title: Spotlight on fluticasone furoate/vilanterol trifenatate for the once-daily treatment of asthma: design, development and place in therapy.
abstract: The use of inhaled corticosteroids (ICSs) plays a key role in the treatment of asthmatic patients, and international guidelines have designated ICSs as an early maintenance therapy in controlling asthma symptoms. When asthmatic patients remain symptomatic on ICSs, one common option is to add a long-acting beta2agonist (LABA) to the maintenance treatment. Fixed combination inhalers that contain both an ICS and a LABA have been popular for both chronic obstructive pulmonary disease (COPD) and asthma. Historically, these inhalers have been dosed twice daily. However, currently, there is a once-daily combination therapy with the ICS fluticasone furoate (FF) and the LABA vilanterol trifenatate (VI) with indications for use in both COPD and asthma. This dry powder inhaler (DPI) comes in two doses of FF (100 or 200 μg) both combined with VI (25 μg). This article reviews the clinical trial data for FF, VI and FF/VI combination inhalers and documents the efficacy and safety of once-daily inhaled maintenance therapy by DPI in asthmatic patients.
authors.affiliation: Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine; Department of Emergency Medicine, School of Medicine, UC Davis, Sacramento; Department of Medicine, Veterans Administration Northern California Health Care System, Mather, CA, USA.
authors.forename: Timothy E
authors.initials: TE
authors.lastname: Albertson
authors.affiliation: Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine; Department of Medicine, Veterans Administration Northern California Health Care System, Mather, CA, USA.
authors.forename: Samuel W
authors.initials: SW
authors.lastname: Bullick
authors.affiliation: Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine.
authors.forename: Michael
authors.initials: M
authors.lastname: Schivo
authors.affiliation: Department of Emergency Medicine, School of Medicine, UC Davis, Sacramento; Department of Medicine, Veterans Administration Northern California Health Care System, Mather, CA, USA.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Sutter
mesh_terms: D000280:Administration, Inhalation; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage* / Q000737:chemistry / Q000494:pharmacology*; D058666:Adrenergic beta-2 Receptor Agonists / Q000008:administration & dosage* / Q000737:chemistry / Q000494:pharmacology; D000730:Androstadienes / Q000008:administration & dosage / Q000737:chemistry / Q000494:pharmacology*; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage* / Q000737:chemistry / Q000494:pharmacology*; D001249:Asthma / Q000188:drug therapy*; D001592:Benzyl Alcohols / Q000008:administration & dosage / Q000737:chemistry / Q000494:pharmacology*; D002722:Chlorobenzenes / Q000008:administration & dosage / Q000737:chemistry / Q000494:pharmacology*; D004334:Drug Administration Schedule; D058995:Dry Powder Inhalers / Q000295:instrumentation*; D006801:Humans
chemical_list: D000305:Adrenal Cortex Hormones; D058666:Adrenergic beta-2 Receptor Agonists; D000730:Androstadienes; D018927:Anti-Asthmatic Agents; D001592:Benzyl Alcohols; D002722:Chlorobenzenes; C550468:vilanterol; C523187:fluticasone furoate
keywords: asthma; combined inhaler; dry powder inhaler; fluticasone furoate/vilanterol trifenatate; inhaled corticosteroid; long-acting beta2 agonist; persistent asthma