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We assessed lung function, dyspnoea (via the transition dyspnoea index [TDI]), patient-reported symptoms, and safety and tolerability. Results:?Of the 449 patients randomized (GLY+IND [n?=?226]; IND [n?=?223]), 94.0% completed the study. At Week 12, GLY+IND treatment demonstrated greater improvement in mean trough FEV1 over IND (64?mL; p?ISRIB solubility dmso in favour CYTH4 of GLY+IND; p?=?0.004). GLY+IND was also associated with significantly greater improvements in mean daytime respiratory symptom score and % days able to perform usual daily activities vs IND at Week 12 (�C0.1 and 6.2; both p? lung function from the first dose and dyspnoea, without adversely affecting safety and tolerability. Grant Support:?This study was sponsored by Novartis Pharmaceuticals AG. FRENZEL C1, BANERJI D2, FOWLERTAYLOR A2, KHO P2, CHEN H2, ALAGAPPAN V2 1Novartis Pharmaceuticals Australia, 2Primary Care, Novartis Pharmaceuticals Corporation, East Hanover, NJ, United States Aim:?QVA149 is a once daily, dual bronchodilator with a fixed-dose combination of indacaterol (a long-acting ��2-agonist) and glycopyrronium (a long-acting muscarinic antagonist) for treatment of patients with COPD. We present the pooled analysis of Metformin purchase lung function data from severe patients from the QVA149 SPARK, ARISE, and ENLIGHTEN studies. Method:?Data from 1871 patients with severe COPD (stage III; post-bronchodilator forced expiratory volume in 1?s (FEV1) ��30-