The study compared the effectiveness and safety of budesonide-glycopyrrolate-formoterol and fluticasone-umeclidinium-vilanterol in patients with COPD. The findings indicated that budesonide-glycopyrrolate-formoterol was associated with a higher incidence of moderate or severe COPD exacerbations compared to fluticasone-umeclidinium-vilanterol. However, the incidence of admission to hospital with pneumonia was similar between the two treatments. The study suggested that fluticasone-umeclidinium-vilanterol may be a safe and effective alternative to budesonide-glycopyrrolate-formoterol, especially for health systems aiming to reduce the use of metered dose inhalers due to their environmental impact. Further research is needed to confirm these findings.
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