7 research outputs found
Hydrogen peroxide at a concentration used during neurosurgery disrupts ciliary function and causes extensive damage to the ciliated ependyma of the brain
- Author
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Motile Cilia and Brain Function: Ependymal Motile Cilia Development, Organization, Function and Their Associated Pathologies
- Author
- A Capela
- A Lavado
- AD Tramontin
- AI Danilov
- AL Ferri
- AS Shah
- B Banizs
- B Guirao
- B Guirao
- B Mitchell
- BV Jacquet
- CF Calvo
- D Baas
- DA Lim
- DE Scott
- DJ Martens
- E Bonnafe
- EA Bering Jr
- EM Rodríguez
- ER Dirksen
- F Doetsch
- F Doetsch
- F Tissir
- H Hu
- I Ibanez-Tallon
- I Ibanez-Tallon
- J-C Sabourin
- JA Miyan
- JE Bruni
- JE Bruni
- JG Veening
- JL Stubbs
- JM Soria
- JR Genzen
- K Kunimoto
- K Narita
- K Sawamoto
- KF Lechtreck
- KT Nguyen-Ba-Charvet
- L Zein El
- LK Hamilton
- M Harandi
- M Salathe
- MA Zariwala
- MB Segal
- MB Segal
- ME Wagshul
- MJ Sanderson
- MR Bigio Del
- N Spassky
- P Paez-Gonzalez
- P Rakic
- P Swoboda
- R Dubruille
- RS Cathcart 3rd
- SE Schutzer
- SL Brody
- SR Robinson
- T Nguyen
- T Town
- TF Hayamizu
- WJ Bradley
- X Yu
- Y Arai
- Y Hirota
- Y Roth
- Z Mirzadeh
- Z Mirzadeh
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Intracerebroventricular antisense knockdown of Gαi2 results in ciliary stasis and ventricular dilatation in the rat
- Author
- A Shimizu
- AM Collier
- B Lang
- BJ Mohammed
- Christopher O'Callaghan
- CM Bannister
- CM Moxham
- CM Moxham
- DF Kohn
- DF Kohn
- DR Thakker
- F Chen
- G Cattoretti
- G Paxinos
- H Shinohara
- H Shinohara
- H Shinohara
- HB Sarnat
- HM Jantzen
- I Ibanez-Tallon
- I Ibanez-Tallon
- I Ihnatovych
- J Chen
- Jarmo T Laitinen
- JE Bruni
- JE Bruni
- JR Hepler
- Juhana M Hakumäki
- JW Hopewell
- K Sawamoto
- Kati S Mönkkönen
- KE Muse
- LE Ostrowski
- M Jiang
- M Kiefer
- M Koto
- M Weibel
- MC Berenbaum
- MG Davis
- N Roberts
- N Spassky
- N Strazielle
- P Collins
- PD Taulman
- Pekka T Männistö
- PF Worley
- R Chodhari
- R Sapiro
- RA Hirst
- RA Hirst
- RB Page
- Riitta A Miettinen
- Robert A Hirst
- RR Sakai
- RS Cathcart 3rd
- RT Johnson
- S Coons
- S Kastenbauer
- T Asano
- T Asano
- T Asano
- T Katada
- T Yamadori
- TJ Mitchell
- U Rudolph
- VM Tennyson
- WC Worthington Jr.
