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BFF MDI 160/9.6 μg

Phase 3

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Jan 28, 2026

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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment374
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05755906A 12-week Study to Assess the Efficacy and Safety of Budesonide and Formoterol Fumarate Metered Dose Inhaler Relative to Budesonide Metered Dose Inhaler in Participants With Inadequately Controlled Asthma (LITHOS)PHASE3 COMPLETED 374Feb 27, 2023Nov 19, 2024Jan 28, 2026104 United States, Canada +5
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Study Endpoints
Primary Endpoints
Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve 0 to 3 Hours (AUC0-3) at Week 12
At Week 12

Change from baseline in forced expiratory volume in 1 second (FEV1) area under the curve 0 to 3 hours (AUC0-3) at Week 12. FEV1 AUC0-3 is calculated from 0-3 hours post-dose using the trapezoidal rule, divided by the observation time to report the result in liters. Treatment policy is implemented to handle all intercurrent events with the exception of initiation of new asthma therapy or administration of prohibited medications thought to impact efficacy in conjunction with premature discontinuation of randomised study intervention, for which the composite strategy is implemented.

Secondary Endpoints
Change From Baseline in Morning Pre-dose Trough FEV1 at Week 12
At Week 12
Onset of Action on Day 1: Absolute Change in FEV1 at 5 Minutes on Day 1
On Day 1
Change From Baseline in the Mean Number of Puffs of Rescue Medication Use (Puffs/Day) Over 12 Weeks
Over 12 Weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BFF MDI 160/9.6 μg BID (320/19.2μg/day)EXPERIMENTALBudesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), BDI (320/19.2μg/day)
BD MDI 160 μg BID (320 μg/day)ACTIVE_COMPARATORBudesonide (BD) metered-dose inhaler (MDI), 160 μg BID (320 μg/day)
Interventions
NameTypeDescription
BFF MDI 160/9.6 μg BID (320/19.2μg/day)DRUGBudesonide/ Formoterol Fumarate (BFF) metered-dose inhaler (MDI), 160/9.6 μg BID (320/19.2μg/day)
BD MDI 160 μg BID (320 μg/day)DRUGBudesonide (BD) metered-dose inhaler (MDI), 160 μg BID (320 μg/day)
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Eligibility Criteria
Age Range12 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites104

Inclusion Criteria 1. 12 to 80 years of age, male and female, BMI \<40 kg/m2; females of childbearing potential should be using highly effective birth control. 2. Participants who have a documented history of physician-diagnosed asthma ≥ 6 months prior to Visit 1, according to GINA guidelines \[GIN...

Countries:United StatesCanadaCzechiaMalaysiaPhilippinesSouth AfricaSouth Korea
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