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Roflumilast

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Apr 20, 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-BlindCONTROLLEDBiomarker
Total Trials6
Total Enrollment6,067
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02165826Evaluation of Tolerability and Pharmacokinetics of Roflumilast, 250μg and 500μg, as add-on to Standard COPD Treatment to Treat Severe COPDPHASE3 COMPLETED 1,323May 1, 2014Sep 1, 2015Apr 20, 20172 Slovakia
NCT00313209Effect of Roflumilast on Lung Function in Chronic Obstructive Pulmonary Disease (COPD) Patients Treated With Salmeterol: The EOS Study (BY217/M2-127)PHASE3 COMPLETED 933Apr 1, 2006Feb 1, 2008Dec 14, 2016134 Austria, Belgium +8
NCT00297115Effect of Roflumilast on Exacerbation Rate in Patients With Chronic Obstructive Pulmonary Disease (COPD): The HERMES Study (BY217/M2-125)PHASE3 COMPLETED 1,568Mar 1, 2006Aug 1, 2008Nov 7, 2016287 United States, Canada +6
NCT00297102Effect of Roflumilast on Exacerbation Rate in Patients With Chronic Obstructive Pulmonary Disease (COPD): The AURA Study (BY217/M2-124)PHASE3 COMPLETED 1,523Feb 1, 2006Sep 1, 2008Jan 16, 2017179 United States, Australia +9
NCT00246935Long-term Study of Safety and Efficacy of Roflumilast in Japanese Patients Older Than 40 Years With Chronic Obstructive Pulmonary Disease (APTA-2217-08)PHASE3 COMPLETED 150May 1, 2005Oct 1, 2007Oct 26, 20161 Japan
NCT00242294Efficacy and Safety of Roflumilast in Japanese Patients Older Than 40 Years With Chronic Obstructive Pulmonary Disease (APTA-2217-06)PHASE2 COMPLETED 570Nov 1, 2004Mar 1, 2007Oct 26, 20161 Japan
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Study Endpoints
Primary Endpoints
Percentage of Participants Prematurely Discontinuing Study Treatment Due to Any Reason
Baseline to Week 12 (Main Period)

The primary endpoint is the percentage of participants prematurely discontinuing study treatment for any reason during the Main Period from Visit 1 (V1) to Last Visit (Vend). Discontinuation is defined as permanently stopping randomized treatment; participants who resume randomized treatment after an interval will not be counted as having discontinued. The analysis used discontinuations occurring during the Main Period, irrespective of whether a participant subsequently entered into the Down-Titration Period.

Pre-bronchodilator Forced Expiratory Volume in First Second (FEV1)
Change from baseline over 24 weeks of treatment

Mean change from baseline during the treatment period in pre-bronchodilator FEV1 \[L\]

COPD Exacerbation Rate (Moderate or Severe)
52 weeks treatment period

Mean rate of COPD exacerbations requiring oral or parenteral glucocorticosteroids (=moderate COPD exacerbations), or requiring hospitalization, or leading to death (=severe COPD exacerbations), per patient per year. A COPD exacerbation is an event in the natural course of the disease characterized by a change in the patient's baseline dyspnea, cough and/or sputum beyond day-to-day variability sufficient to warrant a change in management \[American Thoracic Society (ATS) / European Respiratory Society (ERS) 2005\].

Long-term safety after 28 weeks treatment of Roflumilast (total 52 weeks, 24 weeks of study APTA-2217-06 followed by 28 weeks) .
change in lung function parameters (post-bronchodilator).
Secondary Endpoints
Percentage of Participants With Adverse Events of Interest
Baseline to Week 12 (Main Period)
Change From Baseline (V0DT) in Pre-bronchodilator Forced Expiratory Volume in First Second (FEV1) to Final Visit of the Down-Titration Period
Baseline (V0DT) [assessment at end of main period] and Final Visit of Down-Titration Period (Up to Day 56)
Percentage of Participants Prematurely Discontinuing Study Treatment Due to Any Reason During Down-Titration Period
Baseline DT (Day 1 of Down-Titration Period) to Week 8 (Down-Titration Period)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Roflumilast 500 μg once dailyEXPERIMENTALRoflumilast 500 μg tablets, orally, once daily for 12 weeks. Any participants not tolerating study treatment will be prematurely discontinued and will receive roflumilast 250 μg, tablets, orally, once daily for 8 weeks.
Roflumilast 500 μg every other dayEXPERIMENTALRoflumilast 500 μg, tablets, orally, every other day, and roflumilast placebo-matching tablets, orally, every other day on non-treatment days, for 4 weeks, followed by roflumilast 500 μg, tablets, orally, once daily, for 8 weeks. Any participants not tolerating study treatment will be prematurely discontinued and will receive roflumilast 250 μg, tablets, orally, once daily for 8 weeks.
Roflumilast 250 μg once dailyEXPERIMENTALRoflumilast 250 μg, tablets, orally, once daily for 4 weeks, followed by roflumilast 500 μg, tablets, orally, once daily, for 8 weeks. Any participants not tolerating study treatment will be prematurely discontinued and will receive roflumilast 250 μg, tablets, orally, once daily for 8 weeks.
RoflumilastACTIVE_COMPARATORRoflumilast 500 µg underlying medication: salmeterol 50 μg, twice daily, inhaled
PlaceboPLACEBO_COMPARATORPlacebo underlying medication: salmeterol 50 μg, twice daily, inhaled
Interventions
NameTypeDescription
RoflumilastDRUGRoflumilast tablets
Roflumilast PlaceboDRUGRoflumilast placebo-matching tablets
Standard of Care COPD TreatmentDRUGThe participant is on standard of care COPD maintenance treatment including LABAs, long-acting anticholinergics, or any combination thereof taken on a constant daily dose within 12 weeks prior to Screening (Visit V0) Examples of LABA containing products are: Formoterol, Salmeterol, Indacaterol, Formoterol/Budesonide, Salmeterol/Fluticasone, Treatment including lon-acting anticholinergics: Tiotropium, Aclidinium.
PlaceboDRUGonce daily
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any requi...

Countries:SlovakiaAustriaBelgiumCanadaFranceGermanyItalyNetherlandsSouth AfricaSpainUnited KingdomUnited StatesIndiaPolandAustraliaBrazilHungaryNew ZealandRomaniaRussiaJapan
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