- XH Chen
- Y Kobayashi
- Y Nakamura
- Y Saito
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Renal Involvement in Children with Systemic Lupus Erythematosus
- Author
- A Belot
- A Belot
- A Black
- A Davidson
- A Farzaneh-Far
- A Karrar
- A Ravelli
- A Ravelli
- AB Magil
- AD Steinberg
- AI Quintero-Del-Rio
- AM Rosenberg
- AP Prodeus
- AS Levey
- B Bader-Meunier
- B Bader-Meunier
- B Griffin
- B Leaker
- B Memet
- B Ruggiero
- B Zhu
- BA LeBlanc
- BD Pryor
- BE Ostrov
- BH Bulkley
- BH Hahn
- BH Hahn
- BH Rovin
- BH Rovin
- C Aranow
- C Berube
- C Cardinali
- C Diaz-Lagares
- C Grootscholten
- C Grootscholten
- C Male
- C Melander
- C Ponticelli
- C Ponticelli
- C Zoja
- CA Janeway Jr
- CA Muhlen von
- CC Mok
- CC Mok
- CC Mok
- CC Mok
- CC Mok
- CC Najafi
- CE Barber
- CE Siegert
- CE Siegert
- CF Mojcik
- CM Sherwin
- CS Lim
- CY Lin
- D Alarcon-Segovia
- D Glicklich
- D Isenberg
- D Mihailova
- D Politt
- DK McCurdy
- DM Grant
- DP Symmons
- DS Baldwin
- DS Hallegua
- DS Pisetsky
- DT Boumpas
- DT Boumpas
- DT Boumpas
- E Angles-Cano
- E Benito-Garcia
- E Beyan
- E Daugas
- E Descloux
- E Ginzler
- E Hess
- E Muscal
- E Sag
- E Silverman
- E Svenungsson
- EC Miguel
- EC Somers
- EF Munves
- EJ Borg ter
- EJ Kingdon
- EJ Lewis
- EM Ginzler
- EM Ginzler
- EM McDermott
- EM Tan
- EM Tan
- ES Cathcart
- F Zelko
- FA Houssiau
- FA Houssiau
- FA Houssiau
- FA Houssiau
- FB Karassa
- FB Karassa
- FG Nery
- G Citera
- G Contreras
- G Contreras
- G Contreras
- G Moroni
- G Moroni
- G Moroni
- G Moroni
- G Zandman-Goddard
- GB Appel
- GB Appel
- GB Appel
- GB Appel
- GC Tsokos
- GE Katsifis
- GJ Pons-Estel
- GL Iverson
- GS Cooper
- GS Hill
- H Bao
- H Julkunen
- H Kanda
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HC Nossent
- HC Nossent
- HH Euler
- HH Yu
- HI Brunner
- HS Lee
- I Gunnarsson
- I Neumann
- IN Bruce
- J Cortes-Hernandez
- J Font
- J Radhakrishnan
- J Radhakrishnan
- J Trager
- JA Goss
- JA James
- JE Balow
- JE Balow
- JE Salmon
- JH Berden
- JJ Weening
- JL Platt
- JM Bergstein
- JM Esdaile
- JM Esdaile
- JM Gardner-Medwin
- JM Kremer
- JN Boletis
- JP Buyon
- JS Cameron
- JS Cameron
- JS Cheigh
- JS Levine
- JT Lo
- JT Nash
- JV Donadio Jr
- JV Donadio Jr
- K Iseki
- K Kessenbrock
- K Manger
- K Qushmaq
- K Tangnararatchakit
- KG Smith
- KN Duffy
- KR Kumar
- KS Barron
- KS Irving
- L Bono
- L Carreno
- L Ding
- L Morel-Maroger
- L Schiffer
- LA Casciola-Rosen
- LA Hebert
- LB Tucker
- LC Korb
- LE Schanberg
- LY Yang
- M Botto
- M Duddridge
- M Galli
- M Hachmi El
- M Kalaaji
- M Kalaaji
- M Michel
- M Petri
- M Petri
- M Pistiner
- M Urowitz
- M Vigna-Perez
- M Walsh
- M Willems
- MA Dooley
- MA Dooley
- MA Dooley
- MA Montes de Oca
- MC Bruggen Van
- MC Hochberg
- MC Hochberg
