Table 92Probability of exacerbations, immunomodulatory agents

ComparisonBaseline number of exacerbations/cycleRRNumber of exacerbations for the comparator treatment/cycle
First cycle, 9 months
Oral corticosteroids (prednisolone) versus placebo1.650.91a1.65
Inhaled corticosteroids (fluticasone) versus placebo1.34a2.21
Macrolides (azithromycin) versus placebo0.44b0.73
NSAIDs (ibuprofen) versus placebo1.00c1.65
Subsequent annual cycles
Oral corticosteroids (prednisolone) versus placebo2.200.912.00
Inhaled corticosteroids (fluticasone) versus placebo1.342.95
Macrolides (azithromycin) versus placebo0.44 (0.37d)0.97 (0.73)
NSAIDs (ibuprofen) versus placebo1.00b2.20
(a)

Assumed to equal long term in the absence of evidence

(b)

RR 0.79 estimated from the NMA rejected by the committee and assumed to equal the longer-term estimate of 0.44

(c)

Exacerbation data not available, assumed to equal placebo in the base case

(d)

Hazard ratio

From: Appendix K, Health Economics

Cover of Cystic Fibrosis
Cystic Fibrosis: Diagnosis and management.
NICE Guideline, No. 78.
National Guideline Alliance (UK).
Copyright © NICE 2017.

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