Page last updated: 2024-11-04

terbutaline and Disease Exacerbation

terbutaline has been researched along with Disease Exacerbation in 8 studies

Terbutaline: A selective beta-2 adrenergic agonist used as a bronchodilator and tocolytic.
terbutaline : A member of the class of phenylethanolamines that is catechol substituted at position 5 by a 2-(tert-butylamino)-1-hydroxyethyl group.

Research Excerpts

ExcerptRelevanceReference
"Formoterol therapy was at least as effective as terbutaline therapy in children and adolescents with mild and moderate asthma exacerbations."9.14A randomized, comparative study of formoterol and terbutaline dry powder inhalers in the treatment of mild to moderate asthma exacerbations in the pediatric acute care setting. ( Bussamra, MH; Cukier, A; Rodrigues, JC; Stelmach, R, 2009)
"We analyzed daily peak expiratory flow and symptom scores recorded by participants in the SAKURA study (NCT00839800), an international multicentre randomized controlled trial comparing budesonide/formoterol as maintenance and reliever therapy versus budesonide/formoterol maintenance plus terbutaline as reliever, in adults with persistent asthma."5.41Detecting asthma exacerbations using daily home monitoring and machine learning. ( Gonem, S; Minku, LL; Zhang, O, 2021)
"The PRACTICAL study was a 52-week, open-label, parallel group, randomised controlled trial of 890 adults with mild to moderate asthma, who were randomised to budesonide/formoterol Turbuhaler 200/6mcg one actuation as required or budesonide Turbuhaler 200mcg one actuation twice daily and terbutaline Turbuhaler 250mcg two actuations as required."5.34Combination budesonide/formoterol inhaler as sole reliever therapy in Māori and Pacific people with mild and moderate asthma. ( Baggott, C; Fingleton, J; Hancox, RJ; Hardy, J; Harwood, M; Holliday, M; Semprini, A; Tewhaiti-Smith, J; Weatherall, M, 2020)
"Formoterol therapy was at least as effective as terbutaline therapy in children and adolescents with mild and moderate asthma exacerbations."5.14A randomized, comparative study of formoterol and terbutaline dry powder inhalers in the treatment of mild to moderate asthma exacerbations in the pediatric acute care setting. ( Bussamra, MH; Cukier, A; Rodrigues, JC; Stelmach, R, 2009)
" Effectiveness of switch was assessed as the proportion without severe asthma exacerbation and the proportion achieving risk domain asthma control (RDAC; no asthma-related hospitalization, antibiotics without upper respiratory diagnosis or acute course of oral corticosteroids) and overall asthma control (OAC; RDAC and ≤ 200 μg salbutamol/≤500 μg terbutaline average daily dose) comparing 1 year after and before the switch."3.91Real-life effectiveness of inhaler device switch from dry powder inhalers to pressurized metred-dose inhalers in patients with asthma treated with ICS/LABA. ( Ban, GY; Carter, V; Hardjojo, A; Jie, JLZ; Lee, HY; Park, HS; Price, DB; Van Boven, JFM; Wan Yau Ming, S; Yoon, D, 2019)
"For the acute COPD studies, one was double-blind and randomised, one was single-blind and randomised, and one was open-label."2.45Use of dry powder inhalers in acute exacerbations of asthma and COPD. ( Borgström, L; Ingelf, J; Selroos, O, 2009)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (25.00)29.6817
2010's2 (25.00)24.3611
2020's4 (50.00)2.80

Authors

AuthorsStudies
Zhang, O1
Minku, LL1
Gonem, S1
Hardy, J1
Tewhaiti-Smith, J1
Baggott, C1
Fingleton, J1
Semprini, A1
Holliday, M1
Hancox, RJ1
Weatherall, M1
Harwood, M1
Crossingham, I1
Turner, S1
Ramakrishnan, S1
Fries, A1
Gowell, M1
Yasmin, F1
Richardson, R1
Webb, P1
O'Boyle, E1
Hinks, TS1
Matheny, M1
Maleque, N1
Channell, N1
Eisch, AR1
Auld, SC1
Banerji, A1
Druey, KM1
Steurer, J1
Park, HS1
Yoon, D1
Lee, HY1
Ban, GY1
Wan Yau Ming, S1
Jie, JLZ1
Carter, V1
Hardjojo, A1
Van Boven, JFM1
Price, DB1
Selroos, O1
Borgström, L1
Ingelf, J1
Bussamra, MH1
Stelmach, R1
Rodrigues, JC1
Cukier, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Comparison of Symbicort® SMART (160/4.5μg) and Symbicort® Turbuhaler 160/4.5 μg, Plus Terbutaline Turbuhaler 0.4 mg as Needed, for Treatment of Asthma - a 12-month, Randomized, Double-blind, Parallel Group, Active-controlled, Multinational Phase III Stu[NCT00839800]Phase 32,091 participants (Actual)Interventional2009-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Asthma Control Questionnaire (ACQ)

