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BGF MDI HFO 320/14.4/9.6 μg

Phase 3

COPD (Chronic Obstructive Pulmonary Disease) | Small molecule | Respiratory |AstraZeneca PLC|Trials Updated: Sep 19, 2025

BGF MDI HFO 320/14.4/9.6 μg development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Oct 2022

BGF MDI HFO 320/14.4/9.6 μg target and mechanism

ModalitySmall molecule

Also known as Delivered by MDI HFO (HFO-1234ze), BGF MDI HFO

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment856

FDA Designations

No designations recorded

BGF MDI HFO 320/14.4/9.6 μg clinical trials

BGF MDI HFO 320/14.4/9.6 μg · 2 trials · 2 indications

Phase 3 2
NCT06075095A Study to Investigate the Effect on Lung Function of an Approved COPD Treatment (BGF, With HFA Propellant) Compared to BGF Formulated With a Next-Generation Propellant in Participants 40 to 80 Years of Age With COPDCOPD (Chronic Obstructive Pulmonary Disease)
COMPLETED297 Analytics
NCT05573464A Study to Assess the Safety of Budesonide/Glycopyrronium/Formoterol Fumarate With a Next-Generation Propellant in Participants With Moderate to Very Severe Chronic Obstructive Pulmonary DiseaseChronic Obstructive Pulmonary Disease (COPD)
COMPLETED559 Analytics
PHASE3COMPLETED
A Study to Investigate the Effect on Lung Function of an Approved COPD Treatment (BGF, With HFA Propellant) Compared to BGF Formulated With a Next-Generation Propellant in Participants 40 to 80 Years of Age With COPD
COPD (Chronic Obstructive Pulmonary Disease)Unlock trial analytics
PHASE3COMPLETED
A Study to Assess the Safety of Budesonide/Glycopyrronium/Formoterol Fumarate With a Next-Generation Propellant in Participants With Moderate to Very Severe Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Changes in FEV1 AUC (0-4)
Change from baseline at Day 29

To assess the equivalence of BGF MDI HFO relative to BGF MDI HFA on lung function in participants with COPD

Change in morning pre-dose trough FEV1
Change from baseline at Day 29

To assess the equivalence of BGF MDI HFO relative to BGF MDI HFA on lung function in participants with COPD

Number and Percentage of Participants With Serious Adverse Events
Over 12 weeks

To assess the safety and tolerability of BGF MDI HFO as compared to BGF MDI HFA in participants with moderate to very severe COPD

Number and Percentage of Participants With Non-serious Adverse Events >5%
Over 12 weeks

To assess the safety and tolerability of BGF MDI HFO as compared to BGF MDI HFA in participants with moderate to very severe COPD

Number and Percentage of Participants With Adverse Events of Special Interest
Over 12 weeks

To assess the safety and tolerability of BGF MDI HFO as compared to BGF MDI HFA in participants with moderate to very severe COPD. Adverse events of special interest in this study are respiratory events such as dysphonia, cough, dyspnea, wheezing, paradoxical bronchospasm, bronchospasm, and COPD exacerbations.

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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment Sequence 1EXPERIMENTALEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 1: BGF MDI HFO 320/14.4/9.6 μg BGF MDI HFA 320/14.4/9.6 μg Placebo MDI HFA
Treatment Sequence 2EXPERIMENTALEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 2: BGF MDI HFO 320/14.4/9.6 μg Placebo MDI HFA BGF MDI HFA 320/14.4/9.6 μg
Treatment Sequence 3EXPERIMENTALEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 3: BGF MDI HFA 320/14.4/9.6 μg BGF MDI HFO 320/14.4/9.6 μg Placebo MDI HFA
Treatment Sequence 4EXPERIMENTALEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 4: BGF MDI HFA 320/14.4/9.6 μg Placebo MDI HFA BGF MDI HFO 320/14.4/9.6 μg
Treatment Sequence 5EXPERIMENTALEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions) in the following sequence. Sequence 5: Placebo MDI HFA BGF MDI HFO 320/14.4/9.6 μg BGF MDI HFA 320/14.4/9.6 μg
Treatment Sequence 6EXPERIMENTALEach participant will participate in 3 treatment periods of approximately 4 weeks each (one period for each of 3 study interventions in the following sequence. Sequence 6: Placebo MDI HFA BGF MDI HFA 320/14.4/9.6 μg BGF MDI HFO 320/14.4/9.6 μg
BGF MDI HFO 320/14.4/9.6μgEXPERIMENTALBudesonide, Glycopyrronium, and Formoterol Fumarate (BGF) Delivered by MDI HFO (HFO-1234ze)
BGF MDI HFA 320/14.4/9.6 μgACTIVE_COMPARATORBudesonide, Glycopyrronium, and Formoterol Fumarate (BGF) Delivered by MDI HFA

Interventions

NameTypeDescription
BGF MDI HFO 320/14.4/9.6μgDRUGStudy interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart)
BGF MDI HFA 320/14.4/9.6 μgDRUGStudy interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart):
Placebo MDI HFADRUGStudy interventions will be administered orally via MDI as 2 inhalations BID (every morning and evening, approximately 12 hours apart)
BGF MDI HFO 320/14.4/9.6 μgDRUGBudesonide, Glycopyrronium, and Formoterol Fumarate
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Eligibility Criteria

Age Range40 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites87

Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: Age 1. Participants must be 40 to 80 years inclusive at the time of signing the ICF. Type of Participant and Disease Characteristics 2. Participants who have a documented history...

Countries:United StatesArgentinaBulgariaCanadaHungaryIndiaMalaysiaMexicoPhilippinesPolandSouth KoreaThailandTurkey (Türkiye)VietnamGermanyUnited Kingdom
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Frequently asked questions about BGF MDI HFO 320/14.4/9.6 μg

What is BGF MDI HFO 320/14.4/9.6 μg?

BGF MDI HFO 320/14.4/9.6 μg is an investigational inhaled triple-combination therapy in Phase 3 development for chronic obstructive pulmonary disease (COPD). It combines budesonide, glycopyrronium, and formoterol fumarate delivered as a metered dose inhaler using a next-generation hydrofluoroolefin (HFO) propellant. It is being developed by AstraZeneca PLC.

What is BGF MDI HFO 320/14.4/9.6 μg used for in COPD?

BGF MDI HFO 320/14.4/9.6 μg is being studied for the treatment of moderate to very severe chronic obstructive pulmonary disease (COPD). Clinical trials have enrolled adults aged 40 to 80 years with COPD. The program evaluates lung function and safety of the triple-combination formulation in this patient population.

Who makes BGF MDI HFO 320/14.4/9.6 μg?

BGF MDI HFO 320/14.4/9.6 μg is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is the sponsor of the Phase 3 clinical program evaluating this triple-combination inhaled therapy for chronic obstructive pulmonary disease.

What phase is BGF MDI HFO 320/14.4/9.6 μg in?

BGF MDI HFO 320/14.4/9.6 μg is in Phase 3 clinical development. It is investigational and has not been approved for commercial use. The Phase 3 program includes completed randomized, double-blind, controlled trials in participants with COPD.

What clinical trials is BGF MDI HFO 320/14.4/9.6 μg in?

BGF MDI HFO 320/14.4/9.6 μg has been evaluated in two completed Phase 3 trials: NCT06075095, which compared lung function effects of an approved COPD treatment (BGF with HFA propellant) versus BGF with a next-generation propellant in 297 participants, and NCT05573464, which assessed safety in 559 participants with moderate to very severe COPD.