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Dry Powder Inhalers (DPIs) vs Metered Dose Inhaler (MDI) with Valved Spacer : Using Functional Respiratory Imaging (FRI) to Assess Modelled Lung Deposition in a COPD patient

Elderly woman coughing

RATIONALE

This FRI based study assessed the modelled airway drug delivery from an MDI/spacer system and two DPI systems at optimal and sub optimal flow rates.

METHOD

Three-dimensional geometries of airways and lobes were extracted from a CT scan of a 67 year old male COPD (Gold III) patient.

Device Tested

The aerodynamic particle size distribution (APSD) profiles and delivered doses were obtained from published data.

Inhalation flow rates of 30 L/min (optimum for MDI/VHC, sub optimal for 2 DPIs) and 60 L/min (optimum for 2 DPIs, sub optimal for MDI/VHC) were assessed.

devices tested

RESULTS

Expressed as a percentage of labelled metered doses (average values used when more than one drug in combination)

optimal breathing profile
sub optimal breathing profile

Modelled Lung Deposition (average values used when more than one drug in combination)

modelled lung deposition

CONCLUSION

  • The FRI deposition profiles highlight that the MDI/AeroChamber Plus* Flow-Vu* VHC delivered a significantly greater percentage of drug to the lung region than either of the two DPIs, irrespective of flow rate.
  • This was reflected in much higher modelled oropharyngeal deposition for the two DPIs.
  • The influence of inhalation flow profile was significant for one of the DPIs.

Download The Poster

Dry Powder Inhalers (DPIs) vs Metered Dose Inhaler (MDI) with Valved Spacer - Digital Poster

European Respiratory Society International Congress
September 4-6, 2022

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