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Aclidinium Bromide 400 μg

Phase 3

Chronic Obstructive Pulmonary Disease | Small molecule | Respiratory |AstraZeneca PLC|Trials Updated: Nov 9, 2018

Aclidinium Bromide 400 μg development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Jan 2010

Aclidinium Bromide 400 μg target and mechanism

Molecular targetCHRM3
Target classAntagonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment1,625

FDA Designations

No designations recorded

Aclidinium Bromide 400 μg clinical trials

Aclidinium Bromide 400 μg · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT02796677AMPLIFY - D6571C00001 Duaklir USA Phase III StudyChronic Obstructive Pulmonary Disease
COMPLETED1,595 Analytics
PHASE3COMPLETED
AMPLIFY - D6571C00001 Duaklir USA Phase III Study
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in 1-hour Morning Post-dose Dose Forced Expiratory Volume in 1 Second (FEV1) of AB/FF 400/12 μg Compared to AB 400 μg at Week 24
At baseline 1-hour postdose and Week 24

To assess the bronchodilatory effect by evaluating the mean changes from baseline in FEV1 at 1 hour post-dose of AB/FF 400/12 µg compared to AB 400 μg after administration of oral inhalation powder BID via DIP to participants with COPD. Baseline was defined as the average of the two FEV1 values measured just prior to the administration of the first dose of investigational product (IP) at randomization Visit. If one of the two was missing, then the available one would be used as baseline value.

Change From Baseline in Morning Predose (Trough) FEV1 of AB/FF 400/12 μg Compared to FF 12 μg at Week 24
At baseline morning predose and Week 24

To assess the bronchodilatory effect by evaluating the mean changes from baseline in FEV1 in morning pre-dose (trough) of AB/FF 400/12 µg compared to FF 12 μg after administration of oral inhalation powder BID via DPI to participants with COPD. Morning pre-dose (trough) FEV1 was defined as the average of the corresponding -30 minute and 0 minute before the morning study medication at Week 24. If one time-point was missing then the available one would be used as morning pre-dose.

Change From Baseline in Morning Predose (Trough) FEV1 at Week 24 Comparing AB 400 μg Versus TIO 18 μg to Demonstrate Non-inferiority
At baseline morning predose and Week 24

To assess the non-inferior bronchodilatory effect by evaluating the mean changes from baseline in FEV1 in morning pre-dose (trough)of AB 400 µg compared to TIO 18 μg after administration of oral inhalation powder BID via DPI to participants with COPD.

Change From Baseline in Normalised Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) 0-12 hr at Day 15 on Treatment.
Day 15

Secondary Endpoints

Change From Baseline in Normalized Area Under Curve 3hours Post-dose (nAUC0-3/3h) FEV1 of AB/FF 400/12 μg Compared to AB 400 μg and and FF 12 μg at Week 24
At Day 1 and Day 169
Responder (Number of Participants) Analysis of St. George's Respiratory Questionnaire (SGRQ) Total Score With AB/FF 400/12 μg Versus AB 400 μg and FF 12 μg.
At baseline and Week 24
Change From Baseline in Normalised Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) 12-24hr at Day 15 on Treatment
Day 15
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AB/FF 400/12 μg BIDEXPERIMENTALParticipants were administered AB/FF 400/12 μg via Pressair®/Genuair® inhaler twice daily for 24 weeks of treatment.
AB 400 μg BIDEXPERIMENTALParticipants were administered AB 400 μg via Pressair®/Genuair® inhaler twice daily for 24 weeks of treatment.
FF 12 μg BIDEXPERIMENTALParticipants were administered FF 12 μg via Pressair®/Genuair® inhaler twice daily for 24 weeks of treatment.
TIO 18 μg QDEXPERIMENTALParticipants were administered TIO 18 μg via Handihaler® inhale once daily for 24 weeks of treatment.
Aclidinium 400 μg bidEXPERIMENTALAclidinium bromide 400 μg twice-daily by inhalation
Tiotropium 18 μg once-dailyACTIVE_COMPARATORTiotropium 18 μg once-daily by inhalation
PlaceboPLACEBO_COMPARATORPlacebo

Interventions

NameTypeDescription
Aclidinium bromide 400 μg/Formoterol Fumarate 12 μg (AB/FF 400/12 μg)DRUGInhalation powder
Aclidinium bromide 400 μg (AB 400 μg)DRUGInhalation powder
Formoterol fumarate 12 μg (FF 12 μg)DRUGInhalation powder
Placebo to AB/FF 400/12 μg, AB 400 μg and FF 12 μgOTHERInhalation powder
Tiotropium 18 μg (TIO 18 μg)DRUGPowder in capsules for oral inhalation
Placebo to TIO 18 μgOTHERPowder in capsules for oral inhalation
Aclidinium bromide 400 μg bidDRUGAclidinium bromide 400 μg twice-daily via inhalation by the Eklira Genuair® inhaler: 1 puff in the morning and evening for 15 days.
Tiotropium 18 μg once-dailyDRUGTiotropium 18 μg once-daily via inhalation by Handihaler® dry powder inhaler: 1 puff in the morning for 15 days.
PlaceboDRUGInhaled placebo: 1 puff in the morning (placebo to tiotropium) or in the morning and evening (placebo to aclidnium) for 15 days.
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Eligibility Criteria

Age Range40 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites163

Inclusion Criteria: * Adult male or non-pregnant, non-lactating female patients aged ≥40. * Patients with diagnosis of moderate to very severe stable COPD: post-bronchodilator FEV1 \< 80% of the predicted normal and post-bronchodilator FEV1/FVC \< 70% at Screening Visit. * Symptomatic patients with...

Countries:United StatesBulgariaCzechiaGermanyHungaryIsraelPolandSpainUkraineUnited Kingdom
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Frequently asked questions about Aclidinium Bromide 400 μg

What is Aclidinium Bromide 400 μg used for?

Aclidinium Bromide 400 μg is used for the treatment of Chronic Obstructive Pulmonary Disease (COPD). It is an inhaled small molecule developed by AstraZeneca PLC (ticker: AZN) and has been studied in Phase 3 clinical trials for this respiratory condition.

How does Aclidinium Bromide 400 μg work?

Aclidinium Bromide 400 μg works by targeting CHRM3, the M3 muscarinic acetylcholine receptor. It acts as an antagonist at this receptor, blocking muscarinic signaling in the airways, which is the mechanism explored for treating COPD.

Who makes Aclidinium Bromide 400 μg?

Aclidinium Bromide 400 μg is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca conducted the clinical development program for this inhaled COPD therapy.

What phase is Aclidinium Bromide 400 μg in?

Aclidinium Bromide 400 μg is in Phase 3 development. Two clinical trials have been completed, including the Phase 3 AMPLIFY study (NCT02796677) and a Phase 2 study (NCT00868231), with no active trials currently listed.

What clinical trials is Aclidinium Bromide 400 μg in?

Aclidinium Bromide 400 μg has been studied in two completed trials: the Phase 3 AMPLIFY study (NCT02796677) with 1,595 participants across multiple countries, and a Phase 2 trial (NCT00868231) with 30 participants in Germany. Both enrolled adults with COPD.