- MF Gourley
- MF Marmor
- MI Steinlin
- MJ Fischer
- MJ Fritzler
- MJ Leandro
- MJ Rood
- MJ Shlomchik
- MK Crow
- ML Bertolaccini
- MM Schwartz
- MM Schwartz
- MM Schwartz
- MM Ward
- MR Arbuckle
- MT McClain
- MW Heijstek
- N Baqi
- N Braun
- N Costedoat-Chalumeau
- N Costedoat-Chalumeau
- N Kamanamool
- N Miyasaka
- N Zahr
- NI Paton
- NL Esmon
- NT Ilowite
- NT Ilowite
- O Nived
- P Blanco
- P Hasselaar
- P Niaudet
- P Vananuvat
- PJ Conlon
- PP Kapitsinou
- PP Sfikakis
- PP Sfikakis
- R Cervera
- R Cervera
- R Clynes
- R Furie
- R Smeenk
- R Zimmerman
- RA Asherson
- RA Furie
- RB Eaton
- RG Lahita
- RJ Looney
- RL Rubin
- RP Kimberly
- RP Sloan
- RS Flanc
- RS Scott
- RW McMurray
- S Appenzeller
- S Appenzeller
- S Bernatsky
- S Bunnapradist
- S Buratti
- S Emre
- S Ishikawa
- S Kalloo
- S Nathanson
- S Pasquali
- S Trapani
- SC Jordan
- SD Denburg
- SD Marks
- SD Marks
- SF Massengill
- SG Adams Jr
- SL Kalled
- SM Bartosh
- SM Benseler
- SM Korbet
- SM Korbet
- SV Navarra
- SY Tian
- T Hieronymus
- T Kawai
- T Koike
- T Lee
- TJ Lehman
- TL McGaha
- TL Pan
- TM Chan
- TM Chan
- TT Yeh
- TY Lu
- V Peponis
- VA Sato
- VA Seligman
- VM Ognenovski
- VP Werth
- W Chen
- WH Leung
- X Bosch
- X Li
- X Valencia
- Y Asanuma
- Y Farhey
- YH Lee
- YJ Crow
- YJ Crow
- Z Amoura
- Z Blumenfeld
- Z Blumenfeld
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Renal Involvement in Children with Systemic Lupus Erythematosus
- Author
- A Belot
- A Belot
- A Black
- A Davidson
- A Farzaneh-Far
- A Karrar
- A Ravelli
- A Ravelli
- AB Magil
- AD Steinberg
- AI Quintero-Del-Rio
- AM Rosenberg
- AP Prodeus
- AS Levey
- B Bader-Meunier
- B Bader-Meunier
- B Griffin
- B Leaker
- B Memet
- B Ruggiero
- B Zhu
- BA LeBlanc
- BD Pryor
- BE Ostrov
- BH Bulkley
- BH Hahn
- BH Hahn
- BH Rovin
- BH Rovin
- C Aranow
- C Berube
- C Cardinali
- C Diaz-Lagares
- C Grootscholten
- C Grootscholten
- C Male
- C Melander
- C Ponticelli
- C Ponticelli
- C Zoja
- CA Janeway Jr
- CA Muhlen von
- CC Mok
- CC Mok
- CC Mok
- CC Mok
- CC Mok
- CC Najafi
- CE Barber
- CE Siegert
- CE Siegert
- CF Mojcik
- CM Sherwin
- CS Lim
- CY Lin
- D Alarcon-Segovia
- D Glicklich
- D Isenberg
- D Mihailova
- D Politt
- DK McCurdy
- DM Grant
- DP Symmons
- DS Baldwin
- DS Hallegua
- DS Pisetsky
- DT Boumpas
- DT Boumpas
- DT Boumpas
- E Angles-Cano
- E Benito-Garcia
- E Beyan
- E Daugas
- E Descloux
- E Ginzler
- E Hess
- E Muscal
- E Sag
- E Silverman
- E Svenungsson
- EC Miguel
- EC Somers
- EF Munves
- EJ Borg ter
- EJ Kingdon
- EJ Lewis
- EM Ginzler
- EM Ginzler
- EM McDermott
- EM Tan
- EM Tan
- ES Cathcart
- F Zelko
- FA Houssiau
- FA Houssiau
- FA Houssiau
- FA Houssiau
- FB Karassa
- FB Karassa
- FG Nery
- G Citera
- G Contreras
- G Contreras
