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May 20, 2026American Journal of Respiratory and Critical Care Medicine

B22-23 Albuterol-budesonide Rescue Enhances Improvements in Control Compared With Albuterol Rescue for Patients With Mild Asthma

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Authors

APA PapiBCB E ChippsRBR W Beasley

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Overview

Randomized trial finds improved asthma control and reduced exacerbation risk in mild asthma with albuterol-budesonide compared to albuterol alone.

Key Points

  • To compare the effects of as-needed albuterol-budesonide versus albuterol on asthma control and exacerbation risk in patients with mild asthma.
  • Enrolled patients aged ≥12 years using SABA rescue ± low-dose inhaled corticosteroid or leukotriene receptor antagonist maintenance.
  • Randomized treatment for patients aged ≥18 years using either as-needed albuterol-budesonide or albuterol for at least 28 weeks.
  • Cox proportional hazards model assessed time-to-first exacerbation risk reduction over 16 and 28 weeks.
  • As-needed albuterol-budesonide showed a 43% reduction in severe exacerbation risk at 16 weeks and 51% at 28 weeks.
  • Patients using albuterol-budesonide had 29% and 21% higher odds of achieving well-controlled asthma at 16 and 28 weeks, respectively.
  • The odds of baseline very poorly controlled asthma becoming well-controlled was 50% greater with albuterol-budesonide at 16 weeks.

Cite This Study

Papi et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f19f03e14405aa9a4d5https://doi.org/10.1093/ajrccm/aamag162.415
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