Effect of aclidinium bromide on major cardiovascular events and exacerbations in high-risk patients with chronic obstructive pulmonary disease: the ASCENT-COPD …

RA Wise, KR Chapman, BM Scirica, DL Bhatt… - Jama, 2019 - jamanetwork.com
Importance There is concern that long-acting muscarinic antagonists increase
cardiovascular morbidity or mortality in patients with chronic obstructive pulmonary disease
(COPD). Objective To determine the cardiovascular safety (noninferiority) and efficacy
(superiority) of aclidinium bromide, 400 μg twice daily, in patients with COPD and
cardiovascular disease or risk factors. Design, Setting, and Participants Multicenter,
randomized, placebo-controlled, double-blind, parallel-design study conducted at 522 sites …
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