- G Contreras
- G Moroni
- G Moroni
- G Moroni
- G Moroni
- G Zandman-Goddard
- GB Appel
- GB Appel
- GB Appel
- GB Appel
- GC Tsokos
- GE Katsifis
- GJ Pons-Estel
- GL Iverson
- GS Cooper
- GS Hill
- H Bao
- H Julkunen
- H Kanda
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HA Austin 3rd
- HC Nossent
- HC Nossent
- HH Euler
- HH Yu
- HI Brunner
- HS Lee
- I Gunnarsson
- I Neumann
- IN Bruce
- J Cortes-Hernandez
- J Font
- J Radhakrishnan
- J Radhakrishnan
- J Trager
- JA Goss
- JA James
- JE Balow
- JE Balow
- JE Salmon
- JH Berden
- JJ Weening
- JL Platt
- JM Bergstein
- JM Esdaile
- JM Esdaile
- JM Gardner-Medwin
- JM Kremer
- JN Boletis
- JP Buyon
- JS Cameron
- JS Cameron
- JS Cheigh
- JS Levine
- JT Lo
- JT Nash
- JV Donadio Jr
- JV Donadio Jr
- K Iseki
- K Kessenbrock
- K Manger
- K Qushmaq
- K Tangnararatchakit
- KG Smith
- KN Duffy
- KR Kumar
- KS Barron
- KS Irving
- L Bono
- L Carreno
- L Ding
- L Morel-Maroger
- L Schiffer
- LA Casciola-Rosen
- LA Hebert
- LB Tucker
- LC Korb
- LE Schanberg
- LY Yang
- M Botto
- M Duddridge
- M Galli
- M Hachmi El
- M Kalaaji
- M Kalaaji
- M Michel
- M Petri
- M Petri
- M Pistiner
- M Urowitz
- M Vigna-Perez
- M Walsh
- M Willems
- MA Dooley
- MA Dooley
- MA Dooley
- MA Montes de Oca
- MC Bruggen Van
- MC Hochberg
- MC Hochberg
- MF Gourley
- MF Marmor
- MI Steinlin
- MJ Fischer
- MJ Fritzler
- MJ Leandro
- MJ Rood
- MJ Shlomchik
- MK Crow
- ML Bertolaccini
- MM Schwartz
- MM Schwartz
- MM Schwartz
- MM Ward
- MR Arbuckle
- MT McClain
- MW Heijstek
- N Baqi
- N Braun
- N Costedoat-Chalumeau
- N Costedoat-Chalumeau
- N Kamanamool
- N Miyasaka
- N Zahr
- NI Paton
- NL Esmon
- NT Ilowite
- NT Ilowite
- O Nived
- P Blanco
- P Hasselaar
- P Niaudet
- P Vananuvat
- PJ Conlon
- PP Kapitsinou
- PP Sfikakis
- PP Sfikakis
- R Cervera
- R Cervera
- R Clynes
- R Furie
- R Smeenk
- R Zimmerman
- RA Asherson
- RA Furie
- RB Eaton
- RG Lahita
- RJ Looney
- RL Rubin
- RP Kimberly
- RP Sloan
- RS Flanc
- RS Scott
- RW McMurray
- S Appenzeller
- S Appenzeller
- S Bernatsky
- S Bunnapradist
- S Buratti
- S Duran-Barragan
- S Emre
- S Ishikawa
- S Kalloo
- S Nathanson
- S Pasquali
- S Trapani
- SC Jordan
- SD Denburg
- SD Marks
- SD Marks
- SF Massengill
- SG Adams Jr
- SL Kalled
- SM Bartosh
- SM Benseler
- SM Korbet
- SM Korbet
- SV Navarra
- SY Tian
- T Hieronymus
- T Kawai
- T Koike
- T Lee
- TJ Lehman
- TL McGaha
- TL Pan
- TM Chan
- TM Chan
- TT Yeh
- TY Lu
- V Peponis
- VA Sato
- VA Seligman
- VM Ognenovski
- VP Werth
- W Chen
- WH Leung
- X Bosch
- X Li
- X Valencia
- Y Asanuma
- Y Farhey
- YH Lee
- YJ Crow
- YJ Crow
- Z Amoura
- Z Blumenfeld
- Z Blumenfeld
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Epithelial Organization of Adult Neurogenic Germinal Niches
