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Aclidinium bromide and formoterol

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Feb 15, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials8
Total Enrollment6,472
FDA Designations
No designations recorded
Clinical Trials (8)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01908140Study of Aclidinium Bromide/Formoterol Fumarate Compared With Salmeterol/Fluticasone Propionate in Patients With Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 933Sep 1, 2013Aug 1, 2014Mar 7, 2016126 Austria, Bulgaria +12
NCT01462929Efficacy and Safety of Aclidinium Bromide 400 µg Compared to Placebo and to Tiotropium Bromide in Patients With Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 414Nov 1, 2011May 1, 2012Jan 4, 201741 Czechia, Germany +2
NCT01471171Efficacy and Safety of Aclidinium Bromide 400 µg BID (Twice a Day)Compared to Placebo in Patients With Stable Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 112Nov 1, 2011Jun 1, 2012Jan 4, 201714 Germany, Spain +1
NCT01462942Long-term Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-Dose CombinationPHASE3 COMPLETED 2,443Oct 1, 2011Jan 1, 2013Feb 15, 2017197 Austria, Belgium +20
NCT00435760Clinical Trial to Assess Rate of Onset of Bronchodilator Action in Severe Stable Chronic Obstructive Pulmonary Disease (COPD) PatientsPHASE3 COMPLETED 115Feb 1, 2007Aug 1, 2007Nov 17, 20161 United Kingdom
NCT00358436Efficacy and Safety of LAS 34273 in Patients With Moderate to Severe Stable Chronic Obstructive Pulmonary Disease(COPD)PHASE3 COMPLETED 804Aug 1, 2006Jun 1, 2008Jan 4, 2017120 United States, Argentina +5
NCT00363896A Trial Assessing LAS34273 in Moderate to Severe Stable Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 843Jul 1, 2006May 1, 2008Jan 6, 2017132 Andorra, Austria +14
NCT00626522Aclidinium/Formoterol Fixed Combination Dose Finding StudyPHASE2 COMPLETED 808Feb 1, 2008Nov 1, 2008Nov 16, 20169 Australia, Czechia +2
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Study Endpoints
Primary Endpoints
Peak Forced Expiratory Volume in One Second (FEV1) at Week 24
At Week 24

Peak FEV1 define at the highest value observed in the 3h after the morning IMP administration

Change From Baseline in Normalised Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve Over the 24-h Period After 6 Weeks of Treatment
Week 6

Change from baseline in normalised FEV1 area under the curve over the 24-h period immediately after morning Investigational Medicinal Product administration (AUC0-24h ) after 6 weeks on treatment. The normalised AUC were calculated by means of a trapezoidal method, dividing by the corresponding time interval.

Change From Baseline in Endurance Time (Seconds)
Week 3

Change from baseline in endurance time during constant work rate cycle ergometry to symptom limitation at 75% of Maximum Work load (Wmax) after 3 weeks of treatment.

Change From Baseline in 1-hour Morning Post-dose Forced Expiratory Volume in One Second (FEV1)
Baseline and Week 24
Change From Baseline in Morning Pre-dose (Trough) Forced Expiratory Volume in One Second (FEV1)
Baseline and Week 24
FEV1 Percentage Increase
30 minutes

Percentage of patients achieving a FEV1 increase from baseline equal to or greater than 10% at 30 minutes

Trough FEV1 (L) at 28 Weeks on Treatment
28 weeks

Trough FEV1 (mean FEV1 value of the two highest FEV1 readings measured at 23 and 24 hours after inhalation) at 28 weeks

Trough FEV1 (L) at 12 Weeks on Treatment
12 weeks

Trough FEV1 (mean FEV1 value of the two highest FEV1 readings measured at 23 and 24 hours after inhalation) at 12 weeks

Trough Forced Expiratory Volume in the First Second (FEV1) (L) at 12 Weeks on Treatment
Week 12

Trough FEV1 (mean of two highest FEV1 values assessed at 23 and 24 hours after inhalation) at 12 weeks

