treatment for asthma in patients aged 12 years and older
The sNDA is seeking approval for two dose regimens
Today’s filing is based on data generated from the comprehensive clinical development program for FF/VI in asthma
The clinical development program comprised 48 clinical pharmacology studies in 1,328 subjects and 23 clinical studies in 12,051 patients with asthma
including the Phase III efficacy and safety study of FF/VI reported in December 2013
All 5 Releases