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Formoterol

Phase 3

COPD | Small molecule | Respiratory |AstraZeneca PLC|Last Updated: Mar 26, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment1,625

FDA Designations

No designations recorded

Clinical trial landscape

Formoterol · 12 trials · 5 indications

Phase 3 9Phase 2 3
NCT03022097Study to Assess Efficacy and Safety of Aclidinium Bromide and Aclidinium Bromide/Formoterol Fumarate in Stabile COPD PatientsCOPD
COMPLETED1,625 Analytics
NCT01572792Efficacy, Safety and Tolerability of Two Fixed Dose Combinations of Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Formoterol Fumarate and Placebo for 28-Weeks Treatment in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)Chronic Obstructive Pulmonary Disease
COMPLETED921 Analytics
NCT01069289Efficacy and Safety Study of Symbicort® Turbuhaler® Versus Oxis® Turbuhaler® in Chronic Obstructive Pulmonary Disease (COPD) PatientsChronic Obstructive Pulmonary Disease
COMPLETED1,293 Analytics
NCT01047553Study to Evaluate the Safety and Efficacy of Formoterol in a Daily Dose of 18 µg (9 µg Twice Daily) in Japanese Chronic Obstructive Pulmonary Disease (COPD) PatientsChronic Obstructive Pulmonary Disease
COMPLETED251 Analytics
NCT00288379SMILDA - Symbicort®Turbuhaler® Allergan Challenge Study in Allergic Patients With Mild AsthmaAsthma
COMPLETED16 Analytics
NCT00259766SHARE - Symbicort and Health Economics in a Real Life EvaluationAsthma
COMPLETED1,970 Analytics
NCT00651651Efficacy of Symbicort Versus Its Monocomponents - SPRUCE 80/4.5Asthma
COMPLETED450 Analytics
NCT00651547Symbicort in Asthmatic Children - SEEDLINGAsthma
COMPLETED405 Analytics
NCT00652002Efficacy of Symbicort Versus Its Monocomponents - SPRUCE 160/4.5Asthma
COMPLETED450 Analytics
PHASE3COMPLETED
Study to Assess Efficacy and Safety of Aclidinium Bromide and Aclidinium Bromide/Formoterol Fumarate in Stabile COPD Patients
COPDUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Two Fixed Dose Combinations of Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Formoterol Fumarate and Placebo for 28-Weeks Treatment in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Symbicort® Turbuhaler® Versus Oxis® Turbuhaler® in Chronic Obstructive Pulmonary Disease (COPD) Patients
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Safety and Efficacy of Formoterol in a Daily Dose of 18 µg (9 µg Twice Daily) in Japanese Chronic Obstructive Pulmonary Disease (COPD) Patients
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3COMPLETED
SMILDA - Symbicort®Turbuhaler® Allergan Challenge Study in Allergic Patients With Mild Asthma
AsthmaUnlock trial analytics
PHASE3COMPLETED
SHARE - Symbicort and Health Economics in a Real Life Evaluation
AsthmaUnlock trial analytics
PHASE3COMPLETED
Efficacy of Symbicort Versus Its Monocomponents - SPRUCE 80/4.5
AsthmaUnlock trial analytics
PHASE3COMPLETED
Symbicort in Asthmatic Children - SEEDLING
AsthmaUnlock trial analytics
PHASE3COMPLETED
Efficacy of Symbicort Versus Its Monocomponents - SPRUCE 160/4.5
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in 1-hour Morning Post Forced Expiratory Volume in 1 Second (FEV1)
Week 24, 1-hour morning post-dose

Change from baseline in 1-hour morning post-dose FEV1 of Aclidinium bromide 400 μg/Formoterol fumarate 12 μg compared to Aclidinium bromide at Week 24. Baseline was defined as the average of the two FEV1 values measure prior to the administration of the first dose of the IP at randomisation visit. If one of the two values was missing, the available one was used as baseline. If both values were missing, the screening pre-bronchodilator value was used. Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

