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Umeclidinium bromide

Phase 3

Pulmonary Disease, Chronic Obstructive | Small molecule | Other |GSK plc|Last Updated: Jun 29, 2020

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 Trials4
Total Enrollment2,250
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02184611A 24 Week Efficacy Study of Inhaled Umeclidinium (UMEC) in Patients of Chronic Obstructive Pulmonary Disease (COPD) Using a Novel Dry Powder Inhaler (NDPI)PHASE3 COMPLETED 308May 9, 2016Nov 8, 2017Jun 29, 202026 China, South Korea
NCT01822899A Study to Evaluate the Efficacy and Safety of Umeclidinium Bromide/Vilanterol Compared With Fluticasone Propionate/Salmeterol Over 12 Weeks in Subjects With Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 717Apr 4, 2013Oct 7, 2013Sep 6, 201778 Czechia, Denmark +6
NCT01772134Efficacy and Safety of the Addition of Fluticanse Propionate/Salmeterol (250/50mcg) Twice-daily to 2 Doses of Umeclidinium Bromide (62.5 or 125mcg) Once-daily Over 12 WeeksPHASE3 COMPLETED 617Jan 1, 2013Jul 22, 2013Jan 29, 201873 United States, Canada +2
NCT01772147Efficacy and Safety of the Addition of Fluticasone Propionate/Salmeterol (250/50mcg) Twice-daily to 2 Doses of Umeclidinium Bromide Inhalation Powder (62.5 or 125mcg) Once-daily Over 12 Weeks.PHASE3 COMPLETED 608Jan 1, 2013Aug 1, 2013Mar 23, 201755 United States, Chile +3
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Study Endpoints
Primary Endpoints
Change From Baseline in Trough (Pre-bronchodilator) Forced Expiratory Volume in 1 Second (FEV1) on Treatment Day 169
Baseline (Day 1) and Day 169

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Treatment Day 169 was defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Treatment Day 168 (i.e. at Week 24). Baseline FEV1 is defined as the mean of the two assessments made pre-dose at Visit 2 (Day 1). Change from Baseline was calculated by subtracting the value on-treatment from the Baseline value. Modified intent-to-treat (mITT) Population comprised of all participants randomized to treatment who received at least one dose of the study medication in the treatment period.

Change From Baseline (BL) in 0 to 24 Hour Weighted Mean Serial Forced Expiratory Volume in One Second (FEV1) at Day 84
Baseline and Day 84

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. The weighted mean was calculated from the pre-dose FEV1 and post-dose FEV1 measurements at 5 and 15 minutes and 1, 3, 6, 9, 12 (pre-evening dose), 13, 15, 18, 23, and 24 hours after the morning dose. Analysis was performed using an analysis of covariance (ANCOVA) model with covariates of treatment, Baseline FEV1 (mean of the two assessments made 30 minutes and 5 minutes pre-dose on Day 1), and smoking status.

Change From Baseline in the Trough Forced Expiratory Volume in One Second (FEV1) on Day 85
Baseline and Day 85

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Treatment Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Treatment Day 84 (i.e., at Week 12). Baseline trough FEV1 is the mean of the two assessments made at -30 and -5 minutes (min) pre-dose on Treatment Day 1. Change from Baseline was calculated as the Day 85 value minus the Baseline value. Analysis was performed using a repeated measures model with covariates of treatment, Baseline (mean of the two assessments made at -30 and -5 min pre-dose on Treatment Day 1), smoking status, day, day by Baseline and day by treatment interactions.

Secondary Endpoints
Transition Dyspnea Index (TDI) Focal Score at Week 24 (Day 168)
Week 24 (Day 168)
Change From Baseline in Weighted Mean FEV1 Over 0 to 6 Hours Post-dose on Day 1
Baseline (pre-dose on Day 1) and Day 1 (0 to 6 hours)
Number of Participants With Adverse Events (AE) and Serious AE (SAE)
Up to Day 178
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Umeclidinium bromideEXPERIMENTALSubjects meeting the eligibility criteria will complete a 7 to 14 day run-in period and will be randomized to receive UMEC Inhalation Powder 62.5 mcg OD over a period of 24 weeks
PlaceboPLACEBO_COMPARATORSubjects meeting the eligibility criteria will complete a 7 to 14 day run-in period and will be randomized to receive matching placebo of UMEC Inhalation Powder OD over a period of 24 weeks
Umeclidinium bromide/Vilanterol + placebo ACCUHALER/DISKUSEXPERIMENTALSubjects will receive UMEC/ VI 62.5/25 mcg, one inhalation administered once-daily in the morning via the NDPI and one placebo ACCUHALER/DISKUS administered as one inhalation each morning and evening.
Fluticasone propionate/Salmeterol + placebo NDPIACTIVE_COMPARATORSubjects will receive FSC 500/50 mcg, administered as one inhalation each morning and evening via ACCUHALER/DISKUS + placebo administered once daily in the morning via NDPI.
Umeclidinium bromide 62.5 + Fluticasone propionate/SalmeterolEXPERIMENTALLong-acting muscarinic antagonist (LAMA), 62.5mcg plus Inhaled corticosteriod (ICS), 250mcg/ Long acting Beta agonist (LABA), 50mcg
Umeclidinium bromide 125 + Fluticasone propionate/SalmeterolACTIVE_COMPARATORLong-acting muscarinic antagonist (LAMA), 125mcg plus Inhaled corticosteriod (ICS), 250mcg/ Long acting Beta agonist (LABA), 50mcg
Placebo + Fluticasone propionate/SalmeterolPLACEBO_COMPARATORInhaled corticosteriod (ICS), 250mcg/ Long acting Beta agonist (LABA), 50mcg
Fluticasone propionate/SalmeterolACTIVE_COMPARATORInhaled corticosteroid (ICS)/Long-acting beta agonist (LABA)
Interventions
NameTypeDescription
Umeclidinium bromideDRUGBlended with lactose and magnesium stearate dry white powder of umeclidinium 62.5 mcg to be inhaled via a NDPI
PlaceboDRUGBlended with lactose and magnesium stearate dry white powder to be inhaled via a NDPI
Umeclidinium bromide/VilanterolDRUGDry white powder of UMEC 62.5 mcg per blister and VI 25 mcg per blister as NDPI with 30 doses (2 strips with 30 blisters per strip).
Placebo ACCUHALER/DISKUSDRUGDry white powder of matching placebo as multidose dry powder inhaler containing a foil strip with 60 blisters (1 strip with 60 blisters per strip).
Fluticasone propionate/SalmeterolDRUGDry white powder of fluticasone propionate 500 mcg per blister 50 mcg salmeterol per blister as multidose dry powder inhaler containing a foil strip with 60 blisters (1 strip with 60 blisters per strip).
Placebo NDPIDRUGDry white powder of matching placebo as NDPI with 30 doses (2 strips with 30 blisters per strip).
Umeclidinium bromide 62.5mcgDRUGInhalation Powder, LAMA 62.5mcg
Umeclidinium bromide 125mcgDRUGInhalation Powder, LAMA 125mcg
Fluticasone propionate 250mcg/Salmeterol 50mcgDRUGInhalation Powder, ICS/LABA
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites26

Inclusion Criteria: * Type of subject: outpatient, Asian ancestry. * Informed Consent: A signed and dated written informed consent prior to study participation. * Age: 40 years of age or older at Screening (Visit 1). * Gender: Male or female subjects are eligible to participate in the study. A fema...

Countries:ChinaSouth KoreaCzechiaDenmarkGermanyHungaryNetherlandsPolandRussiaSpainUnited StatesCanadaChile
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