Important Safety Information1

BREZTRI AEROSPHERE is indicated for the long-term maintenance treatment to reduce exacerbations of COPD and treat airflow obstruction in patients with COPD, including chronic bronchitis and/or emphysema, who are not adequately treated by a combination of an ICS/LABA or a combination of LAMA/LABA.

Click here for additional safety information and for a link to the product monograph discussing:

  • Relevant warnings and precautions regarding risk of serious asthma-related events, deterioration of disease, excessive use with other LAMA and LABA products, anticholinergic activity, cardiovascular effects, driving and operating machinery, candidiasis, risk of systemic effects, hypercorticism, adrenal suppression, adrenal insufficiency in patients transferred from systemic steroid, patients with symptomatic prostatic hyperplasia, glaucoma, convulsive disorders, thyrotoxicosis, sensitivity to sympathomimetic amines, severe hepatic impairment/hepatic disease, or urinary retention, systemic eosinophilic conditions (in rare cases), susceptibility or decreased resistance to infections, monitoring, paradoxical bronchospasm, increased risk of pneumonia, pregnant and nursing women, and geriatrics.
  • Conditions of clinical use, adverse reactions, drug interactions, and dosing instructions.

The Product Monograph is also available by calling AstraZeneca Canada at 1-800-668-6000.

COPD: chronic obstructive pulmonary disease; ICS: inhaled corticosteroid; LABA: long-acting beta2-adrenergic agonist; LAMA: long-acting muscarinic antagonist.

Reference:

  1. BREZTRI AEROSPHERE Product Monograph. AstraZeneca Canada Inc.
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Disease Burden

The disease burden of COPD in Canada is significant. It is estimated to affect 2.0 million Canadians aged 35 and older, with COPD-related deaths occurring at a rate of 22.2 per 1,000 in 2011-2012.1

Key facts about exacerbations in COPD2

Lung icon

According to the CTS guidelines, COPD can result in a high burden of disease reflected in health status, morbidity, and mortality.

  • Acute exacerbations lead to a faster lung function decline, worsened health status, and increased hospitalizations.
  • Severe exacerbations are also associated with increased all-cause mortality.

Data for BREZTRI AEROSPHERE on the rate of severe or moderate exacerbations, lung function, and health status (SGRQ) are presented elsewhere on this site. BREZTRI AEROSPHERE’s effect on hospitalization, morbidity, and mortality have not been evaluated as predefined endpoints in prospectively designed, well-controlled, randomized trials.

COPD exacerbations – CTS definition and classification2

The CTS guidelines define a COPD exacerbation as an acute worsening of respiratory symptoms that may require the use of antibiotics, systemic corticosteroids, and/or healthcare services. The varying levels of exacerbation severity are:

Pill bottle icon

Moderate

Prescription for an antibiotic and/or oral corticosteroids

Hospital icon

Severe

Requires hospitalization or an emergency department visit

View COPD guidelines

COPD: chronic obstructive pulmonary disease; CTS: Canadian Thoracic Society; SGRQ: St. George’s Respiratory Questionnaire.

 

References:

  • Government of Canada. Asthma and Chronic Obstructive Pulmonary Disease (COPD) in Canada 2018. Available at: https://www.canada.ca/en/public-health/services/publications/diseases-conditions/asthma-chronic-obstructive-pulmonary-disease-canada-2018.html. Retrieved February 20, 2024.
  • Bourbeau J, et al. 2023 Canadian Thoracic Society Guideline on Pharmacotherapy in Patients with Stable COPD. Can J Respir Crit Care Sleep Med.164(5):1159-1183.
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