- Author
- A Alvarez-Buylla
- A Alvarez-Buylla
- A Alvarez-Buylla
- A Alvarez-Buylla
- A Alvarez-Buylla
- A Alvarez-Buylla
- A Alvarez-Buylla
- A Capela
- A Carleton
- A Chenn
- A Gritti
- A Hutterer
- A Jankovski
- A Kerever
- A Kriegstein
- A Liu
- A Weigmann
- A Wodarz
- AB Zhadanov
- AD Garcia
- AD Tramontin
- AJ Copp
- AJ Ross
- B Alberts
- B Committee
- B Menn
- B Mitchell
- B Nadarajah
- B Reynolds
- B Seri
- B Seri
- B Seri
- B Seri
- BJ Chiasson
- BW Bisgrove
- C Afonso
- C Houde
- C Jones
- C Lois
- C Lois
- C Lois
- C Zhao
- CB Johansson
- CB Lindemann
- CJ Haycraft
- CL Rieder
- CM Morshead
- CM Parras
- CT Kuo
- CY Logan
- D Huangfu
- D Huangfu
- D Lin
- D Williams
- DA Cano
- DA Lim
- DA Lim
- DE Schmechel
- DH Geschwind
- E Aaku-Saraste
- E Boisvieux-Ulrich
- E Boisvieux-Ulrich
- EL Jackson
- EM Eves
- EM Munro
- F Doetsch
- F Doetsch
- F Doetsch
- F Doetsch
- F Doetsch
- F Imai
- F Lin
- F Martin-Belmonte
- F Mercier
- F Nottebohm
- FC Sauer
- FT Merkle
- FT Merkle
- FT Merkle
- GC Schoenwolf
- GC Schoenwolf
- GJ Pazour
- GK Zupanc
- H Praag van
- H Qin
- HG Kuhn
- HR Dawe
- HT Ghashghaei
- I Ibanez-Tallon
- IR Gibbons
- J Altman
- J Altman
- J Altman
- J Altman
- J Altman
- J Altman
- J Jiang
- J Saura
- J Wu
- JA Paton
- JA Zallen
- JB Wallingford
- JB Wallingford
- JB Wallingford
- JC Conover
- JD Axelrod
- JE Bruni
- JF Colas
- JF Gadisseux
- JL Rosenbaum
- JM Garcia-Verdugo
- JM Gerdes
- JM Yu
- JN Murdoch
- JP Misson
- JR Marszalek
- JT Eggenschwiler
- JW Trotha von
- K Adachi
- K Bittman
- K Frederiksen
- K Hatta
- K Mollgard
- K Sawamoto
- KC Corbit
- KC Corbit
- KE Astrom
- KE Summers
- KG Kozminski
- L Bonfanti
- L Cao
- L Feng
- L Gabay
- L Petreanu
- M Bettencourt-Dias
- M Bornens
- M Gotz
- M Kohwi
- M Kohwi
- M Rickmann
- M Simons
- M Simons
- M Takeichi
- M Tavazoie
- MA Hack
- MB Luskin
- ME Hatten
- MI Givogri
- MR Bigio Del
- MR Costa
- MR Mancuso
- MR Rasin
- MS Kaplan
- MS Kaplan
- MT Veeman
- N Haubst
- N Manabe
- N Spassky
- N Spassky
- N Tamamaki
- ND Greene
- NL Sundholm-Peters
- P Huang
- P Levitt
- P Malatesta
- P Malatesta
- P Peretto
- P Peretto
- P Peretto
- P Rakic
- P Rakic
- P Satir
- P Satir
- P Satir
- PJ Ocbina
- PV Tran
- Q Shen
- Q Shen
- R Machold
- R Rohatgi
- RE Russo
- RE Ventura
- RG Anderson
- RM Seaberg
- RS Cathcart 3rd
- S Cappello
- S Etienne-Manneville
- S Fukuda
- S Hockfield
- S Kuchler
- S Nonaka
- S Takeda
- SA Goldman
- SC Noctor
- SC Noctor
- SC Noctor
- SC Noctor
- SJ Pleasure
- SKR Pixley
- SR May
- SY Wong
- T Imura
- T Miyata
- T Ooshio
- T Shibata
- T Shingo
- T Voigt
- T-C Tung
- TA Weissman
- TD Palmer
- TE Anthony
- TJ Park
- V Filippov
- V Palma
- V Pencea
- V Singla
- V Tropepe
- VC Twitty
- VS Caviness Jr
