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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

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials8
Total Enrollment6,472

FDA Designations

No designations recorded

Clinical trial landscape

Aclidinium bromide and formoterol · 8 trials · 1 indication

Phase 3 7Phase 2 1
NCT01908140Study of Aclidinium Bromide/Formoterol Fumarate Compared With Salmeterol/Fluticasone Propionate in Patients With Chronic Obstructive Pulmonary Disease (COPD)Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED933 Analytics
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)Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED414 Analytics
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)Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED112 Analytics
NCT01462942Long-term Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-Dose CombinationChronic Obstructive Pulmonary Disease (COPD)
COMPLETED2,443 Analytics
NCT00435760Clinical Trial to Assess Rate of Onset of Bronchodilator Action in Severe Stable Chronic Obstructive Pulmonary Disease (COPD) PatientsChronic Obstructive Pulmonary Disease (COPD)
COMPLETED115 Analytics
NCT00358436Efficacy and Safety of LAS 34273 in Patients With Moderate to Severe Stable Chronic Obstructive Pulmonary Disease(COPD)Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED804 Analytics
NCT00363896A Trial Assessing LAS34273 in Moderate to Severe Stable Chronic Obstructive Pulmonary Disease (COPD)Chronic Obstructive Pulmonary Disease (COPD)
COMPLETED843 Analytics
PHASE3COMPLETED
Study of Aclidinium Bromide/Formoterol Fumarate Compared With Salmeterol/Fluticasone Propionate in Patients With Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Efficacy 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)
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Efficacy 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)
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Long-term Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-Dose Combination
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Clinical Trial to Assess Rate of Onset of Bronchodilator Action in Severe Stable Chronic Obstructive Pulmonary Disease (COPD) Patients
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of LAS 34273 in Patients With Moderate to Severe Stable Chronic Obstructive Pulmonary Disease(COPD)
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
A Trial Assessing LAS34273 in Moderate to Severe Stable Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics

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 to 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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Frequently asked questions about Aclidinium bromide and formoterol

What is Aclidinium Bromide used for?

Aclidinium Bromide is used for the treatment of moderate to severe Chronic Obstructive Pulmonary Disease (COPD). It is a small molecule being developed by AstraZeneca PLC for this respiratory condition.

Who makes Aclidinium Bromide?

Aclidinium Bromide is being developed by AstraZeneca PLC, a company listed on the stock exchange under the ticker AZN. AstraZeneca is conducting clinical trials to evaluate the drug's efficacy and safety in patients with COPD.

What phase is Aclidinium Bromide in?

Aclidinium Bromide is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The Phase 3 trials are designed to assess its efficacy and safety in treating moderate to severe COPD.

What clinical trials is Aclidinium Bromide in?

Aclidinium Bromide has been studied in several Phase 3 clinical trials, including NCT00891462, NCT00970268, NCT01045161, and NCT01437540. These trials enrolled patients with moderate to severe COPD and have all been completed. The studies were randomized, double-blind, and placebo-controlled.

Is Aclidinium Bromide the same as a combination therapy?

Aclidinium Bromide has been studied in combination with formoterol fumarate. One clinical trial, NCT01437540, compared the safety and tolerability of aclidinium bromide/formoterol fumarate against formoterol fumarate alone in patients with moderate to severe COPD.