The ACQ developed by Juniper and colleagues (Juniper et al 1999) was used without the FEV1 and Beta 2-agonist questions. The Asthma Control Questionnaire has 5 questions that are assessed on a 7-point scale from 0 to 6 where 0 represents good control and 6 represents poor control. The overall score is the mean of the five responses. At least 4 out of the 5 questions must have been answered to provide a value. The mean of the overall score for Weeks 4 to 52 was presented here. (NCT00839800)
Timeframe: 4, 12, 24, 36 and 52 weeks after randomization

Interventionunits on a scale (Mean)
Symbicort SMART1.162
Symbicort+Terbutaline As Needed1.289

Asthma Symptom Score

The mean value from the treatment period for Total Asthma Symptom Score (total score: 0 is best - no asthma symptoms; 6 is worst). (NCT00839800)
Timeframe: 52-week treatment period

Interventionunits on a scale (Mean)
Symbicort SMART1.12
Symbicort+Terbutaline As Needed1.22

Evening PEF

The mean value from a 52-week treatment period. (NCT00839800)
Timeframe: 2-week run-in period (14 - 18 days before randomization - week 0) and a 52-week treatment period

InterventionL/min (Mean)
Symbicort SMART334.2
Symbicort+Terbutaline As Needed327.8

Forced Expiratory Volume in One Second (FEV1)

The mean value for Weeks 4, 12, 24, 36 and 52 was analysed. (NCT00839800)
Timeframe: 4, 12, 24, 36 and 52 weeks after randomization

InterventionLiter (L) (Geometric Mean)
Symbicort SMART2.258
Symbicort+Terbutaline As Needed2.222

Morning Peak Expiratory Flow (PEF)

The mean value from a 52-week treatment period. (NCT00839800)
Timeframe: 52-week treatment period

InterventionLiter/minute (L/min) (Mean)
Symbicort SMART331.8
Symbicort+Terbutaline As Needed324.7

Nights With Awakening(s) Due to Asthma Symptoms

The mean value from the treatment period was presented here. (NCT00839800)
Timeframe: 52-week treatment period

InterventionNights With Awakening(s) (Mean)
Symbicort SMART15.7
Symbicort+Terbutaline As Needed17.5

Number of Asthma Exacerbations

Asthma exacerbation was defined as deterioration in asthma leading to oral GCS treatment, hospitalization, or ER treatment. Number of asthma exacerbations during 52 weeks treatment was presented here. (NCT00839800)
Timeframe: up to 52 weeks

InterventionAsthma exacerbations (Number)
Symbicort SMART259
Symbicort+Terbutaline As Needed363

Percentage of As-needed-free Days

An as-needed-free day is defined as a night and day with no use of as-needed medication. The mean value from the treatment period was presented here. (NCT00839800)
Timeframe: 52-week treatment period

Interventionpercentage of as-needed-free days (Mean)
Symbicort SMART51.4
Symbicort+Terbutaline As Needed47.2

Percentage of Asthma-control Days (no Asthma Symptoms, no Awakenings, and no As-needed Use)

An asthma-control day was defined as a a night and day with no asthma symptoms, no awakenings due to asthma symptoms, and no as-needed medication use. The mean value from the treatment period was presented here. (NCT00839800)
Timeframe: 52-week treatment period

Interventionpercentage of asthma-control days (Mean)
Symbicort SMART41.7
Symbicort+Terbutaline As Needed37.9

Symptom-free Days (no Symptoms and no Awakenings)

A symptom-free day was defined as a day without daytime or night-time symptoms and without night-time awakenings due to asthma symptoms. The mean value was presented here. (NCT00839800)
Timeframe: 52-week treatment period