- VV Chizhikov
- W Halfter
- W Haubensak
- W Ikeda
- W Kelsch
- WB Huttner
- WB Huttner
- WC Worthington Jr
- WF Marshall
- WF Marshall
- X Wang
- Y Kosodo
- Y Nyfeler
- Y Sun
- YG Han
- YG Han
- Z Liu
- Z Mirzadeh
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2011
- Field of study
Serious Asthma Events with Fluticasone plus Salmeterol versus Fluticasone Alone
- Author
- Abalos-Galito M
- Abboy C
- Abrahamian F
- Abreu E
- Ackerman If
- Acosta Ia
- Adams L
- Adaoag Aa
- Adiaz-Baui Tt
- Aggarwal Nk
- Aguilar Dominguez Pe
- Aguilar-Orozco Ra
- Aguirre Sosa I
- Ahmed M
- Aleksandrova E
- Alekseeva E
- Alexandrescu Ds
- Ali Mi
- Allen GG Jr
- Allen Dr
- Allison Dc
- Altieri Hh
- Alvey Jc
- Alwine Lk
- Amer L
- Anand S
- Andrasofszky Z
- Anspach Rb
- Antuni Jd
- Antépara Ercoreca I
- Anwar J
- Apaliski Sj
- Arastu Rs
- Aries Sp
- Arimah C
- Arnedillo Muñoz A
- Arora Cm
- Arthur Cp
- Asherova I
- Auerbach D
- Austri Investigators
- Azzam Sj
- Babyesiza A
- Backer V
- Badar FL 3rd
- Badat A
- Baker Jw
- Balakrishnan K
- Balthazar Y
- Banovcin P
- Barasch Jp
- Barbarash Ol
- Barbe Illa F
- Barber Ma
- Bardin Pg
- Bardinas-Rodriguez R
- Barnes Nc
- Barreiro López B
- Barreiro Tj
- Barros Monge Mj
- Barth D
- Bartha A
- Bartuzi Z
- Bassa A
- Bauler A
- Baumbach Rr
- Baur Ce
- Baxter Bs
- Beach Jl
- Beasley Rl
- Beavins Je
- Beliveau Wj
- Benbow Mj
- Benedix A
- Bennett Nl
- Bennett Rl
- Berenfus Vi
- Berg P
- Bergna Ma
- Bergtholdt B
- Bernal H
- Bernan Ap
- Bernstein Di
- Besh L
- Bettig U
- Bielous-Wilk A
- bin Abdul Aziz Fa
- Bindig Hw
- Blaiss Ms
- Blanco Aparicio M
- Blumenthal Kw
- Boada Valmaseda A
- Boas Sr
- Bolivar Grimaldos F
- Bolliger Ct
- Bonavia M
- Borders Jl
- Boscia Ja
- Bosque García M
- Botzen U
- Boulware Wn
- Bowling Bt
- Bożek A
- Brabec Ba
- Braga M
- Bramlet Dg
- Brautigam Df
- Breedt J
- Brehler R
- Breyer Go
- Brown V
- Brownell Jm
- Bruce Tr
- Bruckhaus-Walter M
- Bruning A
- Brzostek J
- Buaron Ks
- Bugrova O
- Bukreeva Eb
- Buresova M
- Burhan H
- Bursova J
- Bustamante Ruiz A
- Butkovic-Tomljanovic R
- Błażowski Ł
- Call Rs
- Calvo Gil Ma
- Campbell Ca
- Canaan Ya
- Cannon Df
- Carpio Jm
- Carretero Anibarro P
- Carroll Pa
- Castillo Hofer Cr
- Cathcart Ws
- Cerveri I
- Cevallos Jp
- Chapman Kr
- Chaudhuri R
- Chauhan Av
- Cheng Sl
- Chermenskiy A
- Chern Jh
- Chetta Aa
- Chevalier D
- Chiu Mh
- Chizhova O
- Choi I
- Chomiciene A
- Chorostowska-Wynimko J
- Christensen J
- Christensen Ta
- Christina Mo
- Chrzanowski Rr
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- Wyszomierski Da
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- Yunus F
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- Zaitsev I
- Zakova L
- Zeisler Kh
- Zhebel V
- Zhiglinskaya O
- Zibotics H