Change From Baseline in Normalized Forced Expiratory Volume in One Second (FEV1) Area Under the Curve (AUC) for 0-12 hr
Baseline and treatment Week 4
Secondary Endpoints
Transition Dyspnoea Index (TDI) Focal Score at Week 24
At Week 24
Change From Baseline in Normalised FEV1 Area Under the Curve Over the 12-h Night-time Period After 6 Weeks of Treatment
Week 6
Change From Baseline in Trough Inspiratory Capacity (IC) (Litres)
Week 3
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Aclidinium Bromide / Formoterol FumarateEXPERIMENTALAclidinium Bromide 400 μg / Formoterol Fumarate 12 μg BID for 24 Weeks
Salmeterol / Fluticasone propionateACTIVE_COMPARATORSalmeterol 50 μg / Fluticasone propionate 500 μg BID for 24 Weeks
Aclidinium bromideEXPERIMENTALAclidinium bromide 400 µg administered twice per day during 6 weeks of treatment
TiotropiumACTIVE_COMPARATORTiotropium bromide 18 µg administered once per day during 6 weeks of treatment
PlaceboPLACEBO_COMPARATORPlacebo comparator administered during 6 weeks of treatment
Aclidinium/Formoterol 400/6 μgEXPERIMENTAL24 week, double blind treatment period
Aclidinium/Formoterol 400/12 μgEXPERIMENTAL24 week, double blind treatment period
Aclidinium monotherapy 400 μgEXPERIMENTAL24 week, double blind treatment period
Formoterol monotherapy 12 μgACTIVE_COMPARATOR24 week, double blind treatment period
Aclidinium 200 μg once-dailyEXPERIMENTALAclidinium bromide 200 μg once-daily by inhalation
1EXPERIMENTAL -
2EXPERIMENTAL -
3EXPERIMENTAL -
4PLACEBO_COMPARATOR -
5PLACEBO_COMPARATOR -
6PLACEBO_COMPARATOR -
Interventions
NameTypeDescription
Aclidinium Bromide / Formoterol FumarateDRUG -
Salmeterol / FluticasoneDRUG -
Aclidinium bromideDRUGDosage form: Dry powder. Route of administration: Oral inhalation by Genuair multidose dry powder inhaler Dose and regimen: 1 puff of 400 micrograms in the morning (09:00 ± 1h) and in the evening (21:00 ± 1h)
TiotropiumDRUGDosage form: Dry powder hard gelatin capsule. Route of administration: Oral inhalation by HandiHaler single-dose dry powder inhaler Dose and regimen: 1 capsule (18 μg) in the morning (09:00 ± 1h)
PlaceboDRUGDosage form: Dry powder Route of administration: Oral inhalation by Genuair multidose dry powder inhaler. 1 puff of placebo in the morning (09:00 ± 1h) and 1 puff in the evening (21:00 ± 1h) AND Oral inhalation by HandiHaler single-dose dry powder inhaler. 1 puff of placebo in the morning (09:00 ± 1h).
Aclidinium Bromide/Formoterol FumarateDRUGInhaled Aclidinium/formoterol Fixed Dose Combination (FDC) low dose (400/6 μg), twice per day
Formoterol FumarateDRUGInhaled Formoterol 12 μg, twice per day
Placebo TiotropiumDRUG1 puff once daily, 1 day treatment
Placebo LAS34273DRUG1 puff, 1 dat treatment
Aclidinium bromide and formoterolDRUGonce daily
Aclidinium bromide and formoterol placeboDRUGonce daily
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites126

Inclusion Criteria: * Adult male or non-pregnant, non-lactating female aged ≥40. * Current or ex-cigarette smoker, with a smoking history of at least 10 pack-years * Patients with a clinical diagnosis of COPD according to GOLD guidelines 2013, with a post-bronchodilator FEV1 \<80%, and FEV1/FVC \< ...

Countries:AustriaBulgariaCanadaCzechiaFranceGermanyHungaryItalyLithuaniaNetherlandsPolandSouth AfricaSpainUnited KingdomBelgiumCroatiaDenmarkFinlandRomaniaRussiaSlovakiaSouth KoreaSwedenUkraineUnited StatesArgentinaAustraliaMexicoNew ZealandAndorra
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