Evaluating Muscle Strength as a Predictor of Inhaler Efficacy in Asthma Management: Comparing DPI and MDI Devices

A new clinical trial has assessed the role of respiratory and peripheral muscle strength in predicting patient response to inhaler therapies for asthma. The trial compared two common device types: dry powder inhalers (DPI) and metered-dose inhalers (MDI). Healthcare professionals and regulatory specialists may find value in the results, which could influence personalized approaches to asthma treatment.

What changed?

The clinical trial, sponsored by Dr. Bugra Kerget and completed prior to November 2025, explored how physical muscle strength metrics correlate with inhaler treatment outcomes in asthma patients. The study focused on comparing the efficacy of MDIs and DPIs among participants, aiming to optimize future treatments based on measurable patient characteristics.

Understanding the study

Study purpose: The trial examined whether the respiratory and peripheral muscle strength of asthma patients could serve as predictive markers for determining which inhaler device—DPI or MDI—yields better therapeutic outcomes.

Devices involved: The study directly compared two device types: metered-dose inhalers (MDIs) and dry powder inhalers (DPIs). These are widely used in asthma management, each with unique operational mechanisms.

Why focus on muscle strength?

Muscle strength is closely linked to inhaler technique. Proper use of MDIs requires coordination and sufficient respiratory effort, as patients must time their inhalation to match the device’s delivery. DPIs, on the other hand, are breath-actuated, requiring more significant inspiratory force and less coordination. By analyzing muscle strength, the trial aimed to help identify the proper device for individual patients, minimizing suboptimal outcomes.

Preliminary findings

The study outcomes suggest that measuring respiratory and peripheral muscle strength during clinical assessments could guide better device selection. Patients with stronger upper respiratory or peripheral strength might respond differently to each device type, potentially influencing their asthma management plans.

Who can benefit from these findings?

Healthcare providers: Physicians and respiratory specialists could incorporate muscle strength evaluations into their workflows, enhancing device prescription accuracy.

Regulatory bodies: Insights from studies like this could inform future regulatory guidance for inhaler-use eligibility or best practices in asthma treatment.

Device manufacturers: Companies developing inhalers may use these findings to design devices with broader accessibility or specialized features targeting specific patient needs.

Frequently Asked Questions

1. Can muscle strength testing become a standard in asthma treatment?
This research indicates potential benefits, but additional studies and regulatory approvals would be required to establish this as a standard practice.

2. What are the key differences between DPIs and MDIs?
DPIs require higher inspiratory force and are breath-actuated, while MDIs need timing and coordination, as well as less inspiratory force.

3. Where can the full study results be accessed?
Details are available on ClinicalTrials.gov via the provided official link below.

Conclusion

Improved understanding of respiratory and peripheral muscle strength may change how patients are matched with inhaler devices, leading to enhanced outcomes in asthma care. These findings emphasize the importance of personalized treatment strategies.

Disclaimer

This article is intended for professionals in healthcare, regulation, or related fields and does not constitute medical or legal advice. Always consult official regulatory guidance.

For full information about the announcement, see the link below.

https://clinicaltrials.gov/study/NCT07232264?term=medical+device