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- Ziegner A
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- Zimny Hh
- Ziora D
- Zlatos A
- Zubarenko O
- Zykov K
- Publication venue
- 'Massachusetts Medical Society'
- Publication date
- 01/01/2016
- Field of study
BACKGROUND:
The safe and appropriate use of long-acting beta-agonists (LABAs) for the treatment of asthma has been widely debated. In two large clinical trials, investigators found a potential risk of serious asthma-related events associated with LABAs. This study was designed to evaluate the risk of administering the LABA salmeterol in combination with an inhaled glucocorticoid, fluticasone propionate.
METHODS:
In this multicenter, randomized, double-blind trial, adolescent and adult patients (age, ≥12 years) with persistent asthma were assigned to receive either fluticasone with salmeterol or fluticasone alone for 26 weeks. All the patients had a history of a severe asthma exacerbation in the year before randomization but not during the previous month. Patients were excluded from the trial if they had a history of life-threatening or unstable asthma. The primary safety end point was the first serious asthma-related event (death, endotracheal intubation, or hospitalization). Noninferiority of fluticasone-salmeterol to fluticasone alone was defined as an upper boundary of the 95% confidence interval for the risk of the primary safety end point of less than 2.0. The efficacy end point was the first severe asthma exacerbation.
RESULTS:
Of 11,679 patients who were enrolled, 67 had 74 serious asthma-related events, with 36 events in 34 patients in the fluticasone-salmeterol group and 38 events in 33 patients in the fluticasone-only group. The hazard ratio for a serious asthma-related event in the fluticasone-salmeterol group was 1.03 (95% confidence interval [CI], 0.64 to 1.66), and noninferiority was achieved (P=0.003). There were no asthma-related deaths; 2 patients in the fluticasone-only group underwent asthma-related intubation. The risk of a severe asthma exacerbation was 21% lower in the fluticasone-salmeterol group than in the fluticasone-only group (hazard ratio, 0.79; 95% CI, 0.70 to 0.89), with at least one severe asthma exacerbation occurring in 480 of 5834 patients (8%) in the fluticasone-salmeterol group, as compared with 597 of 5845 patients (10%) in the fluticasone-only group (P<0.001).
CONCLUSIONS:
Patients who received salmeterol in a fixed-dose combination with fluticasone did not have a significantly higher risk of serious asthma-related events than did those who received fluticasone alone. Patients receiving fluticasone-salmeterol had fewer severe asthma exacerbations than did those in the fluticasone-only group