Interventionsymptom-free days (Mean)
Symbicort SMART45.5
Symbicort+Terbutaline As Needed41.6

The Percentage of Participants Who Had Experienced Asthma Exacerbation(s) at the End of the Study

Asthma exacerbation was defined as deterioration in asthma leading to oral glucocorticosteroid [GCS] treatment, hospitalization, or emergency room [ER] treatment. (NCT00839800)
Timeframe: week 52

Interventionpercentage of participants (Number)
Symbicort SMART16
Symbicort+Terbutaline As Needed22

The Percentage of Participants Who Had Experienced First Mild Asthma Exacerbations

Mild asthma exacerbation was defined as morning PEF ≥20% below baseline, daily as-needed medication use ≥2 inhalations above baseline, or a night with awakening due to asthma symptoms. The percentage of participants who had experienced mild asthma exacerbation(s) at the end of the study was presented here. (NCT00839800)
Timeframe: up to 52 weeks

Interventionpercentage of participants (Number)
Symbicort SMART71
Symbicort+Terbutaline As Needed80

Use of As-needed Medication

The mean value of total daily number of inhalations from the treatment period for use of as-needed medication (daytime, night-time). (NCT00839800)
Timeframe: 52-week treatment period

Interventioninhalations/day (Mean)
Symbicort SMART1.21
Symbicort+Terbutaline As Needed1.46

Reviews

2 reviews available for terbutaline and Disease Exacerbation

ArticleYear
Combination fixed-dose beta agonist and steroid inhaler as required for adults or children with mild asthma.
    The Cochrane database of systematic reviews, 2021, 05-04, Volume: 5

    Topics: Adolescent; Adrenal Cortex Hormones; Adrenergic beta-2 Receptor Agonists; Adult; Anti-Asthmatic Agen

2021
Use of dry powder inhalers in acute exacerbations of asthma and COPD.
    Therapeutic advances in respiratory disease, 2009, Volume: 3, Issue:2

    Topics: Adrenergic beta-Agonists; Albuterol; Asthma; Bronchodilator Agents; Disease Progression; Ethanolamin

2009

Trials

4 trials available for terbutaline and Disease Exacerbation

ArticleYear
Detecting asthma exacerbations using daily home monitoring and machine learning.
    The Journal of asthma : official journal of the Association for the Care of Asthma, 2021, Volume: 58, Issue:11

    Topics: Asthma; Bronchodilator Agents; Budesonide; Disease Progression; Drug Combinations; Female; Formotero

2021
Combination budesonide/formoterol inhaler as sole reliever therapy in Māori and Pacific people with mild and moderate asthma.
    The New Zealand medical journal, 2020, 08-21, Volume: 133, Issue:1520

    Topics: Administration, Inhalation; Adult; Anti-Asthmatic Agents; Asthma; Bronchodilator Agents; Budesonide;

2020
    Praxis, 2018, Volume: 107, Issue:17-18

    Topics: Administration, Inhalation; Adult; Asthma; Budesonide; Budesonide, Formoterol Fumarate Drug Combinat

2018
A randomized, comparative study of formoterol and terbutaline dry powder inhalers in the treatment of mild to moderate asthma exacerbations in the pediatric acute care setting.
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2009, Volume: 103, Issue:3

    Topics: Administration, Inhalation; Asthma; Child; Disease Progression; Emergency Medical Services; Ethanola

2009

Other Studies

2 other studies available for terbutaline and Disease Exacerbation

ArticleYear
Severe Exacerbations of Systemic Capillary Leak Syndrome After COVID-19 Vaccination: A Case Series.
    Annals of internal medicine, 2021, Volume: 174, Issue:10

    Topics: Aged; Capillary Leak Syndrome; Cardiovascular Agents; COVID-19; COVID-19 Vaccines; Disease Progressi

2021
Real-life effectiveness of inhaler device switch from dry powder inhalers to pressurized metred-dose inhalers in patients with asthma treated with ICS/LABA.
    Respirology (Carlton, Vic.), 2019, Volume: 24, Issue:10

    Topics: Administration, Inhalation; Adolescent; Adrenal Cortex Hormones; Adrenergic beta-2 Receptor Agonists

2019