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1 In accordance with, but also extending this view, we believe that the balance between distinct immune reactions within one individual is the key to understand the role of IgE armed mast cells in immunoprotection and allergy development

Abbreviations AE: Adverse events AUC: Area under the plasma concentration time curve BID: Twice daily CI: Confidence interval CL: Clearance C max : Maximum observed plasma concentration COPD: Chronic obstructive pulmonary disease CS: Closed system CV%: Coefficient of variation DPI: Dry powder inhaler F: Fraction bioavailable FEV 1 : Forced expiratory volume in 1 s FVC: Forced vital capacity GLY: Glycopyrronium bromide GOLD: Global Initiative for Chronic Obstructive Lung Disease ICS: Inhaled corticosteroid IV: Intravenous LAMA: Long-acting muscarinic antagonist LS: Least squares PK: Pharmacokinetics pMDI: Pressurized metered dose inhaler SAE: Serious adverse event SD: Standard deviation t : Elimination half-life t max : Time to reach maximum plasma concentration V ss : Volume of distribution at steady state V z : Volume of distribution References Decramer M, Janssens W, Miravitlles M