FDA Approves Breo Ellipta to Treat Chronic Obstructive Pulmonary Disease (COPD)
May
 10, 2013 -- The U.S. Food and Drug Administration today approved Breo 
Ellipta (fluticasone furoate and vilanterol inhalation powder) for the 
long-term, once-daily, maintenance treatment of airflow obstruction in 
patients with chronic obstructive pulmonary disease (COPD), including 
chronic bronchitis and/or emphysema. It is also approved to reduce 
exacerbations of COPD in patients with a history of exacerbations.
COPD is a serious lung disease that worsens over time. 
Symptoms can include chest tightness, chronic cough and excessive 
phlegm. Cigarette smoking is the leading cause of COPD, according to the
 National Heart, Lung, and Blood Institute, and COPD is the third 
leading cause of death in the United States.
Breo Ellipta 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 COPD.
“COPD is a serious disease that makes breathing difficult,” said 
Curtis Rosebraugh, M.D., M.P.H., director, Office of Drug Evaluation II,
 Center for Drug Evaluation and Research, FDA. 
“The availability of new 
long-term maintenance medications provides additional treatment options 
for the millions of Americans who suffer with COPD.”
Breo Ellipta is a combination of fluticasone furoate, an inhaled corticosteroid, and vilanterol, a long-acting beta2-adrenergic
 agonist (LABA). 
The safety and efficacy of Breo Ellipta were evaluated 
in 7,700 patients with a clinical diagnosis of COPD. Those treated 
showed improved lung function and reduced exacerbations compared to 
placebo.
The drug carries a boxed warning that LABAs increase the risk of 
asthma-related death. 
 The safety and efficacy of Breo Ellipta in 
patients with asthma have not been established, and it is not approved 
for the treatment of asthma.
The FDA approved Breo Ellipta with a patient medication guide that 
includes instructions for use and information about the potential risks 
of taking the drug. Breo Ellipta should not be used as a rescue therapy 
to treat sudden breathing problems (acute bronchospasm) and is not 
recommended for people younger than 18 years.
Breo Ellipta may cause serious side effects, including increased 
risks of pneumonia and bone fractures. 
The most common side effects 
reported by patients using Breo Ellipta included inflammation of the 
nasal passage (nasopharyngitis), upper respiratory tract infection, 
headache, and oral candidiasis (thrush).
Breo Ellipta was developed by GlaxoSmithKline, Research Triangle 
Park, N.C., in collaboration with San Francisco-based Theravance.
Source: FDA
Posted: May 2013
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