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Symbicort

Phase 3

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Nov 7, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment214

FDA Designations

No designations recorded

Clinical trial landscape

Symbicort · 2 trials · 2 indications

Phase 3 2
NCT02157935Comparing the Efficacy of Symbicort® pMDI and Formoterol Turbuhaler in Reducing Exacerbations in Patients With Cronic Obstructive Pulmonary DiseaseCOPD Patients
COMPLETED2,026 Analytics
NCT01360021New Breath Actuated MDI Symbicort Compared to Symbicort pMDI and Budesonide pMDI for 12 Weeks Twice a DayAsthma
COMPLETED214 Analytics
PHASE3COMPLETED
Comparing the Efficacy of Symbicort® pMDI and Formoterol Turbuhaler in Reducing Exacerbations in Patients With Cronic Obstructive Pulmonary Disease
COPD PatientsUnlock trial analytics
PHASE3COMPLETED
New Breath Actuated MDI Symbicort Compared to Symbicort pMDI and Budesonide pMDI for 12 Weeks Twice a Day
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

The Rate of Moderate and Severe COPD Exacerbations Defined as: Worsening of ≥2 Major Symptoms or Worsening of 1 Major Symptom Together With ≥1 Minor Symptom for ≥2 Consecutive Days
Randomization at Week 0 to End of Treatment (EoT) W 26

The annual COPD exacerbation rate was analyzed and compared between two arms. Annual exacerbation rate for each subject is defined as number of exacerbations divided by duration of randomized treatment period in years. The annual COPD exacerbation rate of Symbicort group was compared with annual rate of Formoterol group. The rate ratio of Symbicort vs. Formoteroal was assessed by a negative binomial model. Exacerbations, that met the modified Anthonisen criteria and duration ≥2 days were classified as moderate and severe exacerbations. Moderate exacerbation: treatment of symptoms with systemic corticosteroids (≥3 days) and/or antibiotics. Severe exacerbation: symptoms that require hospitalization (including \>24 hours in ED/urgent care setting).

Forced Expiratory Volume in 1 Second (FEV1) - Post Dose
60 minutes post-dose in clinic visits at baseline, and week 0, 3, 7, 12 and Trt Avg

Descriptive statistics for post-dose FEV1 (L) by visit; Baseline defined as the last pre-dose value prior to 1st dose of randomized therapy. Trt Avg = Mean of all available valid values after randomization.

Forced Expiratory Volume in 1 Second (FEV1) - Pre Dose
Pre AM dose in clinic visits at baseline, and week 3, 7, 12 and Trt Avg

Descriptive statistics for predose FEV1(L) by visit; Baseline defined as the last pre-dose value prior to 1st dose of randomized therapy. Trt Avg = Mean of all available valid values after randomization.

Secondary Endpoints

Number of Patients With Moderate or Severe COPD Exacerbation.
From randomzation to EoT W 26
St. George's Respiratory Questionnaire (SGRQ)
From Run-in W -4 to EoT W 26
Pre-dose/Pre-bronchodilator FEV1 at the Study Site
From Run-in W -4 to EoT W 26
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Symbicort pMDIACTIVE_COMPARATORSymbicort pMDI, budesonide/formoterol, 160/4.5 μg x 2 actuations BID, for oral inhalation
Formoterol TurbuhalerACTIVE_COMPARATORFormoterol Turbuhaler, 4.5 μg x 2 actuations BID, for oral inhalation
1 Symbicort/inhalerACTIVE_COMPARATORSymbicort BA MDI 2x160/4.5 μg twice daily
Symbicort/inhalerACTIVE_COMPARATORSymbicort AC pDMI 2x160/4.5 μg twice daily
Budesonide/inhalerACTIVE_COMPARATORBudesonide AC pMDI 2x160 μg twice daily

Interventions

NameTypeDescription
SymbicortDRUGBudesonide/formoterol pMDI, 160/4.5 μg x 2 actuations BID, for oral inhalation, 120 doses
Formoterol turbohalerDRUGFormoterol Turbuhaler 4.5 μg x 2 actuations BID, for oral inhalation, 60 doses
Placebo for Symbicort pMDIOTHERpMDI, aerosol for oral inhalation, placebo, 120 doses
Placebo for Formoterol TurbohalerOTHERPLacebo powder for oral inhalation, 60 doses
BudesonideDRUGActuation counter pressured metered dose inhaler
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Eligibility Criteria

Age Range40 Years to 95 Years
SexALL
Healthy VolunteersNo
Study Sites371

Inclusion Criteria: 3\. A current clinical diagnosis of COPD with COPD symptoms for more than 1 year, according to the GOLD guidelines. 4\. Current or previous smoker with a smoking history equivalent to 10 or more pack years (1 pack year = 20 cigarettes smoked per day for 1 year). 5\. Post-bronc...

Countries:United StatesArgentinaBulgariaChileCzechiaGermanyMexicoPolandPuerto RicoSouth AfricaSpainHungaryRussia
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Frequently asked questions about Symbicort

What is Symbicort used for?

Symbicort is used for asthma and in patients with chronic obstructive pulmonary disease (COPD). It is a small molecule respiratory therapy developed by AstraZeneca PLC. Symbicort is administered via a metered dose inhaler and is currently in Phase 3 clinical development for these indications.

What does Symbicort target?

Symbicort is a combination inhaler containing budesonide, an inhaled corticosteroid, and formoterol, a long-acting beta2-agonist. It works by reducing airway inflammation and relaxing the muscles around the airways to improve breathing in asthma and COPD patients.

Who makes Symbicort?

Symbicort is developed by AstraZeneca PLC, a multinational pharmaceutical company. AstraZeneca is listed on the stock exchange under the ticker symbol AZN. The company is conducting Phase 3 clinical trials to evaluate Symbicort for the treatment of asthma and COPD.

What phase is Symbicort in?

Symbicort is in Phase 3 clinical development for asthma and COPD. It is an investigational drug and has not yet been approved by regulatory authorities. Two Phase 3 trials have been completed, one in asthma and one in COPD, with a total enrollment of over 2,000 patients.

What clinical trials is Symbicort in?

Symbicort has been studied in two completed Phase 3 trials. NCT01360021 compared a breath-actuated MDI Symbicort to Symbicort pMDI and budesonide pMDI in 214 asthma patients. NCT02157935 compared Symbicort pMDI to formoterol Turbuhaler in 2,026 COPD patients. Both trials were randomized, double-blind, and active-controlled.

Is Symbicort the same as budesonide and formoterol?

Symbicort is a fixed-dose combination of budesonide and formoterol. Budesonide is an inhaled corticosteroid that reduces inflammation, and formoterol is a long-acting beta2-agonist that relaxes airway muscles. The combination is designed to provide both anti-inflammatory and bronchodilator effects in one inhaler.