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Letter to the Editor| Volume 34, ISSUE 8, P1842-1843, August 2012

The authors respond

      We thank Dr. Laurenzi for his thorough review and critique of our recent article “Roflumilast: a phosphodiesterase-4 inhibitor for the treatment of severe chronic obstructive pulmonary disease,” published in the January 2012 issue of Clinical Therapeutics.
      • Pinner N.A.
      • Hamilton L.A.
      • Hughes A.
      Roflumilast: a phosphodiesterase-4 inhibitor for the treatment of severe chronic obstructive pulmonary disease.
      While several of the suggested changes are minor and would not substantially alter the findings, as stated by Dr. Laurenzi, we want to clarify and correct a few of the highlighted items. Items 1 to 7 and 9 are accurate, with the differences likely due to rounding (5b), attempts to provide representative data without being exhaustive (1, 3, 4a–c, 5a, and 9), and errors made while compiling the data (2, 5c, 6, and 7); therefore, we see no need to discuss them further in this response. Specifically, with regard to item 12, Table III included the values for forced expiratory volume in 1 second (FEV1) that corresponded to the stage of COPD required for inclusion to the study; however, in the text we addressed only the minimum stage required for study inclusion.
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      References

        • Pinner N.A.
        • Hamilton L.A.
        • Hughes A.
        Roflumilast: a phosphodiesterase-4 inhibitor for the treatment of severe chronic obstructive pulmonary disease.
        Clin Ther. 2012; 34: 56-66
        • Food and Drug Administration, US Dept of Health and Human Services
        Daxas (roflumilast) in Chronic Obstructive Pulmonary Disease.
        (Accessed June 6, 2012)
        • Pulmonary-Allergy Drugs Advisory Committee, Food and Drug Administration, US Dept of Health and Human Services
        Summary Minutes of the Pulmonary-Allergy Drugs Advisory Committee, April 7, 2010.
        (Accessed June 6, 2012)
        • Cazzola M.
        The divergent opinions of regulatory authorities on roflumilast are puzzling but we need new drugs for treating chronic obstructive pulmonary disease.
        Ther Adv Respir Dis. 2010; 4: 195-198
      1. Daliresp [package insert].
        Forrest Pharmaceuticals, St. Louis, MO2010

      Linked Article

      • Dear Dr. Walson
        Clinical TherapeuticsVol. 34Issue 8
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          In the January 2012 issue of Clinical Therapeutics, we were pleased to see the article on a new treatment of chronic obstructive pulmonary disease, roflumilast, by Pinner et al,1 titled “Roflumilast: a phosphodiesterase-4 inhibitor for the treatment of severe chronic obstructive pulmonary disease.” Since roflumilast was recently approved, the review is especially timely for educating readers on this drug. In support of this, we would like the published information to be as accurate as possible. Please consider the following inaccuracies in the article:
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