Change From Baseline in Morning Pre-dose (Trough) FEV1 for Aclidinium Bromide/Formoterol Fumarate
Week 24, morning pre-dose (trough)

Change from baseline in morning pre-dose (trough) FEV1 of Aclidinium bromide 400 μg/Formoterol fumarate 12 μg compared to Formoterol fumarate 12 μg at Week 24. Morning pre-dose (trough) FEV1 was defined as the average of the two FEV1 values at morning pre-dose of IP at Week 24. If one value was missing, the remaining was used as the trough value. Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

Change From Baseline in Morning Pre-dose (Trough) FEV1 for Aclidinium Bromide
Week 24, morning pre-dose (trough)

Change from baseline in morning pre-dose (trough) FEV1 of Aclidinium bromide 400 μg compared to placebo at Week 24. Morning pre-dose (trough) FEV1 was defined as the average of the two FEV1 values at morning pre-dose of IP at Week 24. If one value was missing, the remaining was used as the trough value. Estimand is based on the while on-treatment approach, where treatment estimates are analysed while subjects are taking IP.

Percentage of Patients to Experience Any Treatment-emergent Adverse Event
Baseline of lead-in study to follow-up call 14±3 days after last dose of investigational product (up to Week 52)

For each safety parameter, the last assessment made before the first dose of investigational product in the lead-in study (LAC MD-31) was used as the baseline for all analyses of that safety parameter in this extension study

Pre-dose Forced Expiratory Volume in One Second (FEV1)
Before randomization, 0, 4, 8 and 12 weeks after randomization

The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group

Clinical Laboratory Test: Haematology -Erythrocytes
Baseline and week 52

Mean change from Baseline

Clinical Laboratory Test: Haematology -Haemoglobin
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-Leucocytes
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-Platelet Count
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology Eosinophils
baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology Basophil
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-Lymphocytes
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology-Monocytes
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Haematology -Neutrophils
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry- S-Alanine Aminotransferase
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Aspartate Aminotransferase
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Alkaline Phosphatase (ALP)
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Creatinine
Baseline and week 52

Change from Baseline

Clinical Laboratory Test: Clinical Chemistry-S-Total Bilirubin
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Sodium
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Potassium
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S- Calcium
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Albumin
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry-S-Total Protein
Baseline and week 52

Change from baseline

Clinical Laboratory Test: Clinical Chemistry - S-Blood Urea Nitrogen (BUN)
Baseline and week 52

Change from baseline

Vital Signs- Sitting SBP
Baseline and week 52

Change from baseline

Vital Signs- Sitting DBP
Baseline and week 52

Change from baseline

Vital Signs - Pulse Rate
Baseline and week 52

Change from baseline

ECG Variables - Heart Rate
Baseline and week 52

Change from baseline

ECG Variables - QT Interval
Baseline and week 52

Change from baseline

ECG Variables - QTcB Interval
Baseline and week 52

Change from baseline

ECG Variables QTcF Interval
Baseline and week 52

Change from baseline

ECG Variables RR Interval
Baseline and week 52

Change from baseline

PD20 methacholine (measured as the change using the measurement before and after each treatment period).
Asthma-related health-care utilization as measured by total amount of asthma medication purchased and number of contacts with health-care facilities
12 hour serial FEV1 measurements and withdrawals due to asthma exacerbation
FEV1: before start of tretment and at 2 and 12 weeks after start of treatment. Withdrawals: throughout the treatment period
Morning PEF
Daily
Change From Baseline in Normalized Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve (AUC) Over the 12 h Period Immediately After Morning Study Drug Administration, AUC0-12/12h at Day 7 on Treatment
Day 7: 30 min, 1 to 4 hours, 6 hours, 9 hours and 12 hours post-dose

To assess the bronchodilation of 3 doses of formoterol fumarate (6 μg, 12 μg and 24 μg) twice daily (BID administered via Pressair® compared to placebo and to open-label nebulised formoterol fumarate(20 μg). Pre-dose spirometry was performed before the morning daily dose at Day 1 and Day 7 of each treatment period. Two sets of measurements were performed during the hour preceding the scheduled morning study drug administration, allowing approximately 30 minutes between them. Note: Perforomist® 40 μg treatment periods lasted for 1 day only. Hence, was not included in the calculation.

