E-ISSN 2149-2530
Invited Review
What Does the TOVITO Programme Tell Us about How We Can Manage COPD?
1 Senior Clinical Researcher, Respiratory Medicine, Nuffield Department of Medicine, University of Oxford;Consultant Chest Physician, Lymington New Forest Hospital, Southern Health NHS Foundation Trust, Oxford, United Kingdom  
Turk Thorac J 2018; 19: 216-219
DOI: 10.5152/TurkThoracJ.2018.182609
Key Words: Tiotropium, olodaterol, COPD, exacerbations, quality of life
Abstract

Chronic obstructive pulmonary disease (COPD) patients suffer from a significant burden of disease which impairs their quality of life, exercise capacity and lung function. They also suffer from acute worsening of disease, called exacerbations. The role of drug treatment in the management of COPD is aimed at improving lung function, quality of life and reducing the risk of exacerbations. Bronchodilator drugs are the mainstay of therapy and the tow classes, long acting beta2 agonists and long acting anti-muscarinics, are being combined together. The TOVITO programme of clinical research is a comprehensive and consistent set of studies investigating the role of Tiotropium and Olodaterol (Spiolto) on lung function, quality of life, exercise capacity and exacerbation frequency. The programme has included over 16 000 patients who have received the benefits of these two compounds when given together in a suitable inhaler. Safety data was collected with a focus on cardiovascular morbidity and mortality. The use of tiotropium/olodaterol combination resulted in significant gains in lung function, quality of life and exercise endurance. There was no difference between the arms in the Dynagito study which was designed to compare tiotropium/olodaterol combination with its constituent compounds. In all studies no safety concerns were raised. Tiotropium/Olodaterol (Spiolto) is an effective treatment for COPD with benefits to lung function, quality of life and exercise tolerance.


Cite this article as
: Russell REK. What Does the TOVITO Programme Tell Us about How We Can Manage COPD?. Turk Thorac J 2018; 19(4): 216-9.

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