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Symbicort pMDI + budesonide HFA pMDI

Phase 3

Asthma | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Apr 10, 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-BlindSHAM_CONTROLLED
Total Trials3
Total Enrollment13,912
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02091986A 12-Week Study in Asthmatic Children Ages 6 to <12 Years, Investigating the Efficacy and Safety of Symbicort pMDI 80/2.25 μg and Symbicort pMDI 80/4.5 μg, Compared With Budesonide pMDI 80 μgPHASE3 COMPLETED 882Apr 1, 2014Apr 1, 2016Apr 10, 201770 United States, Mexico +2
NCT01444430A 6 Month Safety Study Comparing Symbicort With Inhaled Corticosteroid Only in Asthmatic Adults and AdolescentsPHASE3 COMPLETED 12,460Dec 1, 2011Oct 1, 2015Dec 15, 2016340 United States, Argentina +24
NCT00651768Titratable Dosing in Moderate to Severe AsthmaticsPHASE3 COMPLETED 570Aug 1, 2003Jan 1, 2005Jan 24, 2011 -
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Study Endpoints
Primary Endpoints
Change From Baseline to Week 12 in 1h Post-dose FEV1
Week 0 (baseline), Week 12

1h post-dose FEV1 is defined as the 1-hour post-dose measurement taken at Week 12 minus the pre dose measurement taken at randomization for patients who remain in the study (irrespective of whether IP has been discontinued).

Number of Participants Experiencing an Event in the Composite Endpoint (Asthma-related Death, Asthma-related Intubation or Asthma-related Hospitalization)
Up to 27 weeks

Number of participants experiencing an event in the composite endpoint (asthma-related death, asthma-related intubation or asthma-related hospitalization), using events adjudicated and confirmed by the Joint Adjudication Committee. Cox proportional hazards model with terms for randomized treatment and strata for incoming control/asthma treatment was used to compare Symbicort and budesonide. Hazard ratios and 95% confidence intervals were estimated.

Number of Participants Experiencing an Event Included in the Definition of Asthma Exacerbation
Up to 26 weeks

Number of participants experiencing an event included in the definition of asthma exacerbation. An asthma exacerbation was defined as a deterioration of asthma requiring systemic corticosteroids for at least 3 days or an inpatient hospitalization or emergency room visit due to asthma that required systemic corticosteroids. Cox proportional hazards model with terms for randomized treatment and strata for incoming control/asthma treatment was used to compare Symbicort and budesonide. Hazard ratios and 95% confidence intervals were estimated.

Asthma exacerbations, ECG and Holter monitors, lung function, adverse events, requirement of other asthma therapies and other routine safety assessments.
7 assessments within 12 month treatment period
Secondary Endpoints
Change From Baseline to Week 12 in 1h Post-dose PEF
Week 0 (baseline), Week 12
Change From Baseline to Week 12 in 1h Post-dose FEF25-75
Week 0 (baseline), Week 12
Change From Baseline to Week 12 in 1h Post-dose FVC
Week 0 (baseline), Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Symbicort pMDI 80/2.25 µgACTIVE_COMPARATORBudesonide/formoterol pMDI 80/2.25 µg, 2 acuations twice daily
Symbicort pMDI 80/4.5µgACTIVE_COMPARATORBudesonide/formoterol pMDI 80/4.5µg, 2 acuations twice daily
Budesonide pMDIACTIVE_COMPARATORBudesonide pMDI 80µg, 2 acuations twice daily
1EXPERIMENTALSymbicort
2ACTIVE_COMPARATORbudesonide
Interventions
NameTypeDescription
Symbicort pMDIDRUGBudesonide/formoterol pMDI 80/2.25 µg, 2 acuations twice daily
Budesonide pMDIOTHERBudesonide pMDI 80µg, 2 acuations twice daily
budesonide/formoterolDRUG -
Symbicort pMDI + budesonide HFA pMDIDRUGSymbicort 2 X 160/4.5mcg \& budesonide HFA pMDI 4 X 160mcg
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Eligibility Criteria
Age Range6 Years — 11 Years
SexALL
Healthy VolunteersNo
Study Sites70

Inclusion Criteria: * Has a documented clinical diagnosis of asthma defined by the ATS for at least 6 months prior to Visit 2 * Have a morning pre-bronchodilator clinic FEV1 measured at least 6 hours after the last dose of inhaled SABA and at least 48 hours after last dose of inhaled LABA of 60% to...

Countries:United StatesMexicoPanamaSlovakiaArgentinaBrazilBulgariaChileColombiaCzechiaFranceGermanyIndiaItalyPeruPhilippinesPolandPuerto RicoRomaniaRussiaSouth AfricaSouth KoreaThailandUkraineUnited KingdomVietnam
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