FEV1(Forced Expiratory Volume in 1 Second) Measured by Spirometry 5 Minutes Post Dose
Pre-dose and 5 minutes post-dose

FEV1(Forced Expiratory Volume in 1 second) measured by spirometry 5 minutes post dose, percentage change versus pre dose FEV1

Average FEV1 during 12 hours
Once a week for 5 weeks during treatment period

Secondary Endpoints

Change From Baseline in Peak FEV1
Week 24, peak
Improvements Transition Dyspnoea Index (TDI) Focal Score
Week 24
Change From Baseline in St Georges Respiratory Questionnaire (SGRQ) Total Score
Week 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Experimental 1EXPERIMENTALAclidinium bromide 400μg/Formoterol fumarate 12 μg
Experimental 2EXPERIMENTALAclidinium bromide 400 μg
ComparatorACTIVE_COMPARATORFormoterol fumarate 12 μg
PlaceboPLACEBO_COMPARATORPlacebo
1EXPERIMENTALAclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose
2EXPERIMENTALAclidinium bromide/formoterol Fixed-Dose Combination (FDC) low dose
3ACTIVE_COMPARATORAclidinium bromide 400 μg
4ACTIVE_COMPARATORFormoterol Fumarate 12 μg
5PLACEBO_COMPARATORPlacebo
Formoterol 6 μgEXPERIMENTALParticipants received formoterol fumarate 6 μg administered via Pressair twice daily (BID).
Formoterol 12 μgEXPERIMENTALParticipants received formoterol fumarate 12 μg administered via Pressair BID.
Formoterol 24 μgEXPERIMENTALParticipants received formoterol fumarate 24 μg administered via Pressair BID.
Formoterol 20 μgEXPERIMENTALParticipants received Perforomist inhalation solution and were instructed to take one puff from each of the two Pressair inhalers or to inhale one vial from the Perforomist 20 μg inhalation solution BID for 7 ± 1 consecutive days.
Formoterol 40 μgEXPERIMENTALParticipants received Perforomist 40 μg (2 vials of Performist 20 μg) as a single dose of administration.
Formoterol, then Salmeterol, then PlaceboEXPERIMENTALFormoterol Turbuhaler 9 μg and Placebo Diskus first, then Salmeterol Diskus 50 μg and Placebo Turbuhaler, then Placebo Diskus and Placebo Turbuhaler
Salmeterol, then Palcebo, then FormoterolEXPERIMENTALSalmeterol Diskus 50 μg and Placebo Turbuhaler first, then Placebo Diskus and Placebo Turbuhaler, then Formoterol Turbuhaler 9 μg and Placebo Diskus
Placebo, then Formoterol, then SalmeterolEXPERIMENTALPlacebo Diskus and Placebo Turbuhaler first,then Formoterol Turbuhaler 9 μg and Placebo Diskus, then Salmeterol Diskus 50 μg and Placebo Turbuhaler
Formoterol, then Placebo, then SalmeterolEXPERIMENTALFormoterol Turbuhaler 9 μg and Placebo Diskus first, then Placebo Diskus and Placebo Turbuhaler, then Salmeterol Diskus 50 μg and Placebo Turbuhaler
Salmeterol, then Formoterol, then PlaceboEXPERIMENTALSalmeterol Diskus 50 μg and Placebo Turbuhaler first, then Formoterol Turbuhaler 9 μg and Placebo Diskus, then Placebo Diskus and Placebo Turbuhaler
Placebo, then Salmeterol, then FormoterolEXPERIMENTALPlacebo Diskus and Placebo Turbuhaler first, then Salmeterol Diskus 50 μg and Placebo Turbuhaler, then Formoterol Turbuhaler 9 μg and Placebo Diskus

