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Symbicort

Phase 3

COPD Patients | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Nov 7, 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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment2,026
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02157935Comparing the Efficacy of Symbicort® pMDI and Formoterol Turbuhaler in Reducing Exacerbations in Patients With Cronic Obstructive Pulmonary DiseasePHASE3 COMPLETED 2,026Jun 27, 2014Feb 8, 2016Nov 7, 2017371 United States, Argentina +9
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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).

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
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
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Eligibility Criteria
Age Range40 Years — 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 AfricaSpain
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