pubmed-article:12016099 | rdf:type | pubmed:Citation | lld:pubmed |
pubmed-article:12016099 | lifeskim:mentions | umls-concept:C1445654 | lld:lifeskim |
pubmed-article:12016099 | lifeskim:mentions | umls-concept:C0004048 | lld:lifeskim |
pubmed-article:12016099 | lifeskim:mentions | umls-concept:C1280500 | lld:lifeskim |
pubmed-article:12016099 | lifeskim:mentions | umls-concept:C1707455 | lld:lifeskim |
pubmed-article:12016099 | lifeskim:mentions | umls-concept:C0205373 | lld:lifeskim |
pubmed-article:12016099 | pubmed:issue | 10 | lld:pubmed |
pubmed-article:12016099 | pubmed:dateCreated | 2002-5-17 | lld:pubmed |
pubmed-article:12016099 | pubmed:abstractText | The goal of this study was to establish a reliable method to evaluate systemic bioavailability and to determine equisystemic effects (microgram dose producing equal systemic cortisol suppression) of inhaled corticosteroids (ICS). Steroid naive asthma subjects (n = 156) were enrolled at six centers. A 1-week doubling dose design was used for each of six ICS and matched placebos for a total of four doses. Systemic effect was evaluated by hourly plasma cortisol concentrations (8 P.M. to 8 A.M.), 12- and 24-hour urine cortisol concentrations, and a morning blood osteocalcin. The area under the concentration-time curve for hourly cortisol concentrations was the best outcome variable to assess systemic effect. For the six ICS and matching placebos (beclomethasone-chlorofluorocarbon [CFC], budesonide dry powder inhaler [DPI], fluticasone DPI, fluticasone-CFC metered dose inhaler [MDI], flunisolide-CFC, and triamcinolone-CFC), only the placebo group and fluticasone DPI did not demonstrate a significant dose-response effect. Thus microgram comparison of all ICS could only be performed at a 10% cortisol suppression: flunisolide-CFC - 936; triamcinolone-CFC - 787; beclomethasone-CFC - 548; fluticasone DPI - 445; budesonide DPI - 268; fluticasone-CFC MDI - 111. This study represents the first step in evaluation of ICS efficacy based on equisystemic (cortisol suppression) effects of a given ICS, rather than doses judged arbitrarily to be comparable on a microgram basis. | lld:pubmed |
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pubmed-article:12016099 | pubmed:language | eng | lld:pubmed |
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pubmed-article:12016099 | pubmed:citationSubset | AIM | lld:pubmed |
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pubmed-article:12016099 | pubmed:status | MEDLINE | lld:pubmed |
pubmed-article:12016099 | pubmed:month | May | lld:pubmed |
pubmed-article:12016099 | pubmed:issn | 1073-449X | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:MartinRichard... | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:DrazenJeffrey... | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:FishJames EJE | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:PetersStephen... | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:SzeflerStanle... | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:FahyJohn VJV | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:LemanskeRober... | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:FordJean GJG | lld:pubmed |
pubmed-article:12016099 | pubmed:author | pubmed-author:ChinchilliVer... | lld:pubmed |
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pubmed-article:12016099 | pubmed:issnType | Print | lld:pubmed |
pubmed-article:12016099 | pubmed:day | 15 | lld:pubmed |
pubmed-article:12016099 | pubmed:volume | 165 | lld:pubmed |
pubmed-article:12016099 | pubmed:owner | NLM | lld:pubmed |
pubmed-article:12016099 | pubmed:authorsComplete | Y | lld:pubmed |
pubmed-article:12016099 | pubmed:pagination | 1377-83 | lld:pubmed |
pubmed-article:12016099 | pubmed:dateRevised | 2007-11-14 | lld:pubmed |
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pubmed-article:12016099 | pubmed:year | 2002 | lld:pubmed |
pubmed-article:12016099 | pubmed:articleTitle | Systemic effect comparisons of six inhaled corticosteroid preparations. | lld:pubmed |
pubmed-article:12016099 | pubmed:affiliation | National Jewish Medical and Research Center, Denver, Colorado 80206, USA. martinr@njc.org | lld:pubmed |
pubmed-article:12016099 | pubmed:publicationType | Journal Article | lld:pubmed |
pubmed-article:12016099 | pubmed:publicationType | Clinical Trial | lld:pubmed |
pubmed-article:12016099 | pubmed:publicationType | Comparative Study | lld:pubmed |
pubmed-article:12016099 | pubmed:publicationType | Research Support, U.S. Gov't, P.H.S. | lld:pubmed |
pubmed-article:12016099 | pubmed:publicationType | Randomized Controlled Trial | lld:pubmed |
pubmed-article:12016099 | pubmed:publicationType | Multicenter Study | lld:pubmed |
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