Interventions

NameTypeDescription
Aclidinium bromide/formoterol Fixed-Dose CombinationDRUGInhaled Aclidinium bromide/formoterol Fixed-Dose Combination, twice per day via Genuair
Aclidinium bromideDRUGInhaled Aclidinium bromide 400 μg, twice per day via Genuair
Formoterol FumarateDRUGInhaled Formoterol Fumarate 12 μg, twice per day via Turbuhaler
PlaceboDRUGInhaled dose-matched placebo, twice per day via Genuair or via Turbuhaler
Aclidinium bromide/formoterol Fixed-Dose Combination (FDC)DRUGInhaled Aclidinium bromide/formoterol Fixed-Dose Combination (FDC) high dose, twice per day
Budesonide/formoterol (Symbicort Turbuhaler)DRUG2x160/4.5 microgram, inhalation, twice daily, 12 weeks
Formoterol (Oxis Turbuhaler)DRUG2 X 4.5 microgram, inhalation, twice daily, 12 weeks
Formoterol (OT)DRUG9 μg/dose, Inhaled, twice daily for 52 weeks
formoterolDRUG -
budesonide/formoterolDRUG -
BudesonideDRUG -
TerbutalineDRUG -
Formoterol fumarate (6 μg)DRUGOral Inhalation (by Pressair® Dry Powder Inhaler, DPI)
Formoterol furmarate (20 μg)DRUGOral Inhalation (via a standard jet nebulizer connected to an air compressor.
Placebo for formoterol fumarateDRUGOral Inhalation (by Pressair® Dry Powder Inhaler, DPI)
Formoterol fumarate (12 μg)DRUGOral Inhalation (by Pressair® Dry Powder Inhaler, DPI)
Formoterol fumarate (40 μg)DRUGOral Inhalation (via a standard jet nebulizer connected to an air compressor.
SalmeterolDRUGSalmeterol Diskus 50 μg and Placebo Turbuhaler
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Eligibility Criteria

Age Range40 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites74

Inclusion Criteria: * 1\. Adult male or non-pregnant, non-lactating female patients aged ≥40 * 2\. Patients with a diagnosis of COPD prior to Visit 1 (screening) * 3\. Patients with moderate to severe stable COPD (Stage II or Stage III) at Visit 1: post-bronchodilator FEV1 ≥30% and \< 80% and post-...

Countries:ChinaIndiaPhilippinesTaiwanVietnamUnited StatesAustraliaCanadaNew ZealandJapanPolandRussiaSouth KoreaUkraineSwedenItalySpain
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Frequently asked questions about Formoterol

What is Formoterol used for?

Formoterol is a small molecule respiratory drug used for chronic obstructive pulmonary disease (COPD) and asthma, including stable asthma. It is being developed by AstraZeneca PLC (AZN) and is currently in Phase 3 clinical development for these indications.

Who makes Formoterol?

Formoterol is developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. The drug is being studied for the treatment of respiratory conditions including COPD and asthma.

What phase is Formoterol in?

Formoterol is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The development program includes completed Phase 3 trials in asthma and COPD.

What clinical trials is Formoterol in?

Formoterol has been studied in several clinical trials, including NCT00651547 (SEEDLING), NCT00651651 (SPRUCE 80/4.5), NCT00652002 (SPRUCE 160/4.5), and NCT00658255. These trials were completed and enrolled a total of 1,480 patients with asthma or stable asthma.

Is Formoterol the same as Symbicort?

Formoterol is a component of Symbicort, a combination product. Clinical trials such as NCT00651547 and NCT00651651 evaluated Symbicort, which contains formoterol, in asthmatic patients. Formoterol is also administered alone via devices like Oxis Turbuhaler.